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I agree that in the beginning you kinda need to "rush" to get departments in, but in reality you probably only need an emergency clinic, labs and and x-ray room (if I'm correct). When you open (for example) orthopedic, then you probably would need an CT and MRI. I usually refrain from opening additional departments and stick to the emergency clinic, labs and x-ray room and try to complete as many insurance objectives as possible. Then I start building my orthopedic department and add hospitalization for my ED (trauma and observation) and ortho. This will take me a while to set up if I save money or I just take a big loan. Either way, when you are at a stable income before adding more departments, then you are probably fine.
I don't know how you are playing, but the game will never generate a patient that can't be treated by your hospital. Unless via bug of course.
There's no need to rush, you build what you want, when you want, and the game will wait until a department is opened to send patients from that department, and for hospitalization to be active to send patients that have to be hospitalized.
Also, some labs, for tonsilitis and things like that (although, again, you can "cheat" a bit in the early game by treating all diagnoses). But again, keep it small and simple, you don't need massive labs for 30 daily patients.
Once you've done that, you should be able to complete some simple insurance objectives (treat x patients daily and things like that) which will give you money to start planning your next expansions.
As for a patient needing hospitalization, yes, either a bug, a mod if you are using any, or you enabled it by mistake and the game started sending you patients that required it.
When "building" my own staff when I need a staff specialized... say I need to hire another nurse or doctor for surgery. I'll switch an existing "basic" staff specialty to surgery and train them a bit and "build" a basic nurse/ doctor to replace them to perform basic functions.
I also like to start with clinics only, in all departments, then later add hospitalization. You don't need a lot of money and or staff to do clinics only and it helps (and makes it easier) to unlock insurances and the rewards and save up money.
However, once you open any hospitalization you can get patients needing hospitalization for a department you might not have opened hospitalization yet if you have a clinic for them. So kind of need to build up the hospitalization departments quick and influx demand of radiology and labs.
I usually make dedicated labs and rads for clinical and hospitalizated patients. Also helps alot. However, this does mean double rooms and double costs. I currently have all departments (exept the DLC departments, currently saving up) open and running smoothly. It's very rare for a patient to die. Currently I'm making around 60k - 80k profit daily. On a good day however, I make 150k - 200k. Could be way higher if I didn't do the things I do, but it's enough profit for me. Currently over 600 people employed.
I don't find it doubles the radiology/labs rooms really. You'd need more anyway. Once I add clinic ones I don't really need to add more. Need to monitor and add hospitalization ones though. It is difficult at the beginning though as you start adding hospitalization your radiology and labs get overwhelmed quickly and they aren't cheap to build.