Microsoft Azure
Infrastructure built on Azure's compliance-certified cloud — ISO 27001, SOC 2 Type II, and HIPAA-eligible services.
Built open, priced honest
Secure, cost-controlled infrastructure for government and regulated industries.
Kapstone Systems designs, builds, hardens and runs the cloud and on-prem systems that government agencies, healthcare organizations and regulated businesses depend on, using open-source tools wherever they outperform costly proprietary platforms.
Consulting
Infrastructure, Data & Interoperability
Cloud and on-prem builds, data pipelines, interoperability and custom applications for regulated environments.
What we doProducts
Hardened Linux Images
DISA STIG applied. FIPS mode enabled. Evidence pack with every release.
View the catalogMonthly service
Cloud Cost & Security Retainer
A flat-fee retainer that reduces cloud spending and reports security posture, priced below the savings it identifies.
How it worksWhat We Do
One practice, the full stack — not four different vendors.
- 01
Regulated Infrastructure, Cloud or On-Prem
Hardened, documented systems on Azure, AWS or your own hardware, administered to HIPAA, NIST 800-53 and 21 CFR Part 11 requirements. When data can't leave your walls, the same open-source stack runs on-premises.
- 02
Data & Interoperability
Data lakes, identity resolution (EMPI), FHIR and HL7v2 pipelines, and OCR/AI document processing, built on open standards and owned outright.
- 03
Custom Applications & AI Workflows
Purpose-built applications and practical AI for document processing, data quality and automation, including small language models on your own hardware, always with a human review step.
- 04
Research Data Systems
REDCap and related research platform administration, including validated 21 CFR Part 11 environments.
Cloud cost and security retainer
Lower cloud spending and a monthly view of security posture
For agencies and organizations already running Azure or AWS: a flat-fee monthly retainer that reduces cloud spending and reports security posture, priced below the savings it identifies. Engagements begin with a no-cost snapshot.
- Step 1 · Snapshot
No cost
A 30-minute session in which your staff share their own cost and security dashboards. Kapstone Systems returns a one-page summary of the five largest findings with an estimate of annual savings. No credentials are shared.
- Step 2 · Assessment
$4,500 fixed
A full review of cost and security posture, a prioritized remediation list with estimated savings per item, and a 30-minute briefing for leadership. If annual savings identified are less than twice the fee, the fee is refunded.
- Step 3 · Retainer
from $2,000 /month
Monthly cost and posture reports, hands-on remediation within the included hours, and a monthly check-in. The monthly fee is set at or below half of the monthly savings the assessment identifies.
Kapstone Hardened Images
Hardened Linux, ready on Azure and AWS
AlmaLinux 9 images with the DISA STIG profile applied, FIPS mode enabled and an evidence pack with every monthly release: a base OS plus application images for document OCR, secure file transfer, remote access and FHIR.
Why Open Source
Enterprise-grade infrastructure. Without the enterprise price tag.
Most IT vendors sell a license, then a renewal, then a “premium tier” you didn't know you'd need. Kapstone builds on proven open-source foundations wherever they can match or outperform proprietary platforms — consumption pricing you can see and control, instead of an opaque annual quote.
Relative cost (illustrative index)
- Typical proprietary
- Kapstone open-source
Example: health data projects
| Component | Typical proprietary structure | Kapstone open-source build |
|---|---|---|
| Document Intelligence / OCR | Per-document SaaS fees, often with per-seat platform costs layered on top | Azure Document Intelligence at published consumption rates — $1.50/1,000 pages (OCR) to $30/1,000 pages (custom extraction), no seat fees |
| Interface Engine (HL7v2/FHIR) | One-time engine license plus a separate licensed connection fee per interface | Custom pipeline on Azure Health Data Services or open engines — you own the pipeline, not a per-connection license |
| EMPI | Custom vendor quote, typically opaque until you're deep in procurement | Built on OpenCR / HAPI FHIR — self-hosted, no per-record licensing |
| Research Data Platform | Per-seat or per-project licensing that scales with your team, not your usage | Self-hosted deployment you fully own |
Document Intelligence figures are Microsoft's published Azure retail rates as of 2026. Interface engine and EMPI vendors generally don't publish pricing — we build the real comparison against an actual quote you've received, not a hypothetical one.
How It Works
Four steps, no black box.
- 01
Assess
We map your current systems, data flows, and the real cost of what you're running today — including the licenses you may not be using fully.
- 02
Design
A concrete architecture — data lake, EMPI, interoperability layer, or application — sized to your actual volume, not a vendor's tier structure.
- 03
Build
Hands-on implementation, not slideware handed to a subcontractor. The person who designs it is the person who builds it.
- 04
Operate
Ongoing administration, monitoring, and compliance support — or a clean handoff with real documentation if you're bringing it in-house.
Continuous — most engagements loop back into Assess as scope grows
Compliance & Standards
Built and administered in alignment with the frameworks that matter.
These aren't logos we paste on for trust — they're the actual frameworks we design infrastructure and administrative processes around, engagement by engagement.
HIPAA
Environments configured to HIPAA Security & Privacy Rule requirements, with a signed BAA on every engagement.
HITRUST CSF
Security controls designed and administered in alignment with the HITRUST Common Security Framework.
NIST 800-53 / RMF
Risk management practices aligned with the NIST Risk Management Framework and SP 800-53 control families.
21 CFR Part 11
Electronic records and signatures configured for FDA-regulated research environments.
GCP — Good Clinical Practice
Research data systems built to support ICH E6(R2) Good Clinical Practice requirements.
About
25+ years in the trenches. A team built to match the work.
Kapstone Systems was founded on 25+ years of hands-on experience spanning web hosting and systems administration, DevOps and security engineering, and healthcare and public health informatics consulting. As engagements grow, we bring in specialized talent to fill skill gaps — every architecture we propose has already been built, patched, and kept alive under real regulatory and operational pressure, not just presented in a slide deck.
Working with a government buyer? See the capability statement.
- Years of hands-on infrastructure & healthcare IT experience
- 25+
- Cloud platforms
- Azure / AWS / GCP
- Interoperability standards
- FHIR / HL7v2
- Compliance frameworks
- HIPAA / HITRUST CSF / NIST 800-53 / 21 CFR Part 11 / GCP
- Production systems built
- EMPI stacks, public health sandboxes, document intelligence pipelines
- Team certifications
- AWS Certified SysOps Administrator, Microsoft Certified: Azure Fundamentals & Azure Administrator Associate
Contact
Tell us what you're working on.
Whether it's a cloud bill that keeps growing, a system that has to pass an audit, or data that won't talk to each other — start with a real conversation, not a sales deck.
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