Main Article Content
Abstract
Introduction to the Problem: The role of the private sector, particularly hospitals conducting an Initial Public Offering (IPO), raises a dilemma because profit orientation often conflicts with the constitutional mandate requiring the State to provide health services for all citizens.
Purpose/Problem Statement: To address the legal issues surrounding hospitals that go public and to formulate a framework ensuring that the business orientation of hospitals continues to guarantee the right to health for the wider community.
Novelty: The idea of integrating the ownership of public hospitals by nonprofit institutions as controlling entities and developing a Social Stock Exchange (SSE) in Indonesia as an alternative social financing instrument.
Methodology: Normative juridical research with a conceptual approach. The analysis focuses on two main concepts: the State’s responsibility in ensuring the right to health and the legal form of hospitals as business entities.
Results/Findings: Hospitals that go public must maintain share ownership by nonprofit legal entities, and Indonesia needs to establish an SSE as a platform for hospitals to obtain additional capital through traded instruments.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
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- Patel, C. S.Divyesh, and Naresh K. Patel. 2023. “India’s Social Stock Exchange (ISSE)–A 360° Analysis - Today’s Commitment for Tomorrow’s Action.” Journal of Sustainable Finance and Investment 13 (3): 1394–1414. https://doi.org/10.1080/20430795.2022.2061404.
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- Ritter, Jay R., and Ivo Welch. 2002. “Examen de l’activité, de La Tarification et Des Attributions Des Introductions En Bourse * A Review of IPO Activity, Pricing, and Allocations.” Journal of Finance 57 (4): 1795–1828.
- Roemer-Mahler, Anne. 2014. “The Rise of Companies from Emerging Markets in Global Health Governance: Opportunities and Challenges.” Review of International Studies 40 (5): 897–918. https://doi.org/10.1017/S0260210514000345.
- Sambodo, Novat Pugo, Eddy Van Doorslaer, Menno Pradhan, and Robert Sparrow. 2021. “Does Geographic Spending Variation Exacerbate Healthcare Benefit Inequality? A Benefit Incidence Analysis for Indonesia.” Health Policy and Planning 36 (7): 1129–39. https://doi.org/10.1093/heapol/czab015.
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References
Atmaja, A.P. Edi, and Anna Erliyana. 2024. “Affirming the Democratic Economic System After the Amendment of Article 33 of the Indonesian Constitution: A Critical Legal Studies Perspective.” Jurnal Bina Mulia Hukum 8 (2): 158–76. https://doi.org/10.23920/jbmh.v8i2.1084.
Bayliss, Kate. 2022. “Can ENGLAND’S National Health System Reforms Overcome the Neoliberal Legacy?” International Journal of Health Services 52 (4): 480–91. https://doi.org/10.1177/00207314221115945.
Cahyani, Prilian, Astutik, Yunita Dian Ashari, and Nayla Sarachenita Arrsya. 2024. “Perluasan Tanggungjawab Hukum Rumah Sakit (RS) Setelah Berlakunya Undang-Undang No. 17 Tahun 2023.” In Prosiding Seminar Hukum Aktual Fakultas Hukum Universitas Islam Indonesia, 518–36.
Charities Aid Foundation. 2022. “World Giving Index 2022 The Charities Aid Foundation Is a Leading Charity,” 26. www.cafonline.org to.
Cordilha, Ana Carolina. 2023. “Public Health Systems in the Age of Financialization: Lessons from the French Case.” Review of Social Economy 81 (2): 246–73. https://doi.org/10.1080/00346764.2020.1870710.
Darmawan, Racha Tiara. 2025. “Holding Rumah Sakit BUMN Persiapkan IPO Pada 2028.” Bloombergtechnoz. 2025. https://www.bloombergtechnoz.com/detail-news/63984/holding-rumah-sakit-bumn-persiapkan-ipo-pada-2028.
Darodjat, Rafan, and Maulana Irfan. 2023. “Resolusi Konflik Pekerja-Pengusaha Melalui Adanya Kepemilikan Saham Serikat Pekerja.” Focus:JurnalPekerjaanSosial. https://doi.org/10.24198/focus.v6i2.52820.
Darodjat, Rafan, and Deviana Yunitasari. 2025. “Implementasi Perjanjian Alih Teknologi Sebagai Tanggung Jawab Sosial Perusahaan Asing” 13:145–55. https://doi.org/https://doi.org/10.20961/privat.v13i1.
Epstein, Gerald A. 2005. “Financialization and the World Economy.” Financialization and the World Economy,. Publishing. http://search.lib.cam.ac.uk/?itemid=%7Cdepfacfmdb%7C434152.
Franz, Berkeley, Ashlyn Burns, Kristin Kueffner, Meeta Bhardwaj, Valerie A Yeager, Simone Singh, Neeraj Puro, and Cory E Cronin. 2023. “A National Overview of Nonprofit Hospital Community Benefit Programs to Address the Social Determinants of Health.” Health Affairs Scholar 1 (6): 1–8. https://doi.org/10.1093/haschl/qxad078.
Hasrul Buamona, and Vicki Dwi Purnomo. 2023. “Critical Review of Private Limited Liability Hospitals in the Perspective of Article 34 Paragraph (3) of the 1945 Constitution.” Formosa Journal of Social Sciences (FJSS) 2 (2): 201–18. https://doi.org/10.55927/fjss.v2i2.4571.
Honjo, Yuji. 2021. Public or Perish? From Founding to Initial Public Offering. Review of Managerial Science. Vol. 15. Springer Berlin Heidelberg. https://doi.org/10.1007/s11846-020-00390-4.
Jensen, Michael C., and William H. Meckling. 2019. “Theory of the Firm: Managerial Behavior, Agency Costs and Ownership Structure.” Corporate Governance: Values, Ethics and Leadership, no. 4, 77–132. https://doi.org/10.4159/9780674274051-006.
Komenkul, Kulabutr, and Santi Kiranand. 2017. “Aftermarket Performance of Health Care and Biopharmaceutical IPOs: Evidence from ASEAN Countries.” Inquiry (United States) 54. https://doi.org/10.1177/0046958017727105.
Leeson, Peter T., and Henry A. Thompson. 2023. Public Choice and Public Health. Public Choice. Vol. 195. Springer US. https://doi.org/10.1007/s11127-021-00900-2.
Loughran, Tim, and Jay Ritter. 2004. “Why Has IPO Underpricing Changed Over Time? And Several Anonymous Referees; and Especially Alexander Ljungqvist for Useful Comments.” Financial Management, 5–37. https://site.warrington.ufl.edu/ritter/files/2015/06/Why-Has-IPO-Underpricing-Changed-Over-Time-2004.pdf.
Marzuki, Peter Mahmud. 2017. Penelitian Hukum. Jakarta: Prenada Media.
Mella Fitriyatul Hilmi, Mustika Suri Nirmala, Randyarsa Nurindra Irawan, and Rizky Robbi Saputra. 2023. “Kedudukan Klasifikasi Baku Lapangan Usaha Indonesia 69104 Terhadap Pihak Lain Sebagai Pelaku Usaha Kegiatan Notaris.” Notaire 6 (3): 377–96. https://doi.org/10.20473/ntr.v6i3.46838.
Muchsan. 2003. Pengantar Hukum Administrasi Negara Indonesia. Jogjakarta: Liberty.
Nur, Andi Cudai. 2017. “Analisis Kebijakan Publik.” Analisis Kebijakan Publik 1 (April): 1–215.
Nusawakan, Dwight. 2024. “Konsep Perlindungan Hukum Di Indonesia Terhadap Hak Pasien Di Rumah Rumah Sakit.” Presidensial : Jurnal Hukum, Administrasi Negara, Dan Kebijakan Publik 1 (3): 254–63.
Patel, C. S.Divyesh, and Naresh K. Patel. 2023. “India’s Social Stock Exchange (ISSE)–A 360° Analysis - Today’s Commitment for Tomorrow’s Action.” Journal of Sustainable Finance and Investment 13 (3): 1394–1414. https://doi.org/10.1080/20430795.2022.2061404.
Pisani, Elizabeth, Maarten Olivier Kok, and Kharisma Nugroho. 2017. “Indonesia’s Road to Universal Health Coverage: A Political Journey.” Health Policy and Planning 32 (2): 267–76. https://doi.org/10.1093/heapol/czw120.
Pradipta, Vega Aulia. 2012. “Siloam Hospitals Listing 12 September 2013.” Bisnis Indonesia. 2012. https://market.bisnis.com/read/20130812/192/156198/siloam-hospitals-listing-12-september-2013?utm.
Rachmawati, Emma, Yuyun Umniyatun, Muhib Rosyidi, and Mochamad Iqbal Nurmansyah. 2022. “The Roles of Islamic Faith-Based Organizations on Countermeasures against the COVID-19 Pandemic in Indonesia.” Heliyon 8 (2): e08928. https://doi.org/10.1016/j.heliyon.2022.e08928.
Reference, Springer. 2008. Encyclopedia of Public Health. Edited by Wilhelm Kirch. Encyclopedia of Public Health. New York: Springer. https://doi.org/10.1007/978-1-4020-5614-7_2195.
Reinhardt, Uwe E., Peter S. Hussey, and Gerard F. Anderson. 2004. “U.S. Health Care Spending in an International Context: Why Is U.S. Spending so High, and Can We Afford It?” Health Affairs 23 (3): 10–25. https://doi.org/10.1377/hlthaff.23.3.10.
Ritter, Jay R., and Ivo Welch. 2002. “Examen de l’activité, de La Tarification et Des Attributions Des Introductions En Bourse * A Review of IPO Activity, Pricing, and Allocations.” Journal of Finance 57 (4): 1795–1828.
Roemer-Mahler, Anne. 2014. “The Rise of Companies from Emerging Markets in Global Health Governance: Opportunities and Challenges.” Review of International Studies 40 (5): 897–918. https://doi.org/10.1017/S0260210514000345.
Sambodo, Novat Pugo, Eddy Van Doorslaer, Menno Pradhan, and Robert Sparrow. 2021. “Does Geographic Spending Variation Exacerbate Healthcare Benefit Inequality? A Benefit Incidence Analysis for Indonesia.” Health Policy and Planning 36 (7): 1129–39. https://doi.org/10.1093/heapol/czab015.
Subiyanto, Desi, and Albertus Sentot Sudarwanto. 2020. “The Implementation of Nonprofit Principles toward Foundation Property Management.” Budapest International Research and Critics Institute (BIRCI-Journal) : Humanities and Social Sciences 3 (1): 18–25. https://doi.org/10.33258/birci.v3i1.708.
Tambing, Sariwati; et.al. 2024. “Analisis Faktor Kesiapan Penerapan Badan Layanan Umum Daerah (Blud) Di Rsud Pongtiku Kabupaten Toraja Utara” 14 (November): 683–91.
Teixeira da Silva, Jaime A. 2022. “Handling Ethics Dumping and Neo-Colonial Research: From the Laboratory to the Academic Literature.” Journal of Bioethical Inquiry 19 (3): 433–43. https://doi.org/10.1007/s11673-022-10191-x.
The Hindu. 2022. “SEBI Notifies Social Stock Exchange Framework.” 2022. https://www.thehindu.com/business/markets/sebi-notifies-social-stock-exchange-framework/article65685372.ece?
UNPRI. 2018. “Mobilizing Capital for Impact.” https://www.unpri.org/sustainable-financial-system/innovating-stock-exchanges-to-mobilize-capital-for-impact/3600.article?
WHO. 2023. “Indonesia in the 2023 Universal Health Coverage Global Monitoring Report.” 2023. https://www.who.int/indonesia/news/detail/16-11-2023-indonesia-in-the-2023-universal-health-coverage-global-monitoring-report/?utm.