Abstract. This study examined a hemodialysis center’s actionable policies and programs in the Philippines, focusing on how it sustains its operations amid the resource-intensive demands of hemodialysis treatment. Using a qualitative-descriptive research design, data were gathered through document analysis, interviews, and financial records review to assess capitalization strategies, cost management, and financial aid programs. The results showed that the center has significantly improved service delivery and economic performance, with efficient cost management and minimal delays in treatment contributing to its operational success in 2024. Key initiatives included enhanced staff retention, patient engagement, partnerships, and robust cost control measures. Despite these achievements, challenges remain in specialized staff training, access for underserved patients, equipment management, and collaboration with health agencies. Addressing these gaps is essential to ensure the center’s long-term sustainability and to optimize patient care. The study recommends continuous monitoring and refinement of service delivery and financial strategies to strengthen the center’s resilience and meet the growing healthcare demand in the region.

Keywords: Cost management; Financial assistance programs; Hemodialysis; Operational sustainability; Resource-constrained settings.