The articles in this issue of The Exchange focus on the experiences and lessons learned by health care facilities and systems that endured water and other utility outages because of severe weather. They cover: the effect of the Jackson, Mississippi’s long-term water outage on a health care system; how HCA Houston Tomball has incorporated lessons learned after 2021’s winter storm Uri led to power and water outages in several hospitals in Texas; the significant effect of Hurricane Ian on hospitals in Florida; and how the Northwest Healthcare Response Network worked with hospitals across Seattle and beyond to manage a severe heat event in 2021.