The authority of government places a lot of pressure on the policymaking, execution, and observation of this section and leads the hospital system to turn over some of its administrative activities to the non-governmental section, in order to improve its efficiency . Although, the procedure of variable the expenses and decreasing the resources is always increasing and the gap between the achievable and required resources is developing on a daily basis. What is more, is that the private hospitals, especially in expanding countries, which are directly governed by the state authorities, have weak performances, and efforts to improve their performance were not very efficient by applying internal management modifications . During recent years, Iran has turned over a piece of the healthcare services to the private section aiming to better the modality of healthcare and treatment services, increasing the patients’ satisfaction and decreasing expenses . Outsourcing includes the act of transferring some of the internal activities of an organization to its supplier outside of the organization and transferring the decision making right to the outside of the organization based on a contract. In fact, the outsourcing does not only imply activities but also manufacturing agents (human resources, equipments, facilities, technologies and other assets) and the authority of decision making in most cases is transferred .