The document provides an overview of Shouldice Hospitals Limited, a unique hospital in Ontario formed by Dr. Shouldice to operate hospital and clinical facilities specializing in external abdominal hernias. The hospital saw consistent patient flow throughout the year due to recommendations from previous patients. It also ensured staff could perform multiple roles. The hospital sought to expand its capacity while maintaining service standards and preventing potential rivals from copying its techniques. Suggested options included increasing capacity 50% in the current facility, opening new locations, or expanding services. The response recommends increasing current capacity by 50% to address more patients, patent treatment methods, and eventually expand to new locations.