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In March 2020, John Jenkins, the new chief medical officer of Garfield Health System (GHS) University Hospital, was at the cusp of a crisis. While he had been informed of COVID-19 previously by the hospital epidemiologist, Jenkins had not anticipated the scale or scope of the looming pandemic. Fortunately, under the leadership of the hospital epidemiology department, GHS had acquired a 90-day supply (at normal levels) of N-95 masks in early January. Everything in the community was open, and the university students had just left for spring break. Jenkins was not sure if COVID-19 would resemble swine flu or result in something more severe. As the situation rapidly deterioriated and the World Health Organization declared a global pandemic, Jenkins met by phone with the CEO and cabinet of the health system to discuss complex and critical decisions. This B case takes place just a few weeks later, as health care officials learned of the dire situation in Europe and considered new challenges, including the need for hospital rooms, staff, and equipment, as well as the decision of whether and how to ration care, if needed. This case set is taught in the Darden elective, "Challenges in Health Care."