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For ERP and EMR implementation consulting firms

Your clients already trust you. Run the infrastructure under their systems.

Every ERP and EMR client also needs a service desk, network, cloud, backup, endpoint and security services. Build your own practice, white-label one partner under your brand, or refer clients to vetted MSPs. We plan, select and govern under every option.

Where it starts: the Infrastructure Readiness CheckA 2–3 week, fixed-fee assessment your consultants can attach to any implementation or upgrade.
Book a 30-minute call

The market pays for recurring revenue, and discounts project work

14.8%Annual growth of managed servicesvs. about 3.9% for consulting and implementation through 2030
10–14xEBITDA for cyber-capable MSPsvs. 3–5x for firms under 50% recurring revenue
$460.6BManaged services market, 2026Growing to $705.2B by 2031

Private equity already buys project-heavy firms, converts them to managed services, and exits at recurring multiples. Your firm can capture that value itself, starting with clients who already trust you.

Sources: Livingstone Partners, IT Services Market Update 2026; Ad Astra Equity, MSP valuation multiples 2026; MarketsandMarkets, June 2026.

Three ways to work together

Option 3

Refer your clients

Contract
The MSP
Delivery
MSPs from a vetted panel
You gain
No delivery liability
Reminich
Panel, assessments, introductions
Paid by
The MSP, as a finder's fee
Recommended startOption 2

White-label a partner

Contract
Your firm, your brand
Delivery
One partner, chosen by RFP
You earn
Markup on the partner's price
Reminich
RFI/RFP, selection, governance
Paid by
Your firm
Option 1

Build your practice

Contract
Your firm
Delivery
Your team, plus 24x7 partners
You earn
Full recurring margin
Reminich
Plans, workforce, governance until stable
Paid by
Your firm

Each step up adds control, margin and firm value, and more investment.

How Option 3 works: clients you share choose from at least two vetted MSPs and contract directly. The selected MSP pays Reminich a finder's fee, disclosed in writing.

Your firm owns the client; partners run commodity operations

Your clientOne contract, one SLA, one number to call
Your consulting firm owns the relationship and the contractAccount lead and quarterly reviews · ERP/EMR application team
Practice leadership and governancePartner selection and scorecards, back-to-back contracts, SLAs across all five service-quality dimensions, client gap measurement
Delivery
In-house L2–L3 engineeringService desk and NOCBackup and recoveryMDR, SOC, endpoint

The model for Options 1 and 2. Dashed: white-label partners, invisible to your client. Our role: design the offer, select and govern partners, and lead the practice until it stands on its own.

Infrastructure Readiness Check

Scope
Service desk, network, server and cloud, backup, endpoints, security, and their effect on the ERP/EMR
Duration
2–3 weeks
Price
Fixed fee, credited to year one of a managed contract
Delivers
Scored findings, top risks to the application, a 12-month roadmap, a tier recommendation

Offer it when the pain is visible

Major upgradeUnsupported OS, storage limits
Cloud migrationBundle migration with a managed contract
Go-live and hypercareManaged service desk from hypercare exit
Audit findingRemediation plus a Proactive tier
MSP renewalCheck timed 6 months before renewal
Readiness reviewAdd the check to the implementation SOW

Three tiers, plus an add-on only your firm can sell

Tier 1

Essentials

Small clients needing dependable support

Business-hours service desk, monitoring and patching, managed backup, endpoint protection

Reliable basics, managed for you
Tier 2

Proactive

Clients that want problems prevented

Essentials plus 24x7 coverage, MDR/SOC, tested backups, monthly health report

We find it before your users do
Tier 3

Partnership

Clients that want one technology partner

Proactive plus a named account lead, quarterly reviews, roadmap, compliance support

Your partner, not a ticket queue
Add-on

App + infrastructure

Your ERP and EMR clients

One SLA across the application and the infrastructure under it

One team, one contract, one number

Per user or per device, per month. 36-month terms. Projects quoted separately at consulting rates.

Three pilot clients signed by day 90

Days 1–30

Set up

  • Approve plan, name a sponsor
  • Shortlist white-label partners
  • Screen all active clients
  • Brief consultants on triggers

Target list, partners shortlisted

Days 31–60

Launch

  • Propose 30 Readiness Checks
  • Deliver the first checks
  • Sign partner contracts
  • Set tier pricing

6 checks sold

Days 61–90

Convert

  • Present findings
  • Issue 5 tiered proposals
  • Sign 3 pilot clients
  • Plan transitions

3 pilots signed

100%clients screened
30checks proposed
6checks sold
5proposals
3pilots signed

For private equity sponsors and operating partners

Build an MSP platform from the IT spend your portfolio already has.

Instead of buying local MSPs and inheriting their founder dependence and mixed tooling, build one MSP brand on a standard stack with your portfolio as anchor clients. Or start with a white-labeled partner, or refer companies to vetted MSPs.

Where it starts: the Portfolio IT and Cyber BaselineA 4–6 week view of IT risk, cost and maturity across every portfolio company.
Book a 30-minute call

Build from the portfolio, not from local MSPs

FactorBuy and build local MSPsBuild from the portfolio
Day-one revenuePurchased at an entry multipleContracted at market rates
RelationshipsOften held by the founderHeld by your operating team
ToolingA different stack per acquisitionOne standard stack from design
IntegrationRepeats with every dealPaid once, reused for each onboarding
BrandLocal brands to merge or retireOne brand from day one

MSPs sold for a median 8.9x EBITDA across 120 deals in 2026; cyber-capable operators at 10–14x. About 70% of 2025 MSP deals involved private equity, so buying means bidding against established consolidators.

Source: Ad Astra Equity, MSP valuation multiples 2026, citing N2M Capital Advisors.

Three ways to turn portfolio IT into value

Option 3

Refer to vetted MSPs

Contract
The MSP
Delivery
MSPs from a vetted panel
You gain
Better IT, no investment
Reminich
Baselines, introductions
Paid by
The MSP, as a finder's fee
Option 2

White-label a partner

Contract
Your platform brand
Delivery
One partner, chosen by RFP
You gain
One standard, partner markup
Reminich
RFI/RFP, selection, governance
Paid by
Sponsor or platform
Recommended startOption 1

Build the platform

Contract
Your platform company
Delivery
Portfolio IT staff, plus 24x7 partners
You gain
Margin plus a sellable MSP
Reminich
Platform design, workforce, governance
Paid by
Sponsor or platform

Each step up adds control, margin and exit value, and more investment.

How Option 3 works: companies you share choose from at least two vetted MSPs and contract directly. The selected MSP pays Reminich a finder's fee, disclosed in writing.

A new company owns the brand; the portfolio is its first client base

Private equity sponsorOwns the platform and sets its charter
Platform company: one brand, its own boardPlatform leader, account leads, standard tooling, an independent director, arm's-length contracts, SLAs across five service-quality dimensions, an annual market price benchmark
Clients
Portfolio companies (anchors)Third-party clients from year 2
Delivery
Former portfolio IT staff24x7 desk and NOCMDR and backup

The model for Option 1. Affiliated revenue only earns a premium at exit if a buyer believes it would survive without you. Market pricing and contracts that survive a portfolio company's sale prove it.

Anchor where IT pain is high and the hold has years to run

IT pain and risk
Fix, then hand overHigh pain, exit within two years. Remediation on a separable contract.
Anchor firstHigh pain, long hold left: weak security, thin IT team, no 24x7. Your first 3–5 anchors.
Leave as isLow pain, exit soon. Support only at exit separation.
Onboard at renewalLow pain, long hold left. Time it to the IT contract end.
Years left in the hold

What an exit buyer will pay for

  • Recurring mix. Under 50% recurring reprices to 3–5x EBITDA.
  • Security capability. Cyber-capable MSPs trade at 10–14x.
  • Retention and term. 96%+ logo retention on 24+ month contracts.
  • Concentration. No client above 25% of revenue.
  • Survivable contracts. Portfolio contracts that outlast each company's sale.

Plan the revenue mix

Years 1–2
Portfolio anchors; prove service quality and standard tooling
Years 2–4
Third-party clients: portfolio peers, suppliers, the industries you know
Before sale
No client over 25%, every contract survives change of control

Source: Ad Astra Equity, MSP valuation multiples 2026. Set exact third-party targets with your deal team and M&A advisor.

Three anchor companies committed by day 90

Days 1–30

Set up

  • Approve plan and budget
  • Start the portfolio baseline
  • Brief fund counsel
  • Recruit a platform leader

Baseline underway

Days 31–60

Design

  • Portfolio heat map
  • Shortlist 5–7 anchors
  • Form the platform company
  • Shortlist delivery partners

Heat map done, company formed

Days 61–90

Commit

  • Meet anchor CEOs
  • Secure 3 commitments
  • Make staff transfer offers
  • Choose brand and stack

3 anchors committed

100%companies baselined
5–7anchors shortlisted
1platform formed
1leader hired
3anchors committed

For physician MSOs and practice management organizations

Add managed IT to the services your practices already trust you with.

Your revenue cycle, billing and scheduling all run on practice IT. Build an IT service line, white-label a healthcare MSP under your brand, or refer practices to vetted healthcare MSPs.

Where it starts: the HIPAA Security Risk AssessmentA 1–2 week assessment that meets an obligation every practice already has.
Book a 30-minute call

Healthcare breaches are frequent, and expensive

37.5MPeople affected, Jan–Aug 2025Nearly 500 large breaches reported to HHS
78%Hacking or IT incidentsShare of reported healthcare breaches
$7.42MAverage healthcare breach costIBM Cost of a Data Breach 2025

The proposed HIPAA Security Rule update adds MFA, encryption, network segmentation, annual penetration tests and tested incident response. The final rule is now targeted for July 2027. Practices need a plan before it lands.

Sources: Secureframe analysis of the HHS OCR breach portal (2025); Fierce Healthcare, July 10, 2026.

Three ways to bring managed IT to practices

Option 3

Refer practices

Contract
The MSP, with its own BAA
Delivery
Vetted healthcare MSPs
You gain
No IT or HIPAA delivery liability
Reminich
Risk assessments, introductions
Paid by
The MSP, as a finder's fee
Recommended startOption 2

White-label a partner

Contract
The MSO, with the BAA
Delivery
A healthcare MSP, chosen by RFP
You earn
Markup on the partner's price
Reminich
RFI/RFP, BAA chain, governance
Paid by
The MSO
Option 1

Build in-house

Contract
The MSO, with the BAA
Delivery
Field technicians, plus 24x7 partners
You earn
Full per-provider margin
Reminich
Service line design, workforce, governance
Paid by
The MSO

Each step up adds control and margin, and more investment and HIPAA liability.

How Option 3 works: practices you share choose from at least two vetted healthcare MSPs and sign their contract and BAA directly. The selected MSP pays Reminich a finder's fee, disclosed in writing, after counsel review.

The MSO owns the relationship; healthcare partners run 24x7

Affiliated physician practicesOne MSO agreement and BAA, one number to call
Your MSOPractice success lead · RCM, billing and HR teams that depend on practice IT
IT service line leadership and compliancePer-provider tiers, partner scorecards, a complete BAA chain, an annual HIPAA risk analysis per practice, breach and incident ownership
Delivery
MSO field techniciansService desk and NOCBackup and recoveryMDR, SOC, email security

The model for Options 1 and 2. Dashed: healthcare-experienced white-label partners under subcontractor BAAs. The EHR vendor stays responsible for the application; the MSO coordinates with it.

HIPAA Security Risk Assessment

Scope
Network, devices, backup, email, access controls, MFA, policies, incident readiness
Method
IT health check plus the HHS Security Risk Assessment Tool
Duration
1–2 weeks per practice
Delivers
A documented risk analysis, a prioritized remediation plan, a tier recommendation

Offer it at the moments that matter

New affiliationInclude it in the onboarding plan
Risk analysis dueDeliver it as the entry offer
Cyber insurance renewalClose the insurer's MFA and EDR gaps
EHR upgradeReadiness check before the upgrade
New locationFixed-fee buildout, then managed IT
Incident or near missRapid response, then a contract

Three tiers, priced per provider per month

Tier 1

Essentials

Small single-location practices

Business-hours help desk, device management, backup, EDR, email security

Reliable basics, handled for you
Tier 2

Protect

Most affiliated practices

Essentials plus 24x7 monitoring, MDR/SOC, MFA, annual HIPAA risk analysis, training

Protected and documented
Tier 3

Partnership

Multi-location groups

Protect plus a practice success lead, quarterly reviews, roadmap, incident response testing

Your technology partner
Projects

Onboarding and growth

Any practice

Affiliation onboarding, new locations, EHR migration support

Quoted separately

36-month IT schedule under the MSO agreement. Assessment fee credited to year one. Healthcare counsel confirms fair-market pricing before launch.

Three pilot practices signed by day 90

Days 1–30

Set up

  • Approve plan, name a sponsor
  • Shortlist healthcare partners
  • Counsel review of fees
  • Screen affiliated practices

Target list, partners shortlisted

Days 31–60

Launch

  • Offer 20 risk assessments
  • Deliver the first 5
  • Sign partner BAAs
  • Set per-provider pricing

5 assessments, BAAs signed

Days 61–90

Convert

  • Present findings to physicians
  • Issue 5 tiered proposals
  • Sign 3 pilot practices
  • Plan 30–60 day transitions

3 pilots signed

100%practices screened
20assessments offered
8delivered
5proposals
3pilots signed

For revenue cycle management firms serving hospitals and medical groups

Protect the systems your clients' cash flows through.

Claims stop when EHR, practice management or clearinghouse access goes down. Build an IT service line, white-label a healthcare MSP under your brand, or refer clients to vetted healthcare MSPs.

Where it starts: the Revenue Cycle IT Risk AssessmentA 1–3 week assessment that links IT gaps to cash flow and meets the HIPAA risk analysis obligation.
Book a 30-minute call

When IT fails, healthcare cash stops

94%Hospitals with financial impactAfter the Change Healthcare attack
43%Large breaches via a vendorBusiness associates, first half of 2026
69%Health systems outsourcing RCMAll or part of the revenue cycle

RCM vendors are targets too: CareCloud disclosed a 2026 breach affecting at least 345,000 people. And 41.2% of rural hospitals already run negative margins, so an outage they can't absorb shows up in your results.

Sources: AHA, March 2024; HIPAA Journal, June 2026; Guidehouse and HFMA, 2026; Chartis, via Fierce Healthcare.

Three ways to bring managed IT to your clients

Option 3

Refer clients

Contract
The MSP, with its own BAA
Delivery
Vetted healthcare MSPs
You gain
Steadier results, no IT liability
Reminich
Risk assessments, introductions
Paid by
The MSP, as a finder's fee
Recommended startOption 2

White-label a partner

Contract
Your firm, with the BAA
Delivery
A healthcare MSP, chosen by RFP
You earn
Markup on the partner's price
Reminich
RFI/RFP, BAA chain, governance
Paid by
Your firm
Option 1

Build a service line

Contract
Your firm, with the BAA
Delivery
Your IT staff, plus 24x7 partners
You earn
Full recurring margin
Reminich
Service line design, workforce, governance
Paid by
Your firm

Each step up adds control and margin, and more investment and liability.

How Option 3 works: clients you share choose from at least two vetted healthcare MSPs and sign their contract and BAA directly. The selected MSP pays Reminich a finder's fee, disclosed in writing, after counsel review.

Your firm owns the relationship; healthcare partners run 24x7

Hospital and medical group clientsOne partner for cash and the systems it runs on
Your RCM firmAccount lead · coding, billing, A/R and denials teams that depend on client IT
Revenue-cycle IT leadership and complianceTiered pricing, partner scorecards, a complete BAA chain, an annual HIPAA risk analysis, SLAs tied to cash-critical systems
Delivery
Your IT staff (Option 1)Service desk and NOCClearinghouse monitoringMDR, SOC, backup

The model for Options 1 and 2. Dashed: healthcare white-label partners under subcontractor BAAs. IT runs separately from RCM, with its own access, contract and SLAs.

Revenue Cycle IT Risk Assessment

Scope
Access to EHR, practice management and clearinghouse; downtime procedures; backup; MFA; email; incident readiness
Method
IT health check, the HHS Security Risk Assessment Tool and a revenue-cycle continuity review
Duration
1–2 weeks for medical groups; 2–3 for hospitals
Delivers
A risk analysis, the cash-critical systems at risk, a remediation plan, a tier recommendation

Offer it when IT risk reaches the revenue cycle

New RCM clientInclude it in onboarding
EHR or PM conversionReadiness check before go-live
Clearinghouse outageContinuity review, then Protect tier
Security questionnaireAssessment and remediation plan
Cyber insurance renewalClose the insurer's MFA and EDR gaps
Client IT turnoverManaged service from day one

Three tiers at fixed monthly fees

Tier 1

Essentials

Small medical groups

Business-hours service desk, device and access management, backup, EDR, email security

Reliable basics, handled for you
Tier 2

Protect

Most groups and small hospitals

Essentials plus 24x7 monitoring, MDR/SOC, MFA, clearinghouse and payer connectivity monitoring, annual risk analysis

Your cash-critical systems, protected
Tier 3

Partnership

Community and rural hospitals

Protect plus an account lead, quarterly IT and A/R reviews, downtime drills, roadmap, audit support

One partner for cash and its systems
Projects

Conversions and remediation

Any client

EHR or practice management conversions, new locations, remediation

Quoted separately

Per provider for medical groups; per user or device for hospitals. 36-month IT schedule, separate from the RCM agreement and from any collection-based fees. Healthcare counsel reviews the combined arrangement.

Three pilot clients served or placed by day 90

Days 1–30

Set up

  • Choose the option, name a sponsor
  • Shortlist partners or panel MSPs
  • Counsel review of fees
  • Screen RCM clients

Target list, partners shortlisted

Days 31–60

Launch

  • Offer 20 risk assessments
  • Deliver the first 5
  • Sign partner or panel BAAs
  • Set tier pricing

5 assessments, BAAs signed

Days 61–90

Convert

  • Present findings to CFOs
  • Issue 5 proposals or introductions
  • Serve or place 3 pilots
  • Plan 30–60 day transitions

3 pilots, transitions scheduled

100%clients screened
20assessments offered
8delivered
5proposals or intros
3pilots

For leadership teams of organizations that run IT, in-house or outsourced

Is your IT working as well as it should?

We help organizations understand how well their IT function is operating, where risks and gaps exist, and what needs to change. Whether your IT is in-house, run by a managed service provider, or a hybrid of both.

Where it starts: a complimentary IT Operations AssessmentAbout 20 hours of our time and one executive readout, at no fee beyond travel.
Request an assessment

Six questions every leadership team should be able to answer

IT OperationsHow effectively is IT delivering services?
IT GovernanceAre responsibilities, decisions and accountability clear?
IT Risk and ResilienceWhere are your technology and operational exposures?
IT Vendors and ContractsAre your providers delivering what you pay for?
IT Costs and ValueAre you getting the right value from your technology spend?
IT Strategy and RoadmapWhat should you change, and in what order?

Engage one area on its own, or begin with the IT Operations Assessment and let the findings decide what comes next.

Assess, advise, govern

Assess

Understand the current state through interviews, data review and observation of how work actually flows.

Findings and a prioritized roadmap

Advise

Decide what must change and in what order: options, costs, risks and a plan leadership can fund.

Improvement plan and business case

Govern

Make sure the changes happen: ongoing oversight of vendors, performance, risk, projects, costs and contracts.

Monthly or quarterly governance retainer

Start from your situation

Our IT leader just left.IT Operations and Governance
Our MSP contract renews this year.IT Vendors and Contracts
We're not sure we'd recover from ransomware.IT Risk and Resilience
IT costs keep rising and nobody can explain why.IT Costs and Value
We're growing, or acquiring.IT Strategy and Roadmap
Something feels off, but we can't say what.IT Operations Assessment

One assessment, mapped to the frameworks your industry uses

  • HHS SRA alignment. Seven-section assessment aligned to the federal Security Risk Assessment method.
  • Multi-framework mapping. Every control mapped to HIPAA, NIST CSF 2.0, ISO 27001 and HITRUST.
  • Maturity scoring. Five-level CMMI scoring with definitions per control.
  • Risk-weighted priorities. Patient safety, PHI risk and regulatory exposure.
  • Remediation plan. 30/60/90-day actions with effort and cost estimates.
  • Canadian privacy. PIPEDA and provincial health privacy legislation.

Ready for the proposed HIPAA update

The proposed Security Rule update would remove the "addressable" vs. "required" distinction and add specific technical standards. The final rule is now targeted for July 2027. Our framework already assesses against the proposed standards.

The question we answer for management: do you understand your technology risks, who owns them, and whether the right controls are in place?

Complimentary IT Operations Assessment

A high-level review of how your IT is managed: assets, operations, service management and financials. About 20 hours of our time, one executive readout, and a clear view of whether deeper work is warranted. No fee beyond travel, no obligation.

Request yours

Practical guides, publishing soon

  • The 12-question IT Operations self-assessment. The questions we ask in the first hour.
  • 7 contract clauses that cost you money. For MSP, SaaS, cloud and telecom agreements.
  • Would you actually recover? A backup and disaster recovery readiness check.
  • Where IT budgets leak. Ten places to look first.

Ask for early access and we'll send them as they publish.

Insights

What leadership should know about how IT services really work

For consulting firms

The revenue cliff after go-live

Most implementation relationships end when hypercare does. The client still needs someone to run the infrastructure under the system you built.

Read our view

Offer an infrastructure readiness check at every upgrade and go-live. It turns what your consultants already see into a decision the client owns.

For private equity

Build or buy your MSP platform?

Buying local MSPs means paying for founder-dependent relationships and mixed tool stacks, then working off the discount.

Read our view

If your portfolio already spends on IT services, start there: one brand, one stack, arm's-length contracts, and outside clients from year two.

For physician MSOs

Practice IT is your revenue cycle's weakest link

Billing, scheduling and EHR access all stop when a practice's network or devices fail.

Read our view

Start with the security risk analysis every practice is required to perform. The findings make the case for managed IT.

For RCM firms

Your results depend on IT you don't control

A clearinghouse outage or a ransomware event stops claims, and your days in A/R take the hit.

Read our view

Add an IT continuity review to client onboarding. It shows clients you understand their risk, and it opens the managed IT conversation on your terms.

Governance

Your IT leader just left. What do you actually know about your IT?

Most organizations discover how much lived in one person's head only after that person is gone.

Read our view

Before you hire a replacement, get a clear picture of the operation, the vendors, the risks and the spend. It changes the job description, and it protects you during the gap.

Cost and value

The hidden cost of "all-inclusive" IT contracts

Flat-rate IT sounds simple, until the incentive becomes doing as little as possible.

Read our view

Ask for utilization data: proactive vs. reactive tickets, hours by service, reopen rates. If nobody can answer, nobody is measuring, and you are paying for a promise rather than a service.

Risk

Your IT provider says you're "HIPAA compliant." Are you?

A business associate agreement doesn't make infrastructure secure. Compliance is management's responsibility.

Read our view

Without a formal risk assessment mapped to NIST or HITRUST, gaps exist that nobody has written down. The proposed HIPAA Security Rule update, now targeted for July 2027, makes this urgent.

Follow our commentary on LinkedIn.

About The Reminich Group

We've sat in every chair at the table.

More than 25 years leading managed services and IT operations at every scale, from small and mid-sized organizations to national multi-site networks and global enterprises. Across the full lifecycle: strategy, contract, transition, operations, governance and renewal, on both the provider's side and the client's, with accountability for managed services agreements worth more than $650 million in total contract value.

We've built the delivery models, negotiated the contracts and managed the outcomes. That is why our recommendations survive contact with a real operation, a real contract and a real budget.

Founded by Michel Perron, MBA. Naperville, Illinois. Serving the U.S. and Canada in English and French.

Running IT operations

Leading operations, service desks, ITSM, professional services, PMO and solution architecture for healthcare-focused and global technology service organizations.

Managing technology vendors

Directing IT vendor and outsourcing relationships for global enterprises: renegotiating contracts, resetting accountability, building governance when delivery broke down.

Every scale, from one office to 43 countries

Small and mid-sized organizationsLed a 160-person managed services operation serving about 1,200 client organizations and 35,000 end users.
National, multi-site operationsGrew a managed services business from $32M to $187M, bringing about 30 client IT organizations onto one shared service model.
Global enterprisesLed a 600-person delivery organization across 43 countries, and turned a loss-making global account into a profitable one.

Industries served: industrial and manufacturing, engineering and professional services, technology services, and healthcare.

How we work with every client

Assess

Readiness check, portfolio baseline, risk assessment or operations assessment.

Design and launch

Offer, tiers, pricing, partners, contracts and a 90-day pilot.

Govern

SLAs, partner scorecards and client gap measurement, quarter after quarter.

Contact

Start with a 30-minute conversation.

Tell us which of these describes you and we'll come prepared. Each link opens an email to [email protected] with the topic filled in.

Consulting firmLaunch managed infrastructure services Private equityBuild a portfolio MSP platform Physician MSOAdd a managed IT service line RCM firmProtect clients' revenue-cycle IT Leadership teamRequest an IT Operations Assessment

What happens next

  1. A 30-minute call to understand your situation and goals.
  2. A starting assessment sized to you: a readiness check, a portfolio baseline, a risk assessment or an IT operations assessment.
  3. A clear recommendation on which of the three ways to work together fits, with risks and a 90-day plan you can act on.

Naperville, Illinois. Serving the U.S. and Canada, in English and French. LinkedIn

Build managed IT services on relationships you already have.

We help ERP and EMR consulting firms, private equity sponsors, physician MSOs and RCM firms bring managed IT to the clients they already serve: build a practice, white-label a partner, or refer clients to vetted MSPs. We also help leadership teams find out how well their IT is really working.

Start a conversation About us
Consulting firms

Turn project clients into recurring revenue

Run the infrastructure under the ERP and EMR systems you implement.

Starts with an Infrastructure Readiness Check Private equity

Build an MSP platform from your portfolio

One brand, one stack, portfolio anchors, then outside clients and an exit.

Starts with a Portfolio IT and Cyber Baseline Physician MSOs

Add managed IT to your service line

Protect practices and add recurring revenue to every affiliation.

Starts with a HIPAA Security Risk Assessment RCM firms

Protect the systems your clients' cash flows through

Add managed IT to the revenue cycle relationships you already hold.

Starts with a Revenue Cycle IT Risk Assessment Leadership teams

Find out how well your IT really works

Operations, governance, risk, vendors, costs and strategy.

Starts with a complimentary assessment
25+ yearsleading managed services and IT operations
$650M+in managed services contracts overseen
SMB, national, globalfrom single-office clients to 43 countries
U.S. and Canadain English and French