Healthcare is considered as a very important institution for people and had been recognized providing medical care for people. FM in healthcare need to be given priority compared to other sectors because it’s dealing with human life. The service delivery and performance in healthcare required most sophisticated approach compared with other organization. People would always express their views in media with regards to the quality services rendered by healthcare. The issue of service quality and performance are plaguing among the healthcare throughout the country over the years. This paper proposed to identify perception observation important relative between criteria performance management using pairwise comparisons method in AHP. These criteria include the physical criteria of key criteria and sub criteria and non-physical of key criteria and sub criteria. The criteria will be used as components to develop a strategic performance management for FM in Malaysian healthcare. The application of this model provides the guidelines to the healthcare in their performance management.