Five-Year TCO of a Co-Managed IT Operating Model for a 100-Provider Clinic Group

The Seven Cost Components a Co-Managed IT Engagement Actually Includes

Partner fees recurring. Internal staff retained. Tooling split. Training. Transition cost year one. Integration overhead recurring. Executive oversight.

How Co-Managed IT Costs Settle After Year One

Year one heavy. Years two through five stable.

Why "Internal-Only Is Cheaper" Doesn't Hold in Thin Talent Markets

A CFO will hear: *internal-only is cheaper.*

False in markets without talent depth.

The TCO Analysis That Makes the Co-Managed Decision Defensible

A defensible approach involves clinic CFO through structured TCO across operating models.

Year-One Price Comparisons Hide What the Cycle Actually Costs

TCO across the cycle reveals what year-one comparisons hide.

If your clinic has not produced multi-year TCO in the last twelve months, that is the conversation worth having with your Tech-Operations partner.

Five Nines Technology Group is the Tech-Operations partner serving clinics, hospitals, and healthcare practices across the region. We focus on helping CFOs size operating-model decisions on five-year TCO.