Due to downsizing, many activities within the Department of Defense have turned to outsourcing as a means to complete their given missions with their shrinking or limited resources. The primary objective of this thesis was to analyze the various outsourcing options available to California Medical Detachment to provide medical services for active duty personnel on the Monterey Peninsula. Three alternative options were identified and evaluated in terms of five criteria: Cost, Accessibility, DoD control, Customer Service and flexibility of System Processes. To address these issues, interviews were conducted with key personnel familiar within the command structure of CMD and the Presidio of Monterey Health Clinic (POMAHC). Financial documents and policy statements were reviewed. The findings were that the current system of providing care through POMAHC was the most practical option in accordance with the five criteria.