The Lake of the Woods Hospital is starting to work on its annual planning submissions for 2010-2011 and 2011-2012.
The board must have the plans in the hands of the Northwest Local Health Integration Network by November 30th.
C.E.O. Marc Balcaen says its going to be difficult to balance their budget.
Balcaen notes they've already started talking to fellow hospitals, the LHIN and their staff.