Application of the DuPont Model for Assessing the Profitability of the Bulgarian University Hospitals

Lyubomira Koeva-Dimitrova () and Mincho Minev ()
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Lyubomira Koeva-Dimitrova: Medical University – Varna, Department of Economics and Health Care Management, Bulgaria
Mincho Minev: Medical University – Varna, Department of Economics and Health Care Management, Bulgaria

ACCOUNTING AND CONTROL: TRADITIONS AND NEW CHALLENGES IN VALUE CREATION AND SUSTAINABILITY, 2025, issue 1, 88-93

Abstract: Introduction: Financial analysis is a fundamental tool in the management of healthcare institutions, supporting strategic decision-making and the assessment of financial health. Objective: This study evaluates the profitability of university hospitals in Bulgaria. Materials and Methods: The financial statements of 13 university hospitals were analyzed for the period 2017–2023, applying the three-step DuPont model. Results and Discussion: The average profitability indicator for the entire period was -7.43, with values varying significantly among different healthcare institutions. Nine hospitals reported improvement, while four experienced a decline in return on equity. Nevertheless, the median value improved from 0.02 in 2017 to 1.49 in 2023. Conclusion: The significant variations in the indicator's values highlights challenges in maintaining sustainable financial performance. Integrating financial analysis into management practices can enhance efficiency and contribute to the long-term growth of healthcare institutions.

Keywords: Financial Analysis; Financial Health; Profitability Analysis; Return on Equity (ROE); University Hospitals (search for similar items in EconPapers)
Date: 2025
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