Analysis of the financial status of urban public hospitals in China based on DuPont analysis system
10.3760/cma.j.cn111325-20240507-00351
- VernacularTitle:基于杜邦分析体系的我国城市公立医院财务状况分析
- Author:
Yi ZHOU
1
;
Zixuan WANG
;
Siping DONG
;
Fang LIU
;
Xiqin LI
Author Information
1. 武汉大学公共卫生学院，武汉 430072
- Publication Type:Journal Article
- Keywords:
Hospitals, public;
DuPont analysis system;
Financial evaluation;
Profitability;
Operational capability;
Debt-paying ability
- From:
Chinese Journal of Hospital Administration
2025;41(2):90-95
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the financial status of urban public hospitals in China and provide references for promoting the integration of business and finance as well as refined management in urban public hospitals.Methods:Based on the financial data of urban public hospitals in 31 provinces, autonomous regions, municipalities directly under the central government, and the Xinjiang Production and Construction Corps (excluding Hong Kong, Macao, and Taiwan) from the annual financial reports of public hospitals issued by the Department of Finance of the National Health Commission during 2019—2021, the DuPont analysis system was employed to dissect the financial status of urban public hospitals in China, with return on net assets as the core indicator. The profitability was measured by return on net assets, the operational capability was measured by the total asset turnover rate, and the debt-paying ability was measured by the short-term debt-paying ability indicator, current ratio, and the long-term debt-paying ability indicator, debt-to-asset ratio.Results:From 2019 to 2021, the number of urban public hospitals in China were 2 752, 2 797, and 2 815, respectively. The return on net assets was 8.83%, 9.29%, and 7.65%, respectively, with the changes mainly influenced by medical revevene surplus rate. The total asset turnover rate was 81.92%, 68.36%, and 73.54%, respectively, with the changes mainly affected by total assets and medical income. The current ratios were 1.23, 1.20, and 1.16, respectively, while the debt-to-asset ratios were 44.88%, 44.47%, and 43.86%, respectively, which remained at a relatively high level. The proportion of non-current assets was 53.50%, 55.26%, and 56.88%, respectively.Conclusions:From 2019 to 2021, the profitability and operational efficiency of urban public hospitals in China both declined, showing a current operational status of high asset intensity and high debt. It is recommended that national administrative departments increase financial input and optimize asset allocation. Urban public hospitals should enhance comprehensive budget management and improve the refinement level of operational management to achieve efficient and sustainable development.
