The hospital system I work for operates in a few metropolitan areas. They send out pretty regular updates about Covid. Here is a graphic from an update that was sent recently. I've cropped the image to protect my identity. The data covers a little less than two months.
Shouldn’t need much explanation.
Yes, this is the case in the major metropolitan area I work in. We're setting records for the number of hospitalized Covid patients---the area hasn't seen this many at any time during the entire pandemic. Most hospitals in the area have cancelled all elective surgeries. My hospital has expanded the ICU into other units, turned multiple floors into pure Covid units, doubled up patients in rooms...basically everything that has happened before during prior peaks. This time, the ED is overflowing more than ever before because of the sheer number of people with Covid. Patients are spending days in the ED as boarders---that's what we call people who are have been selected to be admitted to the hospital, but there are just no staffed beds available for them so they stay in the ED.
The capacity number that really matters is staffed beds. A hospital bed is not helping anybody if there’s no staff to care for the patient that could be there. And at least in the United States, staffing was already a problem before the pandemic started. Now, it's beyond the pale with record numbers missing: out sick with Covid, quitting to make much more money travelling, quitting because they're close to retirement and now's as good a time as any, and just getting burned out and quitting for any number of other valid reasons.