Abstract: The study aims to analyze the effectiveness of its services with no formalism in Jayapura District Yowari Hospital. This study is a qualitative study using a case study approach that refers to Sala Model in the Theory of Prismatic Society. The data collection was done by using interviews, observation and documentation. Informants were purposively selected from various elements namely the element of hospital management, medical staff, nursing and midwifery, local governments and the patient/family who totaled 42 and were selected purposively. The data were analyzed qualitatively with descriptive approach. The results showed that the inconsistency in the implementation of the rules or formal provision is a trait that occurs almost evenly on all kinds of services, and a very dominant place in the administrative services and management. The implication of the formalism is in effective several types of hospital services. Nature of certain types of services, it was found that despite the formalism but effective ministry, where the case for their bribes (Bribe), as well as unofficial payments (inforrmal payment).