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Enterprise AI has moved beyond experimentation, with CFOs demanding clear ROI, boards requiring robust risk oversight, and regulators enforcing strict compliance. This article explores the critical decision facing AI VPs in the U.S.: whether to build AI capabilities in-house, purchase from vendors, or adopt a hybrid approach. Making the right choice is essential as it impacts scalability, risk management, and data security. For executives seeking to optimize investments and safeguard compliance, this framework offers a timely roadmap. This could reshape how organizations leverage AI to drive measurable business value.