Fernandez Hospitals (FH) was a unique health services organisation focused on women and newborns, based in Hyderabad, India. Its vision was to promote natural childbirth and respectful maternity care across India, make pregnancy safe for women and their babies, promote midwifery training and birth without interventions, and to always lower costs for patients. A strong advocate of natural birth, FH's Chief Executive Officer, Dr. Evita Fernandez, had long opposed the growing trend of caesarean section (C-Section) births that had largely been driven by private hospitals across the country seeking to maximise their profit margins. Since 1990s, as the country's economic growth surged, women from the affluent classes, as well as educated working women, had emerged as a large and growing segment that could pay premium prices for high-quality maternity services that also provided a premium experience. Given FH's reputation as a caring institution in the field of obstetrics, gynecology, neonatal care and allied areas, FH made the decision in 2016 to establish Stork Home as a hospital in the upscale neighborhood of Banjara Hills that would cater to the premium maternity services segment of Hyderabad. However, even after two years of operations, Stork Home was languishing in terms of low inpatient occupancy and poor financial performance, which was also affecting the profitability of FH as a whole. It seemed that good intentions had run aground on the harsh shores of a highly competitive landscape. The case delves into the causes of poor performance, contrary to the expectation that FH's ability to attract patients would carry over to the premium Stork Home brand. The case poses a series of questions centering around the future 'go-to-market' strategy for Stork Home. These questions are posed against the backdrop of intense competition from well-established large hospital chains with aggressive marketing efforts and a focus on maximising profits.

The case explores the journey of Fernandez Hospital (FH) and its evolution from a small maternity clinic to a tertiary-level hospital for women and children with a focus on accessible and high-quality healthcare in the areas of obstetrics and gynecology. Dr. Evita Fernandez, CEO of FH, was a vocal advocate of natural birth, contrary to the trend towards Caesarean section (C-section) deliveries seen in most hospitals across India. The case is set in the year 2014 and deliberates on the options that Dr. Fernandez had at different stages of FH's journey and the strategic decisions that she and her team made and implemented. It showcases the challenges FH faced in deciding what to do next while keeping its values intact. From studying the case, students will appreciate the need for organizations to develop a framework to help them analyze their current situation, establish priorities, identify opportunities, and make rational and well-informed decisions about the future. Dr. Fernandez had an expansive purpose of enabling safe deliveries in society at large. While an expansion of the existing hospitals may achieve this goal to the limited extent of enabling safe deliveries within her hospitals, it would not result in a much wider preference across the country for natural deliveries over C-section deliveries. The case ends with Dr. Fernandez and her team contemplating various options available to them.