And I almost had to cheat too. I encountered the surgeon dupe bug (fig.1), and while I was able to make do with just one surgery (until the last 6 months, where I built a new one anyway), I then ran in to the final form of the dupe bug - the freeze crash. While I was making do with the one surgery, I had the duplicate surgeon work in a GPs office. However, I had to sack him so that he wouldn't walk into surgery, meet his self, and presumably trigger a time/space paradox (fig.2 taken at the time of the crash).

I shut down that surgery ( I couldn't remove it proper), although I had to build a new one to meet demand, and even then, the bug occured witht he new doctors, requiring me to reload.
It got to the point where I wouldn't touch anything in a surgery, and let them make their own way to the staff room. This was mitigated by my final influx of Psychology/Surgery/Research students (and the teacher) entering the pool of usable doctors.

The end was in sight, and it looked like I would be able to meet the requirements at the end of the year, but a vomit bug hit (fig.3), and the floors were slick with spew as I had to draft in even more handymen (and constantly throw bonuses at them to stop them walking out) to stem the flow. Though the pandemic wasn't isolated to the area shown, it was the worst hit, and I had to sent about 20 people away to stop them constantly vomiting everywhere.

Next month, I had an emergency for 5 Alien DNA patients, so I replaced a GP Surgery with a DNA Fixer (fig.4). By this time, the vomit had been reduced, but after curing the final emergency patient, and selling and replacing the room with the original GPs office, I had surpassed the $750,000 requirement, and was on track to winning the game.

Sure enough, when the end of year report came around, I had won the level. I was surprised I had managed to kill so few patients - I went 2 or 3 years without killing a single one, and I was even able to achieve a no death record for the final year.

I was so close to cheating - I had spent about 5 hours on this single level (I opted to play inthe second speed level, so as to keep up with all the grumpy doctors, and offer them bonuses), but in all, I think I may have spent 50 hours trying to play through this in the last few months. If I ever come back to it, I'll have plenty to optimise (my hospital was a mess), but I may want to play through on the Consultant difficulty.

Had to laugh at the advisor in fig 3. No room for improvement there :D Oh, what's that on the floor? Ehmm, nothing to worry about...

Congrats at finally beating it. The game isn't as easy as it may sound, and if things first start to go wrong, they tend to spiral out of control. Well done for getting on top of it, as it looks like things were a bit sticky there for a moment (sorry).

The one thing I disliked with the latter half of the game, was the constant earthquakes. Before many machine upgrades, a room can quite easily blow up and be rendered useless, so I always had to save when that dreaded warning came, and hope the quake wasn't a bad one, so the machines would survive. And of course try to fly in handymen to repair those that looked dangerous.

A little bit of cheating the few times a machine blew up, but I simply couldn't stand my nicely planned out hospital to be out of order.

Only game i can ever complete it hard mode. lol
pretty easy game.

Congrats! The game is not so easy, particularly the last few levels. Things really like to quickly spin out of control and when they do often the only way is to reload the game :)

The vomit epidemic is classic. I remember in my playthroughs these often happened and it would require an army of handymans to clean it up. Good times :)