Andy Warhol said, “They always say time changes things, but you actually have to change them yourself.” ( Dr. Linden Frelick, president and CEO of Victoria Hospital, realized it was time to make some strategic changes in his hospital to survive and provide service to the local community. Due to external and internal forces such as economic pressures imposed by the government by cutting funding, increasing operational costs, stiff competition from nearby facilities, and an inefficient internal structure, Victoria Hospital had to change or it would perish. Therefore, Dr. Frelick proposed and implemented three strategies to assist the hospital to remain viable to the community it served.