Assessing The Risk of Financial Failure And Market Power in Borsa Istanbul Healthcare Sector: An Analysis Based on Grover G, Zmijewski Z And Tobin's Q Models

Authors

DOI:

https://doi.org/10.63556/tisej.2025.1548

Keywords:

Health Sector, Financial Performance, Financial Failure, Financial Distress Prediction Models, Market Power

Abstract

With the impact of globalization and technological advancements, it is becoming increasingly difficult for businesses to maintain their competitive edge. Therefore, healthcare enterprises have become dependent on strong financial performance to access external financial resources. This study aims to evaluate the market power and risk of financial failure of 6 companies operating in the healthcare sector in Borsa Istanbul. For this purpose, the financial statements of healthcare companies listed on Borsa Istanbul for the period 2016-2024 are used, and the risk of financial failure is analyzed using the Grover-G and Zmijewski-Z models. Market power is analyzed using Tobin's Q ratio. This study makes a unique contribution to the literature by integrating the market-based Tobin's Q ratio in the financial failure analysis of companies operating in the healthcare sector, rather than relying only on traditional models. As a result of the study, the findings of the Grover G-Score, which is used to predict the risk of financial failure of healthcare firms, are largely consistent with the Zmijewski Z-Score and show that all firms have a financially sound structure throughout the analysis period. Moreover, the correlation matrix reveals a significant positive relationship between Grover G-Score and Tobin's Q ratio. This finding indicates that there is a strong link between the growth potential of companies and their market valuation and that companies with high growth potential are valued higher by the market.

References

Acharyya, K. (2023). Assessing The Feasibility of Altman’s “Z” Score Model in Identifying Companies on The Verge of Financial Collapse: A Study on Select Indian Pharma Companies. ESSBC Journal of Business Studies, 1(1), 25-34.

Altan, İ. M. ve Şimşek, Ü. (2023). Evaluation of Financial Failure of Healthcare Companies Traded in BIST with Fulmer H and Springate S Score Models. Afyon Kocatepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 25(2), 257-264.

Ansari, B., Yawar-uz-Zaman, M., & Sabri, R. (2023). Gauging Bankruptcy Using Altman’s Z-Score: Empirical Investigation from The Pharmaceutical Sector. Siazga Research Journal, 2(3), 192-201.

Augurzky, B., Engel, D., Schmidt, C. M., & Schwierz, C. (2012). Ownership and Financial Sustainability of German Acute Care Hospitals. Health Economics, 21(7), 811-824.

Aydın, D. ve Gümüş, U. T. (2024). BİST’te İşlem Gören Enerji Sektörü İşletmelerinin COVID Öncesi ve Sonrası Yılların; Oran Analizi ve Altman–Z Metodu Kullanılarak Ölçülmesi. U. T. Gümüş (Ed.), İşletmeler Açısından Mali Tablo Analizinin ve Finansal Başarısızlık Ölçümünün Önemi: Örnek Olaylarla Gösterimi Kitabı içinde (s. 39-51). Ankara: Serüven Yayınevi.

Bağcı, H. ve Sağlam, Ş. (2020). Sağlık ve Spor Kuruluşlarında Finansal Başarısızlık Tahmini: Altman, Springate ve Fulmer Modeli Uygulaması. Hacettepe Sağlık İdaresi Dergisi, 23(1), 149-164.

Bayındır, A. B. ve Aksoy, M. (2024). Kovid-19 Pandemi Döneminde Kurumsal Sürdürülebilirlik Performansı ile Finansal Performans Arasındaki İlişki. Anadolu Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 25(1), 453-478.

Beaver, W. H. (1966). Financial Ratios As Predictors of Failure. Journal of Accounting Research, 71-111.

Civan, M. ve Dayı, F. (2014). Altman Z Skoru ve Yapay Sinir Ağı Modeli ile Sağlık İşletmelerinde Finansal Başarısızlık Tahmini. Akademik Bakış Uluslararası Hakemli Sosyal Bilimler Dergisi, (41).

Çavmak, Ş. ve Erdinç, N. Y. (2024). Sağlık Sektöründe Finansal Başarısızlık Tahmini: Türkiye Cumhuriyet Merkez Bankası Sektör Bilançoları Üzerine Bir Uygulama. İşletme Akademisi Dergisi, 5(2), 155-170.

Deakin, E. B. (1972). A Discriminant Analysis of Predictors of Business Failure. Journal of Accounting Research, 167-179.

Erkılıç, C. E. ve Aksoy, A. (2020). Hastanelerde Finansal Başarısızlık Tahmini: Lojistik Regresyon Modeli ile Kamu Hastaneleri Üzerine Bir Uygulama. İşletme Araştırmaları Dergisi, 12(2), 1415-1433.

Fauzi, S. E., Sudjono, & Saluy, A. B. (2021), Comparative Analysis of Financial Sustainability Using The Altman Z-Score, Springate, Zmijewski and Grover Models for Companies Listed at Indonesia Stock Exchange Sub-Sector Telecommunication Period 2014 – 2019. Journal of Economics and Business, 4(1), 57-78.

Festa, G., Rossi, M., Kolte, A., & Marinelli, L. (2021). The Contribution of Intellectual Capital to Financial Stability in Indian Pharmaceutical Companies. Journal Of Intellectual Capital, 22(2), 337-359.

Gustirani, I., Farahnash, F., Dongoran, H., & Wiharko, T. (2023). A Finansial Distress Prediction Using The Altman, Springate, Zmijewski, and Grover Models in Pharmaceutical Companies Listed on Indonesia Stock Exchange. Adpebi Science Series, 1(1), 1-12.

Gülençer, S. ve Hazar, A. (2020). Borsa İstanbul’da Faaliyet Gösteren İlaç Şirketlerinin Altman Z Skor ve TOPSIS Yöntemleri ile Değerlendirilmesi. Ekonomi ve Finansal Araştırmalar Dergisi, 2(2), 83-105.

Gürol, B. ve Özparlak, G. (2022). Finansal Başarısızlık ile Performans İlişkisi: Borsa İstanbul Şirketleri Üzerine Bir Araştırma. SSD Journal, 7(33), 244-256.

Kıymık, H. ve Karaçadır, V. (2023). Covid-19 Salgınının Finansal Başarı Durumuna Etkileri: BİST Sağlık Sektöründe Listelenen Şirketlerin Altman Z Skoru ile Analiz. Journal of Current Researches on Business and Economics, 13 (1), 89-108.

Koç, F. Ö., Atalay, E. ve Deran, A. (2023). The Impact of Human Resources Practices on The Financial Performance of Companies: The Analysis of BIST 30 Companies. Karamanoğlu Mehmetbey Üniversitesi Sosyal ve Ekonomik Araştırmalar Dergisi, 25(45), 1284-1297.

Langabeer, J. R., Lalani, K. H., Champagne-Langabeer, T., & Helton, J. R. (2018). Predicting Financial Distress in Acute Care Hospitals. Hospital Topics, 96(3), 75-79.

Lee, D. E., & Tompkins, J. G. (1999). A Modified Verison of The Lewellen and Badrinath Measure of Tobin’s Q. Financial Management, 28(1): 20- 31.

Murtiningrum, W., & Rizky, B. A. (2023). Analysis of Financial Distress in Pharmaceutical Companies Listed on IDX. In Perbanas International Seminar on Economics, Business, Management, Accounting and IT, Vol. 1, 105-114.

Nurfadillah, P. S., & Yulianti, E. (2024). Accuracy Analysis of The Financial Distress Prediction Model Using Altman Z-Score, Springate, Zmijewski and Grover in The Oil, Gas and Geothermal Mining Subsectors Listed on The Indonesian Stock Exchange (BEI). Jurnal Ekonomi, 13(01), 2202-2215.

Özgülbaş, N., Koyuncugil, A. S., Duman, R. ve Hatipoğlu, B. (2008). Özel Hastane Sektörünün Finansal Değerlendirmesi. Muhasebe ve Finansman Dergisi, (40), 120-131.

Prihanthini, N. M. E. D., & Sari, M. M. R. (2013). Prediksi Kebangkrutan Dengan Model Grover, Altman Z-Score, Springate Dan Zmijewski Pada Perusahaan Food And Beverage Di Bursa Efek Indonesia. E-Jurnal Akuntansi, 5(2), 417-435.

Ross, S. A., Westerfield, R. W., & Jordan, B. D. (2013). Corporate Finance: Tenth Edition McGraw-Hill Irwin.

Saputro, A. F., & Mubarrok, U. S. (2024). Financial Distress Analysis Using the Altman Z-Score and Ohlson Methods on Companies Listed on the Indonesian Sharia Stock Index for 2020-2023. In Proceeding International Conference on Islamic Economics and Business (ICIEB), 3(1), 12-22.

Singh, S., Tejasmayee, P., Singh Gautam, R., & Rastogi, S. (2024). Impact of ESG on Financial Distress in The Healthcare Sector Using Debt-Equity Ratio As A Moderator. In 2024 ASU International Conference in Emerging Technologies for Sustainability and Intelligent Systems (ICETSIS), 1533-1538, IEEE.

Tanjung, P. R. S. (2020). Comparative Analysis of Altman Z-Score, Springate, Zmijewski and Ohlson Models in Predicting Financial Distress. EPRA International Journal of Multidisciplinary Research (IJMR)-Peer Reviewed Journal, 6(3), 126-137.

Türedi, H., Celayir, D., Çakalı, K. R. ve Baloğlu, G. (2023). Finansal Oranlarla Mali Sağlamlık Ölçümü: Borsa İstanbul’da İşlem Gören Orman Ürünleri ve Mobilya İşletmeleri Üzerine Bir Araştırma. Başkent Üniversitesi Ticari Bilimler Fakültesi Dergisi, 7(2), 83-107.

Published

22.09.2025

How to Cite

KARAÇADIR, V. (2025). Assessing The Risk of Financial Failure And Market Power in Borsa Istanbul Healthcare Sector: An Analysis Based on Grover G, Zmijewski Z And Tobin’s Q Models. Third Sector Social Economic Review, 60(3), 2336–2353. https://doi.org/10.63556/tisej.2025.1548

Issue

Section

Research Article

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.