Top 5 HIPAA-Compliant Cloud Backup Services

HIPAA (the Health Insurance Portability and Accountability Act) is a law that regulates how healthcare organizations manage and protect personal medical data. From the perspective of IT professionals, HIPAA defines how you safeguard your managed clients identifiable information ensuring it is safe, secure, and, most importantly, private.

HIPAA is comprised of five sections called titles. For this best HIPAA cloud backup services guide, we will focus on Title II, which outlines the requirements for securely storing data to prevent fraud, abuse, and other medical liabilities. To clarify, we will not discuss each HIPAA factor related to data backup; instead, we will focus on how your IT business can ensure privacy and security with a HIPAA-compliant cloud backup solution.

Overview of the top HIPAA cloud backup

Top 5 HIPAA-compliant cloud backup services

All G2 & Capterra data as of October 2025.

1. NinjaOne

NinjaOne is an automated endpoint management software that offers numerous out-of-the-box features to help you stay  HIPAA compliant. As a leader in IT management serving thousands of clients in the healthcare industry, NinjaOne takes pride in offering a comprehensive platform that empowers IT business leaders to grow their organizations while providing clients with superior,  HIPAA-compliant cloud backup services.

Specifically, it provides a market-leading backup solution built for ransomware recovery. This protects your critical business data in a single pane of glass, allowing you to meet your data protection goals and recovery time objectives (RTOs).

Its cloud backup solution protects Windows workstations and servers, as well as Macs, offering storage options for both  local and cloud backups.

Strengths of NinjaOne

• Single-pane management. NinjaOne Backup is seamlessly integrated into the management dashboard, enabling you to perform various tasks from a single console for easier visibility and control.
• Flexible and hybrid plans. NinjaOne offers cloud-based, hybrid, and customizable backup plans to suit every business need and budget.
• Incremental block-level backup. NinjaOne is a lightweight and powerful solution that minimizes storage, network, and device resource utilization.
• Secure restore options. NinjaOne backup utilizes web-based file restores, bare metal restores, and active endpoint image restores to keep your data safe.
• Proactive alerting. Ninja immediately notifies your IT technicians of any performance threshold changes or other technical issues that require attention.

Why choose NinjaOne

NinjaOne is trusted by over 20,000+ satisfied clients worldwide for its ease of setup, use, and management. Designed by IT for IT, the company makes every effort to ensure its customers meet their business goals, including offering excellent HIPAA-compliant backup to their managed organizations.

What users say

The Cancer and Hematology Centers utilize NinjaOne to maintain HIPAA compliance. In addition to its backup solution, the group also uses Ninja to patch various endpoints in a single dashboard. With Ninja, the Center is assured that it can easily manage all its patient information.

“NinjaOne has kept everything secure by keeping all of our patches up to date on both servers and PCs, which is huge to keep us in HIPAA compliance,” said Kevin Kamer, on-site support technician.

NinjaOne has also helped FCC Behavioral Health manage all its devices from a unified platform. Tyler Ellison, IT Officer, is noted to have said:

“Data security and HIPAA compliance are essential in healthcare. With NinjaOne, policies and patches are not delayed, keeping our network secure and helping us stay compliant. Mobile devices can be a security risk, but with NinjaOne, we have complete control over all device activity and can monitor those devices from a single dashboard.”

Read more customer stories or check out NinjaOne reviews.

NinjaOne reviews on G2

No. of 2025 G2 awards: 13

NinjaOne reviews on Capterra

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2. ArcServe

ArcServe offers unified data resilience solutions that protect data from ransomware. For this comparison, we reviewed ArcServe Unified Data Protection (UDP) recommended for small to medium-sized businesses seeking to achieve or maintain HIPAA compliance.

ArcServe UDP’s HIPAA-compliant cloud backup helps MSPs neutralize ransomware attacks, restore data, and perform effective disaster recovery from a single console. Additionally, its UDP solution combines deep-learning server protection and scalable onsite and offsite business continuity plans to deliver better IT resiliency.

Read about Arcserve alternatives or see how NinjaOne compares to Arcserve.

Features

• Secure data: The platform offers infinite incremental backups and agentless backups for VMware and Hyper-V, which may protect against data loss and extended downtimes across cloud, local, virtual, hyper-converged, and SaaS-based workloads.
• Automated testing: ArcServe UDP helps reduce downtime and validate recovery time with automated testing.
• Application-consistent backup: Users can recover faster with instant VM and bare metal recovery (BMR).

Shortcomings

• Learning curve: ArcServe UDP is feature-rich but better suited for more experienced IT personnel due to its complexity
• Reporting: Some G2 users have said they wish logs were more detailed, so they know exactly where something has failed.
• Customer support: User reviews indicate that customer support experiences can vary and may not always meet expectations.

ArcServe reviews on G2

No. of 2025 G2 awards: 0

ArcServe reviews on Capterra

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3. Cove Data Protection

Cove Data Protection, from N-able, is a cloud-first backup and disaster recovery service for servers, workstations, and Microsoft 365, all accessible through a single web-based (multi-tenant) dashboard. It helps IT teams back up more restore points, and more often, which may contribute to HIPAA compliance. In fact, the platform helps users retain and restore Microsoft 365 data for seven years.

Cove eliminates traditional backup pain points, allowing you to deploy a single, streamlined solution quickly across your entire customer base. Its robust solution offers up to 60x smaller incremental backups each day, allowing users to save more restore points for improved RTO and RPO.

Features

• Small incremental backups: Only changed data is uploaded after the initial backup, which reduces storage and bandwidth usage.
• Encryptions: All backups are automatically encrypted, protected from modification or deletion, and stored in segregated locations.
• Microsoft 365 data protection: The platform supports backup and recovery for Exchange Online, OneDrive, and SharePoint.

Shortcomings

• Performance: Some users report slower performance when backing up or restoring large datasets.
• Out of the box features: The platform does not offer many out-of-the-box features, requiring users to install additional tools to access full functionality
• Complexity: A few users note that, despite being cloud-native, the interface can feel less intuitive than others, particularly when navigating deeper settings or managing complex restores.

Read about Cove Data Protection alternatives or see how NinjaOne compares to Cove Data Protection.

Cove Data Protection reviews on G2

No. of 2025 G2 awards: 7

Cove Data Protection reviews on Capterra

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4. Barracuda Backup

Barracuda Backup is an all-in-one solution that offers ransomware protection, recovery, and cloud-based management. It can help you become HIPAA-compliant with its backup tool that protects physical, virtual, and hybrid environments.

Barracuda offers flexible backup options, including the Barracuda Backup Appliance for physical devices and onsite data protection, Barracuda Virtual Backup, and Barracuda cloud-to-cloud backup. It also provides email protection for MSPs looking for more comprehensive backup security.

Features

• Backup and recovery: The platform supports data protection for on-premises servers, virtual machines, and cloud workloads.
• Platform compatibility: Support for multiple platforms (Windows, Linux, macOS, VMware, Hyper-V, and network-attached storage (NAS)
• Built-in deduplication and compression: Barracuda reduces backup storage and bandwidth requirements by eliminating duplicate data and minimizing file sizes.

Shortcomings

• Reporting: Some users believe that the reporting process could be improved.
• Performance: Redeploying a backup VM can be complex, according to some G2 users. Additionally, the platform can slow down when backing up multiple large files simultaneously.
• Chat message history: Some users report limitations in backing up certain modern collaboration data, such as Teams chat history.

Read about Barracuda Backup alternatives or see how NinjaOne compares to Barracuda Backup.

Barracuda Backup reviews on G2

No. of 2025 G2 awards: 5

Barracuda Backup reviews on Capterra

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5. Carbonite by OpenText

Carbonite, now rebranded under OpenText as OpenText Server Backup, offers cloud backup solutions that support HIPAA compliance by providing data encryption, secure storage, and user access controls. Its services are designed for small and mid-size businesses looking to protect critical data across a variety of devices and environments.

Carbonite offers two HIPAA-compliant solutions, the Carbonite Safe Backup Pro and the Carbonite Safe Server Backup. Plans include 250 GB of storage for automatic computer backups, as well as external storage devices, and network-attached storage devices.

Features

• Data encryption in transit and at rest: Uses 256-bit AES encryption to protect sensitive data during backup and storage.
• Automated cloud backups: Carbonite supports scheduled and continuous backups for desktops, laptops, and servers.
• Secure data centers and technical safeguards: Carbonite’s data centers are physically protected (utilizing biometric scanners, keycards, and 24/7 security) and meet HIPAA/CMR 17 standards.

Shortcomings

• Reporting: According to some G2 users, Carbonite’s reporting function could be improved to be more user-friendly and comprehensive in its features.
• Performance: The platform can slow down when backing up larger files.
• Reliability: According to some G2 users, Carbonite sometimes generates errors that aren’t always easy to troubleshoot or remediate.

Carbonite reviews on G2

No. of 2024 G2 awards: 0

Carbonite reviews on Capterra

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Comparison of best HIPAA-compliant cloud backup services (G2)

Comparison of best HIPAA-compliant cloud backup services (Capterra)

Summary of the best HIPAA-compliant cloud backup services

Our rankings formula

To derive the final score for each vendor, we employed a weighted formula that takes into account various metrics. Here’s how it breaks down:

Final Score = w1 * G2 Overall Star Rating + w2 * Capterra Overall Star Rating + w3 * G2 Total Number of Reviews (Scaled) + w4 * Capterra Total Number of Reviews (Scaled) + w5 * G2 Total Number of Awards

Where:

W1 = .25 * G2 score

W2 = .25 * Capterra score

W3 = .2 * Number of G2 reviews

W4 = .2 * Number of Capterra reviews

W5 = .1 * Number of G2 awards

Definition of terms

HIPAA has rules and terms that IT leaders who provide services for healthcare businesses should understand.

• Protected Health Information (PHI) refers to any information relating to a patient’s condition, treatment options, and payment for any medical service. However, non-health information may still be considered PHI if it can be used to discern identifiable medical data.
• Electronic PHI is any PHI that is held, kept, or transferred electronically.
• Covered entities are the “actors” that each title covers. Essentially, these cover healthcare providers (e.g., doctors, clinics, nursing homes, etc.), health plans (e.g., HMOs, government programs, etc.), and healthcare clearinghouses (including entities that process nonstandard health information).
• Business associate is an organization that handles PHI to some degree. IT enterprises and MSPs that provide remote monitoring and management (RMM) fall under this category. All business associates must comply with HIPAA rules and secure PHI under specific compliance regulations.
• Business associate agreement (BAA) is a written agreement by a business associate that guarantees that their specific software solution appropriately safeguards PHI. Choose a vendor that can supply a BAA when you work with them. This assures you that you are operating at the highest level of security.

HIPAA rules for business associates

If you are a managed services provider (MSP) for clients in the healthcare industry, you are likely a business associate. Any service requiring you to create, receive, maintain, or transmit PHI (or electronic PHI) must follow HIPAA guidelines. This is true even if you are “only” storing PHI. You are bound by HIPAA rules as long as you handle personal and sensitive information.

It is worth noting that there is no actual HIPAA certification, and the U.S. Department of Health and Human Services (HHS) does not recommend any specific cloud storage provider for HIPAA compliance. Instead, to be a HIPAA-compliant cloud backup, your service must provide a HIPAA-compliant BAA that meets the terms of the BAA and applicable requirements of HIPAA rules.

This allows for more flexibility for healthcare organizations and the MSPs that serve them. Aside from your BAA, you may also want to specify certain HIPAA guidelines in your service level agreement (SLA), such as:

• System availability and reliability
• Backup and disaster risk recovery
• Disclosure limitations
• Security protocols

It can get overwhelming if you are not familiar with all of the terms. That is why the HHS has published its Guidance on HIPAA & Cloud Computing, which lists key factors to consider when using or building HIPAA-compliant services.

HIPAA requirements for data backup and recovery

The HIPAA Security Rule (or Title II) outlines three types of safeguards required for compliance: administrative, physical, and technical. When choosing the best HIPAA cloud backup service, your chosen vendor must meet different security standards for all three types. It is worth noting that each standard identifies both “required” and “addressable” requirements. As their names suggest, the former are specifications that must be adopted and administered, whereas the latter is more flexible in its implementation. In summary:

• Administrative safeguards encompass how effectively IT companies respond to any issue or vulnerability that poses a threat to the integrity of PHI. Some examples include creating and enforcing security policies, conducting periodic risk reviews and analyses, and providing training.
• Physical safeguards establish protocols that limit access to computer systems where PHI is stored. This includes limiting access and control of facilities like workstations and data processing centers.
• Technical safeguards implement mechanisms to ensure that PHI is accessed only by authorized users. Examples include the use of unique user identification numbers, solid data encryption, and robust decryption strategies.

Finding the best HIPAA-compliant cloud backup

On its own, no software can make you HIPAA-compliant. However, finding a trusted vendor can help you meet HIPAA requirements and make managing data from your healthcare clients easier and more efficient. Ideally, look for a software provider that offers:

1. Encryption

According to the HHS, encryption is not mandatory, but any vendor that does not offer it must “document” their reason for not doing so and provide an equivalent alternative. This means that while HIPAA cloud backup vendors don’t “have” to encrypt, they must have an excellent reason why they believe they don’t need it.

2. Data backup and recovery

Data protection is paramount, and you cannot afford to lose any data that may compromise your clients. At the bare minimum, when searching “Which cloud backup service is best for healthcare?” find a HIPAA cloud vendor with a proven track record in backup management.

3. Reporting:

Your HIPAA-compliant backup software vendor must offer real-time monitoring and visibility so that you can track who accessed your data and when. If possible, look for a vendor that offers customizable reporting templates, allowing you to easily generate reports in the desired format.

4. Native security:

Look for a HIPAA-compliant backup service with built-in security protocols. This will offer you peace of mind when considering the administrative, personal, and technical safeguards required by HIPAA.

The best HIPAA-compliant cloud storage solution to keep your patient data secure

Data standards are non-negotiable in healthcare. Medical centers and healthcare organizations must keep their patient information secure and accessible. When looking for the best HIPAA-compliant cloud backup services, it is crucial to do your due diligence and look for a vendor that prioritizes security and data recovery.

Our research shows that NinjaOne is the most comprehensive and flexible choice for HIPAA complaint cloud backup, especially for MSPs and IT providers managing multiple healthcare clients. Other vendors like ArcServe, Cove Data Protection, Barracuda, and Carbonite (OpenText) also provide reliable options, each with its own strengths depending on deployment needs and budget.