In This Issue Fighting for Survival Anna Jaques Hospital ame close to closing its doors.  Now it's looking at a surplus.  Here's how the hospital made a turnaround. Read More... Wheels are Turning at Trinity Health "Supply chain management is a universal concept," says Louis Fierens, senior vice president, supply chaing and capital development, Trinity Health, Novi, Mich.  "The universality of right product, right place, right time at the right price applies equally in all industries. Read More... Facing Change Change happens.  While we can't control much of the world changing around us, we can control how we respond.  We can choose to anticipate and embrace changes, or resist them. Read More... Balanced Budgeting Capital asset planning is an essential part of the IDN capital budgeting process.  The way it is carried out, however, is as varied as the number of definitions that are applied to it. Read More... Major Market Spotlight We review the Boston-Worchester-Lawrence-Lowell-Brockton, MA-NH MSA, including geographical coverage, population demographics, top IDNs, major insurers, hospitals, Long Term Care / Skilled Nursing, GPOs, and news. Read More... Operating News We summarize 32 news articles regarding hospital operations. Read More...