# Health Data Hosting (HDS) Guarantees Representation

> **Last update:** 2025-09-19
> **Scope:** Exoscale Compute (IaaS) and Exoscale DBaaS (Managed Database Services)

## Purpose

This page summarizes the **HDS guarantees** implemented by Exoscale for its **Compute** and **DBaaS** services, in line with the **HDS v2 (2024)** framework.
It is designed to help customers **prepare their own compliance** efforts and document **requirements EXI 28–31** (localization, third-country access, exposure to non-EU laws, transparency).

> The information below is for guidance purposes only. In case of discrepancies, **contractual agreements and DPA annexes prevail**.

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**Note:** This document is also available in [French](/platform/compliance/health-data/garanties-hds-fr/).


The table of guarantees in the format required by the regulation is available on Exoscale’s Compliance Center: [https://portal.exoscale.com/organization/legal/compliance](https://portal.exoscale.com/organization/legal/compliance).

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## 1 — Exoscale Compute (IaaS)

### 1.1 — Region **DE** (Equinix)

| Item                                     | Value                                                                                                       |
| ---------------------------------------- | ----------------------------------------------------------------------------------------------------------- |
| **Main Actor**                           | Exoscale SA                                                                                                 |
| **Role**                                 | Hosting provider (IaaS)                                                                                     |
| **HDS Certified**                        | In progress (v2)                                                                                            |
| **HDS Activities**                       | 2, 3, 4                                                                                                     |
| **EXI 29 – Access from third countries** | **Yes — remote administration access may occur from Switzerland (non-EEA), with safeguards (GDPR Art. 45)** |
| **EXI 30 – Non-EU law exposure**         | Yes (residual risk controlled)                                                                              |

| Item               | Value                                                |
| ------------------ | ---------------------------------------------------- |
| **Sub-processor**  | Equinix (local DE entities)                          |
| **Role**           | Physical site provider                               |
| **HDS Activities** | 1                                                    |
| **EXI 29**         | No (no remote access to HDS health data)             |
| **EXI 30**         | Yes (potential, controlled – non-EU group ownership) |

**Risk reduction measures:**

* **Health data storage remains exclusively within the EEA** for EEA regions (EXI 28).
* Operations performed from Switzerland are treated as **remote access** (EXI 29) and **do not imply storage outside the EEA**.
* Legal basis: **European Commission adequacy decision for Switzerland (GDPR Art. 45)**.
* Administrative access is performed through an **encrypted private network** (VPN, including Tailscale), with **strong authentication (MFA)**.
* **Controlled operator access**: bastions, **PAM**, least privilege, and segregation of duties.
* **Traceability**: centralized logging of administrative access and actions (identity, source, timestamps), security monitoring, and retention per internal policies.
* **Exfiltration prevention controls**: access restrictions, intervention procedures, regular access reviews, and internal compliance checks.
* Equinix services are **site utilities only** (power, cooling, racks) – no data access.

> **Important (encryption):** Exoscale implements encryption in transit and appropriate at-rest protection mechanisms depending on the service. The Customer remains responsible for any additional application-level encryption required by its own risk assessment, unless otherwise specified contractually.

---

### 1.2 — Region **AT** (A1 Telekom Austria)

| Item               | Value                                                                                                       |
| ------------------ | ----------------------------------------------------------------------------------------------------------- |
| **Main Actor**     | Exoscale SA                                                                                                 |
| **Role**           | Hosting provider (IaaS)                                                                                     |
| **HDS Activities** | 2, 3, 4                                                                                                     |
| **EXI 29**         | **Yes — remote administration access may occur from Switzerland (non-EEA), with safeguards (GDPR Art. 45)** |
| **EXI 30**         | No (EU-based actor)                                                                                         |

| Item               | Value                                    |
| ------------------ | ---------------------------------------- |
| **Sub-processor**  | A1 Telekom Austria AG                    |
| **Role**           | Physical site provider                   |
| **HDS Activities** | 1                                        |
| **EXI 29**         | No (no remote access to HDS health data) |
| **EXI 30**         | No                                       |

**Risk mitigation measures:**

* Same as DE: EEA-only storage for EEA regions, safeguarded remote admin access, encryption, segregation of duties, contractual clauses, and auditability.

---

## 2 — Exoscale DBaaS (Managed Databases)

| Item               | Value                                                                                                       |
| ------------------ | ----------------------------------------------------------------------------------------------------------- |
| **Main Actor**     | Exoscale SA                                                                                                 |
| **Role**           | Managed service provider (hosting and operations)                                                           |
| **HDS Activities** | 2, 3, 4                                                                                                     |
| **EXI 29**         | **Yes — remote administration access may occur from Switzerland (non-EEA), with safeguards (GDPR Art. 45)** |
| **EXI 30**         | No                                                                                                          |

| Item               | Value                                                                                                                                                                                 |
| ------------------ | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Sub-processor**  | Aiven Oy                                                                                                                                                                              |
| **Role**           | Software orchestration (control plane)                                                                                                                                                |
| **HDS Activities** | 4, 6                                                                                                                                                                                  |
| **EXI 29**         | **Conditional: no non-EEA access by default; if support requires access from a non-EEA country without adequacy → SCC (Art. 46) + supplementary measures, with customer information** |
| **EXI 30**         | Yes (residual risk controlled)                                                                                                                                                        |

**Risk reduction measures:**

* **Localization (EXI 28):** DBaaS services are configured so that customer data is **stored within the EEA** when the Customer selects an EEA region.
* **Remote access governance (EXI 29):**

  * Exoscale administrative access from Switzerland relies on the **adequacy decision (GDPR Art. 45)** and is protected by strong technical/organizational controls.
  * For Aiven operations: **no non-EEA access by default**; if an intervention requires access from a non-EEA country without adequacy, Exoscale applies **appropriate safeguards (GDPR Art. 46 — SCC)** and **supplementary measures** (EDPB 01/2020) and **informs the Customer** according to contractual/DPA terms.
* **Controlled access path:** technical access only through **Exoscale bastions**, MFA, and audited logs; segmentation and strict access scoping.
* **Cryptographic protection:** encryption in transit; appropriate at-rest protection mechanisms depending on the service, with strict controls over secrets/keys access.
* **Purpose limitation:** data is used only to provide the DBaaS service; transfers outside the EEA are prohibited without a legal basis and contractual controls.
* **Data erasure and reversibility** formally defined (EXI 17–27).

---

## 3 — Common Principles

* **Localization (EXI 28):** storage remains **exclusively within the EEA** for EEA regions selected by the Customer.
* **Third-country access (EXI 29):**

  * **Switzerland:** remote administration access may occur, relying on **adequacy (GDPR Art. 45)** and safeguarded by VPN encryption, MFA, PAM, least privilege, and audit logging.
  * **Other third countries:** not permitted by default; if strictly necessary, requires **Art. 46 (SCC)** plus supplementary measures, and customer information.
* **Non-EU law exposure (EXI 30):** mitigated via contractual, technical, and organizational controls; transfer/risk mapping and mitigation measures are maintained.
* **Auditability and traceability:** auditable logging and customer audit rights as defined in the DPA.
* **Data erasure and reversibility:** formally documented and implemented.

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## Contact

* **Exoscale HDS / CISO Contact:** [security@exoscale.com](mailto:security@exoscale.com)
* **Audit or compliance inquiries:** via your standard **Exoscale Support** channel

