You're the director of a community health clinic.
Treat patients. Manage the budget. Balance mission and margin.
Discover why healthcare finance is harder than it looks.
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Treat Patients
Every quarter, patients arrive with different insurance statuses. Insured = profitable. Uninsured = full cost to you but maximum community impact. Same treatment, completely different economics.
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Manage the Budget
Pay staff, handle events, make strategic investments. Cash hits zero = clinic closes. Every dollar you spend is a dollar you can't spend elsewhere — that's opportunity cost.
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Handle Curveballs
Flu surges, equipment failures, Medicaid rate cuts, natural disasters. Real healthcare finance is unpredictable. Your cash reserves are your defense.
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Balance the Score
Composite score = 40% Financial + 40% Community Health + 20% Reputation. Only maximizing one dimension fails. Multi-objective optimization is the lesson.
Finance Concepts Built Into Every Decision
Payer Mix
The ratio of insured vs. Medicaid vs. uninsured patients — your biggest revenue lever
Operating Margin
Revenue minus total costs per quarter. Negative = you're burning cash.
Opportunity Cost
Choosing one thing means giving up another. Every hire = equipment you can't buy.
Cash Runway
How many quarters until you run out of cash at your current burn rate.
Cross-Subsidy
Profits from insured patients fund care for uninsured ones. Balance is survival.
Revenue Diversification
Grants, insurance, Medicaid — three streams. Lose one and the others must compensate.
Set Up Your Clinic
Name your clinic, pick your mode, and choose how hard you want it to be.
Your Name
Clinic Name
Play Mode
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Solo Mode
Play privately. Scores saved on this device.
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Friends Mode
Share a room code and compete on a live leaderboard.
⚠️ Friends Mode needs Supabase configured. See setup guide, or play in Solo Mode.
Room Code
Same code = same leaderboard. Share with friends or type their code to join their room.