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This study has several objectives, first analysing and proving the influence of transformational leadership style on employee performance. Second, analyse and prove the influence of organizational culture on employee performance. Third, analyse and prove whether there is an influence of transformational leadership on employee performance through job satisfaction as a mediating variable. Fourth, analyse and prove the influence of leadership style on job satisfaction. Fifth, analyse and prove the influence of organizational culture on employee performance through job satisfaction as a mediating variable. Sixth, analyse and prove whether there is an influence of job satisfaction on employee performance. In this study the population is all permanent employees at Ibnu Sina Hospital in West Sumatera. while the sample was 262 respondents who were searched using Sugiono's formula. The types and sources of data used are primary data by distributing questionnaires. For analysis testing using validity and reliability tests and using path analysis, as well as processing data using the latest SPSS model. In accordance with the hypothesis testing it was found that transformational leadership had a significant effect on job satisfaction. In organizational culture has a significant effect on job satisfaction. Third, transformational leadership has a significant effect on performance. found organizational communication has a significant effect on performance. Fourth, the organizational culture has a significant effect on performance. While job satisfaction has a significant effect on performance. Sixth, the effect of transformational leadership on employee performance through job satisfaction as an intervening variable in Ibnu Sina Hospital in West Sumatera has a direct relationship. The seventh influence of organizational culture on employee performance through job satisfaction as a mediation variable at Ibnu Sina Hospital in West Sumatera has a direct relationship.

The Influence of Transformational Leadership Organizational Culture on Employee Performance with Job Satisfaction as Mediating Variable in Ibnu Sina Hospital in West Sumatera