Explain the difference between existing customers, target markets, and stakeholders for an acute$-$care county hospital that has historically taken care of those individuals who are less well insured or socioeconomically disadvantaged. The clinical staff is highly qualified and committed to the mission of the institution. In recent years the hospital has found that county support for its budget has decidedly decreased. In light of your description of the target market, existing customers, and stakeholders, how might this factor into a marketing director$$s concerns given budget realities and the need to attract a well$-$insured patient population?

For several years, the Steig Medical Group had been a successful primary care practice of three physicians.$$ In recent years, the state in which it practiced became more receptive to opening the regulations to advanced practice nurses for providing primary care services to the limit of the license without direct supervision and to even have pharmacists perform limited diagnosis, order lab tests of certain types, and provide consults under some relationship with a physician.$$ These pharmacists could also refer.$$ The local Walgreens and three CVS location in town had also opened Minute Clinics staffed with nurse practitioners.$$ The Steig group just recently offered weekend hours on Saturday and had walk$-$in hours from $7$:$30$ a$.$m$.$ until $8$:$15$ a$.$m$.$ on Tuesday and Thursday mornings.$$ The practice closed Monday through Thursday at $5$ p$.$m$.$ and Friday at $3$:$30$ p$.$m$.$Over lunch, the three doctors, all close friends who went through medical training together, decided to meet on a Sunday morning.$$ One of them had recently completed a master's of business administration at the local business school.$$ "I think we should do a SWOT analysis of the practice," he said, "I think we now have real competition from when we started $10$ years ago.$$ The nurse practitioner practice is now open three nights a week and is opening Saturday and Sunday morning.$$ The Minute Clinics are also there.$$ Let's step back.$$ Our practice is busy.$$ We were voted best primary care group last year in Midtown magazine, but how long will that help?$$ We have all been here in the community, we have talked about hiring, but is it enough?$$ What else should we be doing?"$$Conduct a SWOT analysis for the Steig group.

Two large multispecialty medical groups have recently asked you to conduct audits using the BCG matrix.$$ For the first group your analysis reveals the following distribution of services: $65\%$ cash cows, $10\%$ stars, $20\%$ problem children, and $5\%$ dogs.$$ In the second group, the distribution is as follows: $20\%$ cash cows, $60\%$ stars, $15\%$ problem children, and $5\%$ dogs.$$ Provide your analysis and recommendations for each group.

Having just been recruited to a new community in Florida as the senior vice president for marketing, you realize that a review of the demographics shows the community was slightly older than you were initially told.$$ As an attractive community, the area was increasingly drawing a large number of recently retiring seniors whose income was relatively good.$$ The challenge was that the primary and secondary service area was ringed with several good, competing facilities.$$ At the other end of the distribution, there was a segment of the elderly who had been in the community and whose health might be considered fragile. The health system had now decided to form an accountable care organization.$$ What are the key challenges for the population of these two segments?$$ Outline the major marketing objectives for each group.$$ Do they differ?$$ Are there programmatic differences?$$ How might the four P$\text{'}$s differ in responding to each market segment?