Publications
Publications
- December 2024 (Revised March 2025)
- HBS Case Collection
The Shouldice Hospital Today
By: James Heskett and Roger Hallowell
Abstract
The leadership and staff of Shouldice Hospital in Toronto, Canada have, for 75 years, sought to do one thing better than any other hospital in the world, repair inguinal hernias. For some years, a possible second hospital in another market has been under consideration. Restrictions on private medical services in Canada make expansion outside the country increasingly attractive. Shouldice has been approached by one of the leading medical institutions in the United States possibly to undertake a joint venture in that country. Is this finally the time to make the move? If so, should Shouldice partner in a joint venture or go it alone? If it were to expand, what steps would have to be taken to preserve Shouldice's fabled organization culture?
Keywords
Joint Ventures; Health Care and Treatment; Growth and Development Strategy; Organizational Culture; Expansion; Health Industry; Toronto; Canada; United States
Citation
Heskett, James, and Roger Hallowell. "The Shouldice Hospital Today." Harvard Business School Case 925-302, December 2024. (Revised March 2025.)