[Resilience under Fire: Organizational Response to a Direct Strike on Soroka Medical Center]

On June 19, 2025, a high-powered ballistic missile directly struck an inpatient building at Soroka University Medical Center. Despite the successful evacuation of most patients earlier and the absence of fatalities, the blast caused significant damage to the hospital infrastructure and left dozens of healthcare workers emotionally affected. In response, Soroka's Resilience Unit activated its pre-established organizational model, developed over years of routine preparation for secondary trauma. The model includes proactive identification of distress, early psychological support, structured follow-up, leadership training, and collective coping interventions. Within the first 72 hours after the event, over 1,700 staff members were contacted directly, and 244 reported emotional distress-receiving immediate support. The event served as a real-time test of an integrated, trauma-informed system designed not only for crisis but for long-term organizational health. It highlighted the importance of proactive preparedness, leadership involvement, and maintaining a culture that legitimizes vulnerability and supports mental well-being across all levels of hospital staff. This case study suggests that resilience is not an individual trait alone, but an organizational outcome that must be actively cultivated over time.