This research case study illustrates the change process adopted by r. Eugene Fidelis Soh and team from an Tock Seng Hospital (TTSH) led the change in hospital management and practices. From the emergence of COVID-19 to the outbreak of the Delta variant, and to the sudden surge of cases in September 2021. TTSH has had to strike a difficult balance between battling against the unyielding and evolving coronavirus (on top of its high - and growing - caseload of patients in a large and ageing district) and preparing TTSH for massive organisational transformation as part of Singapore's National Healthcare Transformation as well as its own Vision for 2040. Anchoring on three key queastions for this transformation were asked: Why did TTSH need to undertake this transformation? What was the purpose, cause or belief underlying this movement? How might the hospital align its existing shared visions to its Vision for 2040? What would TTSH look like in 2040?