This document discusses value adding service delivery strategies for health care organizations. It begins by introducing directional, adaptive, and competitive strategies that must be translated into action. Value adding service delivery strategies are then described as having three components: pre-service activities like marketing research and branding; point-of-service activities focused on clinical operations and patient satisfaction; and after-service activities such as follow-up calls and billing. Each of these components works together to position the health care organization, meet customer needs, and ensure quality from pre-visit to post-care. The document emphasizes that coordinating these explicit strategies across the value chain is critical for health care providers to survive in today's competitive environment.