Background: Health promoting hospitals (HPH) need to be well-managed to generate good quality program activities. This study was conducted to explore this in depth, and a comprehensive description of the process and problems found in the management of HPH at a private hospital in Lamongan, East Java. Method: This study used the qualitative method. Data collection was conducted through semi-structured interviews, focus group discussion (FGD), observation, and document analysis. This research focused on organizational activities such as planning, organizing, actuating, evaluation and also the output of HPH. Result: In the management process, there has been no planning of HPH activities in the last three years. Organization of the HPH team is set out by Director's decree, including team roles, functions and structure of the team. However, most of the functionaries did not know that they are part of HPH unit. Many kinds of HPH activities have been conducted, such as interactive health talks on the radio, providing a health channel on television installed in some strategic places, spreading health information via posters, leaflets, banners, and also an empowering patients club. Unfortunately, the hospital top management has never evaluated the process to measure the unit's outputs. Conclusion: Overall, the main problem in the management process of HPH is a lack of commitment to performing planning activity. This happened due to low coordination among HPH team members that consisted of hospital department representatives.