This research study explores the relationship between critical success factors and business performance of US based service providers in the Malaysian healthcare industry. It also examines the moderating role of intercultural competence in this relationship. The study aims to identify the most pertinent critical success factors for the healthcare industry, dimensions of intercultural competence of US multinational healthcare firms, and dimensions of business performance. The research questions and hypotheses are presented, along with the research model and operational definitions of variables. The study uses a quantitative moderation model and questionnaires for data collection.