This document discusses the financial challenges that healthcare organizations face during economic downturns. When individuals lose their jobs and health insurance, states receive less tax revenue, resulting in lower Medicaid funding. Hospitals then lose high-margin procedures and see an increase in uncompensated care. This compounds problems for healthcare funding. The document instructs the reader to analyze scenarios involving a demanding nursing union during salary negotiations, and a community experiencing high unemployment leading to more uninsured emergency room visits and increased bad debt. Recommendations should address operating and capital needs to navigate these financial crises.