Managed IT for Northern Nevada businesses that cannot afford downtime.
24/7 monitoring, patching, helpdesk, vCIO planning, and cybersecurity overlay — built for healthcare, legal, and SMB clients across the Sierra corridor.
What is included — and what is honestly not.
Included every month
- 24/7 monitoring and alerting
- Patch management — Windows, macOS, core apps
- Endpoint security with EDR/MDR overlay
- Email security + phishing training
- Backup and recovery with verification cadence
- Helpdesk for staff (remote + on-site)
- Microsoft 365 / Azure administration
- Vendor coordination (ISPs, SaaS, hardware)
- Quarterly vCIO business reviews
- Documentation and asset inventory
Project / add-on (priced separately)
- Hardware purchases & new equipment rollouts
- Office moves, cabling, on-site builds
- Major migrations (M365 tenant, Azure, server retirement)
- Compliance audit prep (HIPAA, SOC 2, CMMC)
- Custom AI rollouts & automation builds
- Third-party software the client owns directly
Outcomes, in plain English.
Fewer interruptions, less hidden risk
Proactive monitoring catches issues before they hit the helpdesk queue. Patch cadence, backup verification, and lifecycle planning that holds up under audit.
Faster help when it matters
Real humans on the phone, predictable response windows, no ticket roulette. Helpdesk remote and on-site for staff across the Sierra corridor.
Clearer ownership and planning
vCIO quarterly business reviews translate IT into business decisions you can act on — not a 40-page report you will never open.
Practical AI in the engagement
Managed IT includes AI training and safe-AI consulting — because the right AI rollout protects the business as much as it accelerates it.
Related services: cybersecurity services · HIPAA compliance · backup & disaster recovery
Pick the shape that fits.
Fully Managed IT
We own your IT end-to-end. Monitoring, helpdesk, security, planning. Best for teams without an internal IT person.
Co-Managed IT
We back up your existing IT lead with after-hours coverage, tooling, security, and vCIO. Best for growing teams that already have one person carrying it.
Project & Cleanup
Migrations, cleanups, audit prep, or transitions off a previous MSP. Fixed scope, fixed timeline.
The risks we know cold.
Practices that cannot afford EHR downtime
We support multiple Northern Nevada practices across optometry, surgery centers, pediatrics, and primary care. HIPAA-aware support with a Business Associate Agreement on file.
Firms that need confidentiality without friction
Email security, document handling, MFA enforcement, and predictable support — so attorneys bill, not babysit a ticket.
Four NCET wins. One Reno-built MSP.
The questions buyers actually ask.
How fast do you respond when something breaks?
Critical issues are handled quickly during business hours, with on-call coverage after hours. We publish response targets in your service agreement so you can hold us to them.
How long does onboarding take?
Most clients are fully onboarded in 2-4 weeks. We document everything as we go, so you are not stuck if you ever leave.
What is the contract length?
Standard agreements are 12 months. Project work is fixed-scope, fixed-timeline. We do not lock anyone into multi-year deals to make a sale.
Do you handle backups, DR, and HIPAA?
Yes — backup and recovery are included, with verification cadence and a documented restore plan. For healthcare, we sign a Business Associate Agreement and run HIPAA-aware support for multiple Northern Nevada practices.
See how Sierra Miles works.
One conversation. We will walk you through what we would do first.