Published pricing
Managed IT pricing for Lee County law firms and medical practices
When the system your office runs on stops, the day does not pause and the schedule does not recover later. Less downtime means fewer interruptions and more of your day spent on work that pays.
Most IT providers will not show you a number until you sit through a sales call. Here is ours.
Monthly plans
$60, $125, or $185per user, per month
Essentials and Managed IT carry the same protection and differ only on whether support hours are included. Managed IT + HIPAA adds what a practice has to be able to show.
A user is a person, not a device and not a login. Anyone who works on your systems counts, whether or not they have their own login or their own mailbox. Accounts that belong to equipment rather than a person, like a scanner, do not.
Essentials
$300 / month
Support billed at $125/hr as you use it. Onboarding $750, waived on an annual term.
Managed IT
$625 / month
Includes 5 hours of support a month, pooled. Onboarding $750, waived on an annual term.
Managed IT + HIPAA
$925 / month
The same 5 hours, plus the compliance layer. For practices and agencies that handle patient records. Onboarding $750.
Where they cross
2.6 hrs / month
Use less than that and Essentials costs you less. Use more and Managed IT does.
Covered by Essentials
- Automated monitoring and alerting
- Automatic patching and updates
- Managed antivirus and ransomware protection
- Microsoft 365 or Google Workspace backup
- Account and device management, including onboarding and offboarding of users
- Email authentication (SPF, DKIM, and DMARC)
Covered by Managed IT
- Automated monitoring and alerting
- Automatic patching and updates
- Managed antivirus and ransomware protection
- Microsoft 365 or Google Workspace backup
- Account and device management, including onboarding and offboarding of users
- Email authentication (SPF, DKIM, and DMARC)
- One hour of remote support per user each month, pooled across your teamNot on Essentials
Covered by Managed IT + HIPAA
For practices and agencies that handle patient records. Everything in Managed IT at $125, plus $60 per user for the compliance layer, with the same pooled hour.
- A signed business associate agreement, before any work touches patient data
- Around-the-clock monitoring by a 24/7 security operations center. Anything found overnight is contained at the time, then picked up with you during business hours.
- An annual security risk analysis, the document investigators ask for first
- Your safeguards written down, with the evidence that they are in place
- Security awareness training and phishing simulation for your staff
- Audit logging that is reviewed, not only collected
- Encrypted backup with a restore that has been tested and dated
- A written incident response plan. If you ever have to notify, that duty stays yours, and the plan is what makes it survivable.
Safeguards and records, not a certificate. No IT vendor is HIPAA certified, because no such certification exists, and IT First Response does not claim to be one. What the rule obligates your practice to do stays a question for healthcare counsel.
For caregivers
User Lite$75 / user / mo
A caregiver who works from a phone and has no company computer does not need the full $185 seat. User Lite covers them at $75.
- Accounts opened when a caregiver joins and closed when they leave, at no charge, however often your roster turns over
- Sign-in security and multi-factor authentication on every account
- Your data protected inside the apps we manage, and removed from a personal phone when someone leaves
- Email security, security awareness training, and simulated phishing
- Identity monitoring on every account
No support hours are included. Password resets and multi-factor re-enrolment are free, and other help for a User Lite is billed at $125 per hour. A personal phone does not get the same protection as a company computer.
Billed at $125 per hour
- Support time: all of it on Essentials, or time beyond your pool on Managed IT
- On-site visits
- After-hours and weekend work
- Major projects and migrations, such as a server move or an office relocation
- Cabling and hardware
- Support for software outside your managed stack
We will always tell you before work moves into billable territory.
Limited monthly openings. Only three new offices are onboarded each month, so every setup stays thorough and nothing gets rushed. Once the month's spots are filled, the next opening is the following month.
One response time, not a priority table
Most providers publish a tier list that decides how long you wait based on how they classify your problem. Yours gets the same clock either way.
You hear back
15 minutes
From a person, not an autoresponder.
Someone is working on it
1 hour
Every request, whatever its priority.
Outside those hours
You can still call
The business line takes calls outside coverage hours, and that work is billed hourly.
The 15 minute and one hour targets run Monday to Friday, 8:00 AM to 5:00 PM Eastern, excluding US holidays. They are response and start targets, not resolution guarantees: how long a fix takes depends on the problem. Monitoring is automated detection and alerting, with response during those same coverage hours.
One price. Two very different sets of problems.
If you run a law office
We support the systems your firm actually runs on. Clio and MyCase keep working, the scanner reaches the right matter folder, and the mailbox a partner signs into from a hotel is the same one under management here. We are not your practice-management vendor's support desk. We are the people who make sure the workstation, the login, the printer and the backup around it work.
When a records request lands, IT has to answer four questions
- Can mail be searched across the whole firm, or one mailbox at a time?
- Does what the system retains match what your retention policy says?
- Can you show who opened a file, and when?
- Can you produce what was asked for without handing over the whole mailbox?
Those are configuration questions, not legal ones. We will tell you what your systems can answer today, on the free Security Check, before you are a client.
Full walkthrough of these numbers: what IT support costs a small law firm in Florida. More for firms on the law offices page.
If you run a medical practice
A practice cannot wait. When Dentrix or eClinicalWorks will not load at nine in the morning, the waiting room does not pause and the schedule does not recover later in the day.
That is the problem this plan is built around: the workstations, logins, network and backups underneath your clinical software, watched before anyone has to call it in.
We do not administer your clinical application. Your vendor does that, and we will not pretend otherwise. Everything that application depends on to open, print, scan and back up is ours.
More for practices on the healthcare page.
Compliance and insurance
What we will and will not claim about HIPAA
Read this before you compare us to anyone else, because most of what you will be told about HIPAA and IT vendors is not accurate.
Practices go on Managed IT + HIPAA at $185 per user, per month. That is Managed IT at $125 plus $60 per user for the compliance layer, and the eight things the $60 buys are listed in full on the plan card above. Seven of them are records and process rather than software.
IT First Response LLC is a registered Florida limited liability company and carries technology errors and omissions and cyber liability insurance. Insured, not certified: this business is not HIPAA, HITRUST, or SOC 2 compliant and makes no certification claims.
Work outside a plan
Project and hourly work
$125 per hour, one-hour minimum. Work outside a plan, quoted up front so you approve the number before we start.
Talk about your project- Remote / phone diagnosticFree · If we can identify the problem remotely, it costs you nothing
- Data recovery (logical, non-physical)$150 to $250
- Business: on-site or remote support$125 per hour, 1-hour minimum · Commercial rate, including Microsoft 365 and Azure work
We are located in Fort Myers, FL. Jobs requiring more than an hour of drive time will be billed hourly for travel.
The awkward ones, answered
What happens if we run over the pooled hours?
Additional remote time is billed at $125 per hour, and we tell you before it starts rather than on the invoice. The pool resets at the beginning of each billing month and does not carry over.
Do we have to sign a long contract?
There is no seat minimum and no multi-year lock-in. The annual term is optional, and choosing it waives the onboarding fee.
Why is there a third price for practices and agencies that handle patient records?
Because an office that holds patient records buys something a law office does not. Managed IT + HIPAA is $185 per user, which is Managed IT at $125 plus $60 for the compliance layer: a signed business associate agreement, an annual security risk analysis, your safeguards documented with the evidence behind them, staff training and phishing simulation, audit logging that is reviewed rather than only collected, encrypted backup with a restore that has been tested and dated, a written incident response plan, and a 24/7 security operations center watching the machines, so anything found overnight is contained at the time and picked up with you during business hours. Seven of those eight are records and process the Security Rule already asks you to hold. None of it makes you HIPAA compliant, because no vendor can sell that.
How does the onboarding fee work?
A one-time $150 per user covers bringing your systems under management: inventory, agents, backup verification and account cleanup. It is waived if you choose an annual term.
Why is your price lower than the quotes we have had?
Because of what is not in it. There is no sales team, no account-manager layer, and no tier-one desk reading a script before your problem reaches the person who fixes it. What you are not paying for is overhead, not scope. The plan above is published in full, and anything outside it is quoted before it starts. What we deliberately do not carry is an overnight staffed desk. You can still call outside coverage hours, and that work is billed at the hourly rate rather than built into every office's monthly fee.
What happens when the person who knows our systems is unavailable?
Your office keeps its own administrator credentials, so you are never locked out of your own systems, and everything under management is documented rather than held in one person's head. This is a small business and it does not pretend otherwise. If that is a risk your firm cannot carry, say so on the first call and we will tell you honestly whether we are the right fit.
How does switching from our current provider work?
We agree the scope in writing first, then take over in a documented sequence: credentials, monitoring, backup, then endpoints, so nothing is unmanaged in between. You keep working while it happens, and you keep every credential at the end of it.
You have the number. The next step is a short call.
Twenty minutes, no pitch deck. We ask what you run and what has gone wrong lately, then agree the scope in writing and invoice monthly.
Or call (401) 203-5032 · support@itfirstresponse.com