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As people engage in more international travel and become more familiar with other countries,
will cultural difference decline as a roadblock to international understanding or will the continue
to be a major barrier? Defend your answer. Why are multinational enterprises getting involved in
corporate social responsibility and sustainable business practices? Are they displaying a sense of
social responsibility or it is merely a matter of good business, or both?
Solution
Multinational and cross-cultural teams are likewise becoming ever more common, meaning
businesses can benefit from an increasingly diverse knowledge base and new, insightful
approaches to business problems. However, along with the benefits of insight and expertise,
global organizations also face potential stumbling blocks when it comes to culture and
international business.
While there are a number of ways to define culture, put simply it is a set of common and
accepted norms shared by a society. But in an international business context, what is common
and accepted for a professional from one country, could be very different for a colleague from
overseas. Recognizing and understanding how culture affectsinternational business in three core
areas: communication, etiquette, and organizational hierarchy can help you to avoid
misunderstandings with colleagues and clients from abroad and excel in a globalized business
environment.
1. Communication
Effective communication is essential to the success of any business venture, but it is particularly
critical when there is a real risk of your message getting “lost in translation.” In many
international companies, English is the de facto language of business. But more than just the
language you speak, it’s how you convey your message that’s important. For instance, while the
Finns may value directness and brevity, professionals from India can be more indirect and
nuanced in their communication. Moreover, while fluent English might give you a professional
boost globally, understanding the importance of subtle non-verbal communication between
cultures can be equally crucial in international business.
What might be commonplace in your culture — be it a firm handshake, making direct eye
contact, or kiss on the cheek — could be unusual or even offensive to a foreign colleague or
client. Where possible, do your research in advance of professional interactions with individuals
from a different culture. Remember to be perceptive to body language, and when in doubt, ask.
While navigating cross-cultural communication can be a challenge, approaching cultural
differences with sensitivity, openness, and curiosity can help to put everyone at ease.
2. Workplace etiquette
Different approaches to professional communication are just one of the innumerable differences
in workplace norms from around the world. CT Business Travel has put together a useful
infographic for a quick reference of cultural differences in business etiquette globally.
For instance, the formality of address is a big consideration when dealing with colleagues and
business partners from different countries. Do they prefer titles and surnames or is being on the
first-name basis acceptable? While it can vary across organizations, Asian countries such as
South Korea, China, and Singapore tend to use formal “Mr./Ms. Surname,” while Americans and
Canadians tend to use first names. When in doubt, erring on the side of formality is generally
safest.
The concept of punctuality can also differ between cultures in an international business
environment. Different ideas of what constitutes being “on time” can often lead to
misunderstandings or negative cultural perceptions. For example, where an American may arrive
at a meeting a few minutes early, an Italian or Mexican colleague may arrive several minutes —
or more — after the scheduled start-time (and still be considered “on time”).
Along with differences in etiquette, come differences in attitude, particularly towards things like
workplace confrontation, rules and regulations, and assumed working hours. While some may
consider working long hours a sign of commitment and achievement, others may consider these
extra hours a demonstration of a lack of efficiency or the deprioritization of essential family or
personal time.
3. Organizational hierarchy
Organizational hierarchy and attitudes towards management roles can also vary widely between
cultures. Whether or not those in junior or middle-management positions feel comfortable
speaking up in meetings, questioning senior decisions, or expressing a differing opinion can be
dictated by cultural norms. Often these attitudes can be a reflection of a country’s societal values
or level of social equality. For instance, a country such as Japan, which traditionally values social
hierarchy, relative status, and respect for seniority, brings this approach into the workplace. This
hierarchy helps to define roles and responsibilities across the organization. This also means that
those in senior management positions command respect and expect a certain level of formality
and deference from junior team members.
However, Scandinavian countries, such as Norway, which emphasize societal equality, tend to
have a comparatively flat organizational hierarchy. In turn, this can mean relatively informal
communication and an emphasis on cooperation across the organization. When defining roles in
multinational teams with diverse attitudes and expectations of organizational hierarchy, it can be
easy to see why these cultural differences can present a challenge.
Earlier this year, Forbes reported that New York-based natural foods company KIND Snacks, in
its first ten years, has grown from zero to over 450 million units sold. Its now-familiar rainbow-
wrapped bars can now be found in over 150,000 retail stores. According to the article, founder
and CEO Daniel Lubetzky’s focus is to “make profit and make a difference … achieve mass
distribution and make his products healthy.”
An example of “doing good and doing well” — or corporate social responsibility (CSR) —
KIND is far from alone in its approach. Companies from startups to huge conglomerates are
increasingly incorporating social and environmental initiatives into their strategies. Microsoft
partners with the nonprofit NETHope to create IT apprenticeships in Kenya. The Disney
Company is providing $3 million in conservation grants this year to protect wildlife. Gap Inc.
has a program that teaches health awareness and literacy to women garment workers in
Cambodia and India. JPMorgan Chase has The Fellowship Initiative, a program designed to help
American young men of color achieve academic and professional success. Mattel is committed
to using sustainably sourced paper and wood fiber in its packaging and products.
Mounting and sustaining social initiatives takes time, talent and resources. But increasingly, it is
what investors, customers, employees and other stakeholders have come to expect and demand.
Millennials — industry’s new and future customers — cast a particularly keen eye on
companies’ commitment to social impact.
But is this phenomenon limited to American and European companies? What about emerging
multinational firms from developing nations, fighting for survival and success in the global
economy: Are they paying attention to CSR? Can they afford to? Can they afford not to?
Electric Cars, Cosmetics and More
There are some high-profile examples of emerging multinational companies engaged in socially
or environmentally impactful activities. Chinese battery maker BYD brought out the first mass-
market electric plug-in car in 2008, and earned the #1 spot on this year’s Bloomberg
Businessweek top 100 tech list. Despite a rocky entry into the U.S. market, it has built more than
1,000 electric buses and sold them in Asia, South America and Europe. In India, Suzlon Energy
contributes to renewable energy as a major wind turbine manufacturer, operating on six
continents.
And Natura Cosmeticos, one of Brazil’s top cosmetics manufacturers, focuses on sustainability
and social responsibility, serving as a founding member of the Union for Ethical BioTrade which
promotes biodiversity conservation. According to Mauro Guillen and Esteban Garcia-Canal in
their 2013 book Emerging Markets Rule, Natura uses only natural ingredients in its formulas,
and has forged alliances with indigenous Amazon Basin communities to source herbal raw
materials.
Tarun Khanna, a professor at Harvard Business School, points to India’s Tata Group — one of
India’s largest conglomerates with revenues of $108.8 billion — as a company “long renowned
for its commitment to social purpose.” Greenbiz recently wrote, “In India, family-owned
enterprises like the Tata Group occupy a place in citizen’s hearts and minds that is not easily
shifted. They are viewed as the ‘go to’… to build schools and other social institutions, and
fulfilling these social needs guarantees these companies’ license to operate.”
Khanna believes that emerging multinationals need to be even more attuned to social purpose
than Western companies. “The way I think about it is that often in developing countries, the state
fails to provide the public good. Ultimately, some societal actor has to step in at least partly,
within the realm of private possibility, and well-run private sector entities are often the only
game in town.
Doing the Right Thing the Right Way
Wharton professor of management Witold Henisz sees a number of solid business reasons for
any company to engage in social impact initiatives. But he cautions that CSR should be designed
to address the concerns of stakeholders, not just “giving money to the symphony or something
your stakeholders don’t [necessarily] really care about…. The better CSR programs, either in
emerging multinationals or developed-country multinationals … are not just philanthropy,
they’re strategic.”
“Often in developing countries, the state fails to provide the public good. Ultimately, some
societal actor has to step in at least partly … and well-run private sector entities are often the
only game in town.”–Tarun Khanna
He points to the CSR programs of big soda companies such as Coke and Pepsi, which are often
focused on issues such as obesity, and water usage in developing nations, as good strategies.
“These are programs addressing issues that people are concerned about with those companies.
By addressing them, they reduce the likelihood of protest, they reduce the likelihood of
aggressive regulation, and they build relations with stakeholders who could otherwise be
attacking them.”
Henisz labels as a “win-win-win” an ongoing project by Coke in which the company is investing
in numerous small African mango plantations. “It’s helping small farmers in Africa; it’s getting
them to think really well of Coca-Cola because Coca-Cola’s helping them grow their livelihoods;
but it’s also creating a much bigger stock of mangos [for] Coke to create a mango-based
beverage globally.” The ultimate metric of CSR success is whether it is driving shareholder
value and long-term sustainable performance, he says.
Winning Hearts and Minds
When it comes to social impact, Henisz sees some differences between developed-world firms
and emerging multinationals. “In the West, in the developed countries, more companies have
kind of been dragged into this and now realize the benefits. They’re all going on a similar
journey together.” Whereas emerging markets display “much more polarized strategies”: one
sees “companies that embrace it from the beginning … and companies that are reluctant or don’t
even see the value of it.”
He identifies Chinese companies in particular as slow to adopt socially purposeful activities
overseas because of their own political system. “Unfortunately, some of the Chinese oil and
mining companies I run into in Africa where I do a lot of work [say,] ‘Well, the government
should take care of that.’ Because in China, the government does take care of that.” Social
development in China is the Communist Party’s responsibility, says Henisz, and businesses do
not get involved. Only after “a lot of protests against them for not being more responsible, for
not doing the same kinds of things that Western companies are doing,” Chinese multinationals
have begun to build up their CSR.
In other cases, says Henisz, an emerging multinational’s attitude toward social purpose may stem
from the way it achieved its original business success. It might have had to “survive in a very
difficult, fraught environment” and so might be more inclined toward social responsibility. On
the other hand, there are companies that have succeeded because “they’re an offshoot of the
government, related to the president, [or] they paid bribes, or they took advantage of a gap in the
market and built up a monopoly.” Those companies don’t think at all about CSR, says Henisz,
“because they got where they were by being ruthless and well-connected.”
As an example of the former — an emerging multinational very much oriented toward CSR —
Henisz cites Odebrecht, a Brazilian conglomerate with a large construction subsidiary. He says
that Odebrecht nearly went bankrupt at its founding, but the CEO reached out to suppliers and
buyers asking them to extend financing. The company survived the crisis, “and as a result, [the
CEO has] always had this really strong relationship with his stakeholders — with the people in
the supply chain and also the people all around his facilities.” The company does business in
Africa where, Henisz says, “they’re involved not just in the big construction projects, but in
really trying to win the hearts and minds of the people.”
For example, while competing for a large construction contract in Luanda, Angola, Odebrecht
took the unusual step of taking on a street-sweeping contract. Henisz explains that this gave them
some very visible PR: The employees, sporting orange Odebrecht vests, were seen tackling one
of downtown Luanda’s fundamental problems by cleaning up its streets. Another bonus was that
many of these individuals, who would eventually work on Odebrecht’s construction sites, were
acquiring basic job skills such as following processes and arriving on time. While
acknowledging that Odebrecht “has been a little tarred in a corruption scandal recently,” Henisz
says, “I still think, when I see their operations overseas, that they know what it means to come
from a poor country; they know what the basic problems are; they know how to make a
connection to the people as a result.”
“Unfortunately, some of the Chinese oil and mining companies I run into in Africa where I do a
lot of work [say,] ‘Well, the government should take care of [social development].’ Because in
China, the government does take care of that.”–Witold Henisz
By contrast, a multinational that ignores CSR might look something like Brazil’s EBX Group,
according to Henisz. Its chairman, the mining, oil and gas magnate Eike Batista, had a net worth
of $30 billion in 2012, but his wealth sank to $200 million due to debts and his company’s
plummeting stock prices. His fall from grace and his trial for insider trading were widely
reported in the business press. “His mines had nothing in terms of socially responsible behavior,”
Henisz comments. “His company wasn’t based on success in the community. It was based on
kind of moving envelopes of cash around and convincing people that he had connections.” EBX
is now bankrupt, Henisz points out.
Social Purpose in Health Care
An emerging multinational in the health care space, and one very much focused on social
purpose, is Narayana Hrudayalaya Private Ltd. in India. The for-profit company, founded in
2000 and now with 56 facilities in India and one in the Cayman Islands, was started by heart
surgeon Devi Shetty to provide low-cost or free cardiac procedures to the poor and underserved.
It has since expanded to treat other medical conditions as well.
Harvard’s Khanna, who has done pro bono work and research for the organization for over a
decade, comments, “What’s neat about it is that it’s now the lowest-cost heart surgery (for
example for coronary artery bypass graft, and many other procedures) in the world. Think more
than 90% cheaper than in the US.”
Shetty introduced a unique business model, drawing on economies of scale, which has allowed
Narayana Health to help indigent patients while remaining profitable. Khanna notes that the Wall
Street Journal a few years ago dubbed Shetty “the Henry Ford of heart surgery” He adds:
“Though I think better than to use a comparison with Ford and its standardized mass production
system [would be a comparison] with Toyota and its famed learning approach to describe what
Shetty has pulled off.”
No patient is ever turned away from Narayana, notes Khanna. Patients who cannot pay are
treated at no cost or through charity efforts that the hospital chain coordinates. “So, it has to be
efficient enough to both turn a profit and to make money available for this social mission. Very
cool.”
Of emerging multinationals and social purpose, Khanna notes that one of the “underappreciated
benefits of being attuned to social impact” is that it puts you “on the cutting edge of many of
society’s most pressing issues.” A well-run firm and a motivated entrepreneur can turn this to
substantial advantage, he says.
Thomas Robertson, a former dean of the Wharton School and a professor of marketing,
comments that while “obviously you have to keep your focus on profits or you won’t meet any
of your objectives,” increasingly, business has moved from a shareholder model to the more
encompassing stakeholder model. He sees increased recognition by industry of its
responsibilities to employees, customers and the neighborhoods and regions in which it operates.
“It’s kind of hard to [just] walk away from that.”

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As people engage in more international travel and become more famili.pdf

  • 1. As people engage in more international travel and become more familiar with other countries, will cultural difference decline as a roadblock to international understanding or will the continue to be a major barrier? Defend your answer. Why are multinational enterprises getting involved in corporate social responsibility and sustainable business practices? Are they displaying a sense of social responsibility or it is merely a matter of good business, or both? Solution Multinational and cross-cultural teams are likewise becoming ever more common, meaning businesses can benefit from an increasingly diverse knowledge base and new, insightful approaches to business problems. However, along with the benefits of insight and expertise, global organizations also face potential stumbling blocks when it comes to culture and international business. While there are a number of ways to define culture, put simply it is a set of common and accepted norms shared by a society. But in an international business context, what is common and accepted for a professional from one country, could be very different for a colleague from overseas. Recognizing and understanding how culture affectsinternational business in three core areas: communication, etiquette, and organizational hierarchy can help you to avoid misunderstandings with colleagues and clients from abroad and excel in a globalized business environment. 1. Communication Effective communication is essential to the success of any business venture, but it is particularly critical when there is a real risk of your message getting “lost in translation.” In many international companies, English is the de facto language of business. But more than just the language you speak, it’s how you convey your message that’s important. For instance, while the Finns may value directness and brevity, professionals from India can be more indirect and nuanced in their communication. Moreover, while fluent English might give you a professional boost globally, understanding the importance of subtle non-verbal communication between cultures can be equally crucial in international business. What might be commonplace in your culture — be it a firm handshake, making direct eye contact, or kiss on the cheek — could be unusual or even offensive to a foreign colleague or client. Where possible, do your research in advance of professional interactions with individuals from a different culture. Remember to be perceptive to body language, and when in doubt, ask. While navigating cross-cultural communication can be a challenge, approaching cultural differences with sensitivity, openness, and curiosity can help to put everyone at ease.
  • 2. 2. Workplace etiquette Different approaches to professional communication are just one of the innumerable differences in workplace norms from around the world. CT Business Travel has put together a useful infographic for a quick reference of cultural differences in business etiquette globally. For instance, the formality of address is a big consideration when dealing with colleagues and business partners from different countries. Do they prefer titles and surnames or is being on the first-name basis acceptable? While it can vary across organizations, Asian countries such as South Korea, China, and Singapore tend to use formal “Mr./Ms. Surname,” while Americans and Canadians tend to use first names. When in doubt, erring on the side of formality is generally safest. The concept of punctuality can also differ between cultures in an international business environment. Different ideas of what constitutes being “on time” can often lead to misunderstandings or negative cultural perceptions. For example, where an American may arrive at a meeting a few minutes early, an Italian or Mexican colleague may arrive several minutes — or more — after the scheduled start-time (and still be considered “on time”). Along with differences in etiquette, come differences in attitude, particularly towards things like workplace confrontation, rules and regulations, and assumed working hours. While some may consider working long hours a sign of commitment and achievement, others may consider these extra hours a demonstration of a lack of efficiency or the deprioritization of essential family or personal time. 3. Organizational hierarchy Organizational hierarchy and attitudes towards management roles can also vary widely between cultures. Whether or not those in junior or middle-management positions feel comfortable speaking up in meetings, questioning senior decisions, or expressing a differing opinion can be dictated by cultural norms. Often these attitudes can be a reflection of a country’s societal values or level of social equality. For instance, a country such as Japan, which traditionally values social hierarchy, relative status, and respect for seniority, brings this approach into the workplace. This hierarchy helps to define roles and responsibilities across the organization. This also means that those in senior management positions command respect and expect a certain level of formality and deference from junior team members. However, Scandinavian countries, such as Norway, which emphasize societal equality, tend to have a comparatively flat organizational hierarchy. In turn, this can mean relatively informal communication and an emphasis on cooperation across the organization. When defining roles in multinational teams with diverse attitudes and expectations of organizational hierarchy, it can be easy to see why these cultural differences can present a challenge. Earlier this year, Forbes reported that New York-based natural foods company KIND Snacks, in
  • 3. its first ten years, has grown from zero to over 450 million units sold. Its now-familiar rainbow- wrapped bars can now be found in over 150,000 retail stores. According to the article, founder and CEO Daniel Lubetzky’s focus is to “make profit and make a difference … achieve mass distribution and make his products healthy.” An example of “doing good and doing well” — or corporate social responsibility (CSR) — KIND is far from alone in its approach. Companies from startups to huge conglomerates are increasingly incorporating social and environmental initiatives into their strategies. Microsoft partners with the nonprofit NETHope to create IT apprenticeships in Kenya. The Disney Company is providing $3 million in conservation grants this year to protect wildlife. Gap Inc. has a program that teaches health awareness and literacy to women garment workers in Cambodia and India. JPMorgan Chase has The Fellowship Initiative, a program designed to help American young men of color achieve academic and professional success. Mattel is committed to using sustainably sourced paper and wood fiber in its packaging and products. Mounting and sustaining social initiatives takes time, talent and resources. But increasingly, it is what investors, customers, employees and other stakeholders have come to expect and demand. Millennials — industry’s new and future customers — cast a particularly keen eye on companies’ commitment to social impact. But is this phenomenon limited to American and European companies? What about emerging multinational firms from developing nations, fighting for survival and success in the global economy: Are they paying attention to CSR? Can they afford to? Can they afford not to? Electric Cars, Cosmetics and More There are some high-profile examples of emerging multinational companies engaged in socially or environmentally impactful activities. Chinese battery maker BYD brought out the first mass- market electric plug-in car in 2008, and earned the #1 spot on this year’s Bloomberg Businessweek top 100 tech list. Despite a rocky entry into the U.S. market, it has built more than 1,000 electric buses and sold them in Asia, South America and Europe. In India, Suzlon Energy contributes to renewable energy as a major wind turbine manufacturer, operating on six continents. And Natura Cosmeticos, one of Brazil’s top cosmetics manufacturers, focuses on sustainability and social responsibility, serving as a founding member of the Union for Ethical BioTrade which promotes biodiversity conservation. According to Mauro Guillen and Esteban Garcia-Canal in their 2013 book Emerging Markets Rule, Natura uses only natural ingredients in its formulas, and has forged alliances with indigenous Amazon Basin communities to source herbal raw materials. Tarun Khanna, a professor at Harvard Business School, points to India’s Tata Group — one of India’s largest conglomerates with revenues of $108.8 billion — as a company “long renowned
  • 4. for its commitment to social purpose.” Greenbiz recently wrote, “In India, family-owned enterprises like the Tata Group occupy a place in citizen’s hearts and minds that is not easily shifted. They are viewed as the ‘go to’… to build schools and other social institutions, and fulfilling these social needs guarantees these companies’ license to operate.” Khanna believes that emerging multinationals need to be even more attuned to social purpose than Western companies. “The way I think about it is that often in developing countries, the state fails to provide the public good. Ultimately, some societal actor has to step in at least partly, within the realm of private possibility, and well-run private sector entities are often the only game in town. Doing the Right Thing the Right Way Wharton professor of management Witold Henisz sees a number of solid business reasons for any company to engage in social impact initiatives. But he cautions that CSR should be designed to address the concerns of stakeholders, not just “giving money to the symphony or something your stakeholders don’t [necessarily] really care about…. The better CSR programs, either in emerging multinationals or developed-country multinationals … are not just philanthropy, they’re strategic.” “Often in developing countries, the state fails to provide the public good. Ultimately, some societal actor has to step in at least partly … and well-run private sector entities are often the only game in town.”–Tarun Khanna He points to the CSR programs of big soda companies such as Coke and Pepsi, which are often focused on issues such as obesity, and water usage in developing nations, as good strategies. “These are programs addressing issues that people are concerned about with those companies. By addressing them, they reduce the likelihood of protest, they reduce the likelihood of aggressive regulation, and they build relations with stakeholders who could otherwise be attacking them.” Henisz labels as a “win-win-win” an ongoing project by Coke in which the company is investing in numerous small African mango plantations. “It’s helping small farmers in Africa; it’s getting them to think really well of Coca-Cola because Coca-Cola’s helping them grow their livelihoods; but it’s also creating a much bigger stock of mangos [for] Coke to create a mango-based beverage globally.” The ultimate metric of CSR success is whether it is driving shareholder value and long-term sustainable performance, he says. Winning Hearts and Minds When it comes to social impact, Henisz sees some differences between developed-world firms and emerging multinationals. “In the West, in the developed countries, more companies have kind of been dragged into this and now realize the benefits. They’re all going on a similar journey together.” Whereas emerging markets display “much more polarized strategies”: one
  • 5. sees “companies that embrace it from the beginning … and companies that are reluctant or don’t even see the value of it.” He identifies Chinese companies in particular as slow to adopt socially purposeful activities overseas because of their own political system. “Unfortunately, some of the Chinese oil and mining companies I run into in Africa where I do a lot of work [say,] ‘Well, the government should take care of that.’ Because in China, the government does take care of that.” Social development in China is the Communist Party’s responsibility, says Henisz, and businesses do not get involved. Only after “a lot of protests against them for not being more responsible, for not doing the same kinds of things that Western companies are doing,” Chinese multinationals have begun to build up their CSR. In other cases, says Henisz, an emerging multinational’s attitude toward social purpose may stem from the way it achieved its original business success. It might have had to “survive in a very difficult, fraught environment” and so might be more inclined toward social responsibility. On the other hand, there are companies that have succeeded because “they’re an offshoot of the government, related to the president, [or] they paid bribes, or they took advantage of a gap in the market and built up a monopoly.” Those companies don’t think at all about CSR, says Henisz, “because they got where they were by being ruthless and well-connected.” As an example of the former — an emerging multinational very much oriented toward CSR — Henisz cites Odebrecht, a Brazilian conglomerate with a large construction subsidiary. He says that Odebrecht nearly went bankrupt at its founding, but the CEO reached out to suppliers and buyers asking them to extend financing. The company survived the crisis, “and as a result, [the CEO has] always had this really strong relationship with his stakeholders — with the people in the supply chain and also the people all around his facilities.” The company does business in Africa where, Henisz says, “they’re involved not just in the big construction projects, but in really trying to win the hearts and minds of the people.” For example, while competing for a large construction contract in Luanda, Angola, Odebrecht took the unusual step of taking on a street-sweeping contract. Henisz explains that this gave them some very visible PR: The employees, sporting orange Odebrecht vests, were seen tackling one of downtown Luanda’s fundamental problems by cleaning up its streets. Another bonus was that many of these individuals, who would eventually work on Odebrecht’s construction sites, were acquiring basic job skills such as following processes and arriving on time. While acknowledging that Odebrecht “has been a little tarred in a corruption scandal recently,” Henisz says, “I still think, when I see their operations overseas, that they know what it means to come from a poor country; they know what the basic problems are; they know how to make a connection to the people as a result.” “Unfortunately, some of the Chinese oil and mining companies I run into in Africa where I do a
  • 6. lot of work [say,] ‘Well, the government should take care of [social development].’ Because in China, the government does take care of that.”–Witold Henisz By contrast, a multinational that ignores CSR might look something like Brazil’s EBX Group, according to Henisz. Its chairman, the mining, oil and gas magnate Eike Batista, had a net worth of $30 billion in 2012, but his wealth sank to $200 million due to debts and his company’s plummeting stock prices. His fall from grace and his trial for insider trading were widely reported in the business press. “His mines had nothing in terms of socially responsible behavior,” Henisz comments. “His company wasn’t based on success in the community. It was based on kind of moving envelopes of cash around and convincing people that he had connections.” EBX is now bankrupt, Henisz points out. Social Purpose in Health Care An emerging multinational in the health care space, and one very much focused on social purpose, is Narayana Hrudayalaya Private Ltd. in India. The for-profit company, founded in 2000 and now with 56 facilities in India and one in the Cayman Islands, was started by heart surgeon Devi Shetty to provide low-cost or free cardiac procedures to the poor and underserved. It has since expanded to treat other medical conditions as well. Harvard’s Khanna, who has done pro bono work and research for the organization for over a decade, comments, “What’s neat about it is that it’s now the lowest-cost heart surgery (for example for coronary artery bypass graft, and many other procedures) in the world. Think more than 90% cheaper than in the US.” Shetty introduced a unique business model, drawing on economies of scale, which has allowed Narayana Health to help indigent patients while remaining profitable. Khanna notes that the Wall Street Journal a few years ago dubbed Shetty “the Henry Ford of heart surgery” He adds: “Though I think better than to use a comparison with Ford and its standardized mass production system [would be a comparison] with Toyota and its famed learning approach to describe what Shetty has pulled off.” No patient is ever turned away from Narayana, notes Khanna. Patients who cannot pay are treated at no cost or through charity efforts that the hospital chain coordinates. “So, it has to be efficient enough to both turn a profit and to make money available for this social mission. Very cool.” Of emerging multinationals and social purpose, Khanna notes that one of the “underappreciated benefits of being attuned to social impact” is that it puts you “on the cutting edge of many of society’s most pressing issues.” A well-run firm and a motivated entrepreneur can turn this to substantial advantage, he says. Thomas Robertson, a former dean of the Wharton School and a professor of marketing, comments that while “obviously you have to keep your focus on profits or you won’t meet any
  • 7. of your objectives,” increasingly, business has moved from a shareholder model to the more encompassing stakeholder model. He sees increased recognition by industry of its responsibilities to employees, customers and the neighborhoods and regions in which it operates. “It’s kind of hard to [just] walk away from that.”