Rumah Sakit Bakti Timah groups (RSBT ) is a hospital that managed by Bakti Timah Foundation. Now, RSBT  will become independent through forming an Inc (Incorporated) that will be called “PT RS Bakti Timahâ€. Concern with the stock-holdings from this PT RS Bakti Timah (99 %) by PT Timah (Persero) Tbk, and (1 %) by Bakti Timah Foundation. This research shows the internal condition of the company and external industry situation with internal and external analysis to find the root causes. In this part, the authors used some model, they are external business situation analysis (macro environment) PESTLE Analysis, Industry Analysis Porter’s Five Force, Internal Analysis Resources and Capability, Business Model and Value Proposition Alignment, Business Model Need Analysis, SWOT analysis, and qualitative survey in questionnaire form and interview. From the business issues faced by RSBT groups, we got major problem that RSBT groups has difficulty to get investment asset from investor (Bank) because its status under foundation. If RSBT groups will become independence, RSBT will get many benefit from PT Timah (Persero) Tbk Company as majority asset holder (99 %) and minority asset holder of Bakti Timah Foundation ( 1 %). From business issues that RSBT groups faced, the major caused by RSBT groups’ status under Bakti Timah Foundation until RSBT groups has difficulty to get investment asset from investor (Bank) because its status under foundation, with this independent of RSBT groups many benefit will be get for PT Timah (Persero) Tbk Company as majority asset holder (99 %) and minority asset holder of Bakti Timah Foundation ( 1 %). The result of this study we solve this problem by using Strategic Innovation and Business Model Canvas, Strategic Generic Porter’s ; Corporate Strategy PT RS. Bakti Timah and Business Strategy RSBT groups, together with Business Model Canvas RSBT groups existing and Business Model Canvas RSBT groups New/proposed. From the results, we suggest to implement analysis results into practical action. Keywords: RSBT groups, hospital business, development strategy, Strategy Implementation, business model Canvas
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