6. Red Ocean Strategy Blue Ocean Strategy
Compete in existing market
space.
Create uncontested market
space.
Beat the competition.
Make the competition
irrelevant.
Exploit existing demand.
Create and capture new
demand.
Make the value-cost trade-off. Break the value-cost trade-off.
Align the whole system of a
firm’s activities with its strategic
choice of differentiation or low
cost.
Align the whole system of a
firm’s activities in pursuit of
differentiation and low cost.
10. Somewhere in Brazil
Hospital Market
Zombie Hospitals
Negative net equity
High tax/labor debts
Outdated facilities
No professional management
Succession issues
3 or less profitable
general hospitals
Population: 5.9M
12. Somewhere in Brazil
Hospital Market
Zombie Hospitals
Negative net equity
High tax/labor debts
Outdated facilities
No professional management
Succession issues
3 or less profitable
general hospitals
Population: 5.9M
“Cirque du Soleil” Hospital
Specialized in complex procedures
(cardio, neuro, ortho, onco, transplant)
Top physicians
Efficient processes/management
High tech equipment
Aimed to optimal cost/benefit ratio
Built accordingly
Better results: medical/financial
17. User #
Net Sales/
user (ARPU)
Variable
Costs/user
Contribution
Margin/user
Fixed/Semi-
fixed Costs
EBITDA
Depreciation/
Amortisation
EBIT
Income Tax
NOPAT CapEx
∆ Working
Capital
Free Cash
Flow
Depreciation/
Amortisation
Contribution
Margin
-
=
x
=
=
=
=
=
-
-
- +
-
±
Contribution
Margin
EBIT NOPAT
Value for each item,
per month, up to
maturity
18. User #
Net Sales/
user (ARPU)
Variable
Costs/user
Contribution
Margin/user
Fixed/Semi-
fixed Costs
EBITDA
Depreciation/
Amortisation
EBIT
Income Tax
NOPAT CapEx
∆ Working
Capital
Free Cash
Flow
Depreciation/
Amortisation
Contribution
Margin
-
=
x
=
=
=
=
=
-
-
- +
-
±
Contribution
Margin
EBIT NOPAT
Value for each item,
per month, up to
maturity
19. User #
Net Sales/
user (ARPU)
Variable
Costs/user
Contribution
Margin/user
Fixed/Semi-
fixed Costs
EBITDA
Depreciation/
Amortisation
EBIT
Income Tax
NOPAT CapEx
∆ Working
Capital
Free Cash
Flow
Depreciation/
Amortisation
Contribution
Margin
-
=
x
=
=
=
=
=
-
-
- +
-
±
Contribution
Margin
EBIT NOPAT
Value for each item,
per month, up to
maturity
20. User #
Net Sales/
user (ARPU)
Variable
Costs/user
Contribution
Margin/user
Fixed/Semi-
fixed Costs
EBITDA
Depreciation/
Amortisation
EBIT
Income Tax
NOPAT CapEx
∆ Working
Capital
Free Cash
Flow
Depreciation/
Amortisation
Contribution
Margin
-
=
x
=
=
=
=
=
-
-
- +
-
±
Contribution
Margin
EBIT NOPAT
Value for each item,
per month, up to
maturity