A detailed survey was sent to the Chiefs of Staff of all 88 hospitals in Ontario communities with fewer than 100 total acute care beds to determine the availability of medical services provided by these hospitals. The 80 responding hospitals provided 3843 acute care beds and 1351 chronic care beds. They reported 1 239 085 emergency department and outpatient visits, 10 646 deliveries, 33 155 general anesthetic cases, and 25 008 major general surgery cases per year.