Right. Paid Gitlabs features tend to be targeted as an all in one DevOps platform for larger scale organizations. So how do you do support tickets, CI/CD, feature tracking and coordination for a portfolio of products, documentation, revision control, code reviews, security reviews, etc? In Gitlabs world the answer is Gitlab, with integrations with other enterprise software. It's HUGE. That said I've never heard of an organization (probably due to ignorance not lack of existence) actually doing all of that.
I personally I'm kind of leaning towards building a proof of concept of forgejo, tekton, and maybe Odoo to see if it can cover what my org is actually doing, but he'll we pay for tons of stuff but the amount of excell sheets floating around doing this is wild...
Providing information for your care providers to act on it. At least that's why I would WANT to have it. Is it being effectivly used like that though? I have no idea.