An organization within an ecology/economy declination faces a difficult operation. To ensure the attainment of organizational success, organizational changes with downsizing to new forms that organizations are to maintain flexible, creative, and quick capability. Organizational changes will directly impact current surviving employees. Organizations to be constantly successful have still to be depend on survivors. Survivors’ perceptions and health in downsizing context will be an essential resource affecting organizational transformation. For survivors, the interrupted career planning and development that they will reassess fundamental career needs to determine whether commit career further or not. As the reason, this research focuses on internal factor to explore survivors’ perceptions about how to create positive perceptions with more commitments and health. Understanding the survival perceptions of positive commitments and health as incentives is lack of findings in past research. Also, career adaptability based on individual characteristic is different. Career adaptability exists the influence of the positive relationship among career needs and commitments and health is another concern. The research aimed at the non-profit sector of Taiwan Higher Education System as an example. The findings provide with the downsizing organizations a successful transition.