Objective: To investigate at which points and to what extent private healthcare institutions adapt and strategically reinvent themselves in the times of a pandemic.Methodology: This was a qualitative, exploratory, and descriptive study based on a case study carried out in a health clinic in northwestern Rio Grande do Sul State. For data collection, bibliographic research and semi-structured interviews were carried out with managers and collaborators of the researched clinic. For data analysis and interpretation, categorical content analysis was used, in addition to the typology model of Hrebiniak and Joyce (1985).Originality/Relevance: Little research on management, strategic adaptation, health, and the pandemic has been carried out in private healthcare institutions. Additionally, few studies have addressed organizational strategic adaptation models as a reinvention strategy and organizational perspectives. In this way, this article opens precedents for further academic-scientific investigations regarding this theme and object of study.Results: The results showed that the changes and strategic adaptation of the analyzed company initially occurred by the influence of the external environment and then by the company’s ability to identify opportunities and implement development and optimization actions in its routines, processes, and dynamics, expanding such opportunities to future perspectives and broader contextsTheoretical/Methodological Contributions: The study contributes to the extent that it allows us to approach the method of organizational strategic adaptation of Hrebiniak and Joyce (1985) under a different approach as a strategic and proactive tool for analysis, reinvention, and organizational perspectives in the face of complex and changing contexts such as of the pandemic. The study also brings practical contributions, especially regarding optimizing strategies and predicting perspectives for private healthcare institutions, a segment that is still little studied in the scientific arena regarding the theme of strategic adaptation in the context of the pandemic.