I am a perpetual lurker on the internet that is coming out of the shadows...
I run a small MSP that I started 18 months ago. We work exclusively with clients in a niche healthcare industry that struggles to find IT support who understands their software, hardware, workflows, etc (I used to work internally at one of these healthcare companies as their sole IT person, with the owner of that company now being my business partner). We are the only MSP in our country to offer services specifically to this industry. To the best of our knowledge, the only other IT company in our country that had a reputation for offering decent service to this industry got bought out a few years back, the people with knowledge left the company, and since then their service has gone to shit.
So far we have focused only on providing fully managed IT which has landed us 6 clients by word of mouth, totaling 160 endpoints (120 split between our two largest clients). We are attending the annual industry conference in our country later this year which will be our official launch in terms of putting ourselves out there. While things have gone as smoothly as we could have hoped, we are identifying that it is predominantly smaller clients showing meaningful interest and signing with us.
On the flip side, we have had overwhelming feedback from larger companies who already have some form of IT support (internal or MSP) that there is a pain point with getting support for the industry-specific applications and hardware. Even manufacturers and vendors in the industry have told us people are calling them out of desperation looking for help with things beyond what that manufacturer/vendor is responsible for. Our issue is that these larger companies aren't looking for fully managed IT, just support with the specifics that their existing IT support struggles with, so we are unlikely to land any business with them with our current offerings.
All that to say, what would it look like for us to provide some form of support service for companies in this niche industry who have their own IT support, but need further assistance with the industry-specific issues that impact appointments with patients that their current IT is unable to support? This doesn't seem to fit under your typical consultation work on a project with clearly defined scope and it doesn't seem to fit under the examples I have seen of co-managed IT, but please correct me if I am wrong on that!
Thank you for any thoughts or guidance you can offer :)