This research discusses the influence of the work environment and competence on motivation and its impact on employee performance at Masmitra Hospital. In compiling this research, preliminary research has been carried out. The study uses assessment indicators on two independent variables starting from the work environment variables, namely infrastructure at work, workplace lighting, workroom air circulation, workplace cleanliness, and relations between employees at work. Next competency

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... s are knowledge, skills, self-concept, self-characteristics, motivation, experience, personality characteristics, beliefs, and values whereas the assessment indicators on mediating variables are motivation variables that measure employee motivation in working through the level of physiological, security, social, appreciation, and selfactualization needs. Then end with an assessment of the dependent variable that is the performance variable that measures the value of work quality, work quantity, responsibility, cooperation, and initiative. This study uses a quantitative descriptive analysis method with a Likert scale measurement tool. Data collection techniques through questionnaires were randomly distributed to 100 respondents. The number of respondents was calculated by the Slovin method of a population of 135 employees. The results of the study when viewed using path analysis, show that the Work Environment (X1) and Competence (X2) have a positive and significant effect on Performance (Z) both directly and indirectly through Motivation (Y).