Under this subscription model, the client or customer is the entity that owns or has direct oversight of the organization or system being managed whereas the Managed Services Provider (MSP) is the service provider delivering the managed services. The client and the MSP are bound by a contractual, service-level agreement that states the performance and quality metrics of their relationship.[5]
"The biggest thing for me is that, while I'm away from the office and working on other projects, I haven't had to worry about the network. There have been a couple of occasions where issues happened, and [TPx Communications] has been able to resolve them without my involvement, other than just being notified. As far as I'm concerned, that does everything that I want it to do." — IT Systems Manager, Audio-Visual Company

SugarShot provided IT consulting and help desk services for a non-profit. The client felt they did not need an in-house person doing IT, but they needed a help desk they could call when they needed assistance. SugarShot is a help desk for the client; they manage servers and services, provide troubleshooting services, and they serve a variety of other functions. The client has been satisfied with the company’s work, and they feel that the company has helped move their cybersecurity forward.
Ich sitze am Schreibtisch im modernen Großraumbüro meines Kunden und arbeite an einer Kostenübersicht des Projektes das ich leite. Kosten für Hardware, Software, zwei Dutzend Kundenmitarbeiter und externe Berater. Ich gehe die Liste mit den Namen der Projektteilnehmer durch. Einige Namen hatte ich schon wieder vergessen, weil Sie als IT Fachkräfte manchmal nur wenige Tage sehr spezialisierte Aufgaben erledigt haben. Nach eineinhalb Jahren sind sechs- und siebenstellige Summe zusammengekommen und wir haben noch ein weiteres Jahr vor uns. Ich seufze – Würde ich an einer Liste der Probleme und Konflikte aus dieser Zeit arbeiten – sie wäre deutlich länger als die Kostenliste.
Headquartered in Westchester, Ill. and founded in 2010, Middleground Technologies is an IT services provider that works with mid market and enterprise companies in the health care, legal, manufacturing, business services, and financial service industries. Their team of 15 provide IT management, cloud consulting, and cybersecurity services to clientele.
Indusa is an IT services company headquartered in Oakbrook Terrace, Ill.; they also have offices in Ahmedabad, India, and Pune, India. Founded in 1989, they have about 330 employees that do custom software development, ERP consulting & SI, CRM consulting, enterprise app modernization, and IT managed services. Indusa serves midmarket clients in a variety of industries. 
Cloud computing has allowed managed IT services to expand beyond the regions and borders that would constrain the average break/fix IT through the adoption of Software as a Service (SaaS) technologies, as well as Infrastructure as a Service (IaaS) and Platform as a Service(PaaS) also. These capabilities allow managed IT services to scale at a rate dramatically larger and faster than in-house IT operation or break/fix providers.
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