The COVID-19 pandemic has created severe financial and operational difficulties for hospitals. Rapidly responding to a novel pathogen within a declared Public Health Emergency (PHE), while experiencing decreased revenues as a result of closing facilities to non-COVID-19 and non-emergent care are exceptional challenges. Hospital margins are strained due to the cancellation of non-emergent care, reduced patient utilization of healthcare services, and increased expenditures associated with preparation for a surge of COVID-19 cases.