Cinta Kasih Tzu Chi Surgical Hospital or known as Rumah Sakit Khusus Bedah (RSKB) Cinta Kasih Tzu Chi is a hospital built based on humanism service. Referring to increasing of people awareness about the quality of health service and highly competitive on healthcare industry caused the hospital to improve its competitive advantage to get the market and handle the rivalry. Hence, the researcher had been motivated to conduct research the strategy of RSKB Cinta Kasih Tzu Chi with value chain activities approach supported with five forces porter and environmental analysis. Data collection methods are observation, interview, questionnaire, and literature review. The researcher arranged the result or response by method successive internal software to get the rating for each element of value chain activities. On primary activities of the value chain, it showed that implementation of post-service and point of service has been well applied and gave contribution in developing of competitive advantage, so do S2 on supporting activities. However, it requires improvement and development on pre-service for primary or collective structure and strategic resources for supporting activities.