Most agencies have never touched real PHI. We build with it every day.
HIPAA compliance isn't a checkbox you tick at the end of a build. It's an architecture decision you make at the start — and a set of operational controls you maintain forever. Most agencies that say "we can do HIPAA" mean "we'll add a BAA and hope for the best." They've never handled real protected health information, never been through a breach notification procedure, never architected for PHI from the first commit.
We have. We build production healthcare platforms, patient portals, and clinical ML systems that handle PHI as a core requirement, not an afterthought. We're HIPAA compliant, we maintain a documented PHI data breach notification procedure, and our controls are verifiable in our Trust Center.