-Evaluate factors that influence brand strength.
-Review practical examples of organizations that have successfully leveraged their brand value.
-Explain appropriate methodologies, calculations, and considerations for brand valuation.
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How Much Is Your Brand Worth? Understand and Leverage Your Brand Value
1. 1
How Much Is Your
Brand Worth?
Understand and Leverage Your Brand Value
Annapoorani Bhat – PYA, PC.
abhat@pyapc.com
Tim Roberts – Franklin Street
tim@franklinstreet.com
2. 2
• What is brand value?
• Why value healthcare brands?
• Building brand value in healthcare
• Valuation methodology
• Examples
OVERVIEW
12. 12
“If a measurement matters at all, it is because it
must have some conceivable effect on decisions and
behavior. If we can't identify a decision that could be
affected by a proposed measurement and how it
could change those decisions, then the measurement
simply has no value”
Douglas W. Hubbard, How to Measure Anything:
Finding the Value of "Intangibles" in Business
POTENTIAL BRAND VALUATION NEEDS
13. 13
WHY VALUE HEALTHCARE BRANDS?
How much should I
invest in developing my
brand name?
How much should I pay
for an affiliation?
What was the impact
of my investment in
marketing/branding?
Am I allocating my
resources appropriately?
14. 14
Financial
• Determine how brand contributes to the business
WHY VALUE HEALTHCARE BRANDS?
$205.5 Billion
Of $821 Billion
15. 15
Marketing/Branding
• Helps you communicate the significance of what you do
• Helps you decide which brands to continue or to retire
• Evaluate returns on marketing and other branding spends
WHY VALUE HEALTHCARE BRANDS?
16. 16
Transactional
• Provides guidance for negotiating affiliation terms:
- Should a fee be paid?
- If so, how much?
- What does the fee cover?
- What form should the payment take?
WHY VALUE HEALTHCARE BRANDS?
19. 19
BUILDING BRAND VALUE IN HEALTHCARE
Brand Value Continuum
Hospital
Name
Valued
Brand
Brand Promise
20. 20
BUILDING BRAND VALUE IN HEALTHCARE
Build
Credibility
Valued
Brand
Build
Awareness
Create
Emotional
Connection
Create
Loyalty
Hospital
Name
Low Value High Value
Brand Promise
21. 21
BUILDING BRAND VALUE IN HEALTHCARE
Brand
Strength
Affected by
Competition
Physician
Referral Networks
Rankings
Patient Satisfaction
& Preference
Reputation
22. 22
BUILDING BRAND VALUE IN HEALTHCARE
Reputation
• Clinical accomplishments
• Perception around safety
• Perception around quality
• Reputation of outcomes
Brand
Strength
Affected by
23. 23
BUILDING BRAND VALUE IN HEALTHCARE
Competition
• Pronounced in urban areas
• Service line focused
• Curbing outmigration
Brand
Strength
Affected by
24. 24
BUILDING BRAND VALUE IN HEALTHCARE
Physician Referral Networks
• Impacts financial performance
• Enhanced by affiliations, acquisitions, JVs, etc.
• Reach of referral networks promotes usage
Brand
Strength
Affected by
25. 25
BUILDING BRAND VALUE IN HEALTHCARE
Rankings
• US news rankings
• LeapFrog quality scores
• Healthgrades
• Hospital Compare – Staff Ratings
• Affiliations with ranked experts – Mayo, etc.
Brand
Strength
Affected by
26. 26
BUILDING BRAND VALUE IN HEALTHCARE
Patient Satisfaction/Preference
• HCAHPS
• Net Promoter Score
• Local Consumer Perception Research
• Measures of In-Migration
• Measures of Out-Migration
Brand
Strength
Affected by
28. 28
VALUATION METHODOLOGY
Brand
Value
Income Approach
Based on the
economic benefits
anticipated to be
derived from the asset
Market Approach
Based on transaction
data involving
similar assets or
services
Cost Approach
Based on the anticipated
cost to recreate,
replace, or replicate
the asset
29. 29
VALUATION METHODOLOGY
Brand
Value
Income Approach
Based on the
economic benefits
anticipated to be
derived from the asset
Market Approach
Based on transaction
data involving
similar assets or
services
Cost Approach
Based on the anticipated
cost to recreate,
replace, or replicate
the asset
X
Difficult to determine
Floor Value
30. 30
VALUATION METHODOLOGY
Brand
Value
Income Approach
Based on the
economic benefits
anticipated to be
derived from the asset
Market Approach
Based on transaction
data involving
similar assets or
services
Cost Approach
Based on the anticipated
cost to recreate,
replace, or replicate
the asset
X
Difficult to determine
Floor Value
Adopt a combination
of both methods
37. 37
Academic Medical Center (AMC) and Community Hospital
(CH) form a new cancer center JV
• AMC – Contributes brand
• CH – Contributes all cancer center operations/assets
EXAMPLE #2: JOINT VENTURE
38. 38
CH’s motivation for partnering with AMC includes:
• Improve quality of care via better access to clinical expertise
and resources
• Better able to compete within their primary and secondary
markets
• Improved recruiting and retention of physicians due to
affiliation with AMC
EXAMPLE #2: JOINT VENTURE
39. 39
AMC’s rationale for wanting to affiliate with CH includes:
• Its mission to provide high-quality healthcare to more people
within its primary and secondary markets
• Better utilization and leverage of key resources
• Potential transfer of higher acuity patients to the AMC
• Better positioning to compete within their primary and secondary
markets (i.e. defensive marketing strategy)
EXAMPLE #2: JOINT VENTURE
40. 40
Key financial issues related to the arrangement include:
• AMC has a very valuable brand and desires to be compensated by
the JV for using it
• CH has space and equipment
• Due to regulatory restrictions (e.g., the Federal Anti-Kickback
Statute) – the financial terms of the JV arrangement must be at
“fair market value”
EXAMPLE #2: JOINT VENTURE
50. 50
How Much is Your
Brand Worth?
Understand and Leverage Your Brand Value
Annapoorani Bhat – PYA, PC.
abhat@pyapc.com
Tim Roberts – Franklin Street
tim@franklinstreet.com
Editor's Notes
Anna to introduce: 2 mins
Tim:
Apologize slides have changed !!!
Anna: 1 min
Before we talk about the value of brands, and how we measure that value, let’s take a step back and ask ourselves a fundamental question.
Tim : 1 min
What is a brand? Anybody have a definition they would like to share?
a person’s perception of a product, service, experience, or organization
A gut feeling
Reputation
Its hard to define. I have worked in the world of brand development for over 30 years and have seen 30 years worth of different definitions.
Tim: 1 min
READ
Strategic (connected to the vision of the business and how that business plans to win in the markeplace)
Cultural ( experiences have to be about both patients and employees – that is a culture)
Idea (imagination of a better way, a better life, a better world)
And that strategic cultural idea guides how that organization delivers value.
And how does this show up in the real world?
Tim: 1 min
Through your brand promise.
Your brand promise is your commitment on how to deliver value in a your unique way.
Tim : 1 min
So its logical to understand, that if a brand delivers enough value, it becomes valuable. IF a brand delivers enough value, it becomes valuable. And therefore has financial worth.
Tim: 1 min
And with this chart, we can see how the brand’s financial contribution combines with other assets that contribute to the overall financial value of an organization.
We have both tangible and intangible assets. With brands usually being the largest intangible asset.
Tim: 1 min
You can’t have a presentation about brands without referencing Apple…but bear with me, it is actually very relevant for this conversation.
Every year, Forbes magazine ranks the worlds most valuable brands. And for the ninth straight year, Apple has been named the most valuable brand in the world.
According to Forbes:
Apple 182.8 B (Worth 41% of Apple’s total business value)
Goolge 132.1 B
Microsoft 104.9 B
Facebook 94.8 B
Amazon 70.9 B
Tim: 1 min
So we go back a slide and look at the orange section, where we illustrate the brand’s financial contribution to the overall value of company.
Does anyone have any guess on how much that orange section represents in dollars to Apple?
Tim: 1 min
READ:
So if Apple was not so good at keeping their brand promise, they might well be worth $200 billion dollars less.
Anna
Has anyone undertaken a brand valuation exercise for your organization?
Anna: 2 minutes
– Measure – not for its own sake, but to help influence decisions
Anna – 1
Anna – 1.0 mins Tim to add
At the most financial/transactional level, brand valuations illustrate the role of the brand in creating business value.
Anna :30
Anna 1
Should a fee be paid?
If so, how much?
What does the fee cover (just the name, or clinical protocols, administrative support, etc.)?
What form should the payment take? For example: royalty fee, upfront lump sum payment, equity interest, etc.
Tim : 1 min
Tim: 1 min
At a very basic level, building brand value is about moving away from a commodity (just any'll hospital) to a valued brand.
Tim: 1 min
The business tool that helps us get there is your brand promise. Your commitment to delivering value in a way that is uniquely you.
Tim: 1 min
And we do that by building awareness of your brand promise. Your commitment to deliver value in your unique way. We build credibility through the stories we share and the experience your patients and families have. And if we do those well, we create emotional connections. Combined with good outcomes, we create loyalty and high perceived value of your brand.
Tim: 1 min
When Anna starts to look at how strong your brand is, here are some of the key areas that impact the overall brand valuation.
Reputation, Competition, Referral Networks, Rankings, Patient Satisfaction & Preference.
Tim: 1 min
Reputation is valuable for many reasons – the most obvious is that reputation keeps you top-of-mind for your prospective patients.
But for healthcare, reputation also buys you something almost as valuable… forgiveness. Because if something goes wrong god forbid, families and communities are much more forgiving if you have a strong reputation.
Some of you may remember the University of Virginia baby story. Two young moms each gave birth to beautiful baby girl a few hours apart. Unfortunately, there was a tragic human error and UVA sent the babies home with the wrong parents. UVA had accidentally swapped babies. This was not realized until 3 years later. But UVA’s reputation was so strong, the community forgave them…knowing the mistake was not part of who they normally were.
Tim: 1 min
Brand value is also measured by how competitive you are in your service area. Ultimately, a valued brand is going to give patients a reason to choose you over your competitors.
Tim: 1 min
Your brand’s ability to attract affiliations, joint ventures, and referrals leads to increased utilization, which leads to the financial improvements that get measured in assessing your brand’s value.
Tim: 1 min
3rd party measurements and rankings give an additional level of objectivity to the valuation.
Tim: 1 min
Patients give you a report card with every satisfaction survey completed. They tell you how strong their preference is for you every time they drive past a competitor just to be seen by you. The voice of your patient is a key measurement in your overall brand valuation.
Anna
Anna – 2 min
Valuation needs may arise as it relates to specific transactions, or potential yet to be identified relationships, or for internal planning purposes
Anna – 30 secs
Valuation needs may arise as it relates to specific transactions, or potential yet to be identified relationships, or for internal planning purposes
Anna – 1
Valuation needs may arise as it relates to specific transactions, or potential yet to be identified relationships, or for internal planning purposes
Anna: Introduces the Case Studies: 1 minute
Theses are real-life examples of why you would need to do a brand valuation exercise
Remind the audience of the confidential nature of brand valuations so we cant be as indepth as we would like, we wanted to touch on some interesting points and give some examples
Tim : 1 min
Very simple example
Tim: 1
Several years ago, Bill Gombeski, Director of Strategic Marketing, wanted to elevate the visibility of marketing through a tangible measure–the brand’s worth.
According to Gombeski, “Marketing people know and talk about how important the brand is, but leadership struggles to understand this. Everything comes down to a financial matrix. We needed to quantify and elevate the brand asset to the level of other financial reports presented at the board level.”
Tim: 1
At UK healthcare: The Brand Valuation process uncovered consumer perceptions were extremely favorable as compared to their market competitors.
In fact, their market share was 13 percentage points higher than the system sitting in the second position.
The initial valuation was valued at $64 million.
The UK HealthCare leadership consider it a report card on their performance.
Marketing budgets were increased and focused on building the brand, because they felt there was real ROI.
Tim: 1
READ: This was not due only to the marketing work. Since conducting the brand valuation, UK HealthCare has expanded from 300 to 945 beds and is still growing.
Annual admissions have increased from 19,000 to 38,000+ per year.
Two years later, the brand value increased to $94 million.
Leadership considers this a report card on their performance. Our CEO shared the valuation with the board. Since a third party calculated the value, it had credence, and the board had confidence in the number and could relate to the valuation process. An added benefit is the increased understanding with Trustees that the organization is performing positively.
Knowing the value of your brand is important, but the real power of that knowledge comes into play when you have a joint venture or acquisition…
Anna
Anna: 1 minutes
Academic Medical Center (“AMC”) and Community Hospital (“CH”) form a new joint venture (“JV”) to own and operate a cancer center on CH’s campus.
CH will contribute its current cancer center operations to the new JV, which will be co-branded with AMC’s name.
AMC will provide clinical and administrative services to the JV under separate professional services agreements.
AMC will provide “know-how” related to clinical best practices, etc.
Anna: 1 mins
Anna: 1 mins
Anna: 1 mins
Assignment: Determine the fair market value of AMC’s “brand” to the JV for purposes of a capital contribution credit (i.e., in lieu of cash).
Key Consideration – the additional market share (i.e., incremental revenue) that can be captured “with” the AMC’s brand as opposed to “without” it.
Anna: 1 minutes
.
Anna : 1 min
Anna : 1 min
Brand strength is often service line specific:
In a single hospital system, brand strength may be substantially different within various service lines
Important to evaluate appropriate qualitative factors that drive preference and perception of value
Many joint ventures are service line specific (e.g., cancer centers, etc.)
Together with more than 25 members, MD Anderson Cancer Network® is advancing our mission to end cancer by raising the level of cancer care in communities nationwide.
Anna: 1 mins.
Total for case study 1: 9.5 minutes
Anna: 2 mins.
Total for case study 1: 9.5 minutes
Cost benefit
Tim : 1 min
Tim: 1
And the last example of when you may want to consider doing a brand valuation exercise is when you're considering a joint venture with a University – perhaps for a school of medicine.
VT and Carilion partnered on a School of Medicine and a Research Institute. The value of that partnership showed itself in a lot of interesting ways:
• VT was able expand its medical program initiatives, have access to Physician teachers and more research opportunities, bigger footprint in Roanoke
• Carilion was able to improve their residency program, hire more residents, hire more specialized physcians and grow their service line. The could more easily retain more physicians as they now had an academic connection
So when you’re thinking about brand valuations, its important to think about all the ways the joint venture can bring mutual value to participants. And the valuators can assess a fair price.
Tim : 1 min
To build a valuable brand, think about your brand as a strategic cultural idea that guides how your entire organization will deliver value. (Value to patients, value to employees, value to donors, value to partners)
Because as long as your brand is delivering value, it will become valuable… and therefore have financial value.
Your brand is one of the most important business assets you have, and know you know you can identify the dollar value of that asset. And justify investing in it.
Tim: Anna, have you seen an example where the more valuable brand was from a smaller entity – like a physician practice?”
Anna: “You mentioned that an organization’s brand promise is what guides its delivery of value…how does an organization actually develop their brand promise?”
Tim: Who typically reaches out from the client side for a brand evaluation?
Tim: Should folks wait until a transaction is at hand before doing a valuation, or are their benefits to starting it …
Tim: