This brief examines primary care physician responses to the COVID-19 pandemic. We conducted structured discussions with primary care practices of varying sizes and geographies to assess the impact the pandemic has had on their practices, both from an operational standpoint and a financial one. Operationally the greatest challenges were accessing and acquiring PPE and operating without consistent treatment protocols. From a financial perspective practices pointed to two main sources of relief, the boost in telehealth reimbursement in parity with in-person visits, and the paycheck protection program included in the CARES Act. There was no single response to the crisis, but rather each practice responded according to their own circumstances; this nimbleness allowed them to survive. Practices also anticipate they will continue to deliver a sizeable portion of their services via telehealth in the future, signaling one potential permanent shift as a result of the pandemic.