With the nation’s attention largely fixed on how the COVID-19 pandemic affects urban areas, rural America is bracing for its own case wave. Many rural healthcare facilities’ perilous state was already a national story before the current health crisis onset. As COVID-19 began making its way into rural communities, real concerns took shape—there will be no stadiums to convert into treatment centers and no offshore hospital ships. Amidst this looming threat, Rural Community Assistance Corporation (RCAC) borrower Breath of My Heart Birthing Center (BMH) in Espanola, New Mexico, is an example of rural grit and adaptability.