Healthcare workloads bring data residency and compliance requirements that narrow the provider shortlist well before price ever enters the conversation.
Behind every application your customers touch sits a physical building full of power, cooling, and fibre. The choices made about that building quietly shape performance, cost, and risk.
Why it matters now
The market has split in two. Standard enterprise workloads still run comfortably at three to five kilowatts a rack, while accelerated-compute deployments are pushing twenty, fifty, even a hundred kilowatts. Those two worlds are priced and provisioned very differently, and conflating them is a common and expensive mistake.
Power has overtaken floor space as the binding constraint in most primary markets. Vacancy rates have fallen to record lows, and the practical effect is that capacity — particularly high-density capacity — increasingly needs to be reserved well ahead of when you actually need it.
Where buyers get it wrong
Treating tier level as a proxy for reliability is a common shortcut that backfires. Design tier describes redundancy on paper; actual uptime depends on maintenance discipline, staffing, and how the facility has behaved under real incidents.
The most expensive mistake is optimising for the number everyone sees — the monthly rack rate — while ignoring the numbers nobody asks about until the invoice arrives: cross-connects, remote hands, power overage, and renewal escalators.
A practical way to evaluate
Start with requirements, not providers. Pin down your power per rack, total committed capacity, connectivity needs, and the compliance regimes you answer to. That single page of clarity will shape every conversation that follows.
Model the whole cost, not the monthly line. Setup fees, cross-connects, bandwidth, growth headroom, and exit terms all belong in the comparison. The cheapest rack rate is rarely the cheapest deployment.
What good looks like in practice
The best partnerships look less like a vendor relationship and more like a shared roadmap — regular capacity reviews, early visibility into expansion options, and a provider that flags risk before it becomes your problem.
Good facilities make the boring things boring: predictable billing, clear escalation paths, and remote-hands requests that get done on the timeline promised, not the timeline hoped for.
A short checklist before you sign
- Request recent incident reports, not just a summary uptime percentage
- Map the network ecosystem: carriers, internet exchanges, and cloud on-ramps
- Read the exit and renewal terms as carefully as the price
- Confirm the certifications your industry and customers actually require
- Clarify remote-hands response times and what is included versus billed separately
The bottom line
The teams that get this right are rarely the ones with the most resources — they are the ones who asked better questions earlier in the process.