You work for WiseHealth Medical Practice, a small, family-owned medical practice that has served the local community for over 30 years. The practice is well known and has always been popular, but its director, Dr. Manuel, sees the writing on the wall. In the past three years, two new medical facilities have opened in the area, and he fears the practice will lose its patients to this new competition. He knows it's time to make some changes, and he wants you, his savvy assistant, to analyze the issues and write a business memo that outlines a few options that will help ensure the practice's future success.