
Making money in Project Hospital, a hospital management game, can be challenging. One strategy is to delay opening hospitalisation and focus on building up funds first. This can be done by keeping the hospital as a clinic, targeting a reserve of around $750k, and then expanding into the most profitable specialisations like cardio or general surgery. Another strategy is to unlock insurance companies to increase patient numbers, typically starting with 20-30 patients per day with 2-3 doctors, a STAT lab, and radiology. While loans can help expand quickly, they come with high-interest rates. To make a million dollars in under 20 days, players suggest focusing on bonuses, building common rooms for staff satisfaction, and picking diagnoses for undiagnosed patients. Keeping prestige high by adding bookcases, vending machines, and posters also helps.
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What You'll Learn

Unlock insurance companies to increase patient numbers
In Project Hospital, players can unlock insurance companies to increase their patient numbers and, in turn, their profits. While some sources suggest that there are five insurance companies in the game, others state that you can only play with three. It appears that the number of insurance companies you can unlock depends on whether you have the DLC.
To unlock insurance companies, you will need to fulfil certain requirements. For example, to unlock Oopsee Corp, you will need to purchase the Infectious Disease DLC. Once you have unlocked insurance companies, you can expect an increase in patient numbers. Unlocking the first two insurance companies will get you around 20-30 patients per day, while unlocking a third will increase this number by about 10. However, it is important to note that changing insurance companies can result in a temporary drop in patient numbers.
To make money in Project Hospital, it is recommended that you avoid taking out loans due to the oppressive interest rates. Instead, focus on building up a reserve of funds before opening up hospitalization. Cardiology and general surgery are the most profitable types of hospitalization, so consider focusing on these departments first. You can also increase your profits by keeping your prestige high through the addition of bookcases, vending machines, posters, and plants.
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Focus on profitable specialities like cardio and surgery
One strategy to make money in Project Hospital is to focus on profitable specialities, such as cardio and surgery. Here's a guide to help you maximize your earnings:
First, it is recommended to start your hospital as a clinic without hospitalization for a period of time, such as 80 days, to build up a financial reserve. During this time, you can focus on building a strong foundation for your hospital and accumulating funds. Aim for a reserve of around $750,000 before expanding into hospitalization. This initial phase is crucial for establishing financial stability.
Once you have a healthy reserve, it's time to venture into hospitalization. Cardiology and general surgery are among the most profitable specialities in the game. Focus on developing these departments and providing high-quality care in these areas. Cardiology, in particular, attracts patients who are willing to pay more, resulting in higher revenues for your hospital.
As you establish your cardio and surgery departments, ensure that you have the necessary support services, such as radiology and STAT labs. These services are essential for accurate diagnoses and patient care. Additionally, consider investing in amenities like common rooms for staff and patients to maintain high satisfaction levels, which can lead to bonus opportunities.
While expanding your hospital, be cautious about taking out loans. The interest rates can be oppressive and hinder your profitability. Instead, focus on generating revenue through your clinical services and strategic expansion. If you have the DLC that includes a pharmacy and gift shop, they can be excellent sources of additional income.
By focusing on profitable specialities like cardio and surgery, coupled with prudent financial management and attention to patient satisfaction, you can steadily increase your earnings and build a thriving hospital in Project Hospital. Remember to adapt your strategies based on your gameplay experience and the needs of your patients.
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Avoid loans—they're not worth the interest
When starting out in Project Hospital, it can be tempting to take out loans to quickly expand your hospital and unlock new departments. However, the interest rates on these loans can be incredibly high, reaching 365% a year in some cases. This means that you'll end up paying back significantly more than you borrowed, keeping you in debt for a large portion of the game.
One player reported that they started the game by taking out loans and were only able to break even, whereas when they restarted without taking any loans, they were able to turn a profit. This strategy may require some patience, as it can take a while to build up funds, but it will save you from the burden of interest payments.
Instead of relying on loans, there are a few strategies you can employ to make money in Project Hospital. Firstly, focus on building up your hospital as a clinic without hospitalization for the first 80 days or so. This will allow you to build a healthy reserve of funds before expanding. Aim for a reserve of around $750,000, and then start expanding into the most profitable types of hospitalization, such as cardio or general surgery.
Another way to make money is by unlocking insurance companies. Unlocking the first two insurance companies will bring in around 20-30 patients per day, for which you will need 2-3 doctors, a STAT lab, and radiology. This will provide a steady income stream, allowing you to slowly expand without taking on debt.
Additionally, certain departments, such as orthopedics, general surgery, and pharmacies, are known to provide a good income without causing many collapses. You can also increase your prestige and patient satisfaction by adding bookcases, vending machines, posters, and plants to your waiting rooms, corridors, and offices.
While loans can provide a quick influx of cash, the oppressive interest rates will only serve to keep you in debt for a large portion of the game. By employing a conservative strategy and focusing on building up funds through clinics and insurance deals, you can avoid the burden of interest payments and still turn a profit.
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Don't rush building all clinic types
When starting out in Project Hospital, it is important to remember that you don't need to rush building all clinic types. Taking your time to build up your hospital's finances and resources before expanding can help you avoid debt and manage your hospital more effectively.
Firstly, it is recommended to keep your hospital as a clinic without hospitalization for a period of time to build up funds. This allows you to establish a financial cushion before taking on the additional costs associated with hospitalization. Aim to have a reserve of around $750k before expanding into hospitalization, as this will help you manage the increased expenses that come with treating in-patients.
Secondly, focus on unlocking insurance companies to increase your patient intake gradually. Each insurance company you unlock will bring in more patients, which will, in turn, increase your revenue. However, be mindful that you will need to have the necessary departments, doctors, and equipment to handle the increased patient load. Start with the first two insurance companies, which should bring in around 20-30 patients per day. You will need 2-3 doctors, a STAT lab, and radiology to handle this patient volume effectively.
Additionally, consider starting with a specialty like Internal Medicine, which is cheaper to operate and allows you to treat more general conditions. This will help you build a solid foundation before expanding into more expensive specialties like General Surgery and Cardiology, which can attract patients with riskier conditions that may require hospitalization.
By following these strategies, you can avoid the common pitfall of expanding too quickly and finding yourself in debt. Taking your time to build up your hospital's financial stability and resources will put you in a stronger position to manage the increased costs and complexities that come with expanding into hospitalization and more specialized clinic types.
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Keep prestige high with bookcases, vending machines, etc
In Project Hospital, the prestige of your hospital plays a large factor in the number of patients as well as how much money insurance companies are willing to pay. Keeping your prestige rating high will help you earn 20% more money, so it is important to constantly pay attention to it as you build your hospital.
The game calculates the overall prestige as an average of each department's prestige, for both patients and staff, and this determines the patient numbers and potential profit for the next day. You should aim for a consistent four-star or higher rating every day.
To keep your prestige high, you can put bookcases, vending machines, posters, and plants around the waiting rooms, corridors, and offices. Vending machines, water dispensers, and well-stocked common rooms help to keep the prestige high for both staff and patients. You can also unlock items that boost training speed, such as the Encyclopedia Bookcase I and II, which you can place in your Research Lab.
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Frequently asked questions
You can unlock insurance companies to increase the number of patients in your hospital. Unlocking the first two insurance companies will get you about 20-30 patients a day. You will need 2-3 doctors, a STAT lab, and radiology to handle this number of patients. You should also keep your prestige high by putting bookcases, vending machines, posters, and plants around the waiting rooms, corridors, and offices.
It is recommended to keep your hospital as a clinic for the first 80 days or so to build up funds. During this time, you can focus on the most profitable types of hospitalization, such as cardio or general surgery. Once you have a profitable department, you can open up another department and repeat until all departments are complete.
Taking out loans is not recommended as the interest can be oppressive. Building hospitalization too early can also lead to losing patients and paying a disproportionate amount of salaries. It is important to build extra rooms and include extra space in the wards to account for growth.
One strategy is to focus on fulfilling insurance company bonuses, which can lead to a significant increase in money. You can also add common rooms for all departments to ensure staff satisfaction, which can help meet bonus requirements. Additionally, it is important to pick diagnoses for patients who cannot be diagnosed anymore, even if the diagnosis is probably wrong, as long as you make money.









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