Note that this is a compilation of things that helped me acquire this very early as opposed to a complete solution. First off your going to want to do this on a hospital that you have already gotten three stars on as you won’t have to worry about losing money, rep, etc. Also your going to want to do this on one of the first few maps as the awards are the easiest as they are different in the later hospital. You do NOT need to get all awards in one year just get them at least once over the years in the same hospital. Once you have gotten the last award you needed note that it won’t pop immediately. You need to click the overview tab and then scroll over to where you can view the awards and then it will pop. Not sure why this is the case but it popped immediately once I looked at the awards.
The easiest map to get this on for me was the second map. Your going to want to start by getting three stars on the map getting as many of the awards as possible. Make your hospital the most efficient one as possible by keeping the prices low until there is a surge of people coming in with lines then jack the prices up to 30-40 percent and people will pay most of the time because the hospital is mobbed. Your going to want to buy the gold star award and fill all of your buildings with them enough to get them to level five prestige. It’s a very overpowered item as just a couple can level up your prestige making it one of the best items in the game. This should help you get the most prestigious award.
The two hardest awards the only ones I actually had any trouble with were the janitor of the year and no deaths. For the no deaths utilize quick load by saving every month or so and if you get a death just quick load back and once you get to the awards at the end of the year it will pop. The hardest one is the janitor of the year was the hardest and last one for me and what I did was hire a 5 star janitor right at the beginning of the year and purchase the rose bush with Kudosh and in the other building put up like 40 of them. They need watering very often so just keep watering them all year long fixing the machines when needed so you don’t have fires and take short breaks as few as possible. By doing this focusing only on this as your last award then you should have no problems.
If you have any questions please comment I’ll be sure to answer. Thanks if you downvote please let me know why!