This work is a case study focused on 'Hirslanden', a very successful private hospital group which consists of thirteen acute hospitals in Switzerland. This case study analyses the current strategic position and evaluates sustainable strategies to remain highly competitive also in a more dynamic market. The primary goal of this research is the development of a new integrated framework that reflects current strategic thinking, for the examination of the relationship between new trends, key customers' needs, and hospitals' core capabilities, and their impact on performance. Research question The main research question is: 'How should private acute hospitals develop an effective strategy in a dynamic market?' The case study used a combination of qualitative and quantitative methods to test the proposed model with its hypothesis and to answer the research questions. The data collection is mainly based on questionnaires for thirteen private hospitals with a thorough data analysis. All results are confirmed by interviews with a focus group which consists of eight health care specialists.