AAOE + PUMA Partnership

Exclusive
Member Pricing Benefits for AAOE Members

AAOE and PUMA Managed IT have partnered to offer exclusive pricing on our peer-reviewed Service Desk — rated 100% recommendable by orthopedic executives.

Drop us a note and we'll contact you with details.

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2nd Year Running

The Only AAOE Peer Reviewed Service Desk Solution

PUMA Managed IT's Service Desk holds the prestigious AAOE Peer Reviewed™ designation — earned through a comprehensive evaluation led by orthopedic executives from the American Alliance of Orthopaedic Executives.

The 11-step evaluation includes direct customer surveys, non-customer feedback, live product assessments, and final review by an AAOE member panel. Only vendors that demonstrate real value earn this distinction.

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100%

"agree" or "strongly agree"
that PUMA's Service Desk
satisfies a need in the Ortho industry

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100%

"agree" or "strongly agree"
that they would recommend
PUMA's Service Desk to colleagues

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100%

"agree" or "strongly agree"
that PUMA's Service Desk
is easy to use

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94%

"agree" or "strongly agree"
that PUMA's Service Desk
met expectations

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90%

"agree" or "strongly agree"
that PUMA's Service Desk
provides a good value

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89%

"agree" or "strongly agree"
that PUMA's Service Desk
exceeded expectations

Orthopedic Client Feedback

Insights from AAOE Peer Review participants and actual client feedback

Feedback

"The best IT company our firm has ever used."

— AAOE Peer Review Participant

Feedback

"They gave me time back to focus on leadership, not tech fires."

— AAOE Peer Review Participant

Feedback

"Fast, knowledgeable, and specific to our industry."

— AAOE Peer Review Participant

Feedback

"They feel more like a partner than our internal team ever did."

— AAOE Peer Review Participant

What Is the AAOE Peer Review?

The AAOE Peer Review isn't a participation trophy — it's a structured evaluation that helps orthopedic practices identify reliable, proven partners.

The 11-step evaluation includes direct customer surveys, non-customer feedback, live product assessments, and final review by an AAOE member panel. Only vendors that demonstrate real value earn this distinction.

Vetted by Real Orthopedic Executives

Engages current clients, prospective clients, and AAOE panel experts for authentic, unbiased feedback.

Not Pay-to-Play

Participation is earned, and positive reviews are never guaranteed.

Balanced by Intention

Examines whether the service satisfies a true need in the orthopedic space.

Long-Term Value Analysis

Analyzes long-term value, service quality, and support consistency.

Focus on Value, Fit, and Industry Need

Evaluates whether PUMA's Service Desk helps practices succeed — not just what it promises.

Ready to experience the difference?

Book a 15-minute intro call and see how PUMA can help your practice.

Healthcare Portfolio

From single-provider practices to hyper-growth multi-location, multi-state enterprises, PUMA has the expertise to keep you ahead of the curve and out of the news.

Private Practices

Private
Practices

From solo practitioners with small teams to large practices with multiple locations and hundreds of staff, we serve practices of all sizes and specialties.

PE Owned Practices

PE Owned
Practices

PE or Hospital-owned or acquired practices needing turnkey or co-managed solutions for IT services, projects, daily operations, as well as security and compliance management.

M&A Firms

M&A
FIRMS

Management and PE firms looking for an IT partner to integrate, manage, and oversee the technology burden of incoming or outgoing practices.

Orthopedics Ophthalmology Surgery Podiatry Dermatology Neurology PUMA serves many medical specialties

Areas of expertise

Co-Managed IT

Turn-key &

Co-Managed IT

Fully outsourced, team on site, or escalation needed? We build around you.

  • •  Service Desk / Helpdesk for your staff
  • •  Co/Managed IT – Shared responsibilities
  • •  Support for all your tech / network / apps
  • •  Scale to what you need, wherever you're at
AI Strategy

AI

Strategy

Assessing where and how to implement AI and understanding the benefits.

  • •  Understanding where AI makes sense
  • •  Automation framework
  • •  Data intelligence (RAG & LLM Mapping)
  • •  Strategy, road mapping, implementation
Security Maturity

Security

Maturity

Align with cyber insurance and stay one step ahead of the bad guys.

  • •  MDR/SOC 24/7
  • •  Fast Response (low latency)
  • •  Automation & Design Platform
  • •  Integration from concept to solution
Phones & Telecom

Phones &

Telecom

Modernize your communications by leveling up how phones work in your practice.

  • •  Support your existing system/vendor
  • •  PUMA delivered phone services
  • •  Automation & Design Platform
  • •  Integration from concept to solution
New Build

New

Build

Expansion in the horizon? We got you from design to go-live!

  • •  New construction
  • •  Fast Response (low latency)
  • •  Automation & Design Platform
  • •  Integration from concept to solution
M&A Orchestration

M&A

Orchestration

Assisting M&A to provide technical intelligence to ensure a smooth transaction.

  • •  Due diligence / Technical discovery
  • •  Cost / budgeting for consolidation
  • •  Risk detection, understanding the full picture
  • •  Integration from concept to solution
Hyper-Growth Partner

Hyper-Growth

Partner

Scale your business with a growth partner that doesn't slow you down.

  • •  National foot-print
  • •  Can be utilized as co/manage or turn-key
  • •  Fractional CIO services / IT & technology reporting
  • •  Data intelligence services
Exceed Compliance

Exceed

Compliance

Exceed compliance requirements & gain adoption that aligns with the law.

  • •  HIPAA, HITECH, and beyond
  • •  Intranet & process workflow
  • •  Cyber insurance
  • •  MIPS & other like reporting
EMR, PM, PACS Support

EMR, PM,

PACS Support

Beyond the IT day-to-day help desk to managing the key applications staff use.

  • •  EMR / Pacs / PM knowledge & services
  • •  PACS imaging HL7 & Modality
  • •  Integrations, migrations, implementations
  • •  Clinical Application Support as a Service

AAOE 2025 Conference

PUMA at the 2025 AAOE Annual Conference — connecting with orthopedic leaders and showcasing our peer-reviewed solutions.

AAOE 2025 Conference
AAOE 2025 Conference
AAOE 2025 Conference
AAOE 2025 Conference
AAOE 2025 Conference
AAOE 2025 Conference
AAOE 2025 Conference

Common Frustrations

Supercharge your practice with an IT partner that understands your clinic and keeps you out of the news.

REACTIVE TO EVERYTHING

"I'm not sure what our Managed IT Vendor is doing. IT takes a long time to solve what seems like basic issues."

OUR SOLUTION

Often in MSPs, resolving issues requires specialized knowledge for effective solutions. PUMA's Service Desk addresses this with our engineering-only model, ensuring healthcare-trained IT pros handle problems directly without requiring escalation.


LACKS SECURITY + COMPLIANCE

"I fear I will have a breach or had a breach and can't get a straight answer from my IT about what risks we have."

OUR SOLUTION

At no additional cost, Service Desk Core+ checks all the cyber insurance boxes and give business owners peace of mind that someone is always watching.


"OUT OF SCOPE"

"We thought our IT company would help us with all our tech, but they constantly tell us things are out of scope."

OUR SOLUTION

We take full responsibility for systems, phones, modalities, scanners, printers, and beyond. Our goal is to serve as a one-stop solution for practices, ensuring that staff can swiftly access the assistance they require.


HELP WITH STRATEGY

"Our IT won't make time to sit with us and clearly explain what we need, what it costs, what risks can be mitigated and how that drives both our technology plans and business progress."

OUR SOLUTION

PUMA's Service Desk offers a technology roadmap focused on the growth plan and needs of the business. Not everything needs replacing; sometimes, it can simply be removed to reduce overall ownership and management costs.


DOESN'T UNDERSTAND US

"My IT / IT Vendor is not specialized in my industry and doesn't understand our business. I feel like we're constantly having to train them on how we do things."

OUR SOLUTION

PUMA is focused on healthcare, and our engineers possess both knowledge and experience in supporting medical clinics.

Common Questions

What is the typical time to transition to Puma?

PUMA's onboarding process typically takes 30-60 days to complete. Our goal is to create a stress-free, painless transition from your current IT partner.

I'm in a long contract with my current IT partner- Can you still work with me?

Sometimes! Let us know and let's see what is possible. PUMA will help you review your current agreement and work backwards from any contract renewals, hidden costs, and assist with a communication plan. In some cases, we maybe able to help negotiate, buy out the agreement, or find ways to enable clarity on what is needed to make a transition.

I have an IT Team – Can you work with them?

Our services are designed to complement your team by understanding their role in the organization, what lanes they are best in, while ensuring PUMA is quickly available as a resource when they (or you!) need help.

I need an IT Partner that can be my outsourced IT. Can you be turn-key for everything I need?

Yes! By design, our Service Desk model includes everything you need to help staff with IT issues, strategy, security and beyond.

Do these plans include unlimited support?

Yep. And 24/7/365. Each plan includes unlimited support and is priced competitively.

Do you have any experience with M&A?

Yes! Integration between one or many acquired practices is a strategic process and requires an IT partner that understands how to perform discovery, migration and consolidation while partnering on complex processes to integrate your people and technology. We assist both buyers & sellers and can be the IT partner to ensure your integration is done correctly and quickly.

What is included in your services?

Our services are built with entitlements. Those entitlements scale based on the type of plan PUMA customers choose.

Core: 26 entitlements Core+: 40 entitlements Complete: 42 entitlements

Where can I find more information on the entitlements?

Each entitlement is explained in detail on our website ... What it is, why it's important, how it works, and the benefits of each for your practice.

Do you sell / manage licensing like Microsoft 365?

PUMA provides additional products and services that vary by type. These services are complementary to our Service Desk subscriptions and are quoted by usage, consumption, per device, and per license.

EMR & PACS Expertise

When staff experience issues with their EMR or PACS systems, they need an IT person to translate what the issue is into a solution. We have working experience and understanding of many systems. From how they work and the common problems, to advanced management and settings changes. This makes all the difference when staff reach out with problems vs. being told they need to open a support request with their EMR vendor.

What do you do to support my IT budget?

PUMA builds and collaborates on a living technology roadmap, enabling management to see where your technology is going, what it will cost, and the impact it will have on your practice.

Do you support our phones?

We support and offer phone systems, telecom solutions, voice services, and can even write the slickest integrations to help reduce the costs and headaches of phones in your business.

What about AI Strategy?

Practices are looking for ways to take steps into the new world of AI. Our services are tailored to equip stakeholders and decision makers with common sense AI solutions and implementation steps.

What they said

These aren’t marketing claims — this is direct feedback from orthopedic execs in the AAOE Peer Review when asking what the most important factors when they chose PUMA as their IT partner.

Check Responsiveness, technical expertise, quality of service
Check Response time, competency, availability
Check Partnership/alignment, responsiveness, knowledge
Check Availability, reliability, quality
Check 24/7 remote support, in-person support, solution oriented
Check Fast response, up to date on security guidelines, reasonable prices
Check Friendly, knowledgeable, quick response
Check Partnership/alignment, responsiveness, knowledge
Check Flat fee, experienced engineers, Ortho experience
Check Technical expertise, quality of service
Check Fast response, always right fix, friendly and kind
Check Service, accessibility, professionalism

About the AAOE Peer Review Program™

Founded in 1969, AAOE is the only nonprofit organization dedicated to orthopaedic management. Its Peer Review Program™ is designed to recognize vendors that align with orthopedic values and deliver consistent results in the areas of productivity, ease of use, reliability, and customer service.

You have questions? Let's jump on a call!

What could strategic IT do for you?

Contact us

Recent news

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12/18/2024

PUMA Managed IT's Service Desk — AAOE Peer Reviewed™

04/22/2025

PUMA Managed IT Welcomes Stacy Lambert, BSN, RN, as Chief Operating Officer and VP of Healthcare

04/29/2025

PUMA heads to ATL, meeting clients at AAOE's annual conference

05/01/2025

PUMA heads to Dallas, exhibiting for the first time at UCA

05/03/2025

Common Questions & FAQ

Puma Managed IT is a National Managed Services Provider, located in Central Florida. We were established in 1999 and began our journey as a telecommunications company. We still provide telecom services, but have expanded our offering to focus on Managed IT, Cyber Security, AI, and beyond.

About us Services

Puma’s business office is open Monday-Friday, 7am to 7pm EST.

Our service department never closes.

Contact us

All Core, Core+, and Complete plans are quoted and billed per user monthly.

We understand every business varies by size, staff arrangement, and complexity. Some businesses have a lot of full-time employees, whereas others may have more part-time employees.

We work with you to determine the correct quantity, then bill in a range that prevents billing headaches. We'll meet with you on a monthly and quarterly basis to make sure we adjust accordingly. In some cases, advanced security products and add-on services are billed differently with consumption, usage, and device licensing are in use. We explain those items clearly in a proposal / order request before they land on your bill.

💡 A user is a staff member, either full time or part time.

See plans

Yes, our plans can be modified to Co-Managed IT. In most cases, you already have a team that is managing the day to day. Our services are designed to complement your team by understanding their role in the organization, what lanes they are best in, and how to ensure we're a resource when they need help.

🤜🏻 🤛🏻 We extend our systems and tools, so we work in a unified platform.

👌🏻 We build an accountability framework by tracking what is being done, how much time is spent doing those things, and if they are needing to be calibrated to align with company goals.

🎯 We ensure the team is working on initiatives that are best for their skill and abilities.

👨🏾‍💻 They inherit best practices, process development, and centralized knowledge so it can never leave if a tech leaves the organization.

🛡️ We build a security program to ensure the team is operating within the frameworks of best security posture.

Yes - We have a full service, turn-key solution that was built for clients of all shapes and sizes. We cover all the common services and needs and adjust them around you your business.

See plans

YES! Let us know and let’s see what is possible.

Puma will help you review your current agreement and work backwards from any contract renewals, hidden costs, and assist with a communication plan. In some cases, we may be able to help negotiate, buy out the agreement, or find ways to enable clarity on what is needed to make a transition.

Give us a call to review

Puma has been innovating for decades by rethinking how technology and services are valued. Currently, we are leveraging generative and LLM AI models to enhance business processes and workflows. This innovation allows us to resolve issues faster, manage more efficiently, and rethink how AI can replace cost center functions, reduce risks, and improve security posture.

Leveling up our Dispatching and Issue Assignment: Our AI-driven system automatically assigns tasks to the most qualified technicians, eliminating the need for manual dispatching and routing. This not only ensures that the right engineer is assigned to your issue but also guarantees faster response times and optimizes resource allocation. As a result, we can handle more requests with fewer, yet more highly qualified, engineering resources.

Learn more

Chris Burns & Ed Dibeler own Puma Managed IT - See their LinkedIn accounts below.

Both Chris & Ed have been in the managed IT industry with a focus in Healthcare for over 20 years.

Chris Burns Ed Dibeler

Our legal corporate address is: 3998 CR 309, Lake Panasoffkee, FL 33538

Corporate office: We do not have a corporate office where people work out of. We embrace a remote culture and enable staff to work anywhere they are the most productive.

Where to mail checks? We have moved away from checks. Why? It’s slow, the mail is unpredictable, and it costs a lot of money to employ people to go get a payment and take it to a bank. If you must send us a check, please send to: 3998 CR 309, Lake Panasoffkee, FL 33538

How else do you accept payment? ACH or credit card is the way. Reach out to ar@pumamit.com for more information in how to setup payments like ACH and Credit Card.

Contact us

Organizations of all sizes, from 10 employees to 10,000+ with national offices partner with Puma. Puma is an outsourced IT company that accommodates needs based on the organization structure, security maturity, and technology challenges it's facing.