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Team J
Akash Gandhi Jessica Minarolli Jessica Dominic Shaishav Desai
Elias Roman Shekhar Gurnani Rutuja Ajgaonkar
Table of Contents
 Overview
 Business Recommendations
 Swot Analysis
 Risk Analysis
 Competitive Landscape
 Financial Metrics
 Conclusion
Overview
Enthuse, a global healthcare company, is a highly
respected and well organized company which
consistently ranks as one of the “Most Respected
Companies” annually. The company’s reputation is
based on high quality products, innovation, and
customer focus. Enthuse values are guided by their
credo.
Goals
 Expand Portfolio
 Launch a new knee replacement
product
 Capitalize on Market Demand
 Enthuse plans to achieve this through
acquisitions, continuous
innovation, and product development.
Business
Recommendations
Product Development
 Buy with Consultants
 Hiring orthopedic specialists as consultants
 Consumer Relationship
 Quality Assurance
 Increases market share by .9%
 Lower cost than either licensing option
Other Alternatives
 In House with No
consultants
 Lowest development
cost
 Design and Quality
would be weaker
 No increase in market
share
 Licensing
 License with a company for
further development
 Option to buy for 240 Million
in 2018
 No control over design and
development
 No increase in market share
 Reliability
Total Product
Development/Acquisition Costs
0
200
400
600
800
1000
1200
1400
In house w/o
consultants
($671M)
In house with
consultants
($1,058M)
License to
outside
company
(buyout in
2018)
($1,192M)
License to
outside
company
through 2018
($1,194M)
Costs in MM
Business
Recommendations
Pricing Strategy
 $4500 with no price increase from taxes.
 Increase of 3% per year
 After bearing the excise tax our selling price
actually is $4,396.50
 Price slightly higher than previous years but
still cheaper than the average competitor
Market Share impact with price
options
*Passing the excise tax decreases market share by .4%
$4000
1.4% Market share
$5000
1.2% Market Share
$4500
No change in Market share
Net Sales with Price Options
0
500
1000
1500
2000
2500
2016 2018 2020 2022 2023
Net Sales
Years
$4,000
$4,500
$5,000
Business
Recommendations
Marketing Strategy
 Premium strategy
 Target surgeons, hospitals, health care
professionals, and non-clinical
stakeholders
 Health Care Reform and Affordable
Care Act
 Increase of market share of .75%
Business
Recommendations
Sales Force Strategy
 Direct Representatives
 Exclusivity- Better then Competitors
 Beneficial to Doctors and Hospitals
 Better earnings and sales
Units sold: Direct vs.
distributor
0
50
100
150
200
250
300
350
400
2016 2017 2018 2019 2020 2021 2022 2023
Direct Rep.
Distributor
Supply Chain Strategy
 In House
 Better for Public Relations
 Adding new jobs improving economy
 Advancement of Employees
 Sustain total control of manufacturing
process
 Product Development in-house
 Quicker turnaround time
Business Recommendations
Subsequent Decision Points
 In 2018 new competitor enters market
 Impact on market share
 Change the pricing strategy?
 Change the marketing strategy?
Subsequent Decision Points
 Keep Marketing Strategy flat at premium
 Keep pricing at $4500
 Products already proven with high value
 Medical market continues to grow
 Shows confidence in our product
SWOT ANALYSIS
Internal
Strengths
-Developing internally-Ability
to design product with
specifications, functionality,
material choices, etc..
-Use of consultants gives
insight to target specific
issues for patients needing
product.
Weakness
- Low initial market share.
- High upfront costs.
External
Opportunities
- Continuous growth in knee
replacement surgeries.
- Increasing market demand
due to aging population and
lifestyle-related diseases.
-Expansion to hospitals and
non-clinical stakeholders
through use of premium
strategy
Threats
-Existing competition from
Simmer and Inflictus.
-New Competitor expected to
hit the market in 2018.
-Loss of market share due to
diminishing returns after
2020.
Top 3 Risks
Removing
resources from
the
development
of other
products.
Keeping the
pricing and
marketing
strategy the
same when a
new
competitor
enters the
market.
Losing a year
of revenue due
to the longer
R&D time.
Competitive Landscape
 Simmer – Leader in musculoskeletal health care
 30% of market share
 Current Lawsuits
 Inflictus – Focuses on revision and partial knee
 20% of market share
Market Outlook: Positive
 World demographics are shifting
towards older populations
 Between 2000-2050
 Life expectancy in developing regions
 Grows from less than 20% to 34%
 An increase in the life expectancy
combined with lifestyle related
disease, increases demand for medical
devices
Sensitivity Analysis
Make Vs Buy (Net Income @
$4500)
Cumulative Net Income with
Changes to Development
1921
1898
1741
1823
1650
1700
1750
1800
1850
1900
1950
In House no
consultants
In House
Consultants
License
(buyout in
2018)
License
Net Income
(in MM)
Different Development Options
Cumulative net income with
changes to price and Marketing
16501700175018001850190019502000
4000/Basic
4000/Prem
4000/Prem Plus
4500/Basic
4500/Premium
4500/Prem Plus
5000/Basic
5000/Premium
5000/Prem Plus
Net Income in $MM
(In Dollars)
Market Share
NPV Changes with Different
Options
600 650 700 750 800 850
$4000/Basic
$4000/Prem
$4000/Prem Plus
$4500/Basic
$4500/Prem
$4500/Prem Plus
$5000/Basic
$5000/Prem
$5000/Prem Plus
NPV
IRR changes with Different
Price and Marketing options
28
29
30
31
32
33
34
35
IRR in %
Differences in NPV and IRR
between Direct and Distributor
Strategies
745
750
755
760
765
770
775
N
P
V
32.4
32.6
32.8
33
33.2
33.4
33.6
33.8
34
34.2
I
R
R
I
N
%
*With the Distributor Strategy we lose 1% market share and less
sales than direct.
748
749
750
751
752
753
754
755
756
757
758
In House US 3rd Party US 3rd Party outside US
Net Present Value
Changes in NPV and IRR with
Supply Chain Strategies
Conclusion
 In house development with orthopedic
consultants
 $4500 price option with bearing the excise
tax
 Premium Marketing Strategy
 Direct Representatives
 In House supply chain strategy
 Keep price and marketing strategy flat in
2018
 Increase market share from 19% to 21.4%
Thank You
Any Questions?

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Final johnson and johnson revised 1

  • 1. Team J Akash Gandhi Jessica Minarolli Jessica Dominic Shaishav Desai Elias Roman Shekhar Gurnani Rutuja Ajgaonkar
  • 2. Table of Contents  Overview  Business Recommendations  Swot Analysis  Risk Analysis  Competitive Landscape  Financial Metrics  Conclusion
  • 3. Overview Enthuse, a global healthcare company, is a highly respected and well organized company which consistently ranks as one of the “Most Respected Companies” annually. The company’s reputation is based on high quality products, innovation, and customer focus. Enthuse values are guided by their credo.
  • 4. Goals  Expand Portfolio  Launch a new knee replacement product  Capitalize on Market Demand  Enthuse plans to achieve this through acquisitions, continuous innovation, and product development.
  • 5. Business Recommendations Product Development  Buy with Consultants  Hiring orthopedic specialists as consultants  Consumer Relationship  Quality Assurance  Increases market share by .9%  Lower cost than either licensing option
  • 6. Other Alternatives  In House with No consultants  Lowest development cost  Design and Quality would be weaker  No increase in market share  Licensing  License with a company for further development  Option to buy for 240 Million in 2018  No control over design and development  No increase in market share  Reliability
  • 7. Total Product Development/Acquisition Costs 0 200 400 600 800 1000 1200 1400 In house w/o consultants ($671M) In house with consultants ($1,058M) License to outside company (buyout in 2018) ($1,192M) License to outside company through 2018 ($1,194M) Costs in MM
  • 8. Business Recommendations Pricing Strategy  $4500 with no price increase from taxes.  Increase of 3% per year  After bearing the excise tax our selling price actually is $4,396.50  Price slightly higher than previous years but still cheaper than the average competitor
  • 9. Market Share impact with price options *Passing the excise tax decreases market share by .4% $4000 1.4% Market share $5000 1.2% Market Share $4500 No change in Market share
  • 10. Net Sales with Price Options 0 500 1000 1500 2000 2500 2016 2018 2020 2022 2023 Net Sales Years $4,000 $4,500 $5,000
  • 11. Business Recommendations Marketing Strategy  Premium strategy  Target surgeons, hospitals, health care professionals, and non-clinical stakeholders  Health Care Reform and Affordable Care Act  Increase of market share of .75%
  • 12. Business Recommendations Sales Force Strategy  Direct Representatives  Exclusivity- Better then Competitors  Beneficial to Doctors and Hospitals  Better earnings and sales
  • 13. Units sold: Direct vs. distributor 0 50 100 150 200 250 300 350 400 2016 2017 2018 2019 2020 2021 2022 2023 Direct Rep. Distributor
  • 14. Supply Chain Strategy  In House  Better for Public Relations  Adding new jobs improving economy  Advancement of Employees  Sustain total control of manufacturing process  Product Development in-house  Quicker turnaround time Business Recommendations
  • 15. Subsequent Decision Points  In 2018 new competitor enters market  Impact on market share  Change the pricing strategy?  Change the marketing strategy?
  • 16. Subsequent Decision Points  Keep Marketing Strategy flat at premium  Keep pricing at $4500  Products already proven with high value  Medical market continues to grow  Shows confidence in our product
  • 17. SWOT ANALYSIS Internal Strengths -Developing internally-Ability to design product with specifications, functionality, material choices, etc.. -Use of consultants gives insight to target specific issues for patients needing product. Weakness - Low initial market share. - High upfront costs. External Opportunities - Continuous growth in knee replacement surgeries. - Increasing market demand due to aging population and lifestyle-related diseases. -Expansion to hospitals and non-clinical stakeholders through use of premium strategy Threats -Existing competition from Simmer and Inflictus. -New Competitor expected to hit the market in 2018. -Loss of market share due to diminishing returns after 2020.
  • 18. Top 3 Risks Removing resources from the development of other products. Keeping the pricing and marketing strategy the same when a new competitor enters the market. Losing a year of revenue due to the longer R&D time.
  • 19. Competitive Landscape  Simmer – Leader in musculoskeletal health care  30% of market share  Current Lawsuits  Inflictus – Focuses on revision and partial knee  20% of market share
  • 20. Market Outlook: Positive  World demographics are shifting towards older populations  Between 2000-2050  Life expectancy in developing regions  Grows from less than 20% to 34%  An increase in the life expectancy combined with lifestyle related disease, increases demand for medical devices
  • 22. Make Vs Buy (Net Income @ $4500)
  • 23. Cumulative Net Income with Changes to Development 1921 1898 1741 1823 1650 1700 1750 1800 1850 1900 1950 In House no consultants In House Consultants License (buyout in 2018) License Net Income (in MM) Different Development Options
  • 24. Cumulative net income with changes to price and Marketing 16501700175018001850190019502000 4000/Basic 4000/Prem 4000/Prem Plus 4500/Basic 4500/Premium 4500/Prem Plus 5000/Basic 5000/Premium 5000/Prem Plus Net Income in $MM (In Dollars)
  • 26. NPV Changes with Different Options 600 650 700 750 800 850 $4000/Basic $4000/Prem $4000/Prem Plus $4500/Basic $4500/Prem $4500/Prem Plus $5000/Basic $5000/Prem $5000/Prem Plus NPV
  • 27. IRR changes with Different Price and Marketing options 28 29 30 31 32 33 34 35 IRR in %
  • 28. Differences in NPV and IRR between Direct and Distributor Strategies 745 750 755 760 765 770 775 N P V 32.4 32.6 32.8 33 33.2 33.4 33.6 33.8 34 34.2 I R R I N % *With the Distributor Strategy we lose 1% market share and less sales than direct.
  • 29. 748 749 750 751 752 753 754 755 756 757 758 In House US 3rd Party US 3rd Party outside US Net Present Value Changes in NPV and IRR with Supply Chain Strategies
  • 30. Conclusion  In house development with orthopedic consultants  $4500 price option with bearing the excise tax  Premium Marketing Strategy  Direct Representatives  In House supply chain strategy  Keep price and marketing strategy flat in 2018  Increase market share from 19% to 21.4%

Editor's Notes

  • #4: Company’s dedication to providing new and innovative products to its customers and delivering value to its shareholders are whatmakes this companyone of the leading corporations in the market– say that guys
  • #5: Enthuse is looking to expand its portfolio and launch a new knee replacement product that meets the needs of the current marketplace. Enthuse is looking to capitalize on the marketplace demand for a new product that offers a superior combination of stability and range of motion when compared to products already in the market. Enthuse plans to achieve this through licensing, acquisitions, continuous innovation, and product development.
  • #6: When asked Dc. Lisa said that having the input of 10 specialists will definitely make it more likely for her to recommend that particular product to her costumers as she would feel more comfortable with it She also said that doctors look for quality Hiring orthopedic specialists as consultants will give us the best quality product on the market.Customers will become more comfortable with a product developed with orthopedic specialist.Have complete control and oversight of the development process.Increases market share by .9%Lower cost than either licensing option.
  • #7: In House with No consultantsLowest development costWould not nearly have the same design and quality as developing a product with specialist.No increase in market share.LicensingWould license the product to an outside company that is further in development Have the option to buy out and take full control of development in 2018 but cost $240 MillionNot have control of design and development.Not of same quality since they would not use orthopedic consultants.No increase in market share.
  • #8: More elaboration to explain the chart and what it means -don’t forget to include v.c cost and f.c for each option
  • #9: Pricing Strategy$4500 with no price increase from taxes.Overall after the taxes the product will initially sell for $4,500 per product with an increase of 3% per year.After bearing the excise tax our selling price actually is $4,396.50. This price is slightly higher than our older Strut knee implant (which sold for $4,200), but cheaper than the average price of a knee implant ($4,500).
  • #12: However it is important to recall that that orthopedic joint replacement market is at a cross road between:Time tested conventional procedure Advanced implant materialsSurgical techniques With this being said it will be on our best favor to save money by choosing the premium strategy vs. premium plus. It will be more likely that the doctor will be the educator than adds, so getting to the doctors is what matters to achieve the greatest market share Marketing StrategyPremium strategySurgeons, hospitals, healthcare professionals, and non-clinical stakeholders are targeted in order to fully promote our knee replacement productAs a results of changes from the Health Care Reform and the Affordable Care Act, hospitals are now eligible for reimbursement rates as long as they meet certain criteria’s.Increase of market share of .75%
  • #13: Direct RepresentativesExclusivity – Our product wont just be another option in the market of knee implants, this provides a beneficial exclusivity to doctors and hospitals.Better earnings and sales.
  • #15: Supply Chain StrategyIn HouseKey Factors in manufacturing such as public relations and controls will be facilitated by using an existing plant and infrastructure giving us complete control over manufacturing. We would be adding new jobs within our community to help those raising families.* Employees have the opportunity to not only be trained but to also advance within the company.We sustain total control of the manufacturing process while keeping other assets like product development in house.In case of a problem with recalling a product the turn around time would be shortened drastically rather than waiting on shipping and freight if we outsource the supply chain aspect of the company.
  • #16: In 2018 a competitor is composed to enter the market. According to intelligence the new product will have an immediate impact on the market share. Management in Enthuse has chosen to reevaluate the initial business decisions to counter the new entrant.Change the pricing strategy?Change the marketing strategy
  • #17: After reevaluating our prior decision we have decided to not only hold our prices but to also hold the marketing strategy as well. Customers will more likely purchase an already proven part with high value rather than risk on a new product. The medical market continues to grow as well.By holding our previous business decisions we show to the market that we are fully confident that the products we produce are of top quality and do not fear changes in the market landscape.
  • #20: Simmer is the worldwide leader in the muscoskeletal healthcare holding about 30% of the market.Currently is suffering a multitude of lawsuits as a result of their malfunctioning product Inflictus holds 20% of the market.Focuses primarily on revision and partial knee surgery Enthuse currently holds 19% of the market.
  • #21: World demographics are increasingly shifting towards older populations between 2000-2050Life expectancy in developing regions will grow from less that 20 to 34%An increase in the life expectancy combined with lifestyle related disease, increasesdemand for medical devices
  • #31: Product Development – In house development with orthopedic consultants.$4500 price option with bearing the excise tax.Premium Marketing Strategy.Direct Representatives.In House supply chain strategy.Keep price and marketing strategy flat when new competitor enters the market in 2018.We increase our market share from 19% to 21.4% before we start experiencing diminishing returns after 2020.