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Covid-19 has upended U.S. health care. At our institution, Geisinger Health System, we rapidly activated emergency response plans and cancelled all non-urgent procedures and clinic visits. Our nonclinical workforce has been shifted to work-from-home and virtual communication with patients has exploded. We have dealt with shortages of personal protective and vital medical equipment for the first time. Geisinger, like nearly all major health care systems, is experiencing negative financial impacts from the pandemic that might ultimately amount to hundreds of millions of dollars. The profound disruption in just 12 weeks of an industry a century in the making is astounding.