Welcome to Middleboro—a fictional community that will help your students practice navigating authentic healthcare management challenges. The Middleboro Casebook begins by detailing the local issues and national forces shaping Middleboro and its surrounding communities. Each case that follows presents a detailed picture of the structure, function, and operation of a different type of organization within the region. Both qualitative and quantitative case data allow students to perform multi-layer analysis including: • Defining a comprehensive strategy for a specific business unit • Assessing multiple organizational arrangements, including mergers and acquisitions • Evaluating the opportunity for horizontal and vertical integration This significantly updated third edition reflects current realities including the impact of a pandemic. Six new cases introduce additional organizational entities including a freestanding emergency room, a freestanding ambulatory surgical center, a continuing care retirement center, and an accountable care organization. New content weaved throughout this edition highlights how shifting market dynamics affect both fledgling and established organizations.