The present study aimed to investigate the relationship between business intelligence and perceived organizational performance by considering the mediating role of innovation among employees of AmirAl-Momenin Hospital in Rasht,Iran.This research was applied in terms of purpose and descriptive-correlational in terms of methodology.The statistical population consisted of 400 hospital employees, of whom 231 participants were selected using a convenience sampling method.Data were collected through a standardized questionnaire measuring business intelligence,innovation,and perceived organizational performance based on a five-point Likert scale.The content validity of the instrument was confirmed by experts in the field of management, and its reliability was verified using Cronbach’s alpha coefficients,which indicated acceptable internal consistency.The collected data were analyzed using SPSS version 26 and SmartPLS version 3. Descriptive statistics and Partial Least Squares Structural Equation Modeling (PLS-SEM)were employed to test the research hypotheses and examine the relationships among the study variables.The findings revealed that business intelligence had a positive and significant effect on both innovation and perceived organizational performance.Furthermore,innovation played a significant mediating role in the relationship between business intelligence and organizational performance, indicating that the effective use of business intelligence enhances organizational performance by fostering innovation.The results also suggest that business intelligence systems provide timely and accurate information,improve managerial decision-making, and facilitate innovation in organizational processes, services, and management practices. In healthcare organizations, strengthening an innovation-oriented culture can improve service quality,optimize work processes,increase efficiency,and ultimately enhance organizational performance.Therefore,investing in business intelligence infrastructure and supporting innovation can be considered essential strategies for improving hospital performance and achieving sustainable organizational effectiveness.