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Strategic Decision Simulator
You're a CEO/COO of a 220-staff California FQHC during the H.R. 1 + SB 525 + 340B-rebate convergence. 12 strategic decisions across one quarter. Revenue, quality, workforce, mission — all four matter, and you can't max one without paying somewhere else.
Revenue
Cash position + projections
Quality (UDS)
HRSA quality measures
Workforce
Retention + morale
Mission
Alignment + community trust
How to play
Works offline. No AI. No login.