The number of remote healthcare workers accessing patient records, insurance portals, and clinical documentation systems has grown sharply over the past few years. So has the number of HIPAA enforcement actions. In 2024, OCR closed 22 investigations with civil monetary penalties or settlements, collecting nearly $12.8 million in fines, making it one of the busiest years for HIPAA enforcement on record.
For a solo physician practice, a group dental office, a mental health clinic, or any other U.S. healthcare provider, this shift means one thing: every person who touches Protected Health Information (PHI) on your behalf, whether in-house or remote, is a compliance responsibility. That includes your healthcare virtual assistant.
The problem is that the virtual assistant market has flooded with providers who use the phrase "HIPAA compliant" as a marketing label rather than a verifiable operational standard. This article cuts through that noise. It explains what HIPAA compliance for a virtual assistant actually requires, what the real risks and penalties look like in 2025 and 2026, how to verify compliance before you hire, and why Wishup's HIPAA compliant virtual assistants are built differently from the ground up.
What HIPAA Compliance Means for U.S. Healthcare Providers
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) sets federal standards for protecting sensitive patient health information. Any healthcare provider, health plan, or healthcare clearinghouse that transmits health information electronically is a Covered Entity under HIPAA, and any vendor or partner that creates, receives, maintains, or transmits PHI on behalf of a Covered Entity is a Business Associate. A virtual assistant who accesses patient scheduling systems, insurance portals, medical billing software, or electronic health records (EHR) is a Business Associate under this definition.
For a more thorough review of the Privacy Rule as published by the American Medical Association, visit the AMA's HIPAA Privacy Rule resource.
How Wishup Protects Patient Data
Through 6 Enterprise-Grade Security Layers
Built to protect PHI through monitored workflows, controlled access, encrypted systems, and contractual safeguards.
Real-Time and Activity Monitoring
We use time-tracking and computer security audits, including mouse and keyboard activity monitoring for transparency and accountability.
Physical, Electronic, and Procedural Safeguards
We use physical, electronic, and procedural safeguards to transmit and store information, including computer virus protection software and firewalls.
Strict Access Control by Role
Assistants only access the data required for their role, and that access is revoked when it is no longer needed.
Secure Password Management
Sensitive account information is stored in an encrypted password-management system, and clients can set and revoke access levels per application.
NDA-Based Confidentiality
Confidentiality is built into both client and VA contracts through NDAs, and the NDA can also be customized based on practice requirements.
Device and Application Controls
Wishup enforces strict device verification, application controls, and encrypted communication across the engagement.
The Three Rules That Govern Every PHI Interaction
HIPAA compliance is not a single checkbox. It is built across three interconnected rules:
- The Privacy Rule establishes national standards for the protection of PHI. It defines what counts as PHI, who is permitted to access it, and the rights patients have over their own data. Any virtual assistant handling patient intake forms, appointment records, insurance information, or billing data is operating under this rule.
- The Security Rule sets specific safeguards for electronic PHI (ePHI). It requires administrative safeguards (workforce training, access management, contingency plans), physical safeguards (workstation use, device controls), and technical safeguards (access controls, audit controls, encryption, automatic logoff).
- The Breach Notification Rule requires Covered Entities and Business Associates to notify affected individuals, HHS, and in some cases the media when a breach of unsecured PHI occurs. Failures to notify within required timeframes are themselves a separate HIPAA violation, which OCR has been actively enforcing since 2019.
When you hire a virtual assistant for healthcare support tasks, your practice remains liable for ensuring that the VA and the organization providing that VA comply with all three rules. This is not something that disappears when you outsource.
Why HIPAA Enforcement Has Never Been More Active
Healthcare professionals who think HIPAA fines are reserved for large hospital systems should review recent OCR enforcement data before hiring any remote staff member.
HIPAA Civil Penalty Tiers in 2026
Inflation-adjusted figures from HHS, effective from 2026 updates
Tier 1 — Unknowing Violation
$141 – $71,162
Annual cap: $35,581 per violation category
The Covered Entity was unaware and could not have realistically avoided the violation despite reasonable care.
Tier 2 — Reasonable Cause
$1,424 – $71,162
Annual cap: $107,622 per violation category
The organization knew about the risk but had a reasonable cause for not preventing the violation.
Tier 3 — Willful Neglect (Corrected)
$14,242 – $71,162
Annual cap: $358,726 per violation category
Willful neglect but the violation was corrected within the required timeframe.
Tier 4 — Willful Neglect (Uncorrected)
$71,162 – $71,162+
Annual cap: up to $2,134,831 per violation category
Willful neglect with no corrective action taken. This tier carries the highest financial exposure for practices.
The numbers behind recent enforcement actions reinforce how high the stakes are:
- In 2025, the average cost of a healthcare data breach in the United States reached $9.77 million per incident, the highest of any industry, according to IBM's Cost of a Data Breach Report
- 725 large breaches were reported in U.S. healthcare in 2024 alone, nearly two incidents every single day
- Montefiore Medical Center paid a $4.75 million settlement in 2024 after an employee stole patient data over a six-month period because the organization failed to implement audit controls
- A dental practice, Gums Dental Care, received a $70,000 civil monetary penalty in 2024 for failure to provide timely access to patient records, demonstrating that no practice size escapes scrutiny
- Over 93 million records were exposed through Business Associate breaches in recent years, compared to 34.9 million at providers directly, making third-party vendor management one of the central compliance risks in U.S. healthcare today
The Hidden Risk in Hiring a Freelance or General Virtual Assistant for Healthcare
When a healthcare professional hires a freelance virtual assistant from a marketplace or uses a general VA platform not designed for healthcare, several compliance gaps appear that most providers do not discover until it is too late.
The BAA gap. A Business Associate Agreement must be signed between your practice and the organization providing the VA. If only the individual VA signs a BAA, your practice is not protected. A single VA cannot assume organizational liability, enforce HIPAA safeguards, or guarantee ongoing compliance. Only the outsourcing provider can legally take on that responsibility. Many freelance VA arrangements leave practices exposed because there is no organization behind the individual VA that can actually be held accountable.
The training gap. HIPAA training for a healthcare virtual assistant is not a one-time certificate course. It requires initial training on PHI handling policies, annual refreshers as regulations update, and role-specific training on the specific tasks the VA will perform. A general VA who completed a generic HIPAA training module three years ago and now has access to your EHR system does not meet this standard.
The technical safeguards gap. The HIPAA Security Rule requires that any device accessing ePHI runs current security software, connects through a secure and approved network, and operates with role-based access controls that limit PHI exposure to what is strictly necessary for the VA's role. A freelancer working from a personal laptop on a home Wi-Fi network that also runs personal applications does not meet this requirement, regardless of what their contract says.
The audit and oversight gap. HIPAA requires Covered Entities to audit access to PHI. Your EHR should log all VA activity. If you cannot review who accessed what patient record and when, you cannot demonstrate compliance readiness to OCR in the event of an investigation. Most freelance VA arrangements have no mechanism for this level of audit control.
What Real HIPAA Compliance for a Virtual Assistant Looks Like
Hiring a truly HIPAA compliant virtual assistant for your healthcare practice means verifying six distinct elements, not just asking whether the provider uses the phrase "HIPAA compliant" in their marketing.
Signed Business Associate Agreement with the provider organization
Not with the individual VA. The BAA must cover organizational liability for any PHI the VA accesses on your behalf.
Current HIPAA training certification with documented completion date
Ask for the specific training curriculum used and the date of the last refresher. Requirements update regularly; documentation must reflect current standards.
Dedicated device with current security software and approved network access
No personal devices. No shared home networks or public Wi-Fi. Encrypted connections only. The VA's device should be provisioned and monitored by the provider.
Role-based access controls in your EHR limiting PHI exposure
The VA should only see the patient data required for their specific tasks. Unnecessary PHI exposure is a compliance violation even without a breach.
Audit logging of all VA activity in your EHR or practice management system
Your system should record what the VA accessed, when, and what changes were made. This is your evidence of compliance in any OCR review.
NDAs and strict data handling protocols enforced by the provider organization
The VA should operate under NDAs that specifically cover PHI. The provider should have documented data security policies that govern how VAs handle patient information.
How Wishup Builds HIPAA Compliance Into Every Layer of Its Healthcare VA Program
Wishup is a managed remote staffing platform serving 50+ industries, including healthcare, with a dedicated program for HIPAA compliant virtual assistant services. The compliance architecture is not a single training module that VAs complete before starting. It runs through six distinct layers from hiring through ongoing oversight.
What a Wishup HIPAA Compliant Virtual Medical Assistant Handles for Your Practice
A Wishup virtual medical assistant manages the full administrative layer of your practice within HIPAA-compliant systems. The scope of support spans both patient-facing coordination and back-office operations.
All tasks are performed within your approved, HIPAA-compliant practice management software. Wishup VAs are trained across major EHR platforms including Epic, Athenahealth, eClinicalWorks, Kareo, and Nextech, as well as practice management tools used in dental, optometry, chiropractic, and mental health practices.
System-specific training is completed during the 60-minute onboarding session before any PHI access is granted.
HIPAA Compliant Virtual Assistant vs. In-House Staff vs. Freelancer: The Real Cost Comparison
Healthcare professionals often ask whether a HIPAA compliant virtual assistant is worth the cost compared to keeping staff in-house or using a freelancer. The answer requires looking at the full picture, not just hourly rates.
| Hiring Option | Annual Cost | HIPAA BAA | Vetting Level | Replacement Coverage | Oversight Included |
|---|---|---|---|---|---|
|
In-House
Medical Admin Assistant |
$39,000 – $49,613/yr salary
+ ~30% overhead
(benefits, taxes, equipment, space) = $50,700 – $64,497
total/yr |
✗ Not applicable | Your own process |
✗ No backup | ✗ You manage directly |
|
Freelance
High Risk
Healthcare VA |
$8 – $18/hr offshore
$24 – $35/hr US-based
No benefits overhead
but no org-level BAA |
✗ No org- level BAA |
Self- reported only |
✗ No replacement | ✗ None included |
|
US-Based VA
Agency (healthcare) |
$20 – $35/hr
$3,200 –
$5,600/mo full- time |
✓ Usually provided | Varies by agency |
Varies | Varies |
|
Wishup HIPAA
Best Value
Compliant VA |
Part-time:
$1,299/mo Full-time:
$1,999/mo No payroll taxes. No
benefits. No HR overhead. No recruitment cost. |
✓ Org-level BAA | Top 0.1%, 6-step vetting |
✓ 24-hr replacement, backup coverage |
✓ VA Manager + CSM included |
In-house salary data: Glassdoor ($49,613/yr avg), Indeed ($20.57/hr avg) as of 2025. Benefits/overhead estimate: 30% of base salary (BLS standard methodology). Wishup pricing as of 2026 only $14.99/hr.
What the math shows: A full-time in-house medical administrative assistant costs a U.S. healthcare practice between $50,700 and $64,497 per year after benefits and overhead. A full-time Wishup HIPAA compliant virtual assistant with a dedicated VA manager, customer success manager, and replacement guarantee costs $23,988 per year. That is a saving of over $26,000 to $40,000 annually on a single hire, with better compliance coverage and zero recruitment time.
HIPAA Compliance Across Healthcare Specialties: Your Practice Type Matters
HIPAA compliance requirements do not change based on your specialty, but the specific workflows, PHI categories, and software systems involved do. A Wishup HIPAA compliant virtual assistant is matched to your specific practice type and trained on the systems and workflows your specialty uses.
Each specialty handles PHI differently. A virtual assistant for therapists must understand the heightened privacy requirements around behavioral health records under both HIPAA and state law. A virtual assistant for dentists needs to work within dental-specific billing systems and understand coordination of benefits for dual coverage patients. A cardiology practice VA handles complex prior authorization workflows and high-volume EHR documentation under strict timelines.
Wishup's industry-based matching process accounts for these differences. Your VA is not a generic admin person who happens to have a HIPAA certificate. They are matched to your specialty, onboarded to your specific software, and trained on your protocols before they begin supporting your patients.
How Does Wishup Compare to Other HIPAA Compliant Virtual Assistant Services?
The virtual assistant market for healthcare includes several established names. My Mountain Mover, MEDVA, ScribeRunner, HelpSquad, and others all offer services described as HIPAA compliant. Here is what separates Wishup from these providers:
Vetting standard: Most providers hire from the top 2% to 5% of applicants. Wishup hires from the top 0.1% through a 6-step in-person vetting process overseen by ex-entrepreneurs. The talent pool is fundamentally different in quality and reliability.
AI and automation capability: No other provider in this market trains every VA in 120+ AI tools including automation platforms like N8N, ChatGPT, Zoho, and RingCentral. This means your Wishup VA can build automated workflows that reduce manual errors and create compliance-safe documentation trails that most practices do not currently have.
Managed service depth: Most platforms give you a VA and an account manager. Wishup provides a VA, a dedicated VA Manager who reviews performance weekly, a Customer Success Manager who checks in monthly, fortnightly SOP adherence reviews, and a 30-day ROI report. This is a layer of oversight that directly reduces compliance risk.
Retention: The 36-month average VA retention rate at Wishup is substantially higher than what most competitors report. High turnover in healthcare VA roles creates recurring compliance training gaps. A VA who has been with your practice for two or three years knows your systems, your patients, and your protocols deeply. That consistency is a compliance asset, not just an operational convenience.
Pricing and contract structure: Wishup operates on monthly billing with no long-term contracts and a money-back guarantee. You are not locked in. If you are comparing providers, also see how Wishup stacks up in detailed comparisons: Wishup vs. Hello Rache, Wishup vs. MEDVA, Wishup vs. My Mountain Mover, Wishup vs. Global Medical Virtual Assistants, and Wishup vs. VA Care.
Healthcare AI Assistants and HIPAA: What You Need to Know for 2026
The adoption of AI tools in healthcare administration is accelerating. AI scheduling tools, automated reminder systems, transcription platforms, and billing automation software all touch PHI in some form. HIPAA compliance for healthcare AI assistants follows the same rules as any other Business Associate, but with additional considerations that many practices have not yet addressed.
Any AI platform that receives, processes, or stores PHI requires a BAA. Using a general-purpose AI tool like an unmodified consumer chatbot to process patient communications, generate clinical notes from PHI, or assist with billing records without a BAA in place is a compliance violation regardless of whether a breach occurs. OCR began issuing guidance on AI and tracking technologies in 2022 and has continued enforcement activity in this area through 2025.
Frequently Asked Questions
Healthcare professionals ask these questions before deciding to hire a HIPAA compliant virtual assistant. The answers below reflect current regulatory standards and Wishup's specific service model.
What is a HIPAA compliant virtual assistant, and does my practice actually need one?
A HIPAA compliant virtual assistant is a trained remote professional who handles administrative tasks for your healthcare practice while operating within the legal and technical requirements of HIPAA. This means they have received formal HIPAA training, work within secured, approved systems, operate under a Business Associate Agreement signed by their provider organization, and are subject to ongoing oversight that maintains compliance standards.
If your virtual assistant accesses patient names, dates of birth, insurance information, appointment records, billing data, or any clinical documentation, they are handling PHI and your practice legally requires them to be HIPAA compliant. There is no exemption based on task type or frequency. Even occasional access to a scheduling system that contains patient contact information qualifies as PHI handling under HIPAA.
What does a Business Associate Agreement (BAA) cover and is it enough on its own?
A BAA is a legally required contract between your practice and any Business Associate that will access, create, or receive PHI on your behalf. It defines each party's obligations under HIPAA and establishes that the Business Associate will follow the same Privacy Rule, Security Rule, and Breach Notification Rule requirements that you do.
A BAA is necessary but not sufficient on its own. It is a document that defines obligations. Actual compliance comes from training, technical safeguards, ongoing oversight, and audit controls being implemented in practice. A practice that has a BAA with a VA provider but has not verified that provider's security protocols, training curriculum, or device management standards still carries significant compliance risk. The BAA shifts some legal responsibility to the provider, but your practice remains liable for selecting and overseeing that provider in good faith.
Wishup provides an organizational-level BAA to every healthcare client. The BAA is paired with the security protocols, training standards, and oversight framework described in this article, not issued as a standalone document.
How much does a HIPAA compliant virtual assistant cost compared to in-house and freelance options?
In-house medical administrative assistants in the U.S. cost between $39,000 and $49,613 per year in base salary, according to Glassdoor and Indeed data from 2025. Adding standard employee overhead of approximately 30% (payroll taxes, benefits, equipment, office space) brings the true annual cost to between $50,700 and $64,497.
Freelance healthcare VAs typically charge $8 to $18 per hour for offshore providers and $24 to $35 per hour for U.S.-based specialists. These hourly rates may appear lower, but they carry no organizational BAA, no managed oversight, no replacement guarantee, and significant compliance risk. A single HIPAA violation from an unprotected freelance engagement could cost more than a year of managed VA service in fines alone.
Wishup HIPAA compliant virtual assistants are available at $1,299 per month for a part-time (20-hour/week) assistant and $1,999 per month for a full-time (40-hour/week) assistant. Both tiers include a VA Manager, a Customer Success Manager, the Workforce Management App, end-of-day reports, replacement guarantee, and the organizational-level BAA. Automation-enabled plans with AI workflow builds start at $1,999 per month for part-time and $2,999 for full-time
Can a virtual assistant access my EHR or practice management software remotely without creating a compliance risk?
Yes, with the correct safeguards in place. Remote EHR access through encrypted, HIPAA-compliant channels is not only permissible under HIPAA, it is how thousands of compliant healthcare organizations operate today, including hospitals, large group practices, and telehealth providers.
The key requirements are: access must be through an encrypted, HIPAA-compliant remote connection; the VA must operate on a secured, approved device with current security software; network access must be through a secure, private connection, never public Wi-Fi; role-based access controls must limit what patient data the VA can see to what their role actually requires; and all access must be logged in the system so you can review the audit trail.
Wishup VAs are provisioned with secure system access during the 60-minute onboarding process. Access credentials, device security, and network protocols are all set up in accordance with HIPAA Security Rule requirements before the VA begins any task that involves PHI.
What happens if my Wishup virtual assistant makes a HIPAA-related error?
Wishup's managed service model includes multiple safeguards that reduce the probability of error and provide a structured response path if an issue arises.
The weekly QA reviews by your VA Manager and fortnightly SOP adherence checks are specifically designed to catch procedural drift before it becomes a compliance incident. If a VA deviates from HIPAA-compliant protocols, these reviews identify and correct it quickly.
If a compliance issue does occur, Wishup's response framework includes immediate escalation to your Customer Success Manager, documentation review, and corrective action. Wishup also provides a replacement VA within 24 hours if a compliance issue warrants changing the assigned assistant. The organizational-level BAA defines Wishup's liability obligations in the event of a confirmed breach, consistent with HIPAA Business Associate requirements.
Is a Wishup virtual assistant better than an in-house hire for HIPAA compliance?
In-house staff are not inherently more HIPAA compliant than virtual assistants. A busy physical front desk environment carries its own risks: patient conversations can be overheard in waiting rooms, physical documents are handled in shared spaces, and personal devices are often used for work communications in ways that violate the Security Rule. In-house staff also receive HIPAA training only as frequently as your practice administers it, which for many small practices means once at hiring and rarely afterward.
A Wishup HIPAA compliant virtual assistant operates in a controlled, documented, and auditable remote environment with enterprise security protocols, annual refresher training built into the service, fortnightly SOP checks, and a dedicated manager reviewing performance. The compliance infrastructure is already built. You do not need to build and maintain it yourself as you would with an in-house hire.
There is a persistent myth that in-house staff are a safer choice. The data on where HIPAA breaches actually originate challenges this. In recent years, Business Associate breaches have exposed more than twice the patient records of provider-side breaches, primarily because vendor risk management is not as tightly controlled as internal policies. Wishup addresses this by building the compliance framework into the service rather than leaving it to individual practices to manage.
How quickly can I hire a HIPAA compliant virtual assistant from Wishup?
Wishup onboards your HIPAA compliant virtual assistant in 60 minutes. That is from agreement signing to an active, system-provisioned VA ready to work in your practice. This includes system access setup, protocol handover, and team introduction.
For context, recruiting an in-house medical administrative assistant in the U.S. typically takes 6 to 12 weeks from job posting to first day, with an additional 30 to 60 days of ramp-up time before the new hire is working independently. During this entire period, your practice is operating short-staffed or paying a temp worker at premium rates.
Wishup's matching process pairs you with a candidate from its pre-vetted healthcare VA pool based on your specialty, software, time zone, and task requirements. Unlimited same-day interviews are included at no additional cost. The first-match success rate is 90%, and the second-match rate is 100%.
Does Wishup provide HIPAA compliant virtual assistants for small practices and solo providers?
Yes. Wishup's model is designed specifically to serve businesses where the owner or primary provider should not be spending time on administrative and operational tasks. Solo physicians, solo dental practitioners, small mental health practices, individual chiropractors, and optometrists with one or two locations are among the most common Wishup healthcare clients. As Wishup's own positioning states: CEOs and healthcare providers should not be doing non-CEO and non-provider work.
The part-time option at $1,299 per month (20 hours per week) is particularly suited to smaller practices that need consistent daily billing and scheduling support but do not require a full-time resource. As your practice grows, scaling to full-time or adding additional VAs for specialized functions is straightforward within the Wishup platform with no new contracts required.
What is the difference between a HIPAA compliant virtual assistant and a virtual medical assistant?
These terms are often used interchangeably in the market, but they describe related but distinct concepts. A virtual medical assistant refers to the role and the tasks performed: a remote professional who handles healthcare administrative functions. HIPAA compliant refers to the compliance standard under which that assistant operates.
Not all virtual medical assistants are HIPAA compliant in the full sense of the term. As this article covers, real compliance requires a BAA, trained staff, technical safeguards, and ongoing oversight, not just a job title. When evaluating providers, always look past the label and verify the specific compliance infrastructure that backs it up.
Every Wishup virtual medical assistant is a HIPAA compliant virtual assistant in the complete sense. The role and the compliance standard are inseparable in Wishup's healthcare VA program.
Can a Wishup virtual assistant work with my specific EHR or practice management software?
Yes. Wishup VAs are trained across the major EHR and practice management platforms used in U.S. healthcare including Epic, Athenahealth, eClinicalWorks, Kareo, NextGen, Nextech, Dentrix, Eaglesoft, Open Dental, and others. During the discovery call, your specific software stack is captured and the matched VA is verified for proficiency in your systems before the first interview is scheduled.
If your practice uses a less common platform, Wishup will identify a VA with transferable EHR experience and build system-specific orientation into the 60-minute onboarding process. Wishup's VAs are also trained in 120+ business and AI tools, meaning they adapt to new software environments quickly without extended ramp-up periods.
Are there long-term contracts when hiring a Wishup HIPAA compliant virtual assistant?
No. Wishup operates on monthly billing with no long-term contracts. You can close the engagement at the end of any monthly cycle with 30 days notice. There are no penalties or lock-in fees. If you are not satisfied, Wishup offers a money-back guarantee and will provide a refund without requiring you to fulfill a contract period.
This structure matters because it removes the risk of being locked into a provider whose compliance posture or VA quality turns out not to meet your standards after onboarding. You can evaluate the service and make a decision based on real performance rather than a contractual commitment made in advance.
Additional terms that protect your practice: replacement within 24 hours at no cost, backup coverage during VA leave so your compliance-critical workflows continue, and a 30-day ROI report documenting the value delivered in your first month.
HIPAA Compliant Virtual Assistant Services: The Bottom Line for U.S. Healthcare Professionals
HIPAA compliance in healthcare outsourcing is not a marketing claim. It is a documented operational standard that requires trained staff, secured technical environments, organizational legal accountability, and ongoing oversight. The cost of getting it wrong ranges from $141 per violation for an unknowing error to $2.1 million per violation category per year for willful neglect. In 2025, the average healthcare data breach cost $9.77 million, the highest of any U.S. industry.
Hiring a virtual assistant from a general platform or marketplace for healthcare administrative work creates compliance gaps that most practices discover only after an incident. Hiring a HIPAA compliant virtual assistant from a managed platform that has built compliance infrastructure into every layer of its service model eliminates those gaps from the first day of engagement.
Wishup's healthcare virtual assistants are hired from the top 0.1% of applicants, trained in HIPAA compliance and 120+ AI tools, deployed with a full organizational BAA, and managed throughout your engagement by a dedicated VA Manager and Customer Success Manager. They support dental practices, mental health providers, optometry clinics, chiropractic offices, and virtually every other healthcare specialty across the United States. They are onboarded in 60 minutes, available for $1,999 per month full-time, and backed by a money-back guarantee.
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Author - Neelesh Rangwani · Co-founder at Wishup
With 10+ years in the virtual assistant space, Neelesh has helped 1000+ US and global founders build efficient remote teams by matching them with top 0.1% virtual assistant talent. He writes about virtual assistants, hiring frameworks, remote productivity, and scaling ops.
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