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Shouldice Hospital Ltd. (Abridged) SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of Shouldice Hospital Ltd. (Abridged)


A hospital specializing in hernia operations is considering whether and how to expand the reach of its services.

Authors :: Roger Hallowell, James L. Heskett

Topics :: Technology & Operations

Tags :: Manufacturing, Organizational culture, Social enterprise, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "Shouldice Hospital Ltd. (Abridged)" written by Roger Hallowell, James L. Heskett includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that Hernia Shouldice facing as an external strategic factors. Some of the topics covered in Shouldice Hospital Ltd. (Abridged) case study are - Strategic Management Strategies, Manufacturing, Organizational culture, Social enterprise and Technology & Operations.


Some of the macro environment factors that can be used to understand the Shouldice Hospital Ltd. (Abridged) casestudy better are - – increasing commodity prices, technology disruption, cloud computing is disrupting traditional business models, central banks are concerned over increasing inflation, increasing household debt because of falling income levels, customer relationship management is fast transforming because of increasing concerns over data privacy, increasing government debt because of Covid-19 spendings, talent flight as more people leaving formal jobs, increasing inequality as vast percentage of new income is going to the top 1%, etc



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Introduction to SWOT Analysis of Shouldice Hospital Ltd. (Abridged)


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in Shouldice Hospital Ltd. (Abridged) case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the Hernia Shouldice, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which Hernia Shouldice operates in.

According to Harvard Business Review, 75% of the managers use SWOT analysis for various purposes such as – evaluating current scenario, strategic planning, new venture feasibility, personal growth goals, new market entry, Go To market strategies, portfolio management and strategic trade-off assessment, organizational restructuring, etc.




SWOT Objectives / Importance of SWOT Analysis and SWOT Matrix


SWOT analysis of Shouldice Hospital Ltd. (Abridged) can be done for the following purposes –
1. Strategic planning using facts provided in Shouldice Hospital Ltd. (Abridged) case study
2. Improving business portfolio management of Hernia Shouldice
3. Assessing feasibility of the new initiative in Technology & Operations field.
4. Making a Technology & Operations topic specific business decision
5. Set goals for the organization
6. Organizational restructuring of Hernia Shouldice




Strengths Shouldice Hospital Ltd. (Abridged) | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of Hernia Shouldice in Shouldice Hospital Ltd. (Abridged) Harvard Business Review case study are -

Strong track record of project management

– Hernia Shouldice is known for sticking to its project targets. This enables the firm to manage – time, project costs, and have sustainable margins on the projects.

Analytics focus

– Hernia Shouldice is putting a lot of focus on utilizing the power of analytics in business decision making. This has put it among the leading players in the industry. The technology infrastructure suggested by Roger Hallowell, James L. Heskett can also help it to harness the power of analytics for – marketing optimization, demand forecasting, customer relationship management, inventory management, information sharing across the value chain etc.

Cross disciplinary teams

– Horizontal connected teams at the Hernia Shouldice are driving operational speed, building greater agility, and keeping the organization nimble to compete with new competitors. It helps are organization to ideate new ideas, and execute them swiftly in the marketplace.

Sustainable margins compare to other players in Technology & Operations industry

– Shouldice Hospital Ltd. (Abridged) firm has clearly differentiated products in the market place. This has enabled Hernia Shouldice to fetch slight price premium compare to the competitors in the Technology & Operations industry. The sustainable margins have also helped Hernia Shouldice to invest into research and development (R&D) and innovation.

Training and development

– Hernia Shouldice has one of the best training and development program in the industry. The effectiveness of the training programs can be measured in Shouldice Hospital Ltd. (Abridged) Harvard Business Review case study by analyzing – employees retention, in-house promotion, loyalty, new venture initiation, lack of conflict, and high level of both employees and customer engagement.

Innovation driven organization

– Hernia Shouldice is one of the most innovative firm in sector. Manager in Shouldice Hospital Ltd. (Abridged) Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Effective Research and Development (R&D)

– Hernia Shouldice has innovation driven culture where significant part of the revenues are spent on the research and development activities. This has resulted in, as mentioned in case study Shouldice Hospital Ltd. (Abridged) - staying ahead in the industry in terms of – new product launches, superior customer experience, highly competitive pricing strategies, and great returns to the shareholders.

Organizational Resilience of Hernia Shouldice

– The covid-19 pandemic has put organizational resilience at the centre of everthing that Hernia Shouldice does. Organizational resilience comprises - Financial Resilience, Operational Resilience, Technological Resilience, Organizational Resilience, Business Model Resilience, and Reputation Resilience.

Successful track record of launching new products

– Hernia Shouldice has launched numerous new products in last few years, keeping in mind evolving customer preferences and competitive pressures. Hernia Shouldice has effective processes in place that helps in exploring new product needs, doing quick pilot testing, and then launching the products quickly using its extensive distribution network.

High brand equity

– Hernia Shouldice has strong brand awareness and brand recognition among both - the exiting customers and potential new customers. Strong brand equity has enabled Hernia Shouldice to keep acquiring new customers and building profitable relationship with both the new and loyal customers.

Low bargaining power of suppliers

– Suppliers of Hernia Shouldice in the sector have low bargaining power. Shouldice Hospital Ltd. (Abridged) has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps Hernia Shouldice to manage not only supply disruptions but also source products at highly competitive prices.

Digital Transformation in Technology & Operations segment

- digital transformation varies from industry to industry. For Hernia Shouldice digital transformation journey comprises differing goals based on market maturity, customer technology acceptance, and organizational culture. Hernia Shouldice has successfully integrated the four key components of digital transformation – digital integration in processes, digital integration in marketing and customer relationship management, digital integration into the value chain, and using technology to explore new products and market opportunities.






Weaknesses Shouldice Hospital Ltd. (Abridged) | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of Shouldice Hospital Ltd. (Abridged) are -

High operating costs

– Compare to the competitors, firm in the HBR case study Shouldice Hospital Ltd. (Abridged) has high operating costs in the. This can be harder to sustain given the new emerging competition from nimble players who are using technology to attract Hernia Shouldice 's lucrative customers.

Interest costs

– Compare to the competition, Hernia Shouldice has borrowed money from the capital market at higher rates. It needs to restructure the interest payment and costs so that it can compete better and improve profitability.

High dependence on existing supply chain

– The disruption in the global supply chains because of the Covid-19 pandemic and blockage of the Suez Canal illustrated the fragile nature of Hernia Shouldice supply chain. Even after few cautionary changes mentioned in the HBR case study - Shouldice Hospital Ltd. (Abridged), it is still heavily dependent upon the existing supply chain. The existing supply chain though brings in cost efficiencies but it has left Hernia Shouldice vulnerable to further global disruptions in South East Asia.

High cash cycle compare to competitors

Hernia Shouldice has a high cash cycle compare to other players in the industry. It needs to shorten the cash cycle by 12% to be more competitive in the marketplace, reduce inventory costs, and be more profitable.

High bargaining power of channel partners

– Because of the regulatory requirements, Roger Hallowell, James L. Heskett suggests that, Hernia Shouldice is facing high bargaining power of the channel partners. So far it has not able to streamline the operations to reduce the bargaining power of the value chain partners in the industry.

Employees’ incomplete understanding of strategy

– From the instances in the HBR case study Shouldice Hospital Ltd. (Abridged), it seems that the employees of Hernia Shouldice don’t have comprehensive understanding of the firm’s strategy. This is reflected in number of promotional campaigns over the last few years that had mixed messaging and competing priorities. Some of the strategic activities and services promoted in the promotional campaigns were not consistent with the organization’s strategy.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, Hernia Shouldice is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study Shouldice Hospital Ltd. (Abridged) can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

Ability to respond to the competition

– As the decision making is very deliberative, highlighted in the case study Shouldice Hospital Ltd. (Abridged), in the dynamic environment Hernia Shouldice has struggled to respond to the nimble upstart competition. Hernia Shouldice has reasonably good record with similar level competitors but it has struggled with new entrants taking away niches of its business.

Low market penetration in new markets

– Outside its home market of Hernia Shouldice, firm in the HBR case study Shouldice Hospital Ltd. (Abridged) needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.

Need for greater diversity

– Hernia Shouldice has taken concrete steps on diversity, equity, and inclusion. But the efforts so far has resulted in limited success. It needs to expand the recruitment and selection process to hire more people from the minorities and underprivileged background.

No frontier risks strategy

– After analyzing the HBR case study Shouldice Hospital Ltd. (Abridged), it seems that company is thinking about the frontier risks that can impact Technology & Operations strategy. But it has very little resources allocation to manage the risks emerging from events such as natural disasters, climate change, melting of permafrost, tacking the rise of artificial intelligence, opportunities and threats emerging from commercialization of space etc.




Opportunities Shouldice Hospital Ltd. (Abridged) | External Strategic Factors
What are Opportunities in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The opportunities highlighted in the Harvard Business Review case study Shouldice Hospital Ltd. (Abridged) are -

Leveraging digital technologies

– Hernia Shouldice can leverage digital technologies such as artificial intelligence and machine learning to automate the production process, customer analytics to get better insights into consumer behavior, realtime digital dashboards to get better sales tracking, logistics and transportation, product tracking, etc.

Reconfiguring business model

– The expansion of digital payment system, the bringing down of international transactions costs using Bitcoin and other blockchain based currencies, etc can help Hernia Shouldice to reconfigure its entire business model. For example it can used blockchain based technologies to reduce piracy of its products in the big markets such as China. Secondly it can use the popularity of e-commerce in various developing markets to build a Direct to Customer business model rather than the current Channel Heavy distribution network.

Manufacturing automation

– Hernia Shouldice can use the latest technology developments to improve its manufacturing and designing process in Technology & Operations segment. It can use CAD and 3D printing to build a quick prototype and pilot testing products. It can leverage automation using machine learning and artificial intelligence to do faster production at lowers costs, and it can leverage the growth in satellite and tracking technologies to improve inventory management, transportation, and shipping.

Better consumer reach

– The expansion of the 5G network will help Hernia Shouldice to increase its market reach. Hernia Shouldice will be able to reach out to new customers. Secondly 5G will also provide technology framework to build new tools and products that can help more immersive consumer experience and faster consumer journey.

Developing new processes and practices

– Hernia Shouldice can develop new processes and procedures in Technology & Operations industry using technology such as automation using artificial intelligence, real time transportation and products tracking, 3D modeling for concept development and new products pilot testing etc.

Remote work and new talent hiring opportunities

– The widespread usage of remote working technologies during Covid-19 has opened opportunities for Hernia Shouldice to expand its talent hiring zone. According to McKinsey Global Institute, 20% of the high end workforce in fields such as finance, information technology, can continously work from remote local post Covid-19. This presents a really great opportunity for Hernia Shouldice to hire the very best people irrespective of their geographical location.

Building a culture of innovation

– managers at Hernia Shouldice can make experimentation a productive activity and build a culture of innovation using approaches such as – mining transaction data, A/B testing of websites and selling platforms, engaging potential customers over various needs, and building on small ideas in the Technology & Operations segment.

Creating value in data economy

– The success of analytics program of Hernia Shouldice has opened avenues for new revenue streams for the organization in the industry. This can help Hernia Shouldice to build a more holistic ecosystem as suggested in the Shouldice Hospital Ltd. (Abridged) case study. Hernia Shouldice can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.

Learning at scale

– Online learning technologies has now opened space for Hernia Shouldice to conduct training and development for its employees across the world. This will result in not only reducing the cost of training but also help employees in different part of the world to integrate with the headquarter work culture, ethos, and standards.

Finding new ways to collaborate

– Covid-19 has not only transformed business models of companies in Technology & Operations industry, but it has also influenced the consumer preferences. Hernia Shouldice can tie-up with other value chain partners to explore new opportunities regarding meeting customer demands and building a rewarding and engaging relationship.

Reforming the budgeting process

- By establishing new metrics that will be used to evaluate both existing and potential projects Hernia Shouldice can not only reduce the costs of the project but also help it in integrating the projects with other processes within the organization.

Buying journey improvements

– Hernia Shouldice can improve the customer journey of consumers in the industry by using analytics and artificial intelligence. Shouldice Hospital Ltd. (Abridged) suggest that firm can provide automated chats to help consumers solve their own problems, provide online suggestions to get maximum out of the products and services, and help consumers to build a community where they can interact with each other to develop new features and uses.

Low interest rates

– Even though inflation is raising its head in most developed economies, Hernia Shouldice can still utilize the low interest rates to borrow money for capital investment. Secondly it can also use the increase of government spending in infrastructure projects to get new business.




Threats Shouldice Hospital Ltd. (Abridged) External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study Shouldice Hospital Ltd. (Abridged) are -

Trade war between China and United States

– The trade war between two of the biggest economies can hugely impact the opportunities for Hernia Shouldice in the Technology & Operations industry. The Technology & Operations industry is already at various protected from local competition in China, with the rise of trade war the protection levels may go up. This presents a clear threat of current business model in Chinese market.

Regulatory challenges

– Hernia Shouldice needs to prepare for regulatory challenges as consumer protection groups and other pressure groups are vigorously advocating for more regulations on big business - to reduce inequality, to create a level playing field, to product data privacy and consumer privacy, to reduce the influence of big money on democratic institutions, etc. This can lead to significant changes in the Technology & Operations industry regulations.

Backlash against dominant players

– US Congress and other legislative arms of the government are getting tough on big business especially technology companies. The digital arm of Hernia Shouldice business can come under increasing regulations regarding data privacy, data security, etc.

Environmental challenges

– Hernia Shouldice needs to have a robust strategy against the disruptions arising from climate change and energy requirements. EU has identified it as key priority area and spending 30% of its 880 billion Euros European post Covid-19 recovery funds on green technology. Hernia Shouldice can take advantage of this fund but it will also bring new competitors in the Technology & Operations industry.

Technology disruption because of hacks, piracy etc

– The colonial pipeline illustrated, how vulnerable modern organization are to international hackers, miscreants, and disruptors. The cyber security interruption, data leaks, etc can seriously jeopardize the future growth of the organization.

Stagnating economy with rate increase

– Hernia Shouldice can face lack of demand in the market place because of Fed actions to reduce inflation. This can lead to sluggish growth in the economy, lower demands, lower investments, higher borrowing costs, and consolidation in the field.

High dependence on third party suppliers

– Hernia Shouldice high dependence on third party suppliers can disrupt its processes and delivery mechanism. For example -the current troubles of car makers because of chip shortage is because the chip companies started producing chips for electronic companies rather than car manufacturers.

Easy access to finance

– Easy access to finance in Technology & Operations field will also reduce the barriers to entry in the industry, thus putting downward pressure on the prices because of increasing competition. Hernia Shouldice can utilize it by borrowing at lower rates and invest it into research and development, capital expenditure to fortify its core competitive advantage.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study Shouldice Hospital Ltd. (Abridged), Hernia Shouldice may face longer learning curve for training and development of existing employees. This can open space for more nimble competitors in the field of Technology & Operations .

Aging population

– As the populations of most advanced economies are aging, it will lead to high social security costs, higher savings among population, and lower demand for goods and services in the economy. The household savings in US, France, UK, Germany, and Japan are growing faster than predicted because of uncertainty caused by pandemic.

High level of anxiety and lack of motivation

– the Great Resignation in United States is the sign of broader dissatisfaction among the workforce in United States. Hernia Shouldice needs to understand the core reasons impacting the Technology & Operations industry. This will help it in building a better workplace.

New competition

– After the dotcom bust of 2001, financial crisis of 2008-09, the business formation in US economy had declined. But in 2020 alone, there are more than 1.5 million new business applications in United States. This can lead to greater competition for Hernia Shouldice in the Technology & Operations sector and impact the bottomline of the organization.

Technology acceleration in Forth Industrial Revolution

– Hernia Shouldice has witnessed rapid integration of technology during Covid-19 in the Technology & Operations industry. As one of the leading players in the industry, Hernia Shouldice needs to keep up with the evolution of technology in the Technology & Operations sector. According to Mckinsey study top managers believe that the adoption of technology in operations, communications is 20-25 times faster than what they planned in the beginning of 2019.




Weighted SWOT Analysis of Shouldice Hospital Ltd. (Abridged) Template, Example


Not all factors mentioned under the Strengths, Weakness, Opportunities, and Threats quadrants in the SWOT Analysis are equal. Managers in the HBR case study Shouldice Hospital Ltd. (Abridged) needs to zero down on the relative importance of each factor mentioned in the Strengths, Weakness, Opportunities, and Threats quadrants. We can provide the relative importance to each factor by assigning relative weights. Weighted SWOT analysis process is a three stage process –

First stage for doing weighted SWOT analysis of the case study Shouldice Hospital Ltd. (Abridged) is to rank the strengths and weaknesses of the organization. This will help you to assess the most important strengths and weaknesses of the firm and which one of the strengths and weaknesses mentioned in the initial lists are marginal and can be left out.

Second stage for conducting weighted SWOT analysis of the Harvard case study Shouldice Hospital Ltd. (Abridged) is to give probabilities to the external strategic factors thus better understanding the opportunities and threats arising out of macro environment changes and developments.

Third stage of constructing weighted SWOT analysis of Shouldice Hospital Ltd. (Abridged) is to provide strategic recommendations includes – joining likelihood of external strategic factors such as opportunities and threats to the internal strategic factors – strengths and weaknesses. You should start with external factors as they will provide the direction of the overall industry. Secondly by joining probabilities with internal strategic factors can help the company not only strategic fit but also the most probably strategic trade-off that Hernia Shouldice needs to make to build a sustainable competitive advantage.



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