Most medium size companies still would be using a data center provider today to handle the server/hardware maintenance and security. I think it comes down more

Most medium size companies still would be using a data center provider today to handle the server/hardware maintenance and security. I think it comes down more to how likely is a workload going to change or interact with cloud services or api’s. If you have a CRM system used by a 15 person sales team growing one person a year, it probably is cheaper to self host in some ways. At the same time, if it goes down, someone internally needs to fix it. If all the sudden you want to run some data analytics project on the prospect and customer data, potentially the project is road blocked if more server space needs to be provisioned, etc.