Industry

Offensive Security for healthcare.

Hospitals, health systems and providers run services that can’t stop. The Swarm continuously tests your organization the way a real attacker would, across digital, social and physical, so you know what holds and can prove it to your board, auditors and insurers.

What would an attacker take from you first?

You already invest in audits, assessments, and annual tests. They show what was checked on the day it was checked. They can’t show whether care would keep running if your organization was targeted tomorrow.

Downtime simply isn’t an option. Every new system, supplier and device changes your risk, and your board, auditors and insurers want to know you’re ahead of it. That takes evidence, not assumptions, and that’s what the Swarm gives you.

Keep care running.

Clinical systems, scheduling and pathology are what patients feel first. We test whether they’d hold under a real attack, so disruption is something you’ve prepared for, not something you discover.

Protect patient trust.

A card can be reissued; a medical record can’t. We find the routes to patient data before anyone else does, and show your team exactly how to close them.

Know who has access.

Labs, billing, IT providers and device vendors all connect into your environment. We test those connections in every cycle, not just once at onboarding.

We attack the route to patient care.

Real incidents rarely start with one big flaw. They start with small gaps that line up: a rushed password reset, an unpatched device, a supplier’s remote access. The Swarm tests how those gaps connect, so you can break the chain, not just patch the links.

Identity and service desk

Clinicians, agency staff and shift workers across sites mean constant resets and access requests. We test whether your verification holds up under real pressure, and help your teams hold the line.

Clinical systems and patient portals

Electronic records, portals, scheduling and the integrations between them. We test access controls and APIs so a patient login only ever reaches that patient’s records.

Connected medical devices

Pumps, imaging, monitors and the networks they sit on, often running software that’s hard to patch. We test what’s reachable, within guardrails agreed with clinical engineering, and show you how to segment and protect it.

Suppliers and third parties

Labs, billing, IT providers and device vendors with access into your environment. We test those routes in, so a partner’s weakness doesn’t become yours.

Hospitals, clinics and offices

Healthcare buildings are open by design, with public corridors and shared workstations. We test whether physical access could lead to digital access, and where simple changes close the gap.

Remote access and cloud

VPNs, remote desktops, telehealth and cloud platforms, often added quickly and rarely revisited. We test the configuration, so remote access works for your teams and no one else.

We know that real attack surfaces don’t come in neat categories. If yours doesn’t fit above, tell us what you’re working with.

What a Finding Looks Like

Finding

In a client login portal, a Swarm operator found three separate upload areas for IDs, documents and profile pictures, and used them as a way in.

Impact

Within three days: complete control over the web servers, the AWS domains and sensitive database information.

Remediation

Validate every upload server-side and store files where they can never execute. Limit the web server's cloud permissions to what it needs, and use parameterized queries in search.

Want the full picture?

The full range of offensive security the Swarm runs: every discipline, how they connect, and what each one tests.

Proof your board, insurers and auditors can see.

HIPAA asks you to understand your risk and evaluate your safeguards. A real attack is the most direct way to do both. Every Swarm cycle produces evidence of what was attacked, what held and what was fixed.

ObligationWhat it asks forHow the Swarm supports it
HIPAA Security Rule (current)Risk analysis, risk management and periodic evaluation of safeguards protecting electronic patient data. No explicit penetration testing requirement.Real attack evidence to inform your risk analysis and evaluations.
HIPAA Security Rule update (proposed)Would require penetration testing at least annually and vulnerability scans at least every six months. Proposed January 2025; not final as of mid-2026.Continuous testing already goes beyond the proposed annual minimum.
HIPAA Breach Notification RuleNotify affected individuals after a breach; larger breaches must also be reported to HHS and the media.Evidence that the paths to patient data are tested against real attacks.
Cyber insuranceInsurers increasingly ask for evidence of testing and controls such as MFA at renewal.Cycle-by-cycle evidence your broker and insurer can review.

Stories from the Swarm

These stories are real, but the names are deeply redacted. We'll tell you how we uncovered the threats no one else could see, and why constant cyber attack is the best way to outpace cyber threats.

Frequently Asked Questions

What is penetration testing for healthcare?

Penetration testing for healthcare is a controlled attack on a hospital, health system or provider by qualified ethical hackers, to find the weaknesses a real attacker would use to reach patient data or disrupt care. Continuous red teaming goes further, chaining weaknesses across clinical systems, devices, suppliers and staff the way real attackers do.

Does HIPAA require penetration testing?

Not explicitly, today. The HIPAA Security Rule requires risk analysis and periodic evaluation of your safeguards, and penetration testing is one of the most direct ways to show both. A proposed update would require penetration testing at least annually, but it was not final as of mid-2026.

Will testing put patients or clinical systems at risk?

No. Every attack runs within guardrails agreed with your clinical and IT teams in your Attack Thesis, and patient care comes first. The goal is to find what breaks without breaking care.

Do you test connected medical devices?

Yes, within agreed boundaries. We test whether an attacker could reach connected devices and the networks around them, working with clinical engineering so nothing in use for patient care is disrupted.

Do you test people and physical sites, or only systems?

All three. The Swarm attacks digital, social and physical routes, because real attackers move between a phishing email, a service desk call and an unattended workstation on a public corridor.

How is continuous red teaming different from an annual penetration test?

An annual test shows one moment; continuous red teaming keeps pace with you. New systems, suppliers, devices and staff are tested as they arrive, not a year later.