The Effect of Capital Structure on the Financial Performance of Healthcare Companies on the Indonesia Stock Exchange: The Moderating Role of Macroeconomics (2021–2024)

Authors

  • Marli Malangkucecwara College of Economics, Indonesia
  • Dwi Danesty Deccasari Danesty STIE Malangkucecwara, Indonesia

DOI:

https://doi.org/10.24256/kharaj.v8i1.9458

Keywords:

Macroeconomics, Capital Structure, Financial Performance

Abstract

This research is a causal associative quantitative study that aims to analyze the causal relationship between Capital Structure and Financial Performance variables with Macroeconomic Moderation. The population is 16 Main Board Healthcare and Developer companies listed on the IDX in 2021-2024. Using the SEM-PLS 4.0 analysis tool, the research results show that Macroeconomic Variables contribute positively and significantly to the company's Financial Performance, indicated by a path coefficient of 0.349. Conversely, Capital Structure has a negative and significant effect on Financial Performance with a coefficient of -0.419, indicating that an inefficient capital structure can reduce financial performance.

References

Agustin, ED, Made, A., & Retnasari, A. (2022). The Effect of Capital Structure, Company Size, and Intellectual Capital on Company Value, with Financial Performance as an Intervening Variable (A Case Study of Manufacturing Companies Listed on the IDX in the 2017–2019 Period). Indonesian Journal of Accounting , 11 (1), 37. https://doi.org/10.30659/jai.11.1.37-58

Alsabi, H., Saadon, MSI, & Mohammad, A.M. (2023). Nexus of COVID-19 Crises and Health Care Performance in Jordan: The Moderating Role of Telemedicine, Innovation, and Infrastructure. International Journal of Sustainable Development and Planning , 18 (12), 3895. https://doi.org/10.18280/ijsdp.181221

Andriyani, NKY, & Dwirandra, AANB (2023). Moderation of Asset Structure and Liquidity on the Effect of Capital Structure on Profitability in Property and Real Estate Companies. E-Journal of Accounting , 33 (9). https://doi.org/10.24843/eja.2023.v33.i09.p17

Anita, A., Humaemah, R., & Suganda, A.D. (2021). Beta Testing of Consumption and Its Implications for Sharia Stock Returns in Indonesia Considering Macroeconomic Variables. Journal of Business and Management Essence , 10 (2), 181. https://doi.org/10.15408/ess.v10i2.18383

Asqalany, H., & Dewi, SKS (2024). THE EFFECT OF PROFITABILITY AND LIQUIDITY ON CAPITAL STRUCTURE MODERATED BY CAPITAL EXPENDITURE. E-Journal of Management, Udayana University , 13 (2), 191. https://doi.org/10.24843/ejmunud.2024.v13.i02.p02

Ayyıldız, N. (2025). Borsa İstanbul'da Sermaye Yapısı, Karlılık, Temettü ve Büyüme Dinamiklerinin Sektörel Analizi. Uluslararası Economy İşletme ve Politika Dergisi , 9 (2), 833. https://doi.org/10.29216/ueip.1694655

Baghaskoro, RF, Banani, A., & Najmudin, N. (2021). The Effect of Profitability, Tangible Assets, Company Size, Growth, and Company Age on Company Capital Structure (An Empirical Study of Property and Real Estate Companies Listed on the Indonesia Stock Exchange). Bahtera Inovasi , 3 (2), 119. https://doi.org/10.31629/bi.v3i2.3330

Baihaqi, N., Geraldina, I., & Wijaya, SY (2021). THE EFFECT OF CAPITAL STRUCTURE ON COMPANY VALUE DURING THE COVID-19 PANDEMIC EMERGENCY CONDITION. AKUNIDA JOURNAL , 7 (1), 72. https://doi.org/10.30997/jakd.v7i1.4512

Baroto, Y., Manurung, AH, Buhdadi, AD, & Yusuf, M. (2024). Healthcare Industries' Capital Structure Determinants: Evident Listed Companies on the Indonesian Stock Exchange. Journal of Economics Finance and Management Studies , 7 (6). https://doi.org/10.47191/jefms/v7-i6-28

Darmawan, IPA, & Widanaputra, AAGP (2022). Work-Life Balance Moderates Equity Sensitivity and Internal Locus of Control on Auditor Ethical Behavior. E-Journal of Accounting , 32 (4), 928. https://doi.org/10.24843/eja.2022.v32.i04.p08

Fransiska, F., & Widjaja, I. (2023). Factors influencing corporate value with corporate financial performance as a mediating variable: An analysis of manufacturing companies listed on the Indonesia Stock Exchange. Journal of Business Management and Entrepreneurship , 7 (2), 247. https://doi.org/10.24912/jmbk.v7i2.23336

Gniadkowska ‐ Szymańska, A., Papiernik-Wojdera, M., & KARKOWSK, T. A. (2025). FINANCIAL SECURITY UNDER ECONOMIC PRESSURE: OLS AND ARMAX ANALYSIS OF MACROECONOMIC STABILIZATION IN HEALTHCARE SECTORE. Scientific Papers of Silesian University of Technology Organization and Management Series , 2025 (225), 179. https://doi.org/10.29119/1641-3466.2025.225.12

Hanasa, N., & Lubis, AW (2023). Financial Flexibility and Health Sector Firm Performance in ASEAN-5 Countries: Moderate Role of Directors with MD Degree. In Advances in economics, business and management research/Advances in Economics, Business and Management Research (p. 112). Atlantis Press. https://doi.org/10.2991/978-94-6463-234-7_12

Handayani, N., & Rahyuda, H. (2025). THE EFFECT OF CAPITAL STRUCTURE, PROFITABILITY, AND COMPANY SIZE ON COMPANY VALUE IN THE FOOD AND BEVERAGES SUB-SECTOR. E-Journal of Management, Udayana University , 14 (7), 480. https://doi.org/10.24843/ejmunud.2025.v14.i7.p01

Heliani, H., & Fadhillah, NHK (2022). Effect of Asset Structure, Company Size, Liquidity, Profitability, and Sales Growth on Capital Structure. Bisnisman Journal of Business and Management Research , 4 (1), 80. https://doi.org/10.52005/bisnisman.v4i1.120

Hendi, H., & Susanti, Y. (2021). Analysis of factors influencing capital structure on the Indonesia Stock Exchange. Journal of Economic Modernization , 17 (2), 139. https://doi.org/10.21067/jem.v17i2.5528

Hidayat, R., & Moin, A. (2023). The influence of financial behavior on capital market investment decision making with mediating of financial literacy in Yogyakarta. International Journal of Research in Business and Social Science (2147-4478) , 12 (8), 227. https://doi.org/10.20525/ijrbs.v12i8.2974

Islami, DI, & Wulandari, A. (2023). The Effect of GCG, Capital Structure, and Leverage on the Financial Performance of Mining Companies. Nominal Barometer of Accounting and Management Research , 12 (2), 254. https://doi.org/10.21831/nominal.v12i2.60207

Jati, AKN, & Widiyaningsih, VA (2024). Between volatility and stability: Analysis of stock price determinants with Covid-19 as a moderator. Journal of Business and Management Inspiration , 7 (2), 99. https://doi.org/10.33603/jibm.v7i2.8837

Jessica, J., & Triyani, Y. (2022). THE EFFECT OF CAPITAL STRUCTURE, LIQUIDITY, COMPANY SIZE, AND COMPANY AGE ON FINANCIAL PERFORMANCE. Journal of Accounting , 11 (2), 138. https://doi.org/10.46806/ja.v11i2.891

Karnowati, NB, & Handayani, E. (2021). EMOTIONAL BRANDING OF FOLDING BIKE PURCHASES IN THE COVID-19 ERA. Value Journal of Management and Accounting , 16 (1), 1. https://doi.org/10.32534/jv.v16i1.1519

Kristian, J., & Setyawan, IR (2024). Improving the quality of investment decisions through digital financial literacy. Journal of Business Management and Entrepreneurship , 8 (2), 468. https://doi.org/10.24912/jmbk.v8i2.29695

Kumalasari, F., Munawarah, M., & Parluhutan, TA (2023). Financial Performance Analysis of Companies in the Healthcare Sector Listed on the Indonesia Stock Exchange. Scientific Journal of Management and Business (JIMBI) , 4 (1), 21. https://doi.org/10.31289/jimbi.v4i1.1682

María, I., & Widjaja, I. (2023). The effect of profitability, company size, and liquidity on company value with capital structure as a mediating variable in food and beverage (F&B) companies on the Indonesia Stock Exchange. Journal of Business Management and Entrepreneurship , 7 (1), 50. https://doi.org/10.24912/jmbk.v7i1.22469

Missaoui, I., & Alduraywish, Y. (2023). Capital Structure and Macroeconomic Determinants in Emerging Countries: A Panel Quantile Regression Approach. International Journal of Economics and Finance , 15 (12), 68. https://doi.org/10.5539/ijef.v15n12p68

Muntahanah, S., Cahyo, H., Sundari, S., Surveyandini, M., Danuta, KS, & Murdijaningsih, T. (2022). Analysis of capital structure in insurance companies listed on the Indonesia Stock Exchange (IDX) for the period 2014-2020. AKUNTABEL , 19 (2), 275. https://doi.org/10.30872/jakt.v19i2.11184

Nainggolan, YT, & Karunia, E. (2022). Leverage, corporate governance, and profitability as determinants of earnings management. AKUNTABEL , 19 (2), 420. https://doi.org/10.30872/jakt.v19i2.10752

Nasution, A., & Fakhri, UN (2024). From Crisis to Stability: How Macroeconomics Shapes Islamic Banking and MSME Futures? Share Journal of Islamic Economics and Finance , 13 (1), 369. https://doi.org/10.22373/share.v13i1.23049

Oktaviyana, D., Titisari, KH, & Kurniati, S. (2023). The Effect of Leverage, Liquidity, Capital Structure, and Company Size on Financial Performance. Journal of Economic Business and Accounting (COSTING) , 6 (2), 1563. https://doi.org/10.31539/costing.v6i2.5444

Pungky, DR (2023). The Effect of Corporate Financial Performance and Corporate Environmental Performance on Corporate Sustainability Performance with the Board of Independence as a Moderating Variable. JOURNAL OF APPLIED BUSINESS ADMINISTRATION , 7 (2), 219. https://doi.org/10.30871/jaba.v7i2.6313

Putera, FZZA (2021). The Effect of Institutional Ownership and Capital Structure on Financial Performance. MAXIMUM , 11 (2), 85. https://doi.org/10.26714/mki.11.2.2021.85-95

Rahmadi, IH, & Mutasowifin, A. (2021). The Influence of Intellectual Capital on Financial Performance and Company Value (Case Study of Financial Sector Companies Listed on the Indonesia Stock Exchange 2017-2019). INOBIS Indonesian Journal of Business Innovation and Management , 4 (2), 279. https://doi.org/10.31842/jurnalinobis.v4i2.183

Rahmawati, L., & Sembiring, EE (2022). Comparison of Financial Performance of Healthcare Companies Listed on the Indonesia Stock Exchange Before and During the Covid-19 Pandemic. Indonesian Accounting Literacy Journal , 2 (3), 589. https://doi.org/10.35313/ialj.v2i3.3985

Renaldo, N., Sally, Musa, S., Wahid, N., & Cecilia, C. (2023). Capital Structure, Profitability, and Block Holder Ownership on Dividend Policy using Free Cash Flow as Moderation Variable. Journal of Applied Business and Technology , 4 (2), 168. https://doi.org/10.35145/jabt.v4i2.132

Sholeh, MS, & Jakaria, RB (2021). Partial Least Square In Analyzing The Influence Of Service Quality, Facilities And Price On Customers. Procedia of Engineering and Life Science , 1 (2). https://doi.org/10.21070/pels.v1i2.1032

Sulistiyo, AB, Maharani, B., Aprillianto, B., Widiyanti, NW, & Miqdad, M. (2022). Explanation Study of Agro-Industrial Firm Financial Performance Based on Capital Structure and Firm Strategy in the COVID-19 Pandemic. Airlangga Journal of Accounting and Business Research , 7 (2), 1343. https://doi.org/10.20473/jraba.v7i2.39888

Surbakti, A. (2025). The impact of compensation on corporate performance: The role of firm size and leverage. Journal of Innovation in Business and Economics , 9 (1). https://doi.org/10.22219/jibe.v9i01.38571

Suryanti, NW, Widnyana, IW, & Sukadana, IW (2025). THE EFFECT OF CAPITAL STRUCTURE, COMPANY SIZE, AND FINANCIAL PERFORMANCE ON COMPANY VALUE IN PUBLIC COMPANIES LISTED IN THE KOMPAS 100 INDEX OF THE INDONESIA STOCK EXCHANGE. EMAS , 6 (8), 1729. https://doi.org/10.36733/emas.v6i8.12318

Wardhana, R., Anam, S., Inayah, NL, Mulia, TW, Budiharjo, R., & Tjaraka, H. (2025). Financial Distress as a Mediator Between Capital Structure, Earnings Management, and Tax Aggressiveness. Journal of Accounting , 29 (3), 427. https://doi.org/10.24912/ja.v29i3.2893

Yuliani, E. (2021). The Effect of Capital Structure, Liquidity, and Sales Growth on Financial Performance. Journal of Management Science , 10 (2), 111. https://doi.org/10.32502/jimn.v10i2.3108

Yurisafira, OD, Sunitiyoso, Y., & Rahadi, RA (2023). Macroeconomic and financial dimensions influences on Indonesia's property and real estate companies value (2017-2022). International Journal of Research in Business and Social Science (2147-4478) , 12 (9), 229. https://doi.org/10.20525/ijrbs.v12i9.3053

Downloads

Published

2026-02-11

How to Cite

Marli, & Danesty, D. D. D. (2026). The Effect of Capital Structure on the Financial Performance of Healthcare Companies on the Indonesia Stock Exchange: The Moderating Role of Macroeconomics (2021–2024). Al-Kharaj: Journal of Islamic Economic and Business, 8(1). https://doi.org/10.24256/kharaj.v8i1.9458

Citation Check

Similar Articles

<< < 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 > >> 

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