Axim Geospatial, an esri business partner uses ArcGIS Monitor to help them assess the health and performance of their customers' ArcGIS Enterprise deployments. Checkout this blog to learn more,
Tracking GIS Health and Performance with ArcGIS Monitor 2023
https://www.aximgeo.com/blog/tracking-gis-health-and-performance-with-arcgis-monitor-2023