The primary purpose of any operating system is to run all sorts of applications and databases on servers. We use RHEL to run applications and host containers but not much else. We don't use it for databases, and none of our clients use Red Hat virtualization, so no KBM. We install them onto VMware and use them like Red Hat virtual machines.
I primarily work for banks that tend to have a proper on-premise cloud because the data can't leave the premises. We also work for insurance companies, government, and law enforcement organizations. Most of them use it on a virtualized platform like VMware. Some are hardware installations, and other clients are experimenting with cloud infrastructure. One of the banks we work for has started to build its own cloud to get experience and move specific applications to the cloud.
One client has RHEL deployed across two data centers, which is usually a mirrored setup. In other words, two hardware servers are doing the same thing. It can be active-active or active-passive. The VMs also stretch across two data centers, but it's a Metro cluster, so it's in the same city. I've been working with my current client for a couple of years. Our three-person team manages 250 hardware services and about 400 VMs.
We are still migrating a couple of solutions to Red Hat, so the user base is getting bigger.