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Purpose With the exponential growth of problems linked to the natural environment, healthcare facilities are increasingly faced with ecological challenges in their operations. In this regard, they progressively need to improve their environmental performance like other industries in recent years. Applying the natural-resource-based view (NRBV) and dynamic capabilities literature, the purpose of this paper is to investigate this eco-capability which fully leverages human, relationship, and technology resources. Design/methodology/approach Applying the NRBV and dynamic capabilities literature, this paper investigates this eco-capability which fully leverages human, relationship, and technology resources. Using survey data from staffs across 15 hospitals in north of Iran, researchers estimated a latent moderated structural model that provides support for these three resource components. Findings Results obtained from structural equation analysis revealed that human, technology, and relationship resources have positive impact on eco-capability. Also eco-capability has positive impact on market and financial performance and the perceived quality of the hospital’s offering. Research limitations/implications As the model consist just of three kinds of resources, future studies could include examining the effect of additional resources and other internal and external factors on eco-capability. Practical implications This paper includes suggestions for facility’s managers to develop environmental strategy in three areas: human, technology, and relationship resources. Originality/value The role of eco-resources has been used only rarely to investigate organization capability and performance. This paper includes suggestions for facility’s managers to develop environmental strategy in three areas: human, technology, and relationship resources.
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