← The Observatory
Instrument · Comparison
The Deployment Compass.
Four ways to run a healthcare estate, weighed on the things that actually decide it. On-premise can be run by your own team or a contractor you pay, so switch the column to see how that changes the picture.
On-premise run by
StrengthMixedWatch out
Hyperscaler
Elastic, vast, metered
On-premise
Your own team
Private cloud
Hosted, dedicated
3verest
Sovereign, concierge, capitalised
Economics
Cost model
Opex, metered by the unit
Capex, you fund the hardware
Opex on a fixed contract
Capitalise it, or opex. Flat.
Cost predictability
Low. Egress drives bill shock
High once it is built
Medium, contract dependent
High. No egress meter
Upfront capital
None
High. Hardware and facility
Little to none
Optional. Your choice
Egress and data movement
Metered. The silent killer
None. It is your network
Usually none
None. No meter, ever
Sovereignty and control
Data residency
In region, foreign law may apply
In your own building
In country
Resident in jurisdiction
Jurisdictional reach
Reachable under foreign law
Yours alone
Depends on the operator
No foreign control plane
Control of the stack
Proprietary, foreign control plane
Total. You own it
Some lock in remains
Open or controlled, no back door
Operations and resilience
Operational burden
You run the workloads
Highest. You run all of it, 24/7
Shared with the host
Low. Concierge, named team
Staffing and expertise
Cloud engineers on staff
Full ops, facilities and security team
Some in house still needed
Named engineering, included
Resilience and DR
Strong, but your configuration
As good as you build, single site risk
Varies by host
Multi-AZ, healthcare grade, included
Scale and time to deploy
Instant, elastic, days
Procure and rack, months
Weeks, limited headroom
Weeks, elastic within capsules
Innovation and assurance
AI and innovation
Vast catalog, data may leave the boundary
Whatever you build yourself
Limited
Sovereign AI inference, data stays in
Compliance and assurance
Broad certs, not sovereignty specific
Entirely your responsibility
Varies by host
ISO, SOC 2, sovereignty certified
Generalised characterisations of typical deployments, for orientation, not a verdict on any specific product. Your own requirements, scale and contracts will move individual cells. We will map your exact picture with you.