ABSTRACT:-  The high level of employee turnover can have a negative impact on a company. To identify the level of employee turnover, companies can analyze the tendency for turnover intention. This study aims to analyze the effect of transformational leadership, and job stress on job satisfaction and employee turnover intention, and analyze the mediating role of job satisfaction variables. Testing the research hypothesis using Structural Equation Modeling (SEM) analysis techniques using SMARTPLS, using IBM SPSS Statistics 22 for validity and reliability testing, and the sample in this study amounted to 140 respondents, taken using the Purposive Sampling sampling technique, with employee respondent criteria Puri Raharja General Hospital Denpasar in addition to the position of Commissioner and Directors. The results showed that (1) transformational leadership had a negative and significant effect on employee turnover intention, (2) work stress had a positive and significant effect on employee turnover intention, (3) job satisfaction had a negative and significant effect on employee turnover intention, (4) transformational leadership has a positive and significant effect on employee job satisfaction, (5) job stress has a negative and significant effect on employee job satisfaction, (6) job satisfaction mediates the effect of transformational leadership on employee turnover intention, (7) job satisfaction mediates the effect of job stress on turnover intention the employee. Managerial implications and suggestions in this study are to reduce the level of turnover intention of employees, companies or institutions to implement transformational leadership and increase job satisfaction. To increase job satisfaction, companies or institutions must reduce the level of job stress, so that by reducing the level of job stress it will increase job satisfaction, and reduce the intention of employees to resign themselves.

KEYWORDS – transformational leadership, , job stress, job satisfaction, turnover intention