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Background Recent global events, like the Covid-19 pandemic, have highlighted the critical need for early crisis preparedness and organizational resilience. Emphasizing the components of organizational resilience can significantly improve an organization's capacity to anticipate, respond to, and recover from disruptions, especially in challenging contexts. This study focused on the organizational resilience of varied healthcare organizations, identifying key factors that constitute organizational resilience, and developing an assessment tool to measure it. Methodology This cross-sectional study aimed to develop and validate an organizational resilience assessment tool for diverse healthcare settings. A comprehensive review of scientific and grey literature on organizational resilience laid the foundation for the tool, which includes 29 items distributed across seven categories such as organizational culture and adaptability. The tool's content validity was established by 12 content experts and pilot-tested to redefine the tool further. A modified Delphi process was conducted among 19 experts, to define the hierarchy of importance among the categories, achieving a consensus threshold of at least 75%. Data were collected via a URL link, accessed anonymously by participants from three distinct healthcare organizations-a district health bureau, Emergency Medical Services (EMS), and a general hospital. Results were compared across organizations and aggregated to assess impacts on resilience within the broader healthcare system. Results Overall, 602 individuals participated in the assessment, including 225 from a hospital, 214 from EMS, and 163 from district health bureau. EMS personnel exhibited higher levels of organizational resilience compared to other organizations, particularly in the areas of ethos, leadership, human capital, situational awareness, adaptability, and organizational performance. However, no significant differences were noted in organizational culture and learning ability across the three healthcare organizations. A multivariate linear regression analysis revealed that eight variables accounted for 12% of the variation in organizational resilience. Conclusion The organizational resilience assessment tool developed through this research provides managers and policymakers with a resource to periodically evaluate their organization's resilience. This study highlights the value of understanding different components of resilience, enhancing organizational preparedness and resilience capabilities. It underscores the critical need to foster organizational resilience in healthcare settings, ensuring operational continuity during emergencies.