Like other Time Management games, the objective is to tend to your patients before they run out of patience and leave (with their money, of course). Patients have heart gauges over them, indicating their health/patience. If all hearts expire, the patients leave the hospital. Installing decorative upgrades will hamper their heart decrease rate, like plants, television, water dispensers, or food stations. Like in real life, some people reach their limits quicker than others, so you'll have to be vigilant. If a patient is running low on health, his/her face pops up in the corner of the screen as a warning.
To begin a treatment, take the patient to the diagnostics counter (click, drag and drop). Once diagnosed, the patient will sport a balloon indicating the next treatment in order, above them. This means utilizing more medical stations. There is also the need to bring the patient's chart to the respective treatment station before treatment can begin. All treatments take time, and some require additional actions, like making up beds, or providing medication.
After a while, treatment stations will break down and require repairs, which can be done by using the wrench available on the main counter. An original addition, is the ability to send patients to other medical centers by putting them into an ambulance parked outside, when unable to treat them.
At the beginning of each level, you enter the workshop, where you buy, sell, and position equipment, thus customizing your workplace. In the expenses tab, you can adjust the amount of funds invested in special costs like salaries. Increasing salaries speeds up doctors (of course), and increasing pharmacy costs speeds up delivery of prescriptions and charts. The coffee bar increases the coffee power up availability, which speeds your action. Increasing the maintenance bar decreases the chance of apparel break downs. You can also change the color of your work attire, which has no purpose but to look different.