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AWS, Azure, GCP, or OCI: choosing a cloud provider for regulated industries

Healthcare, fintech, the public sector, and other regulated industries face a constant dilemma: they must innovate to deliver the speed, scalability, and convenience clients expect, while navigating strict compliance and security requirements. Cloud platforms can help achieve this balance, but how to choose a compliant cloud provider?
15 min read
best cloud provider for regulated industries
best cloud provider for regulated industries

    Cloud Engineering

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    Data residency and sovereignty

    Data residency defines where data is physically stored, while data sovereignty determines which jurisdiction governs data in that location.

    AWS vs Azure vs GCP vs OCI for regulated industries

    The table below summarizes the key differences between AWS, Azure, OCI, and GCP.

    AWS Azure GCP OCI
    Regions 38 70+ 40+ 50+
    Compliance coverage 140+ security standards and certifications (HIPAA/HITECH, FedRAMP, GDPR, FIPS 140-3, NIST 800-171) 100+ compliance offerings, including 50+ regional and 35+ industry-specific certifications Broad coverage across global, regional, and industry standards (ISO 270xx, SOC 1/2/3, PCI DSS, FedRAMP, C5, APRA) Publicly available third-party attestations covering HIPAA, PCI DSS, SOC 1/2/3, ISO/IEC (27001, 27017, 27018, 27701), C5
    Compliance tools and services Audit Manager, Artifact, GuardDuty, Security Assurance Services Entra ID, Defender for Cloud, Purview Compliance Manager, Sentinel Assured Workloads, Compliance Manager, Security Command Center Compliance Documents, Cloud Guard, Security Zones
    Security measures Built-in encryption, IAM, threat detection, network segmentation, resilience, and recovery Same Same Same
    Isolated clouds GovCloud, European Sovereign Cloud, Outposts for local processing and in-country residency Strong regional boundaries; Azure Government for the public sector Distributed Cloud for complete isolation; Assured Workloads for jurisdictional control; Sovereign Controls by Partners (oversight by trusted local partners) EU Sovereign Cloud; Dedicated Region; Alloy (partner-operated cloud); sovereign realms
    Service parity No No No Yes

    Solution Architecture Consulting

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    Conclusion

    F.A.Q about cloud computing for regulated industries

    • Cloud compliance in regulated industries ensures that cloud infrastructure meets the legal, industry, and organizational requirements. This includes governing data residency and sovereignty, implementing security controls, and continuous monitoring.

    • Even in regulated industries, some data movement inside a cloud provider’s infrastructure is unavoidable. A single cloud region typically includes multiple data centers and providers replicate data within that region to support failover, backup, and operational continuity. This movement stays within the selected jurisdiction.

    • All four platforms provide Business Associate Agreement for HIPAA, Data Processing Agreement for GDPR, and FedRAMP-authorized services for government. Each cloud operates authorized services, maintains strict controls, enforces encryption, and offers dedicated environments. Providers secure their infrastructure, while customers are responsible for data governance, workload configurations, and identity management.

    • Key challenges include redesigning identity and access models for cloud-native controls, stringent residency and sovereignty requirements, and limited visibility into sensitive data. Often, the process of migrating to the cloud in regulated environments is complicated by legacy systems, hybrid dependencies, and the need for ongoing logging and evidence gathering.

    • Our team designs a secure landing zone with enforceable identity, encryption, network, and logging standards, and maps regulatory obligations to specific technical controls. We also document data flows, control ownership, and operational procedures to support both engineering and formal audits.

    • A multicloud strategy adds complexity to identity management, networking, monitoring, and evidence collection. In most cases, a single cloud platform is more efficient. However, when a provider can’t meet some residency, sovereignty, or specific service requirements, a multicloud approach can work.

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