Oncology Solutions was contacted by a small community hospital in a coastal retirement community. The hospital had a cancer program that served ~1,000 new cancer cases each year in most basic disease sites. In recent years, the program had begun to contract, despite a growing population, largely due to competitive activity from nearby hospitals. The cancer program responded to these dynamics by engaging outside assistance with charting a three- to five-year plan for program growth. The physicians believed that the program offered immense regional value, but they did not have a blueprint for how to develop their program and communicate that value to the community.