It takes a sense of survival.
There is a legitimate role for the small urban hospital. In order to perform that role optimally, however, the small hospital must select the services that it provides carefully, avoiding those that are better suited to larger institutions, and must investigate the appropriateness of sharing services with other small hospitals.
D002641:Chicago; D006739:Hospital Administration; D006744:Hospital Bed Capacity, 100 to 299; D006752:Hospital Planning; D006755:Hospital Shared Services