Extract
Identify security, privacy, compliance, insurance, operational, and data-handling requirements in the agreements you already signed.
AI-Powered Contractual Compliance Intelligence Purpose-Built for Healthcare
Know what you've agreed to.
DownStream turns BAAs, MSAs, SOWs, and security addenda into a structured register of contractual obligations — then shows you where those commitments exceed your organizational standards.
Built for security, privacy, compliance, and legal teams.
DownStream · Overview
Overview
Meridian Health Technologies — contractual obligation register.
Upcoming commitments
View contractsNext 30 / 60 / 90 / 180 days — expirations, notice windows, and reviews with actual dates.
- Obligation due
- Contract renewal
- Contract expiration
- Notice window
- Evidence expiration
- Evidence review
- Control review
- Evidence request
- 30 days: 5 commitments
- 60 days: 6 commitments
- 90 days: 4 commitments
- 180 days: 3 commitments
Contracts and obligations over time
Active contracts by effective and expiration date, and verified obligations by when they were extracted.
- Active contracts
- Active obligations
- Oct 2025: 86 contracts, 780 obligations
- Nov 2025: 91 contracts, 842 obligations
- Dec 2025: 94 contracts, 901 obligations
- Jan 2026: 99 contracts, 948 obligations
- Feb 2026: 104 contracts, 1006 obligations
- Mar 2026: 108 contracts, 1064 obligations
- Apr 2026: 111 contracts, 1102 obligations
- May 2026: 114 contracts, 1148 obligations
- Jun 2026: 116 contracts, 1176 obligations
- Jul 2026: 119 contracts, 1204 obligations
- Aug 2026: 122 contracts, 1228 obligations
- Sep 2026: 124 contracts, 1247 obligations
Evidence expiration forecast
- Expired
- 30 days
- 60 days
- 90 days
- 90+ days
- SOC Report: 3 items
- Penetration Test: 2 items
- Insurance Certificate: 3 items
- Attestation: 4 items
- Certification: 3 items
Obligations by category
View all obligations- Incident Notification: 286 obligations
- Encryption: 221 obligations
- Data Deletion: 184 obligations
- Certification: 156 obligations
- Cyber Insurance: 128 obligations
- Flow-Down: 112 obligations
- Other: 160 obligations
Risk profile
61
Findings
- Critical3
- High17
- Medium29
- Low12
Strictest effective requirements
View all- Stricter than baseline
- Stricter than baseline
Baseline deviations
Insights- Incident NotificationMedium
- Baseline
- 72 hours
- Strictest contract
- 24 hours
Acme Health System
- Data DeletionMedium
- Baseline
- 90 days
- Strictest contract
- 30 days
Summit Medical Group
High-risk findings
Insights- Incident NotificationHigh
Acme Health System · Incident Notification
- US-Only Data HostingHigh
Evergreen Health Plan · US-Only Hosting
- HITRUST CertificationHigh
Summit Medical Group · HITRUST certification
Recent agreements
View all- Acme Health System MSAComplete
Acme Health System · MSA · Mar 12, 2026, 6:33 PM
- Summit Medical Group BAAComplete
Summit Medical Group · BAA · Feb 28, 2026, 2:33 PM
- Evergreen Health Plan BAAComplete
Evergreen Health Plan · BAA · Feb 4, 2026, 4:10 PM
Built for the agreements that define your obligations.
BAAsMSAsSOWsSecurity AddendaDPAsPrivacy AddendaVendor Agreements
From contract language to operational requirements.
Your contracts are more than documents. They're a list of commitments. DownStream finds those commitments and turns them into structured requirements.
Compare
See where contractual commitments differ from your organizational baseline or from other customer agreements.
Verify
Trace every requirement back to the original agreement, clause, page, and human review status.
Turn contract language into clear requirements.
DownStream converts dense legal language into structured, reviewable obligations.
Source clause
“Business Associate shall notify Covered Entity of any Security Incident without unreasonable delay and in no event later than twenty-four (24) hours following discovery.”
Acme Health System MSA · Section 8.4 · Page 17
DownStream Analysis
Structured obligation
Incident Notification
Notify customer following discovery of a security incident.
- Deadline
- 24 hours
- Confidence
- 96%
- Risk
- High
- Review
- Pending Review
See where your contracts exceed your standards.
DownStream compares contractual commitments against your organization's existing policies, controls, and operating targets.
Baseline comparison
Incident Notification
Organizational Baseline
72 hours
Acme Health System MSA
24 hours
High
48 hours stricter than baseline
Source: Acme Health System MSA §8.4
View requirement
Cyber Insurance
- Baseline
- $2M
- Contract
- $5M
- Difference
- +$3M above baseline
Data Deletion
- Baseline
- 90 days
- Contract
- 30 days
- Difference
- 60 days stricter
Every contractual obligation. One place.
Search, filter, review, and compare everything your organization has committed to.
DownStream · Obligation register
Search obligations...
RiskCategoryCustomerReview Status| Requirement | Customer | Agreement | Category | Deadline | Risk | Review |
|---|---|---|---|---|---|---|
| Incident Notification | Acme Health System | MSA | Security | 24 hours | High | Verified |
| HITRUST Certification | Summit Medical Group | BAA | Compliance | Annual | High | Pending Review |
| Cyber Insurance | Acme Health System | MSA | Insurance | $5M | High | Verified |
| US-Only Hosting | Evergreen Health Plan | BAA | Privacy | Continuous | High | Pending Review |
| Annual Penetration Test | Acme Health System | Security Addendum | Security | Annual | Medium | Verified |
Incident Notification
HighAcme Health System · MSA
Security24 hoursVerified
HITRUST Certification
HighSummit Medical Group · BAA
ComplianceAnnualPending Review
Cyber Insurance
HighAcme Health System · MSA
Insurance$5MVerified
US-Only Hosting
HighEvergreen Health Plan · BAA
PrivacyContinuousPending Review
Annual Penetration Test
MediumAcme Health System · Security Addendum
SecurityAnnualVerified
Map contractual commitments to relevant frameworks.
Once obligations are structured, DownStream helps you see how those commitments relate to the regulations, standards, and assurance catalogs your organization works with.
- HIPAA
- HITECH
- HITRUST
- SOC 2
- ISO 27001
- NIST CSF
- NIST 800-53
- GDPR
- CCPA/CPRA
- CIS Controls
Choose what is in scope.
Enable the regulations, privacy laws, security frameworks, and assurance standards you want DownStream to consider. Enabling a catalog includes it in mapping. It does not mean that framework applies.
Connect obligations to related requirements.
DownStream proposes relationships between contractual commitments and framework identifiers — for example a notification clause and a HIPAA citation, or a testing obligation and a NIST CSF category.
Keep mappings reviewable.
Suggested mappings stay pending until someone accepts or rejects them. A mapping is a traceable relationship, not a compliance conclusion.
DownStream · Compliance mapping
Search mappings...
FrameworkReview status| Obligation | Customer | Framework | Requirement | Review |
|---|---|---|---|---|
| Incident Notification | Acme Health System | HIPAA | 45 CFR 164.410 | Pending Review |
| HITRUST Certification | Summit Medical Group | HITRUST | Certification requirement | AI Suggested |
| US-Only Hosting | Evergreen Health Plan | SOC 2 | CC6.7 | Verified |
| Annual Penetration Test | Acme Health System | NIST CSF | DE.CM | Pending Review |
Incident Notification
Acme Health System · HIPAA · 45 CFR 164.410
Pending Review
HITRUST Certification
Summit Medical Group · HITRUST · Certification requirement
AI Suggested
US-Only Hosting
Evergreen Health Plan · SOC 2 · CC6.7
Verified
Annual Penetration Test
Acme Health System · NIST CSF · DE.CM
Pending Review
A framework mapping does not mean a regulation applies, that a control is in place, or that an obligation has been satisfied. DownStream is built to surface possible relationships and keep uncertainty visible.
- Contract
- Obligation
- Framework
- Control
- Evidence
- Assurance
Know your strictest operating requirement.
Across dozens or hundreds of customer agreements, DownStream identifies the strictest requirement your organization has accepted.
Effective requirement
Incident Notification
Baseline: 72 hours
- Acme Health System24 hours
- Summit Medical Group72 hours
- Evergreen Health Plan48 hours
- Northstar Medical12 hours
Strictest requirement: 12 hours
Effective operating target: 12 hours
Northstar Medical Security Addendum §6.2
Ask DownStream a question.
Query your structured obligation register without searching PDFs manually. Answers cite the source agreement, clause, and page.
DownStream · Ask
2 active agreements require notification within 24 hours or less.
Acme Health System · 24 hours
MSA §8.4
Northstar Medical · 12 hours
Security Addendum §6.2
Every answer has a source.
DownStream keeps proposed interpretations tied to the exact contract language they came from.
1. Requirement
Incident Notification · 24 hours
2. Original language
“Business Associate shall notify Covered Entity of any Security Incident without unreasonable delay and in no event later than twenty-four (24) hours following discovery.”
3. Source
Acme Health System MSA · Section 8.4 · Page 17
4. Review status
Human Verified
AI extracts. Your team verifies.
DownStream uses AI to propose structured obligations, but your team remains in control.
- 1
AI Extracted
The model proposes a structured obligation from the clause.
- 2
Needs Review
Nothing is treated as verified until a person decides.
- 3
Verified
Accepted or edited records become part of the register.
HighNeeds Review
Incident Notification
Notify customer following discovery of a security incident.
Deadline 24 hours
AcceptEditReject
Contracts are sensitive. DownStream treats them that way.
DownStream is designed for documents that contain sensitive commercial, security, and privacy commitments. Access controls, private storage, tenant isolation, and source traceability are core parts of the architecture — not add-ons.
Designed with enterprise security principles. DownStream is not currently intended for PHI. Uploaded document content may be processed by OpenAI when AI analysis runs.
- Private document storage
- Tenant-isolated data access
- Role-based permissions
- Encrypted connections
- Source-traceable AI processing
- No client-side AI keys
- Human review before verification
- Strong password requirements
- Multifactor authentication
- Encrypted storage
Stop searching contracts for the promises you've made.
Build a structured, searchable register of your contractual requirements with DownStream.
Upload your first agreement and start identifying obligations.