The influence of green organizational culture as a moderator on the determinants of triple bottom line performance in Indonesia hospital

This study aims to examine the influence of green human resource management (GHRM) and green supply chain management (GSCM) on triple bottom line performance in Indonesian hospitals, with a focus on the moderating role of green organizational culture and the mediating effect of GSCM. Primary data were collected from 850 functional procurement staff in hospitals under Indonesia's Ministry of Health through questionnaires distributed between March and June 2024. A total of 265 respondents were selected using disproportionate stratified random sampling based on the Krejcie method with a 5 percent margin of error. The data were analyzed using partial least squares structural equation modeling (PLS-SEM). The findings reveal that GHRM significantly enhances environmental and social performance but has no effect on economic performance. GSCM effectively mediates the relationship between GHRM and triple bottom line performance. Additionally, green organizational culture strengthens the relationship between GHRM and environmental performance but does not moderate its relationship with economic performance. The study highlights the importance of integrating green practices into hospital operations, particularly through eco-friendly employee training, supply chain efficiency, waste reduction, and the cultivation of a green organizational culture to promote sustainability. The study recommends the adoption of environmentally friendly practices to ensure long-term environmental health, social responsibility, and resource conservation in hospitals.