Capital Structure, Asset Turnover, and Service Quality among IDX-Listed Private Hospital Groups: Evidence from Panel Data Analysis
DOI:
https://doi.org/10.69855/laceri.v2i1.539Keywords:
Capital Structure, Asset Utilization, patient satisfaction, Hospital Performance, IndonesiaAbstract
This study examines the association between capital structure and asset utilization with service quality among IDX-listed private hospital groups in Indonesia. The study employs an observational quantitative design using panel data rather than a causal-comparative approach. The sample consists of seven hospital groups observed over the 2021–2024 period, resulting in 28 firm-year observations. Financial data were obtained from audited annual reports, while service quality is measured using the Patient Satisfaction Index (PSI) reported in sustainability reports. National Quality Indicators (NQI) are used only as contextual references and are not included in the regression model. The empirical model applies panel data regression to estimate the relationship between Debt to Equity Ratio (DER), Total Asset Turnover (TATO), and PSI. The findings indicate that DER is negatively associated with PSI, while TATO shows a positive association. These results should be interpreted as statistical associations rather than causal relationships. The study contributes by providing empirical evidence on how financial indicators relate to perceived service quality within the context of Indonesian private hospital groups.
References
Brealey, R. A., Myers, S. C., & Allen, F. (2023). Principles of Corporate Finance (14th ed.). McGraw-Hill Education.
Brigham, E. F., & Houston, J. F. (2021). Fundamentals of Financial Management (16th ed.). Cengage Learning.
Bursa Efek Indonesia. (2025). Retrieved from https://www.idx.co.id
Direktorat Jenderal Pelayanan Kesehatan. (2024). Accreditation and Quality Profile of Indonesian Healthcare Facilities. Kementerian Kesehatan RI.
Kementerian Kesehatan Republik Indonesia. (2023). Indonesian National Hospital Quality Indicator Report. Direktorat Jenderal Pelayanan Kesehatan. Kementerian Kesehatan RI. Retrieved from https://www.kemkes.go.id
Kieso, D. E., Weygandt, J. J., & Warfield, T. D. (2023). Intermediate Accounting (18th ed.). Wiley.
M. E. Porter; T. H. Lee. (2021). The Strategy That Will Fix Health Care. Harvard Business Review Press.
Modesto, D. &. (2025). Managing Capital Allocation for Better Technology Integration Outcomes in Healthcare Companies. In Advances in Medical Technologies and Clinical Practice Book Series (pp. 137–156). doi:https://doi.org/10.4018/979-8-3693-8598-2.ch006
Muhklis, I. C. (2025). Analyzing Liability Structure in Shaping Financial Performance. International Journal of Finance & Banking Studies, 14(13), 91–97. doi:https://doi.org/10.20525/ijfbs.v14i3.4402
PT Medikaloka Hermina Tbk. (2024). Sustainability Report 2023. Hermina Hospitals. Retrieved from https://www.herminahospitals.com
PT Mitra Keluarga Karyasehat Tbk. (2024). Annual Report 2023: Consistent Growth. Mitra Keluarga. Retrieved from https://www.mitrakeluarga.com
Puro, N. B. (2021). The Role of Organizational Slack in Buffering Financially Distressed Hospitals from Market Exits. Journal of Healthcare Management, 66(1), 48–61. doi:https://doi.org/10.1097/JHM-D-20-00004
Ross, S. A., Westerfield, R. W., & Jordan, B. D. (2022). Fundamentals of Corporate Finance (13th ed.). McGraw-Hill.
Siloam International Hospitals. (2024). Annual Report 2023: Bridging the Gap in Healthcare Excellence. PT Siloam International Hospitals Tbk. Retrieved from https://investor.siloamhospitals.com
Subramanyam, K. R. (2021). Financial Statement Analysis (12th ed.). McGraw-Hill Education.
World Health Organization. (2023). Global Report on Quality and Safety in Health Care. WHO Press.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Journal of Health Service Administration and Hospital Management

This work is licensed under a Creative Commons Attribution 4.0 International License.


