The current research addresses the impact of the impact of the elements of promotional mix (Public Relations, advertising, personal selling, sales promotion) to increase the competitive ability of the service organizations by conducting a field study on private hospitals which works in the Syrian coast , and to achieve the objectives of the research, A questionnaire was built and this questionnaire has applied on managers administrators in those hospitals, marketing Specialist, if any, or are responsible of advertising, where the researcher used the method of comprehensive inventory which concerns with collection the information on the hospitals studied, and the number of distributed questionnaires (61) questionnaire , recovered them (57) questionnaire , and the response rate (93.44 %), after study and analysis of the study found the following results: 1 - There is a significant correlation between the of the public relations method used by the departments of private hospitals operating in the Syrian coast and its ability to compete in the health market. 2 - There is a significant correlation between the types of advertising used by the departments of private hospitals operating in the Syrian coast and its ability to compete in the health market. 3 - There is a significant correlation between the of personal selling method used by the departments of private hospitals operating in the Syrian coast and its ability to compete in the health market. 4 - There is a significant correlation between the of the sales promotion method used by the departments of private hospitals operating in the Syrian coast and its ability to compete in the health market.