This is one of the most common questions we get from healthcare teams evaluating monday.com. The answer is nuanced, and getting it wrong carries real risk. Here's what you actually need to understand before using monday.com to handle protected health information (PHI).

What Does HIPAA Compliance Actually Require?

HIPAA compliance isn't a feature you turn on — it's a set of technical, administrative, and physical safeguards you implement and maintain. For a software platform like monday.com, compliance comes down to three things:

• A signed Business Associate Agreement (BAA) between your organization and monday.com
• Proper access controls — role-based permissions that restrict PHI to authorized users only
• Audit trails — logs that track who accessed or modified data and when

monday.com offers all three — but you have to configure them correctly, and you have to know what you're doing.

Does monday.com Sign a BAA?

Yes. monday.com signs Business Associate Agreements for enterprise customers and, in many cases, for Pro plan users who are processing PHI. The BAA establishes monday.com as a Business Associate under HIPAA and defines their responsibilities around data protection.

What monday.com Gets Right for HIPAA

monday.com has invested significantly in its security infrastructure. The features that matter most for healthcare teams include:

• Role-based permissions — control who can view, edit, or share boards containing PHI
• Board-level and item-level permissions — granular control over exactly who sees what
• Activity logs — every change is timestamped and attributed to a specific user
• Two-factor authentication and SSO — reduces unauthorized access risk
• Data encryption in transit and at rest — AES-256 encryption and TLS 1.2+
• IP restrictions and session management — available on Enterprise plans

What You Still Have to Build Yourself

This is where most healthcare teams get into trouble. monday.com provides the infrastructure — but it does not build a compliant environment for you. You are responsible for:

• Designing board structures that minimize PHI exposure
• Setting up automations that don't inadvertently share PHI with unauthorized integrations
• Restricting which third-party apps and integrations can access PHI-containing boards
• Training staff on appropriate use policies
• Maintaining documentation of your configuration decisions for audit readiness

We've seen healthcare organizations get this wrong in both directions — building overly restrictive systems that staff can't actually use, and building permissive systems that expose PHI they didn't realize was accessible.

Can monday.com Integrate with EHRs in a HIPAA-Compliant Way?

Yes — but this requires careful API-level work. A direct integration between monday.com and an EHR like Epic, Cerner, or Athenahealth needs to be built with HIPAA in mind: encrypted data transfer, minimal data scoping, proper authentication, and audit logging at the integration layer.

This is not something you should attempt with a standard monday.com integration or Zapier connector. It requires purpose-built API work by a team that understands both the EHR's data model and HIPAA's technical safeguard requirements.

The Bottom Line

monday.com is a strong foundation for HIPAA-compliant healthcare workflows. But "the platform supports HIPAA" and "your implementation is HIPAA compliant" are two very different statements. The difference is in how you configure it, integrate it, and manage access over time.

If you're building on monday.com for healthcare use cases, work with a partner who has done this before — specifically in your clinical context — and get your configuration documented before your next audit.