Small and medium-sized businesses are certainly not without options in regards to how they manage their documents, store their files, access word processing applications, internally communicate, and send emails. Not only can they choose to take advantage of a managed IT service provider, internal IT department, or subscription service, but there are also a variety of specialized services to choose from within these options. Furthermore, businesses are not required to limit themselves to only one, and they can choose to access a subscription service, coordinate their IT team with IT Consulting services , or use their own IT department to manage their subscription services. As an IT Managed Services Provider the question has recently been raised as to whether small and medium-sized businesses should choose Office 365 or Hosted Exchange.