The foundational math of capacity management, matching supply with demand, is broken. Existing tools and processes need to be fundamentally revamped for health systems to overcome waves of COVID-19 and similar shocks in the future, to maximize use of their assets, creating value for patients and themselves. The key is deploying proven and scalable AI-driven, intelligent, virtual, and distributed systems and creating a culture of innovation in the organization that embraces change. The results? 90% confidence in critical inpatient bed capacity management, 8% decrease in opportunity days (difference between Med/Surg LOS & CMS LOS), $500k more revenue per OR per year, less chaos, less burnout, and less provider alarm fatigue.