Healthcare organizations are confronting an overwhelming number of AI vendors lately. Strategic Alignment Matters More Than Product FeaturesOrganizations should determine whether any AI solution fits its strategic priorities before investing in detailed vendor comparisons. Accountability and strategic alignment should be established before deeper analysis begins. The consequences of AI failure extend beyond a single deployment, affecting trust, adoption, operations, and future AI initiatives. The upfront cost matters, but leading healthcare organizations increasingly place greater emphasis on technology maturity, patient-care risk, and near-term value.