Having seen the overcrowded hospital conditions in NYC and knowing that our COVID+ patients had no where else to go, Boston Health Care for the Homeless Program knew we needed to care for our patients and help keep hospital beds free for the most serious COVID patients. We quickly, but thoughtfully and with precision, reconfigured an entire 52-bed floor of our respite program into a state of the art infection-controlled COVID ward, safe for our patients and our staff.  We were soon at 100% capacity, while still continuing our essential clinic operations and running our non-COVID respite ward.