> if it isn't an app, then is apple giving them OS level permissions or is this a fork of iOS? Gonna guess it's corporate distribution certs (whatever they're

> if it isn't an app, then is apple giving them OS level permissions or is this a fork of iOS? Gonna guess it's corporate distribution certs (whatever they're called, I haven't had to mess with that in years—the ones that let you sign & distribute apps outside the app store, mostly intended for letting companies distribute internal apps that wouldn't be suitable for general use on the app store) and you're technically leasing the device. Or something along those lines, maybe Apple has a special program that's very similar for medical device use. Not a custom build of the OS, nor special permissions.