We are now enduring a tremendous one-to-two year shock to our healthcare system that will cause enormous, permanent change. Deep shifts are coming in consumer behavior, employer and payer dynamics, government spending, and technology that will ripple through the existing landscape. For large regional health systems, this is a moment of real peril. But, also an opportunity for those who can clearly see the future choose to act on brave, bold changes. Our content will be dedicated to the tectonic, permanent changes wrought by the COVID pandemic, and the bold, strategic changes we want to drive in our organizations.