This 200-page report examines the spending, staffing, and collection habits of over 40 medical and scientific libraries from all over the world, representing both the public and private sectors in higher education, government, non-profit organizations, and more. Budgets for staff salaries and materials spending are detailed in over 350 tables, with data broken out by type of library, annual budget, country, library subject matter, and library staff size. Special attention is given to the extent of library resources dedicated to scholarly and professional journals over the last two years, with an added emphasis on the popularity of electronic access journals and the future of print subscriptions. What efforts have been made to digitize special collections? How has materials spending—on audio-visual resources, on e-book readers and content—changed over the years? Which online booksellers do libraries turn to for book purchasing?