Middlefield hospital was once a great hospital that served a variety of patients with the best care. Over the past couple years Middlefield has been having some problem because of the new big hospital in the area. With this new hospital coming to the area Middlefield has been losing many of its patients and getting a lot more uninsured or under insured patients. As CEO of Middlefield hospital I am recommending that do a couple things to improve the current financial performance of the hospital. First I feel like we have to become more competitive with the new hospital. First we need to go in and visit their facility to see what they have over there and what they are doing differently to make all of our patients that have been coming here for years leave and start going over there. First as CEO of Middlefield hospital I would recommend changing their employee’s health plans because with the hospital losing so make money they can’t afford to be paying so much for their health insurance. So by changing to a plan where the employees have a slightly higher co pay and deductible and also a small fee for their prescriptions this would save the hospital a little bit of money but cutting some of that expense. Another way to increase the finances of Middlefield would be to start to advertise in the area that they are the only hospital in the area that has an inpatient mental health department. This is something that a lot of people may not know or maybe just need to be reminded of. And by doing this they can get some patients that the new hospital can’t reach because they don’t have these services or staff available at their facility. So they mental health department is definitely some place that the hospital should start to focus a little more attention on since they would not have to try to compete with the new hospital to new this patient base. We could even get Dr.