The healthcare sector in Tamil Nadu is one of the most developed and robust in India, with a well-established network of hospitals, clinics, and medical professionals. The state has made significant strides in improving the health outcomes of its population through initiatives such as the Tamil Nadu Health Systems Project and the Chief Minister's Comprehensive Health Insurance Scheme. The healthcare sector in Tamil Nadu is primarily dominated by the public sector, but the private sector is also rapidly expanding, particularly in urban areas. The state has a high density of medical colleges and produces a large number of healthcare professionals. Despite these positive developments, the healthcare sector in Tamil Nadu faces several challenges, including inadequate infrastructure in rural areas, a shortage of healthcare professionals, and high out-of-pocket expenses for patients. To address these challenges, the state government has launched several initiatives, including the creation of more medical colleges and the expansion of telemedicine services. Overall, the healthcare sector in Tamil Nadu is a crucial part of the state's development story, and efforts are underway to ensure that it continues to provide high-quality care to all residents. To that end, this study aims to examine the Tamil Nadu hospitals' Organizational Performance and employee Motivational practices in relation to one another. The independent variable is Organizational Performance, and its sub variable is as follows 'Involvement', 'Task Performance' and 'Adaptive Performance', 'Interpersonal Behaviour'. A motivational practice is the dependent variable, and its sub variables include 'Relationship with colleagues & Work Life Balance', 'Monetary Factors' and 'Fair Treatment / Respect', 'Organizational Factors / Work Environment', 'Roles and Responsibilities & Performance', 'Positive Thinking'. A questionnaire will be sent out to 395 workers at the Tamil Nadu Healthcare Hospitals to collect data for this descriptive study. The analysis in this study will make use of multiple regressions. Based on our findings, we can say that the Hospitals sector in Tamil Nadu is characterised by a positive relationship between Organizational Performance and Motivational practices, and that this relationship has a significant impact on the success of the Hospitals sector as a whole.