The purpose of this study was to determine the effect of the dimensions in the HOT-Fit framework on net profit and to determine the factors that support ERM information systems. The research method is quantitative with a cross-sectional research design. The number of samples was 87 respondents, namely medical record officers, doctors, nurses, and support unit officers. Research using a questionnaire in the form of Google Forms. The results showed that there is a strong positive relationship between aspects of organizational structure and aspects of organizational environment, there is a strong positive relationship between aspects of service quality, there is a moderate positive relationship between aspects of information quality and aspects of user satisfaction, there is a strong positive relationship between aspects of system quality and aspects of real benefits, there is a moderate/quite strong positive relationship between tangible benefits and organizational structure aspects, there is a strong positive relationship between tangible benefits and organizational environmental aspects with a Sig value of 0.000 (p<0.05). It is suggested that the ERM usage guidelines, training on the use of ERM for each individual, and ease of access to ERM services can be further developed.