The final work deals with the impact of quality on the providing of services in an institution that focuses on health tourism, what is needed and how to raise quality, from management, work orientation to the search for a higher level of service. In an age of high competition and globalization, it is necessary to attract a customer. According to the demands of the market, but also under the influence of the European Union to which the Republic of Croatia belongs, the health care system is necessarily changing, and in this work, on the example of a public institution located in the public health network, are presented the necessary steps to move the institution away from state funding and how to be competitive in the market. How to achieve a balance between the state and the market is a great challenge to which the system in the state has not yet found a final solution, and rehabilitation health institutions are forced to take key steps and change their business. Changes and quality improvements on the example of Toplice Lipik are the topic of this final work. The actions that Toplice Lipik has taken in the last 15 years in accordance with legal provisions and their efforts to adapt to the market and take their place on the map of continental health tourism are presented.