A survey of 105 Kentucky and Indiana hospitals was made to determine the extent and quality of library service available under the auspices of the Ohio Valley Regional Medical Program. Summary data on the 60 hospitals with libraries are reported here with the objective of examining the capability of these institutions as a group to participate in the formation of a Biomedical Communications Network as proposed by the National Library of Medicine. Although the data from an academic librarian's viewpoint indicate that few hospitals have a dependable library service, the more optimistic view is that a base-line has been established from which to make assessments in the future for improved hospital health science libraries. From the data presented many obvious technical improvements could be suggested; however, the more important conclusion to be reached from this survey is the need for establishing some value system on which to base priorities and to establish goals for improvement. (Author)