Background: Several health professions and different educational backgrorurd become a challeuge for human resource management in RS. Islam Klaten. In the hospital; doctors, nursesj and staff have their tights to get appropliate salary based on remuneration system. Some of the challenges are the emergence of many questions and complaints about remuneration. The pwpose of this research is fo understatrd the intiuence of employee perception on their satisfaction and pertbrmance when remuneration system has been implemented in RS. islam Klaten