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American Nursing Services, Inc. SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

Case Study SWOT Analysis Solution

Case Study Description of American Nursing Services, Inc.


P.K. Scherle, R.N., founder, president, and owner, struggles with her successful business and focuses on either growth or enhanced profitability.

Authors :: W. Earl Sasser Jr., Leonard A. Schlesinger, Roger Hallowell

Topics :: Technology & Operations

Tags :: Entrepreneurship, Growth strategy, Health, Supply chain, SWOT Analysis, SWOT Matrix, TOWS, Weighted SWOT Analysis

Swot Analysis of "American Nursing Services, Inc." written by W. Earl Sasser Jr., Leonard A. Schlesinger, Roger Hallowell includes – strengths weakness that are internal strategic factors of the organization, and opportunities and threats that P.k R.n facing as an external strategic factors. Some of the topics covered in American Nursing Services, Inc. case study are - Strategic Management Strategies, Entrepreneurship, Growth strategy, Health, Supply chain and Technology & Operations.


Some of the macro environment factors that can be used to understand the American Nursing Services, Inc. casestudy better are - – central banks are concerned over increasing inflation, cloud computing is disrupting traditional business models, increasing household debt because of falling income levels, increasing inequality as vast percentage of new income is going to the top 1%, competitive advantages are harder to sustain because of technology dispersion, increasing government debt because of Covid-19 spendings, supply chains are disrupted by pandemic , increasing commodity prices, technology disruption, etc



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Introduction to SWOT Analysis of American Nursing Services, Inc.


SWOT stands for an organization’s Strengths, Weaknesses, Opportunities and Threats . At Oak Spring University , we believe that protagonist in American Nursing Services, Inc. case study can use SWOT analysis as a strategic management tool to assess the current internal strengths and weaknesses of the P.k R.n, and to figure out the opportunities and threats in the macro environment – technological, environmental, political, economic, social, demographic, etc in which P.k R.n 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 American Nursing Services, Inc. can be done for the following purposes –
1. Strategic planning using facts provided in American Nursing Services, Inc. case study
2. Improving business portfolio management of P.k R.n
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 P.k R.n




Strengths American Nursing Services, Inc. | Internal Strategic Factors
What are Strengths in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The strengths of P.k R.n in American Nursing Services, Inc. Harvard Business Review case study are -

Analytics focus

– P.k R.n 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 W. Earl Sasser Jr., Leonard A. Schlesinger, Roger Hallowell 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.

Ability to lead change in Technology & Operations field

– P.k R.n is one of the leading players in its industry. Over the years it has not only transformed the business landscape in its segment but also across the whole industry. The ability to lead change has enabled P.k R.n in – penetrating new markets, reaching out to new customers, and providing different value propositions to different customers in the international markets.

Organizational Resilience of P.k R.n

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

Sustainable margins compare to other players in Technology & Operations industry

– American Nursing Services, Inc. firm has clearly differentiated products in the market place. This has enabled P.k R.n to fetch slight price premium compare to the competitors in the Technology & Operations industry. The sustainable margins have also helped P.k R.n to invest into research and development (R&D) and innovation.

Learning organization

- P.k R.n is a learning organization. It has inculcated three key characters of learning organization in its processes and operations – exploration, creativity, and expansiveness. The work place at P.k R.n is open place that encourages instructiveness, ideation, open minded discussions, and creativity. Employees and leaders in American Nursing Services, Inc. Harvard Business Review case study emphasize – knowledge, initiative, and innovation.

Superior customer experience

– The customer experience strategy of P.k R.n in the segment is based on four key concepts – personalization, simplification of complex needs, prompt response, and continuous engagement.

Innovation driven organization

– P.k R.n is one of the most innovative firm in sector. Manager in American Nursing Services, Inc. Harvard Business Review case study can use Clayton Christensen Disruptive Innovation strategies to further increase the scale of innovtions in the organization.

Low bargaining power of suppliers

– Suppliers of P.k R.n in the sector have low bargaining power. American Nursing Services, Inc. has further diversified its suppliers portfolio by building a robust supply chain across various countries. This helps P.k R.n to manage not only supply disruptions but also source products at highly competitive prices.

Effective Research and Development (R&D)

– P.k R.n 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 American Nursing Services, Inc. - staying ahead in the industry in terms of – new product launches, superior customer experience, highly competitive pricing strategies, and great returns to the shareholders.

Highly skilled collaborators

– P.k R.n has highly efficient outsourcing and offshoring strategy. It has resulted in greater operational flexibility and bringing down the costs in highly price sensitive segment. Secondly the value chain collaborators of the firm in American Nursing Services, Inc. HBR case study have helped the firm to develop new products and bring them quickly to the marketplace.

High brand equity

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

Strong track record of project management

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






Weaknesses American Nursing Services, Inc. | Internal Strategic Factors
What are Weaknesses in SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis

The weaknesses of American Nursing Services, Inc. are -

Increasing silos among functional specialists

– The organizational structure of P.k R.n is dominated by functional specialists. It is not different from other players in the Technology & Operations segment. P.k R.n needs to de-silo the office environment to harness the true potential of its workforce. Secondly the de-silo will also help P.k R.n to focus more on services rather than just following the product oriented approach.

Aligning sales with marketing

– It come across in the case study American Nursing Services, Inc. that the firm needs to have more collaboration between its sales team and marketing team. Sales professionals in the industry have deep experience in developing customer relationships. Marketing department in the case American Nursing Services, Inc. can leverage the sales team experience to cultivate customer relationships as P.k R.n is planning to shift buying processes online.

Slow to strategic competitive environment developments

– As American Nursing Services, Inc. HBR case study mentions - P.k R.n takes time to assess the upcoming competitions. This has led to missing out on atleast 2-3 big opportunities in the industry in last five years.

Slow to harness new channels of communication

– Even though competitors are using new communication channels such as Instagram, Tiktok, and Snap, P.k R.n is slow explore the new channels of communication. These new channels of communication mentioned in marketing section of case study American Nursing Services, Inc. can help to provide better information regarding products and services. It can also build an online community to further reach out to potential customers.

High operating costs

– Compare to the competitors, firm in the HBR case study American Nursing Services, Inc. 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 P.k R.n 's lucrative customers.

Capital Spending Reduction

– Even during the low interest decade, P.k R.n has not been able to do capital spending to the tune of the competition. This has resulted into fewer innovations and company facing stiff competition from both existing competitors and new entrants who are disrupting the industry using digital technology.

Compensation and incentives

– The revenue per employee as mentioned in the HBR case study American Nursing Services, Inc., is just above the industry average. P.k R.n needs to redesign the compensation structure and incentives to increase the revenue per employees. Some of the steps that it can take are – hiring more specialists on project basis, etc.

Lack of clear differentiation of P.k R.n products

– To increase the profitability and margins on the products, P.k R.n needs to provide more differentiated products than what it is currently offering in the marketplace.

Interest costs

– Compare to the competition, P.k R.n 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.

Slow decision making process

– As mentioned earlier in the report, P.k R.n has a very deliberative decision making approach. This approach has resulted in prudent decisions, but it has also resulted in missing opportunities in the industry over the last five years. P.k R.n even though has strong showing on digital transformation primary two stages, it has struggled to capitalize the power of digital transformation in marketing efforts and new venture efforts.

Low market penetration in new markets

– Outside its home market of P.k R.n, firm in the HBR case study American Nursing Services, Inc. needs to spend more promotional, marketing, and advertising efforts to penetrate international markets.




Opportunities American Nursing Services, Inc. | 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 American Nursing Services, Inc. are -

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. P.k R.n can tie-up with other value chain partners to explore new opportunities regarding meeting customer demands and building a rewarding and engaging relationship.

Building a culture of innovation

– managers at P.k R.n 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.

Harnessing reconfiguration of the global supply chains

– As the trade war between US and China heats up in the coming years, P.k R.n can build a diversified supply chain model across various countries in - South East Asia, India, and other parts of the world. This reconfiguration of global supply chain can help, as suggested in case study, American Nursing Services, Inc., to buy more products closer to the markets, and it can leverage its size and influence to get better deal from the local markets.

Use of Bitcoin and other crypto currencies for transactions

– The popularity of Bitcoin and other crypto currencies as asset class and medium of transaction has opened new opportunities for P.k R.n in the consumer business. Now P.k R.n can target international markets with far fewer capital restrictions requirements than the existing system.

Manufacturing automation

– P.k R.n 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.

Learning at scale

– Online learning technologies has now opened space for P.k R.n 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.

Redefining models of collaboration and team work

– As explained in the weaknesses section, P.k R.n is facing challenges because of the dominance of functional experts in the organization. American Nursing Services, Inc. case study suggests that firm can utilize new technology to build more coordinated teams and streamline operations and communications using tools such as CAD, Zoom, etc.

Reforming the budgeting process

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

Loyalty marketing

– P.k R.n has focused on building a highly responsive customer relationship management platform. This platform is built on in-house data and driven by analytics and artificial intelligence. The customer analytics can help the organization to fine tune its loyalty marketing efforts, increase the wallet share of the organization, reduce wastage on mainstream advertising spending, build better pricing strategies using personalization, etc.

Better consumer reach

– The expansion of the 5G network will help P.k R.n to increase its market reach. P.k R.n 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.

Lowering marketing communication costs

– 5G expansion will open new opportunities for P.k R.n in the field of marketing communication. It will bring down the cost of doing business, provide technology platform to build new products in the Technology & Operations segment, and it will provide faster access to the consumers.

Changes in consumer behavior post Covid-19

– Consumer behavior has changed in the Technology & Operations industry because of Covid-19 restrictions. Some of this behavior will stay once things get back to normal. P.k R.n can take advantage of these changes in consumer behavior to build a far more efficient business model. For example consumer regular ordering of products can reduce both last mile delivery costs and market penetration costs. P.k R.n can further use this consumer data to build better customer loyalty, provide better products and service collection, and improve the value proposition in inflationary times.

Creating value in data economy

– The success of analytics program of P.k R.n has opened avenues for new revenue streams for the organization in the industry. This can help P.k R.n to build a more holistic ecosystem as suggested in the American Nursing Services, Inc. case study. P.k R.n can build new products and services such as - data insight services, data privacy related products, data based consulting services, etc.




Threats American Nursing Services, Inc. External Strategic Factors
What are Threats in the SWOT Analysis / TOWS Matrix / Weighted SWOT Analysis


The threats mentioned in the HBR case study American Nursing Services, Inc. are -

Consumer confidence and its impact on P.k R.n demand

– There is a high probability of declining consumer confidence, given – high inflammation rate, rise of gig economy, lower job stability, increasing cost of living, higher interest rates, and aging demography. All the factors contribute to people saving higher rate of their income, resulting in lower consumer demand in the industry and other sectors.

Increasing wage structure of P.k R.n

– Post Covid-19 there is a sharp increase in the wages especially in the jobs that require interaction with people. The increasing wages can put downward pressure on the margins of P.k R.n.

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 P.k R.n business can come under increasing regulations regarding data privacy, data security, etc.

High dependence on third party suppliers

– P.k R.n 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.

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. P.k R.n needs to understand the core reasons impacting the Technology & Operations industry. This will help it in building a better workplace.

Instability in the European markets

– European Union markets are facing three big challenges post Covid – expanded balance sheets, Brexit related business disruption, and aggressive Russia looking to distract the existing security mechanism. P.k R.n will face different problems in different parts of Europe. For example it will face inflationary pressures in UK, France, and Germany, balance sheet expansion and demand challenges in Southern European countries, and geopolitical instability in the Eastern Europe.

Barriers of entry lowering

– As technology is more democratized, the barriers to entry in the industry are lowering. It can presents P.k R.n with greater competitive threats in the near to medium future. Secondly it will also put downward pressure on pricing throughout the sector.

Regulatory challenges

– P.k R.n 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.

Learning curve for new practices

– As the technology based on artificial intelligence and machine learning platform is getting complex, as highlighted in case study American Nursing Services, Inc., P.k R.n 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 .

Increasing international competition and downward pressure on margins

– Apart from technology driven competitive advantage dilution, P.k R.n can face downward pressure on margins from increasing competition from international players. The international players have stable revenue in their home market and can use those resources to penetrate prominent markets illustrated in HBR case study American Nursing Services, Inc. .

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 P.k R.n in the Technology & Operations sector and impact the bottomline of the organization.

Capital market disruption

– During the Covid-19, Dow Jones has touched record high. The valuations of a number of companies are way beyond their existing business model potential. This can lead to capital market correction which can put a number of suppliers, collaborators, value chain partners in great financial difficulty. It will directly impact the business of P.k R.n.

Environmental challenges

– P.k R.n 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. P.k R.n can take advantage of this fund but it will also bring new competitors in the Technology & Operations industry.




Weighted SWOT Analysis of American Nursing Services, Inc. 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 American Nursing Services, Inc. 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 American Nursing Services, Inc. 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 American Nursing Services, Inc. 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 American Nursing Services, Inc. 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 P.k R.n needs to make to build a sustainable competitive advantage.



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