Background: General hospital is local govemment agency in the field of public health services. General hospital should be able to give account both financial and non-financial to local govemments and communities. Hence, it was important for measuring performances from all aspects. Balanced Scorecard is the right choice for performance measurement. Obiective: The objective of study was to evaluate RSUD Panembahan Senopati Banful performances based strategy business plan 2012-2015 with balanced scorecard approach. Method: The research was used mix method. Quantitative study used cross sectional design and survey approach, while case study approach wAs used as qualitative study. Population is all of the patient or patient family which hospibhzed and all employees of RSUD Panembahan Senopati BantuI. The study used primary and secondary data. Discussion: Financial perspective used 3 indicators; there are economic ratio, efficiency ratio, and effectiveness ratio' Customers PersPective used 3 indicator, there are customers acquisition, customers retention and customers satisfaction ' Intemal business Processes used 5 indicators; there are BOR (bed occupanry rates), ALoS (Average Long of Stay)' BTO (bed turn over), GDR, NDR (net date rate), and TOI (tum over interval). Growth and development perspective used 3 indicator, there are employee productivity, emptoyee retention and employee satisfaction. Achievement of Minimum Service StandardindicatorsRSUDPanembahanSenopatiBanhrl2013was tl4 points. Conclusion: verall, the performance of RSUD Panembahan Senopati Bantul with balanced scorecard was good'