Critical Analysis Essay Assignment: 1302
Part I: The first part of the assignment is to find an example of a visual argument with written OR spoken text of some sort in it. Examples of this can include: A meme or gif, a short [1 minute maximum] video (advertisements, tik tok videos, etc. are good examples), and/or photo/ work of art. Note: Keep the videos short [1 minute or less] and self-contained(e.g. do not pick a scene from a movie, video, or part of a longer filmed work, etc.)
You will choose it, but it must include the following:
It must contain language (either spoken or written, or both) and images (either moving or
stationary).
The images and text must allow for outside context (outside interpretation that involves
time, place, cultural attitudes, economic conditions, etc.) to be added for one to fully understand its meaning
It must be from a source that is reliable/ vetted in some way (e.g. Facebook, Youtube, Twitter, TikTok=okay; 4 Chan, 8 Chan or anonymous source= not okay)
If it is a video, it should be no longer than a few minutes (1 minute max).
Part II: You will next write a Visual Analysis Essay about this video/image & written text.
This visual analysis essay should do the following:
1. It should examine the content that is in the video/ image, etc. by summarizing [if it is
a video] or describing it [if it is a stationary visual image(s)].
2. It should present a claim that identifies why/ how the image/ video, etc. is important, salient, compelling, etc. by interpreting its meaning.
3. It should identify the audience that the text [including the images] is aimed at, primarily and give reasoning that supports that supposition.
4. It should present any greater context that is missing from the visual argument that is important to understanding that argument better.
5.It should consider the logic of the argument presented by the image, video and/or images by considering whether the argument addresses the topic appropriately, gives appropriate context, etc.
Here are some questions to consider when writing your essay:
1. How does the written and visual text support the meaning that of the visual image and make it powerful?
2. What is the purpose of a particular symbol, image, language and/or setting and how does it support the meaning you are giving to this visual image(s) w/ text?
3. How do the visual and textual elements ‘prove’ the claim that you are making about the video,image, etc.?
Essay Requirements:
The essay should be 1000-1200 words in length
(at least 4 full pages and no more than 5 full pages).
It should include 2-4 direct quotes of language from the work that you chose to analyze.
It should contain a works cited page, and this MUST contain the original source that you are examining.
It should be MLA formatted, be written in 12pt, Times New Roman font. [I will provide an MLA generator website link with example docs]
It needs to be written using the third person only(no first or s ...
CLASS DISCUSSIONS. Post a detailed response of 250 word
Critical Analysis Essay Assignment 1302Part I The fi
1. Critical Analysis Essay Assignment: 1302
Part I: The first part of the assignment is to find an example of
a visual argument with written OR spoken text of some sort in
it. Examples of this can include: A meme or gif, a short [1
minute maximum] video (advertisements, tik tok videos, etc. are
good examples), and/or photo/ work of art. Note: Keep the
videos short [1 minute or less] and self-contained(e.g. do not
pick a scene from a movie, video, or part of a longer filmed
work, etc.)
You will choose it, but it must include the following:
It must contain language (either spoken or written, or both) and
images (either moving or
stationary).
The images and text must allow for outside context (outside
interpretation that involves
time, place, cultural attitudes, economic conditions, etc.) to be
added for one to fully understand its meaning
It must be from a source that is reliable/ vetted in some way
(e.g. Facebook, Youtube, Twitter, TikTok=okay; 4 Chan, 8
Chan or anonymous source= not okay)
If it is a video, it should be no longer than a few minutes (1
minute max).
Part II: You will next write a Visual Analysis Essay about this
video/image & written text.
This visual analysis essay should do the following:
1. It should examine the content that is in the video/ image, etc.
by summarizing [if it is
a video] or describing it [if it is a stationary visual image(s)].
2. 2. It should present a claim that identifies why/ how the
image/ video, etc. is important, salient, compelling, etc. by
interpreting its meaning.
3. It should identify the audience that the text [including
the images] is aimed at, primarily and give reasoning that
supports that supposition.
4. It should present any greater context that is missing from
the visual argument that is important to understanding that
argument better.
5.It should consider the logic of the argument presented by
the image, video and/or images by considering whether the
argument addresses the topic appropriately, gives appropriate
context, etc.
Here are some questions to consider when writing your essay:
1. How does the written and visual text support the meaning
that of the visual image and make it powerful?
2. What is the purpose of a particular symbol, image, language
and/or setting and how does it support the meaning you are
giving to this visual image(s) w/ text?
3. How do the visual and textual elements ‘prove’ the claim that
you are making about the video,image, etc.?
Essay Requirements:
The essay should be 1000-1200 words in length
(at least 4 full pages and no more than 5 full pages).
It should include 2-4 direct quotes of language from the work
that you chose to analyze.
It should contain a works cited page, and this MUST contain the
original source that you are examining.
It should be MLA formatted, be written in 12pt, Times New
Roman font. [I will provide an MLA generator website link with
example docs]
It needs to be written using the third person only(no first or
second person) throughout, and should address the claim/
argument your essay is making about the image and text, not
your personal feelings about it.
It should give analysis throughout (see example) and not talk
3. about what it contains
.
It can [but does not have to] contain one (1) outside source, but
this research should ONLY provide some context for the video/
image.
The research should come from an unbiased/ neutral site.
Wikipedia or the LSC Library Facts on File:Issues and
Controversies or Gale Opposing Viewpoints sites.
A rough draft of the essay is due next Sunday Feb 20TH, 2021.
The final draft is due Feb 21stby 11:59PM for full credit in the
drop box entitled “Visual Analysis Final Essay.”
Hints as to how you may want to organize your essay.
Note: Be sure each paragraph has a specific purpose. You can
organize your analysis in many ways, but here are the easiest
ways:
Pattern A: Topic based
Introductory paragraph that explores the topic with context
2nd paragraph contains Elements of the visual text
(summary)w/main claim which includes your interpretation of
the meaning/importance
3rdparagraph: audience for the visual source and why this topic
is
Important?
4thparagraph: elements in the video that lead you to understand
its importance (symbols, colors, actions of people that are not
literal but inferred, etc.) based on topic
5thparagraph: See above (if necessary)
Conclusion + brief recap
4. Pattern B:
Introduction w/elements summary main claim including primary
argument about visual elements’ meaning.
Element #1 (images) that supports argument
Element #2 (text) that support argument
Elements #3 (symbols, music, etc) that supports argument
Conclusion + Recommendation.
Discussion 2.1: Choose Your Organization!
Curtis Hill posted Jan 12, 2021 5:03 PM
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The selected healthcare organization is the Memorial Regional
Hospital, Hollywood, Fla-1014. This healthcare facility was
established in 1953 under the umbrella of the Memorial
Healthcare System that also includes the Memorial Regional
Hospital South and the Memorial Hospital Pembroke among
others (LeValley & Page, 2011).
The hospitals under this flagship are public and non-
profit hospital system. They are governed by the South Broward
Hospital District Board of Commissioners that consists seven-
member district board. The members are the appointee of the
Governor whereas the Chief Executive Officer and the President
is the being appointed by the Board of the Commissioners. The
website of the organization is www.mhs.net/locations/memorial-
regional
5. The Memorial Regional facility is among one of the
seven-level I trauma centers in the state. The facility is selected
because it using an expanded and modernized ED that makes it
a busy facility within Broward County. Another reason for the
selection of this facility is that it also operates institutions. The
Hospital is running the Memorial Cardiac and Vascular
Institute; Memorial Cancer Institute; and a Breast Cancer
Center as well as the Memorial Neuroscience Center. The
facility is also hosting the largest number of patients. It admits
37,431 patients with its ED receiving a total of 126,288
patients. It also hosts a total of 8,169 inpatients and 6,464
outpatient surgeries (Memorial Healthcare System, n.d).
The hospital is hosting several specialists for example
pathologists, cardiologists, pediatricians, emergency medical
teams, neonatal and perinatal medical specialists,
neurosurgeons, obstetric and gynecologists, pulmonologis ts,
physician assistants, and internal medicine specialists. The
hospital is having more than 6,700 employees who partner with
physicians, and hundreds of volunteering members who are
helping in the improvement of the health of the communities
(Memorial Healthcare System, n.d ).
References
LeValley, C., & Page, L. (2011, November 21). 20 Largest
Public Hospitals in the United States. Retrieved from Becker's
Hospital Review: https://www.beckershospitalreview.com/lists-
and-statistics/20-largest-public-hospitals-in-the-united-
6. states.html
Memorial Healthcare System. (n.d ). Memorial Regional
Hospital. Retrieved from
https://www.mhs.net/locations/memorial-regional
Curtis Hill
Assignment 03: Benchmark: A Starting Point
HA4110D - Healthcare Planning and Evaluation
Robin Bolton
January 24, 2021
Pharmaceutical Industry
The Pharmaceutical industry is known for discovering,
developing and producing drugs or medications that are
administered to patients with the intention of curing,
vaccinating or alleviating symptoms of different diseases
(Farooq, 2020). The Pharmaceutical industry usually deals with
brand or generic medications and also the production of medical
devices. This industry is closely related to the health sector
because the drugs which are used in the hospitals are usually
manufactured by these industries. Pharmaceutical industries are
majorly affected by environmental factors which include
political, economic, social and technology.
For political factors, this industry is subject to variety of laws
set by states for regulation in developing, testing and also
marketing of the drugs produced. Government agencies and
other drug related laws usually govern the operations of this
industry for the safety and health of the patients who receive
these medications (Farooq, 2020). There are also regulations on
where these drugs can be sold, because these manufactured
7. drugs can be sold directly to the patients or to hospitals and
other pharmacies. These regulations that govern this industry
also have a positive advantage because they act as a barrier to
entry of new competitors and therefore it is hard for new
industries to venture in this business giving the established
companies least competition.
There is also pressing pressure when it comes to selling these
drugs to the consumers. This is because these drugs are
lifesaving and therefore the government cannot allow these
industries to sell them at a higher price which will make them
unavailable to the needy. In the past the prices of these drugs
were not controlled by the government, but the industry started
hiking the prices such that they were not affordable to many of
the patients and therefore the government took over to
controlling the pricing of these drugs (Bush, 2019).
In the economy factor the health care spending is steadily
growing because of other factors such as increased lifestyle
diseases and therefore this has led to increased or greater
revenues for this industry. As for social factors there is a
growth in the ageing population which means that there is an
increase in age related health complications therefore the
pharmaceutical industry will be able to produce more drugs to
cure such complications (Farooq, 2020). With the growth in the
ageing population this means that the production of age-related
drugs will also increase therefore increasing the revenue of the
pharmaceutical industries.
There is also increased growing obesity rates in the current
generation which lead to increased lifestyle diseases such as
diabetes. Such health-related diseases mean that the
pharmaceutical industries have to come up with the drugs to
cure these diseases which means that the revenue will be
increased because a lot of people need these drugs to cure the
lifestyle diseases. There is also a health-conscious trend in the
current generation meaning that people are striving to live
healthy and take supplements to keep their immune system in
check, presenting an opportunity for the pharmaceutical
8. industry to provide health related solutions to this generation,
hence growing its revenue.
As for the technology there is a growth in biotechnology
industry which can take from the pharmaceutical industry
because bio technological industries are focused on producing
healthier food options and substituting their normal options that
usually cause diseases and therefore there will be a reduced
need for massive pharmaceutical treatment in the future (Bush,
2019). The Process of producing a new drug is usually complex
and filled with risks and therefore a competitive market
benchmark analysis is very important in the Pharmaceutical
industry. This industry is highly competitive as for the current
top 10 pharmaceutical industries, nine of them come from the
United States and therefore this industry is very competitive in
the United States (White, et al, 2019). These companies usually
compete amongst themselves and both of them produce generic
and branded drugs. The productor service categories in the
committed care industry include oral drugs, parental
formulations, novel drugs formulations, topical medicine
oncological formulations and modified medical formulations
(Yaseen, et al, 2018). These different types or group of drugs
are important in the pharmaceutical industry and therefore there
is a competition of producing all these categories which are in
high demand. Chief providers of these medicines are images of
competition in the pharmaceutical industry and every company
is focused on providing a better version of the same drug which
is more effective and also affordable.
References
Bush T. (2019). PESTLE Analysis of the Pharmaceutical
Industry. Retrieved from https://pestleanalysis.com/pestle-
analysis-of-pharmaceutical-industry/
9. Calcagno, C., Chapsal, A., & White, J. (2019). Economics of
excessive pricing: an application to the pharmaceutical industry.
Journal of European Competition Law & Practice, 10(3), 166-
171. Retrieved from
https://academic.oup.com/jeclap/article/10/3/166/5362539?login
=true
Farooq U. (2020). PESTLE Analysis of The Pharmaceutical
Industry. Retrieved from https://www.marketingtutor.net/pestle-
analysis-of-the-pharmaceutical-industry/
Yaseen, M. M., Sweis, R. J., Abdallah, A. B., Obeidat, B. Y., &
Sweis, N. J. (2018). Benchmarking of TQM practices in the
Jordanian pharmaceutical industry (a comparative study).
Benchmarking: An International Journal. Retrieved from
https://www.emerald.com/insight/content/doi/10.1108/BIJ-04-
2017-0076/full/html
Curtis Hill
Assignment 04: Introduction to SWOT-EFE
HA4110D - Healthcare Planning and Evaluation
Robin Bolton
January 31, 2021
10. STRATEGIC ANALYSIS
The health industry has a very dynamic environment that is
affected by numerous factors, both internal and external ones.
The services provided by healthcare organizations are related to
patient satisfaction, loyalty, productivity, and profitability.
Therefore, it is vital to define, measure, and enhance the quality
of healthcare services. Effective leadership integrated with
teamwork in any organization makes a difference when meeting
such factors to mitigate challenges. A consistent evaluation
process is necessary for identifying all factors affecting the
working success of an organization. Different influences may
impact the success of a company. These fall into two categories:
external and internal factors.
External factors are the surrounding environment of healthcare
organization that impacts their performance and quality
services. Patient socio-demographic factor influences the
interaction among a provider and the patient as well as the
quality of the medical service. This factor can hinder the
successful operation of these services if there is no clear
understanding between the patient and the physician. A
physician needs to identify with the patient's socio-demographic
variables to help in communicating better with them and win
their trust (Bielecki & Nieszporska, 2019). This can affect the
organization as it contributes to medical errors or wrong
administration of medications if the patient doesn't provide
eight information to the physician due to misunderstanding.
The attitudes and behavior of the patients affect the attitude of
the caregiver because if they behave themselves, quality care is
offered unintentionally by the providers. The slow diffusion of
medical knowledge is an external factor affecting healthcare
organizations. The acceptance of new discoveries into clinical
practice can take more period than required. Even if it is a way
of ensuring that patients receive drugs, procedures, and
interventions that are effective, it hinders the progress of
important interventions as they cannot be practiced till proven.
Unfortunately, there is no simple solution to this factor.
11. The severity of illnesses is another external factor. The kind of
illness handled in health organizations increases stress among
physicians, thus affect the entire quality of medical services.
For instance, when the mortality rate keeps increasing, it creates
anxiety and stress among staff, which in turn affects the quality
of medical services. Continuous training and educational
advancements are opportunities that affect healthcare
organizations Willis et al., 2018). This contributes to
professional who is key in providing medical services. They
provide measures for assessment, developing, and fine-tune key
individual and professional skills to remain expert. Therefore,
the healthcare organization can handle any complex situations
in the changing environment to provide quality services.
The practice of medicine and technology have produced
opportunities through how health workers practice medicine
now and in the future. Technology has made massive impact in
healthcare, such as enhancing access to medical data and files.
It permits information to be retrieved from anywhere hence,
permits providers to share medical data rapidly with one another
leading to more effective patient care (Cantor & Poh, 2018).
EHR has made medical billing easier, faster, and smoother.
Patient medical records are secured and stored in an organized
manner and centralized storage of patient's data. This makes the
work of health providers easier as they have quick access to
data for improved care and better results.
The Healthcare organization is very complex due to the changes
needs of patients and modern advancements. To properly deal
with threats and opportunities, healthcare managers should show
direction and guidance to the roles, responsibilities, and
function. They have to find ways that the external factors,
especially the opportunities, can be constructed to be beneficial
to the organization to enhance the quality of services provided.
They should devise and revise strategies that every provider can
adhere to and comprehend. The choices made by healthcare
directors should focus on providing quality care but also
address the needs of health providers and ways to increase their
12. proficiency.
References
Bielecki, A., & Nieszporska, S. (2019). Analysis of healthcare
systems by using systemic approach. Complexity, 2019.
Retrieved from
https://www.hindawi.com/journals/complexity/2019/6807140/ab
s/
Cantor, V. J. M., & Poh, K. L. (2018). Integrated analysis of
healthcare efficiency: a systematic review. Journal of medical
systems, 42(1), 1-23. Retrieved from
https://link.springer.com/article/10.1007/s10916-017-0848-7
Willis, G., Cave, S., & Kunc, M. (2018). Strategic workforce
planning in healthcare: A multi-methodology approach.
European Journal of Operational Research, 267(1), 250-263.
Retrieved from
https://www.sciencedirect.com/science/article/pii/S0377221717
310196
13. Running Head: BUSINESS STRATEGY
1
BUSINESS STRATEGY
4
Business Strategy
Institutional Affiliation
Date
Christiana Care Health System Organization’s Mission
Statement
The mission of the Christiana Care Health System is to serve
the general Delaware community by offering high quality health
care services that target patients with heart diseases, cancer,
and other illnesses while offering teaching services to students
who would fulfil the organization’s vision.
First Guiding Principle: What We Do?
The health system, which is currently located in Delaware,
provides several healthcare services. One of the services offered
by this institution revolves teaching services since the
institution has a teaching hospital that consists of two
campuses. The health system has managed to offer this
particular service to both medical and dental students. Other
services offered by this particular institution revolve around
cancer treatment, cardiology, trauma treatment services, and
women health services. The hospital is known for its excellence
when considering the services mentioned above (Wayland, &
McDonald, 2016). This shows that the organization is working
parallel to its mission to offer excellent and quality healthcare
services to its patients. The cancer treatment services have led
the health system to be well-known since the number of
14. radiology procedures held back in 2013 surpassed 300,000.
Innovative and affordable health care systems have been
adopted by this particular organization due to its effectiveness
and the fact that systems of care are highly valued by the
community. The health system also offers rehabilitation and
neonatal intensive care services to its patients. In the country, it
ranked 21st when considering the volume of admissions. This
shows that this particular hospital has a competitive advantage
over a good number of hospitals located in the region and the
country as well. The philosophy of this particular organization
revolves around offering affordable and quality care to its
patients further benefiting the community at large (Wayland, &
McDonald, 2016).
Second Guiding Principle: Where Are We Going?
The organization vision’s statement is to be build an effective,
affordable, and valuable system of care that will be of value to
the patients since the system will focus on the needs and wants
of the patients and neighbors. The organization has managed to
rank among top thirty when considering the volume of
admissions in the country. The same ranking has been seen
when considering other aspects such as surgeries conducted,
emergency visits, and births. The organization wants to focus on
the community. This has led to the development of a system of a
care that will offer value to the neighbors as stated in the short
description of the company (Wayland, & McDonald, 2016). The
vision of the company is to understand what is valuable to the
patients admitted in the hospital. This particular aspect will
improve the services offered by the organization since the
medical practitioners will offer services respectfully while
showing compassion to the patients. The vision of the
organization focuses on learning more about the neighbors, who
they really are, their wants and needs. This particular vision
will also improve the services offered by the organization to the
neighbors since the health system will have met the needs and
wants of the neighbors. Hence, the primary vision of the
15. organization is to build a better relationship with the neighbors
by understanding their needs and wants.
Third Guiding Principle: How Will We Get There?
The hospital will achieve its vision by offering affordable and
valuable services to the patients that meet the needs and wants
of the neighbors. This aspect will be possible through
partnership between the organization, the patients, and the
family members of the patients. The partnership will contribute
to the development of a valuable, affordable, and effective
system of care that will meet the needs and wants of the patients
and the neighbors as well (Wayland, & McDonald, 2016).
References
Wayland, M. S., & McDonald, W. G. (2016). Strategic analysis
for healthcare: Concepts and practical applications.
Running head: BCG MATRIX ANALYSIS
1
BCG MATRIX ANALYSIS
2
Title
Student’s name
Instructor
Course
Date
16. BCG MATRIX ANALYSIS
McKinsey 7s model is a tool that is used in analyzing the
organizational design. This is done through examining seven
vital organizational internal elements. “These elements include
systems strategy, structure, collective values, styles, skills, and
staff” (Gechkova, T., & Kaleeva, 2020). This is done to
effectively identify these factors are appropriately aligned to
allow the organization to achieve its objectives.
The Boston consulting group model (BCG) analyzes an
organization's products or services. The matrix is fabricated
basing on the relative market share and the growth rate of the
market. These are the two significant factors forming the four
BCG matrix quadrants. The y-axis, which represents the growth
rate of the market, helps measure the appeal or the market
demand. When there is a high growth rate in the market, there
are more opportunities, and thus there is a high earning
potential. The x-axis represents the relative share of the market.
It evaluates the competitive strength looking at the revenue
generated by the divisions or products of an organization.
CoxHealth Foundation will be analyzed in this case. This
foundation's system is defined by capital improvement, which is
defined as a star, the clinics are defined as a “cash cow”, the
community impact initiative is defined as a “question mark”,
and charity is defined as a “dog” (CoxHealth. 2017). This will
be shown in the BCG matrix.
The capital improvements require large investments so that the
company can stay ahead. The cash flow may start as negative
until the time when there are improvements made and business
17. resumes as normal. As time continues, cash flow will become
profitable if there is a good plan in place. The organization
clinics are a very instrumental revenue source for this
organization. High and stable cash flow are very important for
this company. There is a good strategy of investing in
maintaining the organization's current level. The organization's
community impact initiative (a question mark) is vital in the
community. The charities (a dog) usually have a neutral or
negative cash flow (Pascaris, 2017). The organization fund has
numerous finances that help the people who cannot afford the
care they need frantically. For full support, the applicants are
supposed to fill a form and fulfill the requirements highlighted
for the various funds.
CoxHealth BCG matrix
High
Stars
capital improvements
The stars are monies spent on new technology, renovations,
expansions, information system, and purchase of new
equipments and offering services to the patients ( CoxHealth
Foundation. 2017). These improvements are aimed at improving
the quality of patients care. quality care will gradually help in
generating income to the organization
Question marks
Community initiatives
This organization sent a total of $868151180 to the community.
This was done through initiatives as well as donated medical
services. These initiatives are considered as community
investments. They may not bring revenue to the organization but
is very important in boosting the reputation of the organization.
Cash cows
Clinics
The primary care clinics of this organization create the largest
revenue. The organization has more than 150 primary care
physicians serving more than 12000 patients
18. Dogs
Charity
This foundation has various funds that helps in funding
individuals who are completely unable to afford the required
care. This is solely dependent on fundraisers and donations.
Low
High low
References
CoxHealth. (2017). About us. Community impact. Retrieved
from CoxHealth website: https://www.coxhealth.com/about-
us/community-impact/
CoxHealth Foundation. (2017). Patient Assistance. Retrieved
from CoxHealth Foundation
website:https://www.coxhealthfoundatio n.com/to-
receive/patient-assistance/
Gechkova, T., & Kaleeva, T. (2020). THE MCKINSEY 7S
MODEL IN THE AIRPORT SYSTEM
PROTECTION. Knowledge International Journal, 42(5), 843-
848.
Pascaris, M. (2017, March 08). Fitch affirms CoxHealth (MO)
at ‘A’; Outlook stable. Retrieved
from https://www.fitchratings.com/site/pr/1020240
19. References
Running Head: STRATEGIC ANALYSIS 1
STRATEGIC ANALYSIS 5
External factors
Student’s name
Institutional affiliation
Date
The health industry has a very dynamic environment that is
affected by numerous factors, both internal and external ones.
The services provided by healthcare organizations are related to
patient satisfaction, loyalty, productivity, and profitability.
Therefore it is vital to define, measure, and enhance the quality
20. of healthcare services. Effective leadership integrated with
teamwork in any organization makes a difference when meeting
such factors to mitigate challenges. A consistent evaluation
process is necessary for identifying all factors affecting the
working success of an organization. Different influences may
impact the success of a company. These fall into two categories;
external and internal factors.
External factors are the surrounding environment of healthcare
organization that impacts their performance and quality
services. Patient socio-demographic factor influences the
interaction among a provider and the patient as well as the
quality of the medical service. This factor can hinder the
successful operation of these services if there is no clear
understanding between the patient and the physician. A
physician needs to identify with the patient's socio-demographic
variables to help in communicating better with them and win
their trust (Bielecki & Nieszporska, 2019). This can affect the
organization as it contributes to medical errors or wrong
administration of medications if the patient doesn't provide
eight information to the physician due to misunderstanding.
The attitudes and behavior of the patients affect the attitude of
the caregiver because if they behave themselves, quality care is
offered unintentionally by the providers. The slow diffusion of
medical knowledge is an external factor affecting healthcare
organizations. The acceptance of new discoveries into clinical
practice can take more period than required. Even if it is a way
of ensuring that patients receive drugs, procedures, and
interventions that are effective, it hinders the progress of
important interventions as they cannot be practiced till proven.
Unfortunately, there is no simple solution to this factor.
The severity of illnesses is another external factor. The kind of
illness handled in health organizations increases stress among
physicians, thus affect the entire quality of medical services.
For instance, when the mortality rate keeps increasing, it creates
anxiety and stress among staff, which in turn affects the quality
of medical services. Continuous training and educational
21. advancements are opportunities that affect healthcare
organizations Willis et al., 2018). This contributes to
professional who is key in providing medical services. They
provide measures for assessment, developing, and fine-tune key
individual and professional skills to remain expert. Therefore,
the healthcare organization can handle any complex situations
in the changing environment to provide quality services.
The practice of medicine and technology have produced
opportunities through how health workers practice medicine
now and in the future. Technology has made massive impact in
healthcare, such as enhancing access to medical data and files.
It permits information to be retrieved from anywhere hence,
permits providers to share medical data rapidly with one another
leading to more effective patient care (Cantor & Poh, 2018).
EHR has made medical billing easier, faster, and smoother.
Patient medical records are secured and stored in an organized
manner and centralized storage of patient's data. This makes the
work of health providers easier as they have quick access to
data for improved care and better results.
The Healthcare organization is very complex due to the changes
needs of patients and modern advancements. To properly deal
with threats and opportunities, healthcare managers should show
direction and guidance to the roles, responsibilities, and
function. They have to find ways that the external factors,
especially the opportunities, can be constructed to be beneficial
to the organization to enhance the quality of services provided.
They should devise and revise strategies that every provider can
adhere to and comprehend. The choices made by healthcare
directors should focus on providing quality care but also
address the needs of health providers and ways to increase their
proficiency.
33. b) marketing approachb) Formalization & control
c) Formalization of structurec) Stability
d) marketing approach
3. Turbulent environment- may4. Muddling behavior, simply
INTENSEconstrain or dictate actionsreacting
COMPETITION
Critical Problems:Critical Problems:
a) Identify nichesa) Maintain market position
b) Monitor competitionb) Further image via focus &
c) Realignment of the firm differentiation strategies
vis-a-vis the competitionc) Cost control
Source: Dodge, Fullerton & Robbins, Strategic Management
Journal, Vol. 15, 121-134 (1994)
5 ForcesFIVE FORCESISSUEIMPACT ON
COMPANYIMPLICATION FOR STRATEGYThreat of
Entry1.2.3.4.5.Threat of Substitutes1.2.3.4.5.Power of
buyers1.2.3.4.5.Power of Suppliers1.2.3.4.5.Intensity of
Rivalry1.2.3.4.5.FORCEISSUEIMPACT ON
COMPANYIMPLICATION FOR STRATEGYThreat of Entry1.
Government regulation requires licensing and agency approval
prior to manufacturing or sale of product.Company needs a
three year lead time in order to obtain approvalMust include
strategies to address legal and political issues; keeping
competitors at bay during approval lag time, technological
obsolescence and leapfrogging during approval period2. Raw
material currently must be sourced from Asia which limits the
ability of companies to enter due to higher logistics and
transportation costsCost, timing, transportation, quality control,
political opposition to Asian product may hinder approval
processMust include strategies to address cost, timing,
transportation, quality control, political opposition, and
sourcing in the US3. Existing competitors have high profit
margins and a willingness and capability to engage in a
prolonged price war designed to drive a new entrant in the
market out.A price war would reduce the projected profit
margins and make the market undesirable to enterStrategy must
34. address a method to develop a low cost manufacturing and
distribution system and provide funding to survive a price war4.
Ability of dominant players to buy smaller players, thus
consolidating costs and expanding market share.Industry
consolidation could create one or two "10,000 lb gorillas" that
could dominate the industry and our ability to obtain
contractsStrategy must address proactive defense to industr y
consolidation or develop a method to compete in a consolidated
industry5. Exclusive supplier contracts are in place with major
buyers which currently lock out new suppliersCompany may not
be immediately able to enter into contracts to supply until
existing exclusive contracts by competitors expireMust include
strategies to challenge the propriety of the exclusive supplier
agreements, find a way around such contracts, or enable
company to jump in when such contracts expireThreat of
Substitutes1.2.3.4.5.Power of buyers1.2.3.4.5.Power of
Suppliers1.2.3.4.5.Intensity of Rivalry1.2.3.4.5.
PESTP.E.S.T.ISSUEIMPACT ON COMPANYIMPLICATION
FOR
STRATEGYPolitical1.2.3.4.5.Economic1.2.3.4.5.Social1.2.3.4.
5.Technological1.2.3.4.5.P.E.S.T.ISSUEIMPACT ON
COMPANYIMPLICATION FOR STRATEGYSocial1.2.3.4.5.
CompetativeSome Possible Broad Categories and Sub-
CatagoriesAnalysis example using a "YES" / "NO"
methodIdentify the key broad catagories for your industryYour
CompanyCompetatorCompetatorCompetatorIndustryProduct
relatedFinancialDistribution System:Our Co.Alpha Co.Beta
CoOmega Co.Industry1.Category1.2.3.Implications for your
company's strategy:Product qualityOperating ratioJust in time
delivery systemYESNONOYESNO2.1.1.Product price
pointInventory turnoverVendor managed
inventoryYESYESNOYESYES3.a.2.New product development
rateNumber of days of sales outstandingCaptive trucking
divisionYESYESYESYESYES4b.3.Product replacement
cycleGross margin
ratioUnionizedYESNONONONO5.c.4.InovationReturn on
35. equitye.5.Product image / reputationRe turn on assetsf.6.Debt-
to-equity ratioAnalysis example using a scoring scale
methodg.7.Sales RelatedEarnings per shareProductOur
Co.Alpha Co.Beta CoOmega Co.Industry8.Market shareProduct
quality122532.9.Distribution networkEmployee RelatedProduct
price point31251a.10.Sales growth %Average number of
employeesNew product development rate14253b.Corporate
ImageAnnual revenue per employeeProduct replacement
cycle14353c.Customer loyaltyAnnual compensation per
employee1 = Superior; 5 = Poore.Service and sales
policiesFlexibility of Organizational
Structuref.AdvertisingAbility to Attract & Retain the best
peopleg.Analysis example using a numeric data reporting
methodManufacturing RelatedDistribution RelatedFinancialOur
Co.Alpha Co.Beta CoOmega Co.Industry3.Annual maintenance
& repair expenseJust in time delivery systemNumber of days of
sales outstanding13076984567a.DowntimeVendor managed
inventoryGross margin %5348673342b.Number of
manufacturing plantsCaptive trucking divisionReturn on equity
%15131337c.Location of manufacturing
plantsUnionizedEarnings per
share.32.53.10.27.33e.Competition’s capacity
utilizationf.Technological capabilityg.Vertical
integrationAnalysis example using a force ranking
methodSalesOur Co.Alpha Co.Beta CoOmega Co.Median4.Some
Possible Broad CatagoriesMarket share12342.5a.Product
relatedSales growth %24312.5b.Financial RelatedCorporate
Image24132.5c.Sales RelatedCustomer
loyalty13242.5e.Employee Relatedf.Manufacturing
Relatedg.Distribution Related5.a.b.c.e.f.g.
SWOTYour companyCompetitor 1Competitor 2Competitor
3EFE AnalysisEFE AnalysisIFE AnalysisIFE
AnalysisInternal:StrengthsWeaknessesInternal:StrengthsWeakne
ssesIMPLICATIONS FOR
STRATEGYStrengthsOpportunitiesWeightRatingScoreOpportun
itiesWeightRatingScoreStrengthsWeightRatingScoreStrengthsW
36. eightRatingScore11111111Products
expansion0.10040.40011Marketing
Philosophy0.10040.4001External:OpportunitiesThreats2222222
2Stock growth0.02520.05022Social
Responsibility0.10030.300233333333More
exposure0.10020.20033Creative
Products0.10040.400344444444Move towards
globalization0.02510.02544Diverse Product
Line0.02540.100455555555More stadium
contracts0.02520.05055Mass
Customization0.05030.150566666666Expand target
market0.10020.20066Product
Specialization0.03040.120677777777License
agreements0.05030.15077Ethics
Program0.00530.015788888888Company
growth0.02520.05088Quality
Products0.09030.270899999999990.00091010101010101010101
00.00010External:OpportunitiesThreatsWeaknessesRating
Scale: 4= major strength; 3= minor strengthRating Scale: 4=
major strenght; 3= minor
strenght111111ThreatsThreatsWeaknessesWeaknesses2222221
Multiple competitors0.10020.20011Inexperienced mgmt
team0.05010.05013333332Dependency on sugar
cane0.07530.22522Expensive Retail price
structure0.02520.05024444443Suppliers have the
power0.02520.05033Weak marketing
processes0.07510.07535555554Recent
lawsuit0.02520.05044Limited
Distribution0.07510.07546666665License
agreements0.07530.22555Limited Financial
Capability0.02520.05057777776Seasonality of
sales0.05010.05066Small
company0.02520.05068888887Dependence on
suppliers0.05030.15077Informalities of
Company0.05010.05079999998Dependence on contract
packers0.10030.30088Little Brand
37. Recognition0.10010.10081010101010109Dependence on
distributors0.05030.15099Collection Practices for
receivables0.07510.0759Opportunities1010100.000101111Total
Weight:1.000Total Score:2.525Total Weight:Total Score:Rating
Scale: 1= major weakness 2= minor weaknessRating Scale: 1=
major weakness 2= minor
weaknessSTRENGHTSWEAKNESSES2222Rating Scale:Rating
Scale:Total Weight:1.000Total Score:2.330Total Weight:Total
Score:OPPORTUNITIESTHREATS33334 = Current Response is
Superior4 = Current Response is Superior44443 = Current
Response is Above Average3 = Current Response is Above
Average55552 = Current Response is Average2 = Current
Response is Average66661 = Current Response is Poor1 =
Current Response is
Poor77778888999910101010Threats11112222333344445555666
677778888999910101010
IE MatrixWeighted IFE ScoreWeighted IFE ScoreStrong 3.0-
4.0Average 2.0 to 2.99Weak 1.0 to 1.99Strong 3.0- 4.0Average
2.0 to 2.99Weak 1.0 to 1.99Weighted EFE ScoreHigh 3.0-
4.0AABWeighted EFE ScoreHigh 3.0- 4.0AABMedium 2.0 to
2.99ABCMedium 2.0 to 2.99ABCLow 1.0 to 1.99BCCLow 1.0
to 1.99BCCImplied Strategies-AGrow and BuildIntegration
strategies, intensive strategiesBHold and MaintainMarket
penetration, product development, joint ventureCHarvest or
divestRetrenchment, divesturature , liquidationIntegration
StrategiesForward integration- Ownership or increased control
over distributors or retailers.Backward integration- Ownership
or increased control over suppliers.Horizontal integration-
Ownership or increased control over competitors.Intensive
StrategiesMarket Development- New or present products into
new areas.Product Development- Improving or Modification of
product for increased sales.Market Penetration- Increased share
for present products by increased effort.Defensive
StrategiesJoint Venture- When two or more firms join & create
a third co-owned firmRetrenchment- Organization regroups
using cost and asset reduction techniquesDivestiture- Selling a
38. product line, division, or business unitLiquidation- Selling all
of the company assets.Diversification StrategiesConcentric
Diversification Adding new but related products.Horizontal
Diversification Adding new Unrelated products for present
customers. Firm knows customers.Conglomerate Diversification
Adding new unrelated products. Firm not familiar with customer
base.SummaryMergers/Buyouts.Mergers Buy similar sized
companies.Leveraged Buyouts Shareholders are bought
out.Generic StrategiesCost Leadership strategies Striving to be
the low cost provider. ~WalMartDifferentiation Strategies To
stand out,~service,performance,useful life,ease of use.Focus
Strategies Concentration after certain customer or area
attributes.
FinancialRATIOCALCULATIONWHAT IT TELLS
USRATIOYear 1Year 2% + / -Year 3% + / -Year 4% + / -Year
5% + / -RATIOCompanyIndustry% + / -Competitor 1% + / -
Competitor 2% + / -Competator3% + / -Liquidity
RatiosLiquidity RatiosLiquidity RatiosCurrent RatioCurrent
assetsIf a Firm's short-term assets are readily available to pay
off its short-term liabilitiesCurrent RatioCurrent RatioCurrent
liabilitiesQuick or Acid-Test RatioQuick or Acid-Test
RatioLeverage RatiosLeverage RatiosQuick or Acid-Test
RatioCurrent assets – inventoryThe amount of the most liquid
current assets available to cover current liabilitiesDebt-to-
Total-Asset RatioDebt-to-Total-Asset RatioCurrent
liabilitiesDebt-to-Equity RatioDebt-to-Equity RatioLeverage
RatiosLong-Term Debt-to-EquityLong-Term Debt-to-
EquityDebt-to-Total-Asset RatioTotal liabilitiesThe amount of
leverage being used by a company.Times-Interest-Earned
RatioTimes-Interest-Earned RatioTotal assetsActivity
RatiosActivity RatiosInventory-Turnover RatioInventory-
Turnover RatioDebt-to-Equity RatioTotal liabilitiesMeasures
how much debt a firm has compared to shareholders
equityTotal-Asset TurnoverTotal-Asset TurnoverShareholders
EquityFixed-Asset TurnoverFixed-Asset TurnoverAverage
Collection PeriodAverage Collection PeriodLong-Term Debt-to-
39. Equitylong term liabilitiesMeasures how much long term debt a
firm has compared to shareholders equityProfitability
RatiosProfitability RatiosShareholders EquityGross Profit
MarginGross Profit MarginOperating Profit MarginOperating
Profit MarginTimes-Interest-Earned RatioEBITDetermines how
easily a company can pay interest expenses on outstanding
debtNet Profit MarginNet Profit MarginInterest chargesReturn
on Total Asset (ROA)Return on Total Asset (ROA)Activity
RatiosReturn on Stockholders’ EquityReturn on Stockholders’
EquityInventory-Turnover RatioSalesHow long sales inventory
waits to be soldReturn on Capital EmployedReturn on Capital
EmployedInventoryEarnings per ShareEarnings per
ShareEBITDAEBITDATotal-Asset TurnoverSalesThe
relationship between assets and revenueGrowth RatiosGrowth
RatiosTotal assetsSales increaseSales increaseEarnings per
ShareEarnings per ShareFixed-Asset TurnoverSalesThe
relationship between fixed assets and revenueDividends payout
ratioDividends payout ratioFixed assetsValuationVal uationP/E
RatioP/E RatioAverage Collection PeriodReceivablesHow long
it takes a firm to collect payment from it's customersPrice to
Book ratioPrice to Book ratioSales per dayPEG RatioPEG
RatioProfitability RatiosProfit margin on salesProfit margin on
salesGross Profit MarginGross profitThe amount of gross profit
as a percent of salesReturn on net worthReturn on net worthNet
salesJanuary 1st stock priceJanuary 1st stock priceNet
IncomeNet IncomeOperating Profit MarginOperating profitThe
amount of operating profit as a percent of salesGross
incomeGross incomeNet salesNet Profit MarginNet incomeThe
amount of net profit as a percent of salesNet salesReturn on
Total Asset (ROA)Net incomeHow well management is using
the company's assets to earn a profit.Total assetsReturn on
Stockholders’ EquityNet incomeMeasures how much
shareholders earned on their investment in the firmShareholders
equityReturn on Capital EmployedEBITIndicates the efficiency
and profitability of a company's capital investmentsTotal assets -
current liabilitiesEarnings per ShareNet income- preferred stock
40. dividendsprofit per share of common stock outstandingShares
outstandingEBITDAprofit per share of common stock
outstanding adjusted for interest, taxes, depreciation &
amortizationGrowth RatiosSales increaseCurrent year
salesPercent increase in sales year over yearPrior year
saleEarnings per ShareNet income- preferred stock
dividendsHow much profit is earned for each share of common
stockAverage outstanding sharesDividends payout
ratioDividends per common shareThe portion of a company's
earnings paid relative to each common shareEarnings per
shareValuationP/E RatioPrice per sharehow much investors are
willing to pay per dollar of earnings.Earnings per sharePrice to
Book ratioPrice per shareCompares a firm's market value to its
book valueTotal assets-intangible assets & liabilitiesPEG
RatioP/E RatioDetermines a stock's value while taking into
account earnings growth (<1= undervalued)Annual EPS
growthProfit margin on salesNet incomeHow much profit a
company makes on it's salesSalesReturn on net worthNet
incomeProfit as related to the firm's net worthNet worth
BCGHighSTARQUESTION
MARKHighHighAABMARKETGROWTHRATEMARKETMAR
KETABCATTRACTIVENESSATTRACTIVENESSMediumLow
CASH COWSDOGSHighLowBCCRELATIVE MARKET
SHAREHighLowLowHighLowHighMediumLowBUSINESS
STRENGTHBUSINESS
STRENGTHMARKETGROWTHRATEGeneral Strategies Based
on Matrix Location:AGrow & Build:Integration strategies,
intensive strategiesBHold & Maintain:Market penetration,
product development, joint ventureCHarvest &
divest:Retrenchment, divesturature ,
liquidationLowHighLowRELATIVE MARKET SHARE
Life CycleEARLY STAGELATE STAGEReasons For Decline1.
Lack of dependencies and2. Environment neitherToo much
Debt28%LITTLE OR NOconstraints in pursuing
goalsthreatening or constrainingInadequate
Leadership17%COMPETITIONPoor Planning14%Critical
41. Problems:Critical Problems:Failure to Change11%a)
Resourcesa) Stabilizing firms positionInexperienced
Management9%b) marketing approachb) Formalization &
controlNot Enough Revenue8%c) Formalization of structurec)
Stabilityd) marketing approach*Source: Buccino and
Associates: Seton Hall University, as reported in August 25,
2003, Business Week.3. Turbulent environment- may4.
Muddling behavior, simplyINTENSEconstrain or dictate
actionsreactingCOMPETITIONCritical Problems:Critical
Problems:a) Identify nichesa) Maintain market positionb)
Monitor competitionb) Further image via focus &c)
Realignment of the firmdifferentiation strategiesvis-a-vis the
competitionc) Cost controlSource: Dodge, Fullerton & Robbins,
Strategic Management Journal, Vol. 15, 121-134
(1994)CORPORATE LIFE
CYCLEPhaseSituationOrganizationInnovation & StrategyBirth
Phase:Small firmInformal structureConsiderable innovation in
product linesYoungUndifferientedNiche StrategyDominated by
owner/ managerPower highly centralizedSubstantial risk
takingHomogenous/ placid environmentCrude information
processing & decision making methodsGrowth Phase:Medium
sizedSome formalization of structureBroadening of product-
market scope into closely related areasOlderFunctional basis of
organizationIncremental innovation in product linesMultiple
share holdersModerate differentiationRapid growthA more
heterogeneous & competitive environmentSomewhat less
centralizedInitial development of formal information processing
& decision making toolsMaturity Phase:LargerFormal,
bureaucratic structureConsolidation of product- market
strategyEven olderFunctional basis of organizationFocus on
efficiently supplying a well defined marketDispersed
ownershipModerate differentiationConservatismheterogeneous
& competitive environmentModerate centralizationSlow
growthInformation processing & decision making same as
growth stageRevival Phase:Very largeDivisional basis of
organizationStrategy of product- market diversification;
42. movement into some unrelated marketsVery heterogeneous,
competitive, dynamicHigh differentiationHigh level of risk
taking & planningSophisticated control, scanning, and
communications in info. processing; more formal analysis in
decision makingSubstantial innovationRapid growthDecline
Phase:Market sizeFormal, bureaucratic structureLow level of
innovationHomogeneous and competitive environmentMostly
functional basis of organizationPrice cuttingModerate
differentiation and centralizationConsolidation of product-
marketLess sophisticated info processing systems and decision
making methodsLiquidation of subsidiariesRisk aversion &
conservatismSlow growthSource: Miler and Friesen,
Management Science, Vol. 30, No. 10 (Oct., 1984), pp. 1161-
1183
CultureCULTURAL ASPECTSCORE (+5 TO -5)Are control and
reward mechanisms effective?Are job responsibilities clearly
understood?Are company policies & procedures appropriate and
effective?Capacity for retaining personnelNewClearly
articulated and shared missionCohesiveness and
collaborationDegree of innovationDo employees have latitude in
job execution?Do managers delegate authority?Do the leaders
live the values and walk the talk?ExistingDoes the organization
aggressively pursue change and innovation?Does the
organization effectively deploy employee teams through the
company?Employee attitudesEmployee empowermentEmployee
MotivationEmployee participation in decisionsEnabling others
to actEncouraging the heartEnforcement of policiesEffective
Human Resource ManagementInnovation and change to
processIs employee compensation fair / competitive?Is
employee morale high?Is power centralized or shared
throughout the organizationIs the organization’s structure
appropriate for the proposed strategy?Is there open and constant
communication from management to employeesKey executive’s
styleLifecycle stage of organizationOpenness and
trustOpportunities for employee growth &
developmentOrganizational climateOrganizational
43. StructurePassion for the product or companyPerception of job
securityRecognition of individualsRewards for performanceRisk
toleranceSense of belongingSense of urgencyShared
VisionUnion RelationsWhat are the founder’s beliefs & what
influence do they have?
AnsoffNewNewMarket
DevelopmentDiversification(Risk=Moderate)(Risk=High)11223
344Markets55Market PenetrationProduct
DevelopmentExistingExisting(Risk=
Low)(Risk=Moderate)1122334455ExistingNewProducts &
Services
Sheet1European ExpansionProduct ExpansionEuropean
ExpansionProduct ExpansionStrategy 1Strategy 2Strategy
3Strategy 4OpportunitiesWeightAttractiveness ScoreTotal
Attractiveness ScoreAttractiveness ScoreTotal Attractiveness
ScoreOpportunitiesWeightAttractiveness ScoreTotal
Attractiveness ScoreAttractiveness ScoreTotal Attractiveness
ScoreOpportunitiesWeightAttractivene ss ScoreTotal
Attractiveness ScoreAttractiveness ScoreTotal Attractiveness
ScoreAttractiveness ScoreTotal Attractiveness
ScoreAttractiveness ScoreTotal Attractiveness Score1Products
expansion0.10020.20040.4003More
exposure0.10040.40020.20012Stock
growth0.02540.10040.10023More
exposure0.10040.40020.20034Move towards
globalization0.02540.10000.00045More stadium
contracts0.02510.02510.02556Expand target
market0.10040.40030.30067License
agreements0.05020.10010.05078Company
growth0.02540.10040.10089ThreatsThreats1Multiple
competitors0.10020.20030.30012Dependency on sugar
cane0.07500.00000.00023Suppliers have the
power0.02520.05020.05034Recent
lawsuit0.02500.00000.00045License
agreements0.07520.15020.15056Seasonality of
sales0.05040.20030.15067Dependence on
44. suppliers0.05020.10010.05078Dependence on contract
packers0.10030.30000.00089Dependence on
distributors0.05030.15020.100910Total Weight:1.000Total
Weight:StrengthsStrengths1Marketing
Philosophy0.10030.30040.40012Social
Responsibility0.10020.20020.20023Creative
Products0.10040.40040.40034Diverse Product
Line0.02540.10040.10045Mass
Customization0.05030.15020.10056Product
Specialization0.03030.09030.09067Ethics
Program0.00510.00510.00578Quality
Products0.09030.27030.27089WeaknessesWeaknesses1Inexperi
enced mgmt team0.05010.05010.05012Expensive Retail price
structure0.02520.05020.05023Weak marketing
processes0.07520.15010.07534Limited
Distribution0.07540.30020.15045Limited Financial
Capability0.02510.02520.05056Small
company0.02520.05030.07567Informalities of
Company0.05010.05020.10078Little Brand
Recognition0.10020.20040.40089Collection Practices for
receivables0.07500.00000.000910Total
Weight:1.0004.9654.490Total
Weight:TAS:TAS:0.000TAS:0.000TAS:0.000
FinanceDataDescriptionDataDescriptionDataDescription10%An
nual discount rate10%Annual discount rate10%Annual discount
rate$ (10,000,000)Initial cost of investment one year from
today$ (10,000,000)Initial cost of investment one year from
today$ (10,000,000)Initial cost of investment one year from
today$ 3,000,000Return (less costs) from first year$
3,000,000Return (less costs) from first year$ 3,000,000Return
(less costs) from first year$ 4,200,000Return (less costs) from
second year$ 4,200,000Return (less costs) from second year$
4,200,000Return (less costs) from second year$
6,800,000Return (less costs) from third year$ 6,800,000Return
(less costs) from third year$ 6,800,000Return (less costs) from
third year$ 4,000,000Total Return$ 4,000,000Total Return$