Every health system evaluating AI right now is hearing some version of the same pitch. What's harder to find is a straight answer on what these tools actually do once they're live: for clinicians, for patients, for the balance sheet. This session unpacks what every health system should be able to answer about its AI providers before a renewal or replacement decision — real usage, measurable capacity, clinician retention, and financial return — and brings a health system executive into the conversation to share what the deployment actually delivered, and what it took internally to make the call.