This study describes the ongoing development of an evaluation model with BSC criteria to be used to help hospitals in choosing a suitable strategy. The results reveal that the three subject hospitals have a balance among customer perspectives, learning and growth, internal business processes and fi nancial measures, as is supported by BSC. And the multidimensional scaling analysis (MDS) show that "Establish strategic alliances with other clinics," "Limit outpatient numbers," "Increase inpatient numbers," "Decrease costs" favored by case study hospital. Finally, the BCG model reveals that hospital A adopts profi t direction, hospital B adopts cost direction and hospital C is unclear.