The purpose of this qualitative study was to investigate contributing factors,namely leadership, management and other supportive factors in holistic view, whichmade the case study receive the outstanding hospital award. Using a purposivesampling identified the sample. A qualitative approach was employed through theconceptual framework, which includes the seven factors of transformational leadershipand the eight attributes of excellent management suggested by Peter and Waterman. Theresearch instruments were an observation guideline, documentary analysis form,in-depth interview guideline and focus group interview guideline and focus groupinterview guideline. The obtained data were analyzed by means of inductive analysis. It was found that the hospital director of this case study met seven factors oftransformational leadership, namely: 1) charisma 2) vision, projection the vision andvalue driven 3) intellectual stimulation 4) inspiration 5) individualizedconsideration 6) contingent positive reinforcement 7) contingent negativereinforcement. The study found about eight management attributes agrees with theeight attributes found in the best run companies in USA. This attributes were: 1) abias for action 2) close to the customer 3) autonomy and entrepreneuship 4)productivity through people 5) hands-on and value driven 6) stick to the knitting 7)simple form and lean staff 8) simultaneous loose-tight properties. This study alsofound one more attribute, the ninth attributes, which is the establishment ofsupportive alliance. This attribute is compatible with the Thai lifestyle and fitsitself properly into the economic recession period. One main contributing factor that enhanced the director of this hospital toemploy his leadership and effective management was his love of all kinds of arts.This makes him become a considerate person with good human relationship. Thisdirector also had a special ability to apply aesthetics to lead and manage thehospital appropriately. He could create satisfaction to both the givers and thereceivers of the services. This made him receive continual support both from his ownpersonnel and staff, and the people in the community. His excellent ability andefforts made him and the hospital receive the outstanding award. The study finallyfound that the award also stimulated all of them to contribute more to his hospitaland community.