Sister Macrina is the administrator of St. John's Hospital in Helena, a small city served by three hospitals. The overcapacity in all of them has led to a keen competition that is placing the hospital at risk. Sister Macrina has considered changing the set of services offered, specializing in particular services or even closing the Hospital. Taking into account some other external factors such as new regulations and the trends on occupancy and demography, what should be the new objectives and policies for St. Johnâ??s Hospital?