Six criteria that matter: (1) one unified patient record across every specialty, (2) specialty-specific templates included, not built from scratch, (3) AI built-in, not add-on, (4) centralized billing for all departments, (5) role-based access and ONC certification, (6) no per-provider or per-specialty fees and flexible contract terms. Althea Smart EHR meets all six, rated 5.0 ★ on Capterra.