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HITRUST

HITRUST vs SOC 2: Which Does Your Company Need?

The answer is rarely about which framework is stronger. It is about what your buyers will accept, and whether you will eventually maintain both.

By 22 Compliance Group Published Reviewed 7 min read

The right choice is usually driven by customer expectations, market requirements, risk, and the type of assurance buyers expect, not by which framework is generically better. If a customer has told you which one they need, that is the answer, and further comparison is mostly academic.

When nobody has specified, the question becomes what assurance will satisfy the market you are selling into.

What each one is

SOC 2 is widely used by technology and SaaS companies to provide independent assurance around controls relevant to security and other applicable Trust Services Criteria. The output is a report from an independent licensed CPA firm describing what was examined and found.

HITRUST provides a prescriptive cybersecurity assurance framework and certification program built around the HITRUST CSF. It is particularly prominent in healthcare and other risk-sensitive industries, while also being used more broadly by technology and service organizations. The output is a HITRUST certification when certification requirements are met.

They are not equivalent, and neither is a substitute for the other.

A high-level comparison

ConsiderationSOC 2HITRUST
Common useB2B technology and service-provider assuranceCybersecurity assurance across healthcare, technology, and other risk-sensitive environments
StructureBased on applicable Trust Services CriteriaHITRUST CSF-based assurance program
OutcomeIndependent SOC 2 reportHITRUST certification when certification requirements are met
External partyIndependent CPA firmHITRUST Authorized External Assessor and HITRUST
Program needOperating controls and evidenceOperating controls, evidence, and assessment-specific HITRUST requirements

One thing HITRUST is not

HITRUST is not HIPAA certification, and the two are frequently conflated. HIPAA is a U.S. regulatory framework applicable to certain healthcare organizations and activities. HITRUST is a cybersecurity assurance framework and certification program that can incorporate requirements from multiple authoritative sources.

Whether HIPAA applies to your business is a legal determination for qualified counsel, not something a compliance vendor should be answering for you.

Some companies need one. Some eventually need both.

Maintaining both is not unusual for companies selling across multiple markets, particularly technology vendors whose customer base spans healthcare and general enterprise. It is more work, and the work overlaps more than the frameworks' differences suggest.

Accurate policies, owned controls, consistently generated evidence, tracked remediation, and a functioning risk register support both. The framework-specific requirements sit on top of that foundation rather than replacing it. Companies that build the foundation once tend to find the second program materially cheaper than the first.

Companies that treat each framework as a separate project usually pay twice.

How to decide

  1. Ask your customers, specifically. Not what they would prefer. What their vendor process actually requires and will accept.
  2. Look at where your pipeline is heading. If healthcare is becoming a meaningful share of your market, that changes the calculus.
  3. Assess your program honestly. Either path assumes controls that operate consistently. If they do not, that is the first problem regardless of framework.
  4. Sequence deliberately. If both are likely eventually, build the shared foundation with that in mind rather than optimizing narrowly for the first one.

What we will not do is tell you one framework is better. That question does not have a general answer, and treating it as though it does is how companies end up with the wrong assurance and a customer who still will not sign.

Questions

Is HITRUST harder than SOC 2?
They are structured differently and are not directly comparable on difficulty. HITRUST is prescriptive and assessment-specific. SOC 2 is built around applicable Trust Services Criteria. What both require is controls that genuinely operate and evidence that they did.
Can a HITRUST certification replace a SOC 2 report?
Not automatically. Whether a customer accepts one in place of the other is that customer's decision, driven by their own vendor requirements. Ask before assuming.
Does 22 perform either assessment?
No. SOC 2 examinations are performed by an independent licensed CPA firm. HITRUST assessment activities are performed by appropriately authorized HITRUST organizations. 22 builds and operates the program underneath and coordinates with those parties.
If we might eventually need both, what should we build first?
The shared foundation: accurate policies, owned controls, consistent evidence generation, tracked remediation, and a maintained risk register. That work supports either path and reduces the cost of the second.

Next step

If you are weighing both, the first useful step is finding out what your buyers will actually accept. See HITRUST program support, SOC 2 readiness, or talk it through with us.

Compliance needs an owner.

When the reading is done and the work still has no home, that is the conversation to have.