BLUD merupakan bagian dari perangkat pemerintah daerah, dengan status hukum tidak terpisah dari pemerintah daerah. Berbeda dengan SKPD pada umumnya, pola pengelolaan keuangan BLUD memberikan fleksibilitas berupa keleluasaan untuk menerapkan praktik-praktik bisnis yang sehat untuk meningkatkan pelayanan kepada masyarakat, seperti pengecualian dari ketentuan pengelolaan keuangan daerah pada umumnya. Sebuah satuan kerja atau unit kerja dapat ditingkatkan statusnya sebagai BLUD.
Contoh dari SKPD dengan status BLUD adalah Rumah Sakit Umum Daerah (RSUD). Unit kerja seperti puskesmas atau tempat rekreasi tidak tertutup kemungkinan ditingkatkan statusnya sebagai BLUD.
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