This case study is focused on Titusville Area Hospital because of current/recent activities at the hospital, but it also reflects previous experience with other facilities. The rural midwestern hospital no longer needs to be a single facility located in the largest community in the area. In fact, it can no longer be that single facility; it must service its population(s) at locations convenient to patients with the services appropriate to them. It is important that the hospital not only recognize its outreach areas through a satellite facility but also build a strong outpatient and support base at the hospital.