Hospital Accreditation A Self Assessment Process

Chapter 1 Introduction and Background 1.1 Introduction According to Myers (2011), Hospital Accreditation is a self-assessment process carried out by health care bodies to determine the level of performance by the set standards. The process of hospital accreditation not only sets the standards for operation but also provides and support to the stakeholders on how to improve the performance. Although the accreditation bodies set the standards of service, there is little evidence supporting the credibility and effectiveness of the certification programs. Healthcare accreditation isan important activity in the Kingdom of Saudi Arabia bearing in mind the vast population of the country and the high number of hospitals operating in the kingdom. Saudi Arabia has approximately 27 million people and more than 415 hospitals (Central Department of Statistics, 2010). In addition, the Kingdom of Saudi Arabia is the second largest oil producer (Ramady, 2010). The kingdom also occupies 830, 000sq mi, approximately four-fifths of the Arabian Peninsula. The country shares borders with Iraq and Jordan to the north, Qatar and UAE to the eastwhile Yemen and Oman border the country on the south and southeast respectively. Most of the country’s land is arid and inhospitable due to the barren landforms. Oil exploration hassignificantly fuelled the growth rate of the kingdom and consequently improved the welfare of the citizens (WHO, 2007). The high growth rate has necessitated theShow MoreRelatedThe Role Of The Joint Commission On Accreditation Of Hospitals1583 Words   |  7 PagesThe role of accreditation in the hospital setting. The history of the Joint Commission on Accreditation of Hospitals is a story of the health professions’ commitment to patient care of high quality in the 20th century. 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Financial Performance Analysis of Amazon - Free Essay Example

Sample details Pages: 8 Words: 2521 Downloads: 2 Date added: 2017/06/26 Category Finance Essay Type Analytical essay Did you like this example? Executive Summary Amazon.com, Inc (Amazon) registered strong growth of 36% in 2008 mainly due to increased unit sales and expanded sales base in several categories. Meanwhile during the 3rd quarter of 2009, Amazon managed to report a steady growth despite the recession period. This report reviews and analyse Amazon financial performance as well as comparison with its competitors. All analysis and ratios are derived from data collected from respective companies annual reports and www.reuters.com. Brief Description of the Company Amazon is one of the leading online retailers in the world based in Seattle, Washington, United States of America. The company started its operation in 1995 and has regional involvement in the Asia Pacific, North America and Western Europe. Initially the core business of the company is selling online books however has diversified to products such as apparel, electronic and home improvement products. Don’t waste time! Our writers will create an original "Financial Performance Analysis of Amazon" essay for you Create order The company is involved in the internet retailing industry with 7.5% market share in 2008. The e-commerce industry has gone through major phases of growth and decline however, Amazon persevered and surprised everyone. Amazon achieved its first annual profit in 2003 and has continuously performed better each year. Amazons main competitors are the book retailer, Barnes and Nobles (BN) and third party retailing non-book related good, Ebay.com (Ebay). BN and Ebay are engaged in the similar industry as Amazon, which is online business and catalogue retailing of single and diversified product lines In terms of market capitalisation, Amazon has the highest at $59.57 billion and followed by Ebay and BN at $30.59 billion and $1.21 billion respectively. This indicates that Amazon has greater stability and low risk compared to the competitors. Financial Analysis Profitability The companys performance has improved wherein it has performed above the projections made throughout the four years period. Net sales have increased by 29.2% from $14,835 million in 2007 to $19,166 million in 2008 with net income of $476 million and $645 million respectively. The Cost of Sales (COS) has increased throughout the years partly contributed from the free shipping cost and has affected the net income figure. There was a drop in the net income in 2006 due to increase spending on technology and content and in income tax expenses. However, the said figure has increased thereafter. In terms of sales, Amazon has performed double from the competitors throughout the four-year period. Sales increased tremendously primarily due to low prices, vast selection of products and free shipping offers. However, in terms of Gross Profit Margin (GPM), Ebay operated at 74% has outperformed Amazon at 23% in 2008. The reason behind this is due to Amazons high expenditure on Cost of Sales (COS), which is about 70% of its sales value. The high COS was mainly contributed from the free shipping cost incurred. In comparison to Ebay, the company applies different business model from Amazon and have managed to minimise its expenditure on COS at about 20% of its sales value and therefore reflected to a high GPM. GPM proves that eBay is generating a very large percent of net income from each dollar of sales and this contributes greatly to the growing of eBays overall financial strength. Meanwhile, BN showed a better margin because of its smaller size and the retailer aspect. Amazon and BN have a stable Operating Profit Margin (OPM) of 4% compared to Ebay, which fluctuates within the same period. Its constant operating expenses of 20% from its sales value support the stable growth for Amazons OPM. Ebays fluctuation figures are resulted from high expenses incurred from selling, general and administrative. Based on the industry standard, Amazon and its competitors have performed ahead from the standard, which are 14.1% and 0.53% for GPM and OPM respectively. The low OPM standard can be ascribed to the effect of the recent financial crisis. As of the 3rd quarter of 2009, Amazons sales were $14,989 million with net income of $518 million. For the current year, it is projected a further increase of 21% and 19.5% in sales and COS respectively from 2008 primarily to the low prices, vast selection and free shipping offers. With the said sales projection, the net profit is projected at $743 million in 2009. The basis for the projection takes into consideration on the global economic downturn and changes in customer purchasing preferences. Based on the current quarter performance, the same trend was observed wherein Amazon is still having the highest net sales while Ebay still dominating the net income figure. BN was badly hit from the result of economic crisis. In comparison with the competitors, Amazons Return on Equity (ROE) was high in 2005 at 135% but drastically dropped throughout the years to 40% and 20% in 2007 and 2008 respectively. The main reason for the decrease was due to the yearly increase in the businesss equity. As at 2008, Amazons ROE is equivalent to the competitors and is expected to be in line with the competitors in the future. In comparison on the ROE and Return on Assets (ROA), Amazon has the highest growth among its competitors as it has a smaller capital base than Ebay and a higher profit level than BN. The high ROE is indicates that Amazon is continuing to grow. Meanwhile the ROA showed that Amazon is efficient in generating income from its assets compared to its competitors. The industry standard for the ROE and ROA are 3.8% and 1.6% respectively. The lower industry standard might be driven by the economic condition, which has a great impact to the performance and profitability of most companies. There was an increase of 1% for each year from 2006 to 2008 for the Return on Investment (ROI), whereas the Return on Capital Employed (ROCE) was at the highest in 2008 at 29%. These have indicated that Amazon is efficientat using its assets to generate earnings compared to the competitors. Liquidity and leverage analysis The companys current ratios are more or less similar to BN during the four-year period. The companys current ratio was between the ranges of 1.3 to 1.5 for the past four years. This indicates that Amazon is able to lay its hands on $1.30-$1.50 for every $1.00 they owe. In comparison between current and acid test ratio, acid test ratio is lower at average of 1.0 within the years. It will enable the company to cover its short-term liabilities adequately with its liquid assets. This is within some of the industry standards of 1:1, showing that the company will be able to cover its short-term liabilities adequately with its liquid assets. In comparison with the industry, Ebay performed better than Amazon for both the current ratio and acid test ratio. Amazon fell below the standard in the initial years but almost meeting the standard in 2008 at 1.5:1. Although not performing better than the industry average, Amazon has good and stable ratios, which indicates that the company is able to cover its current liabilities. Amazons gearing ratio was high in 2005 at 86% and subsequently reduces within the years to 13% in 2008. Due to the operational efficiency, increased sales and improved liquidity, Amazon was able to reduce its debt and currently the business is funded with internal generated funds. Meanwhile, Ebay has no borrowings and BN has an average of 30% for the gearing ratio. The high borrowing in 2005 has a huge impact on the debt-to-equity ratio, which was 6:0:1. However as the borrowings is paid, the debt equity ratio when down to 0.2:1 in 2008. This indicates that Amazon has 20 cent debt for every $1 equity the company have. As for BN, its debt/equity ratio was at average of 0.5:1 during the four years. Therefore, in comparison, Amazon is less risky than BN. As Ebay has no borrowing, the interest cover for the said company is high compared to Amazon and Ebay. In comparison with the debt-to-equity ratio set by the industry, Amazon has a very low ratio of 0.2 compared to 40.98. As mentioned earlier, the industry ratio is on the high side due to the economic condition. Investment analysis Amazons common shares outstanding plus shares underlying stock-based awards outstanding totalled 446 million on December 31, 2008, compared with 435 million a year ago. As of to date, the said shares amounted to 451 million. Based on Amazons Earning per Share (EPS) trend, it indicated that the markets willingness to pay for the companys earnings has increased. This indicates that the market foresees Amazons long-term prospects over and above its current position. As at 3rd quarter 2009, the EPS was $1.20 and to grow further based on the companys projection on higher earnings in 4th quarter. Analyst predicts that strong online holiday sales will boost the shares of retailers, including Amazon and has recommended that the said shares will outperform in the market (Reuters.com, 2009). In terms of market performance, Amazons share price fluctuates throughout the years and increased tremendously in 2007 at $92.64 due to the launch of its e-book reader, Kindle. However, during the economy downturn in 2008, the share price dropped to $51.28 due to low operating profit as Amazon begins its price reduction for the goods and services. In 2009, the share price gradually increased and after the 3rd quarter results, it continuously went up and as at 11 December 2009, the share price was $134.15. The current Price/Earning Ratio has increased to 80.70 times from 33.80 times in 2008. Analyst predicted that with a strong revenue growth Amazon would be able to gain significant market share from other competitors (Stahl, 2009). Due to the economic downturn, all companies are affected which was reflected in its performance. Similar to Amazon, Ebays and BNs share prices had an initial stable growth but in 2008 it dropped by about 50%. While others are still struggling to recover from the economic situation, Amazon has showed a growth in 2009 and the share price has currently increased by 168% compared to Ebay and BN at 70% and 62% respectively. Cash flow Analysis As at 3rd quarter 2009, the cash and cash equivalents was $2,514, which a reduction from the opening balances at the beginning of the year of $2,769. During the period, the cash used in financing activities was $229 million compared to $1,199 million in 2008 of which the cash outflows results from repurchases of common stock, repayments of long-term debt. Repayments on long-term debt and payments on capital lease obligations were $379 million for the 3rd quarter 2009 and $335 million in 2008. Meanwhile, free cash flowwas $446 million for the quarter. Throughout the years, Amazon has managed to have a positive cash flow from its operating activities. This indicates a good sign that the core operation of the company is generating income. In comparison of Amazons total liabilities to the cash flow generated from operations, the company has enough funds to cover level of investment and takes about 3.3 years to pay back all its financial commitments. With the current cash, cash equivalents, and marketable securities balances, the company is likely to be able to meet its anticipated operating cash needs for at least the next 12 months. In comparison between the cash flow from operating activities and net income, it indicated that Ebay has the higher ability compared to Amazon in managing its operating cash cycle through receivables, payables and inventory. The reason is that Ebay takes advantages of its payable days for as long as 361 days. Due to the similar business model, both companies have a negative cash cycle of which cash is generated from its payable and quick settlement payment from the customers. Management of Working Capital In terms of managing working capital, Amazon had maintained its positive cash flow being the highest at 2007 for an amount of $1,450. This indicates that the company is able to pay off its short-term liabilities and operating expenses accordingly. In comparison between the competitors, Ebay has the highest working capital of $4,023 million in 2007 while BN has the lowest at $841million in 2006. The high working capital for Ebay has enabled the company to be successful in its expansion programme and improve their operations. For the 3rd quarter ending 31st December, Amazons working capital is $1,832 million and is expected to increase further due to higher expectation of sales in the coming quarter. Working capital provides information on the companys underlying operational efficiency. In terms of efficiency, Amazon is efficient in using its assets in generating sales compared to its competitors, which are reflected in the asset turnover ratio. This indicates Amazons improved efficiency in inventory and asset management that is partly supported from the low pricing strategy and low profit margin. In comparison to the competitors, BN has the lowest account receivable days due to its retail business model, which is based on the cash transaction. Based on the account payable days, Ebay has taken advantage on the free source of finance for the business at 361 days compared to Amazon at 62 days. In respect of the inventory days, Amazon is able to turn the inventory quickly as low as 12 days compared to BN at 140 days. BN has high stock inventory days due to the reason of its retailing business model and product which requires some time to be sold. Due to the same business application, both Amazon and Ebay have a negative cash operating cycle, which indicates efficiency in cash management. In term of the industry standard, the three companies are performing above the indicative ratios, which are supported by the significant growth in the industry. Based on the industry standard, Amazon and the competitors are performing ahead from the standard. For the assets turnover ratio, Amazon was the highest at 2 times compared to 0.7 times industry standard. This indicates the companys efficiency at using its assets in generating sales. The reason Amazon performed better than the competitors is relatively derive from the pricing strategy wherein low profit margin company tends to have high asset turnover. Amazon Future Prospects Based on Amazons current performance, it is projected that the company will have a strong growth supported by the low pricing strategy and free shipping. Moreover, the latest acquisition of Zappos.com and improvised version of Kindle are expected to increase Amazon sales which leads to higher profitability. Due to the growth of Amazon, its annual earning is expected to grow over the next two to three years with sales reaching $2.38 million and $2.86 million respectively. Due to robust financial performance during the current economic condition, it has enhances investors confidence. Share prices are expected to increase with earnings of $2.57 and $2.38 per share in 2008 and 2009 respectively. In line with the said growth, Amazon will benefit in gaining additional market share despite tough competition from other online sites such as Ebay. References Amazon.com Annual Report 2008 Available from: https://amazon.com (accessed on 11th November 2009) Amazon.com 3rd Quarter 2009 Report Available from: https://amazon.com (accessed on 11th November 2009) Ebay.com Annual Report 2008 Available from: https://ebay.com (accessed on 11th December 2009) Barnes and Noble Annual Report 2008 Available from: barnesnobleinc.com ((accessed on 11th November 2009) BBC News (2008), Amazon Shares Fall Despite Growth. (Online) Available from: https://news.bbc.co.uk (accessed on 5th December 2009) George Stahl (2009), Amazon Shares Hit All Time High. The Wall Street Journal (0nline), Available from: https://online.wsj.com/article/SB125630854623203899.html (accessed on 4th December 2009) John Pacskowski (2009), Spare Change for Amazon Shares. The Wall Street Journal (Online), Available from: https://online.wsj.com/article/SB125630854623203899.html (accessed on 4th December 2009) Richard Waters and Jonathan Birchall (2009), Amazon Share Surge Recalls Tech Boom Days (Online) Available from:https://ft.com (accessed on 5th December 2009) Reuters.com (2009), Nasdaq rises with Online Retailers Dos Dips on Oil. (Online), https://ul.reuters.com (accessed on 3rd December 2009) www. reuters.com (accessed on 1st December 2009)

The Secret Lives of Bees Free Essays

The Missing Piece of the Puzzle Delis Lilies Kettering College Medical School of Arts The most obvious symbol of the Black Madonna in the writings of Sue Monk Kid represented a character of strength, endurance, stability, and a loving Mother. Many people ask themselves this question, â€Å"What is my true purpose in life? † Or â€Å"Who am I meant to be? † Most of the time they get an answer based on a religion, inspirational readings or thought. The Virgin Mary, the Black Madonna, is history’s example of a mother. We will write a custom essay sample on The Secret Lives of Bees or any similar topic only for you Order Now She is sensitive and firm, relatable and divine. The Black Madonna teaches Lily that she has mothers all around her, Rationale’s protection, Mayo’s caring, and Augustus love, Lily finds a mother in everyone around her, including herself. Sue Monk Kid begins her story with a character by the name of Lilly Ray, a fourteen old girl who lives with her abusive father, T-Ray Brown. Lily had the tragic experience of losing her mother at a young age. She never had the intimate relationship that comes with having a mother in your life. She never experienced the soft voice or embrace of a mothers loving arms, something she longed for all her life. Life has a funny way of eating us down the path we are destine to take, but at the same time, comforting us with situations that are unpleasant. The people that we meet on our Journey are people we are destined to meet. Rosalie, a black house keeper who lived in the south and worked for T-Ray, was one of the closes things Lily could call a mother figure in her life. Lily and Rosalie shared a common ground. The two loved each other and at the same time, longed for something deeper in their lives. Sue Monk Kid teaches us the importance of relationship and the power of female community. Lily longs for her mother and cherishes the few possession of her mother. She keeps a box of her mother’s memories buried in the orchard. In the box, there are photos, a pair of white gloves, and a wooden picture of a black Mary with the words â€Å"Tiburon S. C. † on the back. Every time Lily feels alone or unhappy, she digs the box up. Sue Monk Kid demonstrates the significance of mothers to adequate human development. Everyone, regardless of circumstance or color, needs a mother. Lily’s journey brings her to a place where transition and fate kisses face to face. Unfortunately, it also ends a relationship with her father whom she loved but didn’t understand. The Black Madonna serves several functions in Sue Monk Kid writing. It symbolizes as a surrogate mother to Lily seeing this was the only image she could relate back to her mother. However, the real meaning and symbolization comes from Catholic Catechism. Catholics place high emphasis on Marry roles as the protector and intercessor. The Church holds the Blessed Virgins Mary, mother of Jesus Christ, in special regard. They feel a strong personal relationship to Mary as Lily did to Rosalie and the Bodyweight home. She is in a sense, mother to all. Just as Lilly turned to August for love and support, the Catholics turn to Marry Madonna for the name type of affection. The Black Madonna, through the teaching of August, gives Lily the strength and confidence to begin to change the way she thinks about her father’s behavior. Sue Monk Kid captures the bravery of Lily’s actions. In a time when slavery was still present and in its strongest form, Lily was able to gather strength from the Madonna and her circle of friends to make her passage way to wholeness and a new beginning. Many different faiths and religions view the icon ‘Mary Madonna’ in different ways, but for Lily’s life, it would be the life changing motivating factor to start her on a new road of healing and freedom. Lilly sees honey for sale with the same picture of a black Mary that her Mother had. She discovers that a women name August Bodyweight sells the honey and Lily travels with her friend Rosalie to the Bodyweight home. Lily meets the sisters, August, June, and May, who lives in this bright pink house. She was so nervous of the unknown; she began to lie to them about her past. It is human nature to hold onto to something from our past that brings us shame. We cling to the memories of the past; for it is there we can find peace and comfort. August is a black single woman who lives with her sisters and helps run her family business. She invites Lily and Rosalie to stay in the honey house. As time moves on, August develops a special bond with Lily becoming a surrogate mother to her. In each person’s life, much of the Joy and sorrow revolves around attachments or affectionate relationships making them, breaking them, preparing for them, and adjusting to their loss by death. Among all of these bonds, are the special bonds – of a mother or father we cherish the most. Bonding does not refer to mutual affection between a baby and an adult, but to the phenomenon whereby adults become â€Å"Committed by a one-way flow of concern and affection to hillier for whom they have cared during the first months and years of life,† (hacker 20011). According to J. Robertson in his book, ‘A Baby in the Family Loving and being Loved,’ individuals may have from three hundred to four hundred acquaintances in their lifetimes, but at any one time there are only a small number of persons to whom they are closely attached (Robertson, 1982, p. 53-54). He explains that much of the richness and beauty of life is derived from these close relationships which each person has with a small number of individuals such as, mother, father, brother, ester, husband, wife, son, daughter, and a small cadre of close friends (Robertson, 1982, p. 3-54). Attachment is crucial to the survival and development of human kind. August makes the most important statement Lily would ever receive about the black Mary and who she is; â€Å"Our Lady is not some magical being out there somewhere, like a fairy godmother. She’s not in the statue in the parlor. She’s something inside you† (Kid, 288). It is at this point Lily discovers where her true str ength comes from. She sees it inside of her. As this story unfolds, Lily is now able to make peace with the past and with her father. She understands the hurt she was feeling but never took the time to see that T-Ray was also dealing with his own daemons and hurt. It was the hate and bitter heart oft-Ray that drove Lily on her journey, but it’s her destiny that leads her to a new hive of mothers, and falls in love with who she is inside. How to cite The Secret Lives of Bees, Papers

Understand Cultural Paradoxes Publications â€Myassignmenthelp.Com

Question: Discuss About The Understand Cultural Paradoxes Publications? Answer: Introducation Commonwealth Serum Laboratories recognised in Australia in 1916 to service the fitness requirements of a country. CSL Limited stood again in 1991 and listed itself on ASX in 1994. From that time onward CSL procured numerous organizations including CSL Behring and Novartis' flu immunization business. CSL is following its corporate origins back to Emil von Behring, an innovator with serum cures who attained the major Nobel Prize in psychology and Drugs. Sustainability practices done by CSL Innovationthrough focus on product research and expansion to achieve effective excellence. They also ensure that their therapies are safe and of the premier classby maintaining the maximum criteria all over the phases of the product life cycle. Functioning sensibly in the marketby promoting medicine in an ethical method, employed with others to enhance fairness of access and involvement of stakeholder in financial success; Providing a constructive workplace for our kin by inducing a culture of common trust and regard, empowering them to carry out their employments securely and adequately, and fulfilling and perceiving their commitments; and Assisting patients, biomedical and neighbourhood groups by enhancing access to their treatments and upgrading the personal satisfaction for patients, progressing logical information and backing up future medicinal specialists, and connecting with our staff in the help of nearby groups (Peter Donnelly, 2011). Product offering made by the company Plasma-derived therapies- Used in treating bleeding disorders, infections and autoimmune diseases. And also used in treating patients during serious care Vaccines Used to bring resistance to guard people against a range of viral and bacterial diseases. Antivenoms- Used to treating fatalities of venomous snake and spider bites Diagnostics products- Used in determining compatibility of donor-recipient blood in transfusion settings. Pharmaceuticals- Used in treatinga range ofhuman medical conditions. TARGET CUSTOMER OF CSL Doctors: These can be individual doctor practicing in their own clinic. These can increase sale of medicines of CSL by prescribing to patients moving to them. Patients: Those persons suffering from some diseases and moving to company products for healing. Medical shops: These are most important in increasing the sales of company, as through this company can make recommend their products to all customers. Hospitals: All types of hospitals in which medicines produced by company can be utilised in efficient way to treat customer. Product vs. sustainability Product characteristic: it discusses the quality, feature, elegance, and strategy of the product. With the assistance of the quality, the producer can provide the customers guaranteed a quality product (Luan Sudhir, 2010). Features help in distinguishing the product from other products offered by competitors. Sustainability in product characteristics attracts customer to purchase and attach more towards CSL as nowadays customers are the very using product which is environmentally friendly. Product branding: It is very important for a company to give the product a brand name. Through the help of brand tag, the consumer can distinguish CSL products from the other products. Branding enables the CSL in sponsoring the product and creating brand consciousness in mind of the consumers. Product packaging: Packaging means the wrapping which comprises the product. Packaging is acting as a silent marketing practice to attract the customer (De Mooij, 2013). It is through the aid of the packaging the buyer comes to distinguish about the product quality, quantity, weight, price etc. It helps CSL to retain customers through sustainable practices of packaging like disposable rappers, reusable material and much more helping to create sustainability in the environment. Product labelling: Labelling gives the customer figures related to the manufacturers name, location, and date of manufacturing, expiry, celluloses, nutritional value etc. By labelling CSL can help its customers to detect the product sustainability towards the environment. Product support services: - It means the amenities which are provided to the consumer after selling the product to the buyer like after sale services, installation etc. Definition and pricing strategies The word is used when prices are based on the company on the value of a product as observed from the customer's perception. The perceived value regulates the consumer's enthusiasm to pay and the maximum value a company can charge for its product. An important constituent of the value-based rating is the requirement to regulate the value for the consumer (Chattopadhyay, Shivani Krishnan, 2010). In order to determine the value a consumer associates with a product, the customer value model can be applied. Pricing strategies are of following types: Cost-plus pricing is a technique utilized by companies to exploit their incomes. There are numerous diversities, but the general trend is that one first computes the cost of the product, and at that point adds a fraction of it as rising. Essentially, this methodology sets prices which are covering the cost of manufacturing and deliver adequate income margin to the company to earn its target rate of return. It is a way for corporations to calculate how much profit they can make in future. Market-based pricing strategy: Numerous factors are taken for attention thought about while valuing a product. These integrate one's own actual cost of supplying the product, the force of demand and supply, or the contenders' costs. Rivalry based valuing is the evaluating component wherein costs are set in agreement to the costs of the competing products (Huang Sarigll, 2014). CSL pricing strategy: In the market-oriented pricing strategy, competitors prices and linked pricing trends are used in defining the values of many of CSLs customer goods. For instance, this policy is functional for the daily pharmaceuticals products consumed by customers. On the other side, the product-bundle pricing strategy implements prices used for sets of goods. CSL practices this pricing strategy in dealing with companies of competitive in nature. This policy is also seldom is useful for exceptional proposals that management definite products through retail stores (Powers, Loyka, 2010). New pricing strategy: The premium pricing strategy defines prices that are comparatively greater than the marketplace average. CSL practices this approach for selected products, such products as hospitals and insurers cannot walk away from CSL. Based on above analysis, CSL ltd has a multi-pronged methodology to set the prices for its consumer goods. How product prices normally adjusted: CSL ltd might be dropping the cost on entry-level products while leaving costs on other, more element improved and gainful items unaltered. The CSL dominant market position, economies of scale, and the industrys barriers to entry, must made it a preferred of shareholders. The corporation enlarged operating profits by 12% with a business leading profit of 31%. But supporting those stages over the next few years is not easy. CSL has profited in current years from volume constraints at competitors with the businesss antibody sales increasing 22% over the previous years, in comparison to more than 10% for the business as a whole (Alex, 2012). Promotion vs. sustainability It is the most critical, the best and the most expensive type of promotion. It is the best methods for oral or close and personal or direct correspondence. The individual introduction has the possibility of affecting deals. Its impact is to push the item through the appropriation channel. CSL sales can increase by personal selling through efforts of agents and retailers. Advertisement: It is a mass communicating of data proposed to influence purchasers to buy items with a view to increasing the companys benefits. It is an indifferent technique for correspondence and additionally an impersonal salesmanship skill for the mass offering. CSL advertises its product to increase the popularity amongst consumers. Public relation: It is a type of promotional activity. It creates and keeps up an excellent picture of an association on general culture. Along these lines the goodwill of the dealer raises and prompts great contribution and progresses the offer of products. These also can CSL to increase the revenue of company. Point of display: It is the quiet businessperson that pulls in the purchasers' regard for the item and influences them to choose to purchase. Promotion for the purpose of procurement is more influential. Appropriate demonstration of things is done by producers or merchants. It fluctuates generally. Online marketing: It defines promoting and marketing practices that use the Web and email to drive synchronize deals by means of electronic trade, notwithstanding prospective customers from Web sites or messages. Web marketing and internet promoting endeavours are usually utilized as a part of combination with the historical type of publicizing, for example CSL advertisement through radio, TV, daily papers and magazines (Peattie Belz, 2010). CSL efforts towards sustainability: Social benefit- Maintenance of high standards by CSL as it is adopting high standards worldwide in order to bring global change control system. Their electronic support system also supports this by effect of implemented changes to all qualified system, continuous improvement and facilities. CSL also contracted for global contract management system for achieving all quality agreement, and assuring that current agreements are according to prescribed standard or not. Environment benefits: CSL has developed and adopted a supply chain security system which is combining product security requirement. Also it helps in loss prevention activities, reduce waste activities, and many more. CSL also adopts various practices and take effort to improve awareness amongst public related to diseases, epidemics and orphan drugs. Economic benefit: CSL is dedicated to caring for its workforces and the world by incorporating safety principles and design for the economic environment in the roots of its industries. CSL is devoted to the thought that the expansion of a strong individual value for Environment, Health, Safety and Sustainability (EHS) will too deliver a serious strategic business value. Place vs. sustainability CSL successfully practices the channels of distribution to track its processes. It is a recognized influential delivery network, which comprises industrial businesses, suppliers, vendors, customers, and much more. The channel members enable to create the marketplace which is cost-effective and well-organized. Hence, the products of CSL are dispersed excessively and widely. They are sold in all classes of provisions, like supermarkets, convenience stores, and medical shops (Tapp Spotswood, 2013). It has a widespread distribution system. Moreover, fast moving goods are looked as lower cost product. This help in company products is purchased spontaneously and regularly. Also, CSL concentrates on giving Biotechnology and Health care goods which are comparatively economical and substituted regularly. Sustainability in distribution: The security of the supply of basic items is vital to CSL's capacity to supply life - sparing treatments to patients. Through an entire understanding of the sourcing, starting point and supply network dangers of all materials required in making CSL's products, CSL can guarantee regularity in supply. Maintaining the security of distribution is a nonstop procedure where both new and existing distributors are checked on and actions made to mitigate any dangers to supply that are distinguished. To relieve the probability of basic deficiencies in their supply chain, CSL watch rundown of basic medications, Setting up a vigorous checking framework to prevent and foresee conceivable deficiencies of CSL's essential medications and procedural set up for the warning of healing centres and other pertinent bodies in case of medication supply deficiencies. Comparing marketing mix of CSL with Cipla and Pfizer. Product: Cipla: It combines 1500 items for restorative portions and nearly sixty measurements frames. The organization gives managements like dispatching, plant building, treatment and specialized know-how support and exchange (Srivastava, 2010). Pfizer: It is one of the worlds largest companies known for pharmaceuticals. It has distributed itsproceduresin divisions like Capsuget, Animal Health, Nourishment, Customer Healthcare, RecognizedProducts, Developing Markets, Oncology, Specialty Care and Primary Care Price: Cipla:In order to fulfill the demands of its patients, it has selected to keep an economical and practical evaluating strategy. Its aim is to make life cautious medicines accessible to each poor patient and for those prescriptions it has reserved a strong valuing approach. Pfizer: Pfizer has a multistep pricing framework that experiences a few stages to descend at a specific value alternative. It is a difficult investigation and is additionally reliant on dangers, benefits, aggressive drugs and feelings of doctor. Place: Cipla: It sends out numerous of its products to almost 150 nations on the world including the United States and various nations in the Middle East, Latin America, Australia, Africa and Europe (Serrat, 2017). Pfizer: It is a worldwide organization with its presence in one hundred and eighty universal markets like Hungary, Mexico, Spain, Nigeria, Switzerland, New Zealand, Australia, Colombia, Ecuador, Angola and Ireland. Its corporate home office base is in New York City and research-head at Groton in United States (Gordon, 2012). Promotion: Cipla has comprised diverse special exercises to advertise its products. Its slogan is Caring for Life and which has turned to its main goal, this thought has been consolidated in its governments, procedures, and products (Pomering, Noble Johnson, 2011). Pfizer: It has a solid brand review and has received solid promoting efforts. It has pushed its advertisements in a few therapeutic diaries to accumulate greatest brand awareness and visibility. Pfizer knows about its obligation towards nature and society. Recommendation Use LinkedIn to improve marketing mix: Utilize this business interpersonal organization as an extended business card. As individuals hear name around the Web and at meetings, there is a higher possibility that they will look at the company on LinkedIn (Leonidou, Katsikeas Morgan, 2013). E-mail marketing: It's about the relationship, and email is a standout amongst the most persevering approaches to grow that relationship (Ioannou, Serafeim, 2010). For customers, it is convenient to approach to the customer through E-mails to the company. This will help CSL in building a personal relationship with its customers. Enhancing online presence: CSL should increase its online presence in order to reach the customer at the urban area as well. This will help CSL to become popular amongst all group of people and enhancing its business sales (Peattie, 2010). Strengths Biotechnology business is one of the highest growing business in the world Wide-ranging RD capacity CSL functions in the niche section of injections, anti-venom, inheritances etc. The corporation has products like blood plasma derivatives, vaccines, antivenom, and cell culture reagents (Helms Nixon, 2010). Weaknesses Diseconomies to scale. Ethical concerns associated to genetics. Huge reserves of both period and money are required to develop new machinery. Opportunities Growing consciousness about uses of stem cells, enzymes etc. CSL can enlarge into these industry areas New skills like nanotechnology are developing which can be joined with biotechnology to produce next generations of drugs and technologies. Tie ups with big clinics to encourage the experience in stem cells. Threats Strict principles from management. Expert labour is required for the business. The amount of biotech companies have already originated offshoring certain actions, one of the main ones being the absolute capacity of medical chemistry bond effort that is now also existence completed in China. References: Alex, N.J., 2012. An enquiry into selected marketing mix elements and their impact on brand equity.IUP Journal of Brand Management,9(2), p.29. Chattopadhyay, T., Shivani, S. and Krishnan, M., 2010. Marketing mix elements influencing brand equity and brand choice.vikalpa,35(3), pp.67-84. De Mooij, M., 2013.Global marketing and advertising: Understanding cultural paradoxes. Sage Publications. Gordon, R., 2012. Re-thinking and re-tooling the social marketing mix.Australasian Marketing Journal (AMJ),20(2), pp.122-126. Helms, M.M. and Nixon, J., 2010. Exploring SWOT analysiswhere are we now? A review of academic research from the last decade.Journal of strategy and management,3(3), pp.215-251. Huang, R. and Sarigll, E., 2014. How brand awareness relates to market outcome, brand equity, and the marketing mix. InFashion Branding and Consumer Behaviors(pp. 113-132). Springer New York. Ioannou, I. and Serafeim, G., 2010, August. THE IMPACT OF CORPORATE SOCIAL RESPONSIBILITY ON INVESTMENT RECOMMENDATIONS. InAcademy of Management Proceedings(Vol. 2010, No. 1, pp. 1-6). Academy of Management. Leonidou, C.N., Katsikeas, C.S. and Morgan, N.A., 2013. Greening the marketing mix: do firms do it and does it pay off?.Journal of the Academy of Marketing Science,41(2), pp.151-170. Luan, Y.J. and Sudhir, K., 2010. Forecasting marketing-mix responsiveness for new products.Journal of Marketing Research,47(3), pp.444-457. MacInnis, D.J., 2011. A framework for conceptual contributions in marketing.Journal of Marketing,75(4), pp.136-154. Peattie, K. and Belz, F.M., 2010. Sustainability marketingAn innovative conception of marketing.Marketing Review St. Gallen,27(5), pp.8-15. Peattie, K., 2010. Rethinking marketing.Long Lasting Products: Alternatives To The Throwaway Society, pp.243-272. Peter, J.P. and Donnelly, J.H., 2011.Marketing management: knowledge and skills: text, analysis, cases, plans. Plano: Business pub., INC. Pomering, A., Johnson, L.W. and Noble, G., 2010. Conceptualising a contemporary marketing mix for sustainable tourism marketing. Powers, T.L. and Loyka, J.J., 2010. Adaptation of marketing mix elements in international markets.Journal of global marketing,23(1), pp.65-79. Serrat, O., 2017. The future of social marketing. InKnowledge solutions(pp. 119-128). Springer Singapore. Singh, M., 2012. Marketing mix of 4Ps for competitive advantage.Journal of Business and Management,3(6), pp.40-45. Srivastava, D., 2010. Marketing to rural India: A changing paradigm.Sri Krishna International research education consortium, Vol1, (3). Tapp, A. and Spotswood, F., 2013. From the 4Ps to COM-SM: reconfiguring the social marketing mix.Journal of Social Marketing,3(3), pp.206-222.