Puerto Rico experienced a major humanitarian crisis in 2017 following Hurricane Maria, a deadly Category 5 storm that ravaged the island. Emergency responders, hospitals and health centers were put to the test when the entire population was left without power to run essential medical equipment, facilities and manage emergency communication. Salud Integral en la Montaña (SIM), a nonprofit organization of health centers serving disadvantaged residents in Puerto Rico’s mountainous communities, rose to the occasion, thanks in part to a well-established coaching culture. SIM employees equipped with the necessary skills and tools to manage stress, actively listen and effectively communicate were able to optimize their ability to act as a team and serve patients the lifeblood of SIM’s mission. Even as Hurricane Maria’s high winds were battering the island, SIM kept its doors open, making it the only facility that provided care throughout the region.