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CASE: SM-200
                                                                                                      DATE: 09/15/11


    ATTUNE FOODS: CHALLENGING THE GOLIATHS WITH
                   AUTHENTICITY
         They are full of sugar! These guys are not helping slow down the obesity epidemic!
         — Rob Hurlbut, as he spat out the cereals with the “good for you” label


Rob Hurlbut was the CEO of San Francisco-based Attune Foods, a company focused on selling
food products whose digestive health benefits were its major attraction. Most of Attune‘s
business was in breakfast cereals, although it also produced crackers and snacks.

Attune‘s products were positioned in what is often called the ―good for you‖ segment. Its
products were not only rich in fiber, allergen-free ingredients and probiotics, but they were also
low in sugar, and ingredient processing was reduced to a minimum—in short, they were the best
product an American could get to start the day, Hurlbut thought. While some of his competitors
shared a similar vision for truly healthy cereals, others were less fussy about health content. And
they were much bigger: with its $13 million in revenue, Attune had to fight against food giants
like Kellogg and General Mills.

Hurlbut sighed. He felt a little overwhelmed, though he liked this ―David against Goliath‖
pressure. In his previous job as the CEO of Niman Ranch, one of the leading U.S. producers of
all-natural meat, he managed to grab market share in the U.S. meat industry with better-for-you
products. Why wouldn‘t he be able to repeat the success story in the cereal business?

The key question was, how could Attune double sales over the next four years? Digestive health
was not exactly a popular conversation topic at most family dinner tables, so Attune‘s small team
would have to be creative and find the right edge to attract consumers‘ attention.



Xavier Lederer and Professor Glenn Carroll prepared this case as the basis for class discussion rather than to
illustrate either effective or ineffective handling of an administrative situation.

Copyright © 2011 by the Board of Trustees of the Leland Stanford Junior University. All rights reserved. To order
copies or request permission to reproduce materials, e-mail the Case Writing Office at: cwo@gsb.stanford.edu or
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Attune Foods: Challenging the Goliaths SM-200                                                          p. 2



PROBIOTIC CHOCOLATE BAR: THE RISE AND FALL

Attune began as a concept within Brand New Brands, an incubator of functional food and
beverage ideas. The two founders investigated a range of functional food and beverage concepts
that they felt had the potential to define new categories in the food space. They started out with
75 ideas, distilled them down to a dozen, did concept testing and validated consumer interest,
refined them further down to four, and eventually assembled individual companies around each
of these four product platforms. One of them was a probiotic chocolate bar sold under the
Attune brand name.

Probiotics: A Promising Market in 2006 …

Probiotics are bacteria that are beneficial to a person's health, through protecting the body against
pathogenic bacteria, assisting in recovery from an illness,1 or enhancing digestion. Probiotics
live within the digestive system and, when present in sufficient numbers, they can reinforce the
immune system. Probiotics are commonly consumed as part of fermented foods with specially
added active live cultures, such as in yogurt, or as dietary supplements.2

Hurlbut got involved in May 2006, right after the first consumer tests indicated clear consumer
interest in probiotics. He recalled:

        The probiotic space was really quite interesting then. It was right when there
        were a lot of people poking around in the U.S. The probiotics category,
        particularly in the dairy aisle, had evolved quite extensively both in Europe and in
        Asia but in the U.S. had not really done much.

        In October of 2006 Dannon launched the Activia brand in the U.S., which gave us
        a higher level of confidence, thinking, ‗Here‘s somebody spending $100 million a
        year on television to educate consumers around digestive health and the role that
        good bacteria can play in your overall health.‘ We saw it as a good indicator that
        it was less risky to launch with this radical concept than it might have been
        otherwise.3

Attune‘s first product was a probiotic-rich chocolate bar with 6.1 billion CFUs4, a portable and
tasty alternative to yogurt. It promised to deliver the probiotics of yogurt in a convenient bar and
was positioned to improve digestive health.

Attune, incorporated in October 2006, had a successful nationwide launch with Whole Foods in
January of 2007, and rapidly moved into Safeway, Publix, and HEB. Within just 14 months after
launch, Attune was present in about 4,000 stores all over the U.S.



1
  The Free Dictionary, http://medical-dictionary.thefreedictionary.com/probiotic (accessed 8/23/11).
2
  Probiotic, in Wikipedia (http://en.wikipedia.org/wiki/Probiotic, accessed 8/23/11).
3
  Quotations are from interviews with the author unless otherwise specified.
4
  CFU: Colony-Forming Unit, a measure of the number of cells.
Attune Foods: Challenging the Goliaths SM-200                                                         p. 3



… Hit by Recession Two Years Later

Attune‘s rapid evolution was badly hit by the 2007 recession, considered ―the worst recession
since the 1930s‖5 (Exhibit 1). Hurlbut commented:

        We quickly built a very broad national footprint, which included the number two
        and three retailers in the grocery category. They were excited about the potential,
        but then they, too, realized that people were very reticent to spend dollars outside
        of the absolute necessities. That was particularly the case with Publix in Florida,
        where the economy reached a sort of ground zero.

Attune‘s products also apparently found difficulty in fitting into established categories.
Hurlbut explained:

        On top of tough economic times Attune faced a structural challenge: it offered a
        new ingredient (probiotics) in a new form (the chocolate bar) which was
        merchandised in a new location in the store (the refrigerated section of the dairy
        aisle). Consumers can‘t deal with novelty that well. We also asked consumers to
        adopt a behavior that they were already doing but they‘d really never thought
        about, which was eating chocolate every day.

As a result Attune‘s revenue dropped from about $3 million revenue to less than $1 million.

Hurlbut concluded: ―We decided that spending big dollars to grow a product of this type
during challenging economic times was going be a very expensive effort.‖

ATTUNE 2.0

 Attune took several initiatives to rebound. It shrunk its distribution back to the core, the natural
foods channel, where it had good traction. Hurlbut observed, ―Certainly, natural food shoppers
are a much more adventurous group. They‘re open to trying new ideas, and they also have
generally more discretionary income to spend on food.‖

The crisis also precipitated some general rethinking of the company‘s strategy. Hurlbut and his
team launched what they called Version 2.0 of Attune Foods. This reorientation built on the idea
articulated in the original business plan: be a broader digestive health platform, providing not
just probiotic bars but probiotic and digestive health beverages and other digestive health foods
that met the needs of a very specific consumer niche.

As its CEO put it, Attune‘s ambition was to be the ―leading digestive health brand in the country.
Americans have been seeking additional fiber in their diet forever, so this isn‘t a new idea. But
what we‘re trying is to build a positive association with the idea of your gut being in good
working condition and eating foods that promote overall gut health.‖


5
  Danielle Cadieux and David W. Conklin, ―The Great Recession, 2007-2010: Causes and Consequences,‖ Harvard
case study, Prod. # 910M08, Jan 15, 2010.
Attune Foods: Challenging the Goliaths SM-200                                                              p. 4



Accordingly, Attune also broadened its product base in December 2009 by acquiring U.S. Mills,
a company specializing in natural, organic, and specialty cereals, cookies, and crackers. Two
brands in its portfolio attracted Attune management‘s attention: Uncle Sam and Erewhon.

Uncle Sam was one of the very first cereals introduced in the U.S. market. It was launched in
1908 specifically to address digestive health and was marketed as a laxative cereal even up until
the 1970s:

        Uncle Sam Cereal was invented by a constipated Omaha-based businessman
        named Lafayette Coltrin. At age 76, Coltrin was told by doctors he had only 6
        months to live. The diagnosis: acute abdominal ulcers aggravated by chronic
        constipation. The doctors prescribed flaxseed oil to ease his constipation. The
        ailing man took the doctor's recommendation but hated the taste of flaxseed oil, so
        he took what he thought were his last days on earth to create a cereal that would
        make flaxseeds more bearable. The result of his trials was wheat flakes sprinkled
        with flaxseed and celery powder. Not only did the cereal taste fine, it also eased
        his constipation more than flaxseed alone. He called the new product Uncle Sam
        Breakfast Food―named so because Coltrin resembled the character Uncle Sam.6

Today Uncle Sam‘s recipe is still based on wheat flakes and flaxseed.

Erewhon,7 one of the nation‘s first organic brands, was founded by Michio Kushi, a Japanese
philosopher, writer and spiritualist, who had been ―deeply impressed by the atomic bombing of
Hiroshima and Nagasaki … and decided to devote his life to world peace and harmony.‖8 Kushi
was considered to be ―the father of modern Macrobiotics, a prophet, a man of vision, of
compassion and dedication to the ideals of the United Nations.‖9 Erewhon started in 1966 as a
small natural foods retail store in Boston, and soon contracted with farmers to produce
organically grown food. It also became one of the first U.S. companies to establish a ―Charter of
Quality Standards for Natural Products‖ for its product line, banning synthetic preservatives,
artificial colors and flavors, hydrogenated oils, and only accepting natural sweeteners such as
honey, maple syrup, and molasses.10

Both products had experienced very little evolution in terms of ingredients and recipes and they
had a very loyal customer base. Hurlbut said:

        Erewhon was a $10 million business in 1972, and it‘s since gone through all kinds
        of changes. At one point it had 600 SKUs under the Erewhon brand, and what

6
  http://www.mrbreakfast.com/cereal_detail.asp?id=1190 (accessed 9/4/11).
7
  Erewhon is derived from the 1872 novel of the same name. In this satirical novel by Samuel Butler, Erewhon (an
anagram of ―nowhere‖) is a utopia in which individuals are responsible for their own health.
8
  ―Biography of Michio Kushi‖ (http://www.michiokushi.org/bio.php, accessed 9/4/11).
9
  Extract from the citation when Kushi was awarded the Award of Excellence of the United Nations Society of
Writers (see http://www.michiokushi.org/honors.php) on 9/20/1994.
10
   William Shurtleff and Akiko, ―History of Erewhon: Natural Foods Pioneers in the United States,‖ 2006
(http://www.soyinfocenter.com/pdf/Erewhon.pdf) and
http://en.wikipedia.org/wiki/Erewhon_Organic_Cereal#cite_note-test-0 (accessed 9/4/11).
Attune Foods: Challenging the Goliaths SM-200                                                                 p. 5



        was left of it was about 30 cereal SKUs, many of them gluten-free. So, really, we
        viewed the opportunity not only in the organic but also in the gluten-free segment.
        We consider gluten-free as part of the broader allergen avoidance market, which
        is another big part of digestive health.

Combined, Attune and U.S. Mills represented $13 million in revenue at the time of the
acquisition.

When Attune acquired them, both brands had very different customer profiles and their brand
image was considered old-fashioned. Typical customers‘ reactions to the products were: ―Uncle
Sam? Yeah, my grandfather eats that!‖ while Erewhon was considered an ―old hippie brand.‖


MARKET AND INSTITUTIONAL CONTEXT

Nutrition in the U.S.

Many adverse health conditions were believed to occur due to inappropriate nutrition in the U.S.
In fact, in 2008 poor nutrition was thought to be responsible for the doubling obesity and
diabetes rates over the previous 25 years (Exhibit 2).

―The real tragedy is that overweight and obesity, and their related chronic diseases, are largely
preventable,‖ said Dr. Robert Beaglehole, WHO Director of Chronic Diseases and Health
Promotion. ―Approximately 80 percent of heart disease, stroke, and type 2 diabetes, and 40
percent of cancer could be avoided through healthy diet, regular physical activity and avoidance
of tobacco use.‖11 People suffering from nutrition-related diseases had to adapt their nutrition
(e.g. reduce sugar consumption, eat gluten-free). These diseases include digestive diseases,
diabetes, and celiac.

By the first decade of the twenty-first century, digestive diseases affected 60 to 70 million
Americans, and were the underlying cause of more than 236,000 annual deaths. This cost the
U.S. health care system about $86 billion per year 12 (see Exhibit 3 for statistics broken down by
digestive disease).

Diabetes is a disease in which blood glucose levels are above normal.13 Of total diabetes cases,
90-95 percent were type II diabetes, which is associated with older age and obesity. Diabetes
affected an estimated 25.8 million Americans, out of which 7.0 million were undiagnosed. On
top of that ―35 percent of U.S. adults aged 20 years or older had prediabetes (50 percent of adults
aged 65 years or older),‖ according to the CDC. Diabetes was reported to be the underlying

11
   World Health Organization, ―The World Health Organization warns of the rising threat of heart disease and stroke
as overweight and obesity rapidly increase‖, September 22, 2005.
12
   ―Opportunities and Challenges in Digestive Diseases Research: Recommendations of the National Commission
on Digestive Diseases,‖ Bethesda, MD, National Institutes of Health, U.S. Department of Health and Human
Services, 2009.
13
   ―National Diabetes Fact Sheet, 2011,‖ Centers for Disease Control and Prevention (CDC), 2011.
Attune Foods: Challenging the Goliaths SM-200                                                                  p. 6



cause for 71,382 deaths per year in 2007 and to generate about $116 billion direct cost to the
U.S. health care system.

Celiac disease is a chronic intestinal disease caused by intolerance to gluten. Celiac disease
cannot be cured; affected people have to follow a lifelong gluten-free diet.14 Three million
Americans were estimated to be affected, the vast majority of which were undiagnosed. On top
of that an estimated 10-15 percent of the population (approximately 30 to 45 million Americans)
were reported to be non-celiac gluten intolerant (NCGI).15

In line with the growing health concerns of the American population, the sales of labeled ―free-
from‖ products increased about 15 percent per year between 2008 and 2010. The gluten-free
subcategory increased 18 percent per year (Exhibit 4). Following the same trend, gluten-free
cereal grew 19 percent per year to an estimated $22.2 million for the same period.16

The Organic Food Market17

The organic market experienced strong growth in the first decade of the 21st century: U.S. sales
of organic food and beverages grew from $1 billion in 1990 to $26.7 billion in 2010. Sales in
2010 represented 7.7 percent growth over 2009 sales. Organic food and beverage sales
represented approximately 4 percent of overall food and beverage sales in 2010.

In 2010 mass market retailers (mainstream supermarkets, club/warehouse stores, and mass
merchandisers) sold 54 percent of organic food. Natural retailers (e.g., Whole Foods, Trader
Joe‘s) were next, selling 39 percent of total organic food sales. Other sales occurred via farmers‘
markets or community supported agriculture (CSA), mail order, or specialty stores.

The production of organic food experienced a similar strong growth. However, organic
production remained marginal. ―Overall, certified organic cropland and pasture accounted for
about 0.6 percent of U.S. total farmland in 2008,‖ according to the U.S. Department of
Agriculture. Organic fruits and vegetables, which had been developing for decades in the U.S.,
represented a larger share of the pie: 5 percent of U.S. apple acreage was organic, 8 percent of
lettuce, and 13 percent of carrots. Organic livestock represented ―2.7 percent of U.S. dairy cows
and 1.5 percent of the layer hens managed under certified organic systems‖ in 2008.18

Cereal Market and Competition

The breakfast cereals market in the U.S. was huge: a study revealed that 85 percent of Americans
reported eating cold cereal for breakfast in the prior three months.19 As one can expect from a
14
   National Center for Biotechnology Information (http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001280/ and
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1435993/, accessed August 30, 2011).
15
    www.foodreactions.org, quoted by Mintel. It is important to note that a real diagnosis is difficult to obtain,
leading some to think that part of the rise of NCGI is just a fad (see for instance http://www.foodrenegade.com/the-
rise-of-gluten-intolerance/).
16
   ―Food Allergies and Intolerance – U.S.,‖ Mintel, October 2010 (figures for natural supermarkets only).
17
   Organic Trade Association (http://www.ota.com/organic/mt/business.html, accessed August 23, 2011).
18
   U.S. Department of Agriculture (http://www.ers.usda.gov/data/organic/, accessed August 23, 2011).
19
   ―Breakfast Cereal—U.S.,‖ Mintel, August 2007.
Attune Foods: Challenging the Goliaths SM-200                                                              p. 7



market that had reached such a level of maturity, growth was insignificant (Exhibit 5): annual
growth over a 10-year period was expected to be 0.5 percent.20

Within the cereal market the organic sub-segment was growing much faster though: the market
for organic grain products (bread, cereal, and pasta) was expected to grow at 12 percent annually
(Exhibit 6) and to amount to $941 million by 2010.21

In the organic cereal business, Attune faced several competitors: some were owned by large
processed food conglomerates, like Kashi (owned by the Kellogg Company), Cascadian Farms
(owned by General Mills), and Barbara‘s Bakery (owned by Weetabix), and others were
privately owned, like Nature‘s Path. Kashi was considered the largest competitor, followed by
Cascadian Farms and Nature‘s Path. Barbara‘s Bakery and Attune were the smallest of the large
market players.

Kashi, Cascadian Farms, and Barbara‘s Bakery all started as small private companies rooted in
the counterculture; each developed a strong image in the organic/good-for-you segment. None of
them prominently referred to their powerful mother companies in their consumer communication
after their acquisition, probably because ―organic-food buyers tend to eschew conglomerates'
famous brands.‖22 Yet, being part of larger groups allowed them to leverage the scale and
distribution power of their respective mother companies.

Kashi23 was founded in 1984 in California by the Tauber couple who were ―seeking a
nutritionally balanced breakfast. They began experimenting with different whole grains and
seeds, trying to create a pure blend that would satisfy their own health-conscious lifestyle, as
well as others.‖24 Acquired by Kellogg in 2000, it was an organic food company that marketed a
broad product portfolio ranging from cereals to frozen pizzas. Its tagline, ―7 whole grains on a
mission,‖ reflected the company philosophy to provide nutritious whole grain foods to a growing
number of people.25 Kashi employed about 70 people.

Cascadian Farms was started by Gene Kahn in 1972, as a small organic farm in the Cascade
Mountains of Washington.26 ―Gene was an idealistic 24-year-old grad-school dropout from
Chicago, who just wanted to make a difference in the world. He recognized the delicate balance
between nature and humans … and wanted to go back to the land and farm in a way that would
not harm the natural beauty of the earth or her inhabitants.‖27 The farm is still there but the
product portfolio broadened significantly to include organic frozen fruits and breakfast cereals.

20
   ―Breakfast Foods: The Market – U.S.,‖ Mintel, November 2008.
21
   ―Organic Food – U.S.,‖ Mintel, October 2008.
22
   Kevin Helliker, ―In Natural-Foods Sector, A Big Name Isn't Tasty ‒ Buyers Often Eschew Well-Known Brands,‖
The Wall Street Journal, June 10, 2002.
23
   According to ―The Kashi Yearbook,‖ the name Kashi was inspired by Michio Kushi, ―the Japanese philosopher,
writer and spiritualist who helped introduce the macrobiotic diet to the U.S.‖ and who in 1966 launched Erewhon,
which later became one of Attune‘s main products..
24
   Kashi‘s website (www.kashi.com, accessed 9/4/11).
25
   Kashi‘s website (www.kashi.com, accessed 9/4/11).
26
   Cascadian Farms‘ website (http://cascadianfarm.com, accessed 9/4/11).
27
   http://cascadianfarm.com/Mission.aspx, (accessed 9/4/11).
Attune Foods: Challenging the Goliaths SM-200                                                              p. 8



In a cereal blind tasting competition in San Francisco in 2006, Cascadian Farms‘ cereals were
voted into the Hall of Fame, the competition‘s highest honor.28 It was taken over by Small
Planet Foods, which in its turn was taken over by General Mills in 2000. According to the Wall
Street Journal:

        When it was bought by General Mills, Cascadian Farms was a small maker of
        organic frozen fruits, vegetables and entrees. It had never produced a breakfast
        cereal. General Mills, a close rival to Kellogg to be the largest U.S. cereal maker,
        wanted a larger share of that category in the natural-foods market. General Mills‘
        officials concluded their company's reputation meant less to natural-foods
        customers than a brand known to be organic. ‗To the organic customer, the
        heritage of Cascadian Farms has more equity‘ than the image of General Mills,
        says Marc Belton, a General Mills senior vice president.29

Barbara‘s Bakery30 was launched in 1971 in the San Francisco Bay Area by 17-year-old Barbara
Jaffe who ―found her calling in real food and opened a small natural bakery in Northern
California. She had a simple plan—make wholesome food taste incredibly delicious. Inspired
by good health, family, and the kitchen table as the cornerstones of the good life, she used whole
grains and oats just as nature intended.‖ Forty years later Barbara‘s Bakery had become a
wholesale business offering products including cereals, snack bars, cookies, crackers, and cheese
puffs. Its philosophy was to offer the ―best-tasting natural products free of artificial
preservatives, hydrogenated oils, and refined white sugar.‖31 It was acquired by U.K. breakfast
giant Weetabix.

Nature‘s Path, started in 1985, was a privately held, family-owned company that produced
organic breakfast foods and snacks.32 Based in British Columbia (Canada) it employed 350
people and sold in 40 countries. According to Mintel, Nature‘s Path ―leads the gluten-free cold
cereal sub-segment with $9.4 million in sales for the rolling 52 weeks ending June 12, 2010. The
company is generally regarded as being exceptionally well run, with a history of launching
products that consumers want, which has proven challenging for many entrants.‖33 Nature‘s
Path claimed to be always organic and to have a strict non-GMO policy. In its ―Minifesto,‖34
stating its mission and values, Nature‘s Path reported to ―aspire to advance the cause of people
and planet, along the path to sustainability. And we like to think we put our money where our
mouth is.‖35 For instance, Nature‘s Path ―reduced the size of its boxes by 10 percent, while
keeping the contents the same, contributing to ‗global sustainability‘.‖36 Another example of the

28
   Carol Ness, ―Two brands of raisin bran voted into Hall of Fame,‖ March 22, 2006.
29
   Kevin Helliker, ―In Natural-Foods Sector, A Big Name Isn't Tasty ‒ Buyers Often Eschew Well-Known Brands,‖
The Wall Street Journal, June 10, 2002.
30
   www.barbarasbakery.com (accessed 9/4/11).
31
   http://www.barbarasbakery.com/about/ (accessed 9/7/11).
32
   Natures‘ Path website (www.naturespath.com, accessed 9/4/11).
33
   ―Food Allergies and Intolerance – U.S.,‖ Mintel, October 2010.
34
   ―Spelled ‗Mini‘festo because ‗it delivers our promise in a bite-size format that's easy to digest‘,‖ (post on
Nature‘s Path Facebook page, 9/7/11).
35
   http://www.naturespath.com/company/minifesto (accessed 9/7/11).
36
   Marian Burros, ―Idealism for Breakfast,‖ The New York Times, January 11, 2006.
Attune Foods: Challenging the Goliaths SM-200                                                      p. 9



quality of Nature‘s Path‘s products, a New York Times article cited an ―undated article on
menshealth.com declar[ing] Nature's Path Optimum Power Breakfast the ‗best high-fiber
cereal.‘‖37 Nature‘s Path philosophy is probably best summarized by Arran Stephens, president
of Nature's Path in 2002, commenting on the recent reduction in sugar content of one of Nature‘s
Path cereals: ―There's lots of junky stuff out there. We're offering a much healthier
alternative.‖38

AUTHENTICITY

―Digestive health is a pretty big business opportunity but is not something that Americans really
want to talk about,‖ said Attune‘s CEO. ―So our challenge is to develop a brand approach that is
going to make this topic more accessible.‖

Daniel Wiser, Stanford MBA ‘07 and marketing director at Attune, continued:

        We call ourselves a ‗digestive health‘ food company, but consumers do not look
        to food to provide such clinical benefits. They want food to be food―not
        medicine. We instead articulate the meaning through our brand promise of ‗What
        Matters Most Is What‘s Inside,‘ which spans across multiple product categories―
        fiber for Uncle Sam, allergen (including gluten) avoidance with Erewhon, and
        probiotics with Attune. We promise products that have ‗Simple Ingredients‘ and
        that are ‗Simply Made,‘ using recipes that have been around for (in some cases)
        over 100 years. We focus on providing better-for-you foods that consumers trust
        to help them feel their best from the inside out.

At the core of Attune‘s brand strategy, Hurlbut and his team developed the concept of
authenticity. According to Wiser:

        Authenticity means transparency and truth in what the brand promises. A brand is
        nothing but a promise. An authentic brand communicates to consumers what it
        stands for in a transparent and honest way. Honesty and transparency are
        particularly important today: 30 years ago it was easier for brands to say
        something but be something different. But today, particularly with the Internet
        and the emergence of new media like blogging and online social media, there‘s
        just so much more information for so many more people that, if you're not telling
        the truth and if you're not being transparent and honest about who you are and
        what you are, you're going to be called out and that erodes your brand instantly.
        It‘s very important for us to do as we say and say as we do. We have nothing left,
        if not our word.

The basis of Attune‘s approach to authenticity was its old and ―unspoiled‖ products: Attune‘s
cereals products had been around for several decades, and their recipes and production methods

37
  Andrew Adam Newman, ―For Those Who Want Their Cereal Extra Manly,‖ The New York Times, July 23, 2009.
38
  Betsy McKay, ―The Organic Myth ― That Pesticide-Free Product Isn't Always Healthiest Pick; Anyone for
'Natural' Cheetos?‖ The Wall Street Journal, December 26, 2002.
Attune Foods: Challenging the Goliaths SM-200                                                    p. 10



were still very similar to the original ones. Wiser explained: ―People have an inherent trust in
things that have been around for a long time. If something has been around for over 100 years, if
it hasn‘t changed, there‘s an implicit assumption that there has to be something special about it.
You can imagine how few food products from 1908 are still on grocery shelves today. Since
then there have been dozens of food fads, diets that have come and gone, countless trends that
have dominated consumers‘ purchasing habits, and thousands of new product failures. That
Uncle Sam has survived since then is a badge of honor that he needs to continue to wear
proudly.‖ Among other advantages of old brands, Attune‘s consumers are reportedly highly
loyal. Finally, taking over these existing brands gave access to a broad portfolio of distribution
channels: Uncle Sam was distributed by more than 3,000 retailers across the U.S.

Attune prided itself in putting on the market products with unadulterated ingredients: Uncle
Sam‘s recipe was simple, as Wiser explained:

           We take whole wheat berries and then steam, toast, and flatten them. We flavor
           them with a tiny bit of barley malt and sea salt. We then add whole flaxseeds, and
           that‘s it. Our process keeps the ingredients unadulterated and preserves the
           natural fiber and nutrition of the whole grain. The vast majority of cereals on the
           market are made with flours which are turned into batters and slurries, and then
           pressed through a machine to form what appears to be a flake (or another shape
           like an O). It was because of these modern ways of making food products that the
           government required cereal (and other grain) manufacturers to fortify their
           products with b-vitamins. Not enough of the natural vitamins that were present in
           the raw grain were seen in the finished product. Fortification is no longer
           required, but it is still commonly practiced with cereals. In fact, Uncle Sam was
           fortified until 2010 when we decided to investigate why. We tested the presence
           of b-vitamins in a non-fortified finished product, and compared them to what was
           present in the raw grain. We found that our minimal processing preserved the
           integrity of the b-vitamins. As a result, we stopped fortifying our cereal.

This willingness to be transparent carried over to many other fields. One instance was
packaging: Attune had recently redesigned its packaging with the objective to create a classic,
old-fashioned but still modern look and feel to the brand. Annelies Zijderveld, online community
manager, explained: ―One of the things that was important to us when we were taking the
photographs for the new packaging was using the actual product: we didn‘t use lots of Photoshop
to make it look different. A lot of times if you look at cereal products on the shelf it looks
perfect. The thing with food is: food is not perfect. Food is food.‖

Attune‘s willingness to be true to its word went beyond what the best informed consumers would
ever know. When talking about the importance of being consistent with the brand when sourcing
ingredients, Wiser told this anecdote:

           We just found out that a small portion of our flaxseed came from Canada. There‘s
           nothing wrong with Canada.39 Obviously I love Canada: it has great agricultural
           systems and a trustworthy food supply chain. It‘s fine, except that we sell a
39
     Wiser is Canadian.
Attune Foods: Challenging the Goliaths SM-200                                                  p. 11



        product called Uncle Sam which has a lot of American heritage built into the
        brand and perception. We thought, ―If not Uncle Sam, who else would use only
        American grown grains?‖ So we just made it a small point to source 100 percent
        U.S. flaxseed. Is that something that the consumer is ever going to know? Never.
        Ever. We don‘t say it on the box, and there is no place on the ingredient panel to
        list the source. It‘s just an important principal that is part of our brand promise.
        We apply the same principles to our partners: the partners that we choose are ones
        that are consistent with our mission and our brand.

Communication

Besides products, communication was considered by Attune‘s staff to be another key pillar of
authenticity: ―Today‘s customers are definitely becoming much more interested in figuring out
where their food is coming from and how is it made,‖ said Zijderveld.

Next to in-store activities, social media played a key role in Attune‘s communication: ―Social
media helps us be more authentic because it allows more transparency and more depth of
information. And we can leverage a key resource, which we can‘t in other ways: our very
passionate fan base for our products, who recommend them,‖ according to Zijderveld.

Social media also offered a way to communicate a different message. Zijderveld continued:
―Our big competitors have very loud speakers out there and you have this little speaker in the
back that‘s saying something different from this sea of loud music. There‘s no point in us even
bothering to compete there. So instead, we have very clear target consumers and we‘re doing
our best to reach them in a way that is authentic, real, and true to our message. Being online
allows us to be very targeted in terms of who we reach.‖


CHALLENGES OF A GROWING ORGANIC FOOD COMPANY

Distribution

Getting access to the final consumers was one of the main challenges of small food companies.
Attune sold mainly in two ways: directly through supermarkets (e.g., Wal-Mart, Trader Joe‘s,
Publix, Kroger, and Safeway) and through distributors (e.g., United Natural Food and Kehe),
which in their turn sold to retailers in their portfolio. Attune‘s products were sold through 400
supermarket chains across the U.S. Steve Bernier, Attune‘s director of sales, explained how he
dealt with account management:

        The decision to add or keep an account [supermarket chain] is made through a
        cost/benefit analysis. Some accounts are more costly to work with than others.
        What make an account more costly are among others spoils and damages. Also
        the pathway [whether it is a direct customer or a distributor customer]: additional
        costs are incurred through a distributor, because you have to pay a mark-up.
        Some accounts also charge participatory ad packages or other fixed costs, which
        increase the cost-thresholds of these accounts. Finally in some cases you need to
Attune Foods: Challenging the Goliaths SM-200                                                   p. 12



        meet minimum volume thresholds to get in a new account: for instance Wal-Mart
        has a higher volume threshold than other accounts.

        Our large competitors throw millions of dollars up against their brand to support
        them. We don‘t have that luxury. In dealing with supermarkets, this is definitely
        a challenge because dollars really speak to them.

Not only money but also time was a challenge in Attune‘s relationships with supermarket chains
and distributors. Hurlbut said: ―In some accounts we can see a category buyer once a year.
When you get 30 minutes at the most once a year, you just don‘t have a lot of time to actually
make change and get things going.‖

On the other hand, Attune had some strong arguments, as Bernier explained:

        A lot of our accounts have been carrying Uncle Sam and Erewhon since before
        many competitors were even out there. We‘ve been true to our brand all the way
        through: that‘s definitely one of our strengths, it is our legacy. One of the biggest
        questions of supermarkets is, ‗What kind of volume and dollars [price] are you
        going to bring?‘ They don‘t want products that aren‘t going to move and take up
        shelf space. Uncle Sam‘s and Erewhon‘s high customer loyalty is a key argument
        here. Also our products drive a higher price premium for the supermarkets: we
        are from 10 to 25 percent more expensive than non-organic products, depending
        on the retailer and whether we sell directly or through a distributor.

Supermarkets wanted to take advantage of the rapidly growing ―good-for-you‖ segment in the
food industry. Attune‘s products were well positioned in this niche, as Bernier explained: ―Our
argumentation towards supermarkets is about our very straightforward and non-GMO ingredient
panel, our clean products, and product-specific characteristics like gluten-free and organic
certification.

Production

Producing organic food creates additional challenges for a food company, as explained by Linda
Lam, in charge of operations at Attune:

        Most of our ingredients are organic and all are non-GMO certified, which makes
        them more expensive. The cost difference varies by ingredient: the cost difference
        between regular and organic raisins is very small whereas the difference between
        organic and non-organic milk may be up to 50 percent.

        Being organic increases the administrative burden: each of our ingredient
        suppliers and our co-packers, which produce our products, has to go through a
        certification audit every year. We have about 100 ingredient suppliers and four
        co-packers: maintaining the certificates can be a painful process. On top of that
        some of our products are gluten-free, which we have to test in a lab after each
        production batch.
Attune Foods: Challenging the Goliaths SM-200                                                 p. 13



        Availability is also a challenge, as the number of suppliers is limited for some
        ingredients. For instance we use a very specific organic corn grit that not many
        producers supply. The same applies to co-packers: some co-packers don‘t want to
        go through the process of getting certified and having the continuous audits. For
        one of our small chocolate products there is only one co-packer in North America
        that can make our product. It makes production cost so high that we are
        discontinuing that product.

        And, of course, there is a timing issue with organic ingredients: if you need stuff
        in February but the organic crop is later in the year, you have a problem. That
        makes the production planning a bit more challenging.

        Finally, organic products are more difficult to export. When we want to export to
        Canada or Japan, our products need to be Canadian or Japanese certified. Each
        country has different organic certification guidelines. That‘s an added challenge.

LOOKING FORWARD

Hurlbut sat back and thought for a minute. The past 18 months had been intense and challenging:
the small Attune team managed to bring together Uncle Sam and Erewhon with Attune‘s
innovative mindset. They had aligned branding and packaging around the concept of
authenticity, reduced the number of SKUs, and drastically reduced costs to make operations
profitable.

The time had come for the next step: leverage the strengths of Attune‘s renewed product
portfolio in order to grow. Hurlbut‘s objective: double sales over the next four years. In a
gloomy economy and a mature cereal market, this was going to be a challenge. Hurlbut knew
that he could count on Attune‘s unique strengths and strong team. Yet questions remained
unanswered.

For example, what were the pros and cons of the company‘s focus on authenticity? Should it
adapt its marketing and sales approach, and if so, how? Also he was concerned about the
sustainability of some customer segments, like gluten-free: some experts thought it was just a
fad; how could Attune take advantage of this rising market, keeping in mind that the market
trend could reverse in the coming years?
Attune Foods: Challenging the Goliaths SM-200                                           p. 14



                                               Exhibit 1
                                      Growth of the U.S. Real GDP

                                      Growth of the US Real GDP (%)
  25


  20


  15


  10


   5


   0
       1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010

  -5


 -10


 -15
Based on data from the U.S. Bureau of Economic Analysis (BEA)
Attune Foods: Challenging the Goliaths SM-200                                                p. 15



                                              Exhibit 2
                             Increase in Obesity and Diabetes in the U.S.




Source: Centers for Disease Control & Prevention (Department of Health and Human Services)
Attune Foods: Challenging the Goliaths SM-200                                                              p. 16



                                            Exhibit 3
                 Burden of Selected Digestive Diseases in the United States, 2004

          Digestive diseases                Number of deaths in the U.S.         Direct cost to the U.S. health
                                                      (2004)                        care system ($ million)
                                                                                             (2004)
Digestive cancers (e.g. colorectal, 135,107                                      $8,441.5
pancreatic)
Liver disease                       36,090                                       $2,532.0
Viral hepatitis                     5,393                                        $1,300.5
Gastrointestinal Infections         4,396                                        $1,343.4
Peptic Ulcer Disease                3,692                                        $2,599.9
Pancreatitis                        3,480                                        $2,546.2
Diverticular Disease                3,372                                        $3,569.3
Abdominal Wall Hernia               1,172                                        $5,698.9
Gastro-esophageal Reflux Disease    1,150                                        $12,125.0
Gallstones                          1,092                                        $5,763.6
Inflammatory Bowel Disease          933                                          $1,071.0
Appendicitis                        453                                          $2,310.6
Functional Intestinal Disorders     423                                          $3,661.2
Hemorrhoids                         14                                           $775.8
Other                               39,397                                       $31,960.8
All digestive diseases`             236,164                                      $85,699.7


Source: ―The Burden of Digestive Diseases in the United States,‖ Dr. James E. Everhart, U.S. Department of Health
and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and
Digestive and Kidney Diseases, 2008.


Note: The direct costs represent charges for hospital services, physician services, prescription drugs, over-the-
counter drugs, nursing home care, home health care, hospice care, and outpatient endoscopy.
Attune Foods: Challenging the Goliaths SM-200                                                 p. 17



                                       Exhibit 4
 [Natural] Supermarket Sales of Gluten-free and Dairy-free Foods, 2008 - 2010 ($ million)

                   2008 (ending       2009 (ending       2010 (ending          CAGR 2008-
                   June 14)           June 13)           June 12)              2010 (%)
Dairy-free:
Beverages                      68.7               74.7                  76.9           5.8%
Frozen
novelties and
desserts                         16               19.6                  22.8          19.4%
Yogurt and
kefir                           9.3               10.8                  13.5          20.5%

Gluten-free:
Snacks                         50.5               57.4                   68           16.0%
Baking mixes
supplies and
flour                          20.4               24.3                  27.8          16.7%
Bread and
baked goods                      17               21.6                  27.2          26.5%
Cereal                         15.7               18.9                  22.2          18.9%
Pasta and
pizza                          12.9               15.5                  17.9          17.8%

Total                         210.6             242.8                  276.4          14.6%



Source: ―Food Allergies and Intolerance – US,‖ Mintel, October 2010.
Attune Foods: Challenging the Goliaths SM-200                                                     p. 18



                                        Exhibit 5
           Market Size and Growth of Cereal Sales in Supermarkets (2003 - 2013F)

                 Cereals in Supermarkets - Market Size ($ million) and Growth (%)
 8,000                                                                              2.0%


                                                                                    1.5%


 6,000                                                                              1.0%


                                                                                    0.5%


 4,000                                                                              0.0%    $million
                                                                                            % change
                                                                                    -0.5%


 2,000                                                                              -1.0%


                                                                                    -1.5%


     0                                                                              -2.0%
          2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
                                   (est.) (fore.) (fore.) (fore.) (fore.) (fore.)



Based on data from: ―Breakfast Foods: The Market – US,‖ Mintel, November 2008.
Attune Foods: Challenging the Goliaths SM-200                                                                 p. 19



                                            Exhibit 6
                U.S. Sales and Forecast of Organic Grain Products (2003 - 2013F)

                  Organic Grains Products ‒ Market Size ($ million) and Growth (%)
 1400                                                                                     25.0%


 1200
                                                                                          20.0%

 1000


                                                                                          15.0%
   800

                                                                                                        $million
   600                                                                                                  % change
                                                                                          10.0%


   400

                                                                                          5.0%
   200


     0                                                                                    0.0%
          2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
                                   (est) (fore) (fore) (fore) (fore) (fore)

Based on data from: ―Organic Food – US,‖ Mintel, October 2008.

Note: Includes sales of organic food through FDMx (Food, Drug, and Mass distribution) and Natural channels. Does
not include Wal-Mart or Trader Joe‘s. Does not include private label products. Grain products include bread, cereal,
and pasta.

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Attune Foods - Challenging the Goliaths in the breakfast cereal market

  • 1. CASE: SM-200 DATE: 09/15/11 ATTUNE FOODS: CHALLENGING THE GOLIATHS WITH AUTHENTICITY They are full of sugar! These guys are not helping slow down the obesity epidemic! — Rob Hurlbut, as he spat out the cereals with the “good for you” label Rob Hurlbut was the CEO of San Francisco-based Attune Foods, a company focused on selling food products whose digestive health benefits were its major attraction. Most of Attune‘s business was in breakfast cereals, although it also produced crackers and snacks. Attune‘s products were positioned in what is often called the ―good for you‖ segment. Its products were not only rich in fiber, allergen-free ingredients and probiotics, but they were also low in sugar, and ingredient processing was reduced to a minimum—in short, they were the best product an American could get to start the day, Hurlbut thought. While some of his competitors shared a similar vision for truly healthy cereals, others were less fussy about health content. And they were much bigger: with its $13 million in revenue, Attune had to fight against food giants like Kellogg and General Mills. Hurlbut sighed. He felt a little overwhelmed, though he liked this ―David against Goliath‖ pressure. In his previous job as the CEO of Niman Ranch, one of the leading U.S. producers of all-natural meat, he managed to grab market share in the U.S. meat industry with better-for-you products. Why wouldn‘t he be able to repeat the success story in the cereal business? The key question was, how could Attune double sales over the next four years? Digestive health was not exactly a popular conversation topic at most family dinner tables, so Attune‘s small team would have to be creative and find the right edge to attract consumers‘ attention. Xavier Lederer and Professor Glenn Carroll prepared this case as the basis for class discussion rather than to illustrate either effective or ineffective handling of an administrative situation. Copyright © 2011 by the Board of Trustees of the Leland Stanford Junior University. All rights reserved. To order copies or request permission to reproduce materials, e-mail the Case Writing Office at: cwo@gsb.stanford.edu or write: Case Writing Office, Stanford Graduate School of Business, Knight Management Center, 655 Knight Way, Stanford University, Stanford, CA 94305-5015. No part of this publication may be reproduced, stored in a retrieval system, used in a spreadsheet, or transmitted in any form or by any means –– electronic, mechanical, photocopying, recording, or otherwise –– without the permission of the Stanford Graduate School of Business. Every effort has been made to respect copyright and to contact copyright holders as appropriate. If you are a copyright holder and have concerns about any material appearing in this case study, please contact the Case Writing Office at cwo@gsb.stanford.edu.
  • 2. Attune Foods: Challenging the Goliaths SM-200 p. 2 PROBIOTIC CHOCOLATE BAR: THE RISE AND FALL Attune began as a concept within Brand New Brands, an incubator of functional food and beverage ideas. The two founders investigated a range of functional food and beverage concepts that they felt had the potential to define new categories in the food space. They started out with 75 ideas, distilled them down to a dozen, did concept testing and validated consumer interest, refined them further down to four, and eventually assembled individual companies around each of these four product platforms. One of them was a probiotic chocolate bar sold under the Attune brand name. Probiotics: A Promising Market in 2006 … Probiotics are bacteria that are beneficial to a person's health, through protecting the body against pathogenic bacteria, assisting in recovery from an illness,1 or enhancing digestion. Probiotics live within the digestive system and, when present in sufficient numbers, they can reinforce the immune system. Probiotics are commonly consumed as part of fermented foods with specially added active live cultures, such as in yogurt, or as dietary supplements.2 Hurlbut got involved in May 2006, right after the first consumer tests indicated clear consumer interest in probiotics. He recalled: The probiotic space was really quite interesting then. It was right when there were a lot of people poking around in the U.S. The probiotics category, particularly in the dairy aisle, had evolved quite extensively both in Europe and in Asia but in the U.S. had not really done much. In October of 2006 Dannon launched the Activia brand in the U.S., which gave us a higher level of confidence, thinking, ‗Here‘s somebody spending $100 million a year on television to educate consumers around digestive health and the role that good bacteria can play in your overall health.‘ We saw it as a good indicator that it was less risky to launch with this radical concept than it might have been otherwise.3 Attune‘s first product was a probiotic-rich chocolate bar with 6.1 billion CFUs4, a portable and tasty alternative to yogurt. It promised to deliver the probiotics of yogurt in a convenient bar and was positioned to improve digestive health. Attune, incorporated in October 2006, had a successful nationwide launch with Whole Foods in January of 2007, and rapidly moved into Safeway, Publix, and HEB. Within just 14 months after launch, Attune was present in about 4,000 stores all over the U.S. 1 The Free Dictionary, http://medical-dictionary.thefreedictionary.com/probiotic (accessed 8/23/11). 2 Probiotic, in Wikipedia (http://en.wikipedia.org/wiki/Probiotic, accessed 8/23/11). 3 Quotations are from interviews with the author unless otherwise specified. 4 CFU: Colony-Forming Unit, a measure of the number of cells.
  • 3. Attune Foods: Challenging the Goliaths SM-200 p. 3 … Hit by Recession Two Years Later Attune‘s rapid evolution was badly hit by the 2007 recession, considered ―the worst recession since the 1930s‖5 (Exhibit 1). Hurlbut commented: We quickly built a very broad national footprint, which included the number two and three retailers in the grocery category. They were excited about the potential, but then they, too, realized that people were very reticent to spend dollars outside of the absolute necessities. That was particularly the case with Publix in Florida, where the economy reached a sort of ground zero. Attune‘s products also apparently found difficulty in fitting into established categories. Hurlbut explained: On top of tough economic times Attune faced a structural challenge: it offered a new ingredient (probiotics) in a new form (the chocolate bar) which was merchandised in a new location in the store (the refrigerated section of the dairy aisle). Consumers can‘t deal with novelty that well. We also asked consumers to adopt a behavior that they were already doing but they‘d really never thought about, which was eating chocolate every day. As a result Attune‘s revenue dropped from about $3 million revenue to less than $1 million. Hurlbut concluded: ―We decided that spending big dollars to grow a product of this type during challenging economic times was going be a very expensive effort.‖ ATTUNE 2.0 Attune took several initiatives to rebound. It shrunk its distribution back to the core, the natural foods channel, where it had good traction. Hurlbut observed, ―Certainly, natural food shoppers are a much more adventurous group. They‘re open to trying new ideas, and they also have generally more discretionary income to spend on food.‖ The crisis also precipitated some general rethinking of the company‘s strategy. Hurlbut and his team launched what they called Version 2.0 of Attune Foods. This reorientation built on the idea articulated in the original business plan: be a broader digestive health platform, providing not just probiotic bars but probiotic and digestive health beverages and other digestive health foods that met the needs of a very specific consumer niche. As its CEO put it, Attune‘s ambition was to be the ―leading digestive health brand in the country. Americans have been seeking additional fiber in their diet forever, so this isn‘t a new idea. But what we‘re trying is to build a positive association with the idea of your gut being in good working condition and eating foods that promote overall gut health.‖ 5 Danielle Cadieux and David W. Conklin, ―The Great Recession, 2007-2010: Causes and Consequences,‖ Harvard case study, Prod. # 910M08, Jan 15, 2010.
  • 4. Attune Foods: Challenging the Goliaths SM-200 p. 4 Accordingly, Attune also broadened its product base in December 2009 by acquiring U.S. Mills, a company specializing in natural, organic, and specialty cereals, cookies, and crackers. Two brands in its portfolio attracted Attune management‘s attention: Uncle Sam and Erewhon. Uncle Sam was one of the very first cereals introduced in the U.S. market. It was launched in 1908 specifically to address digestive health and was marketed as a laxative cereal even up until the 1970s: Uncle Sam Cereal was invented by a constipated Omaha-based businessman named Lafayette Coltrin. At age 76, Coltrin was told by doctors he had only 6 months to live. The diagnosis: acute abdominal ulcers aggravated by chronic constipation. The doctors prescribed flaxseed oil to ease his constipation. The ailing man took the doctor's recommendation but hated the taste of flaxseed oil, so he took what he thought were his last days on earth to create a cereal that would make flaxseeds more bearable. The result of his trials was wheat flakes sprinkled with flaxseed and celery powder. Not only did the cereal taste fine, it also eased his constipation more than flaxseed alone. He called the new product Uncle Sam Breakfast Food―named so because Coltrin resembled the character Uncle Sam.6 Today Uncle Sam‘s recipe is still based on wheat flakes and flaxseed. Erewhon,7 one of the nation‘s first organic brands, was founded by Michio Kushi, a Japanese philosopher, writer and spiritualist, who had been ―deeply impressed by the atomic bombing of Hiroshima and Nagasaki … and decided to devote his life to world peace and harmony.‖8 Kushi was considered to be ―the father of modern Macrobiotics, a prophet, a man of vision, of compassion and dedication to the ideals of the United Nations.‖9 Erewhon started in 1966 as a small natural foods retail store in Boston, and soon contracted with farmers to produce organically grown food. It also became one of the first U.S. companies to establish a ―Charter of Quality Standards for Natural Products‖ for its product line, banning synthetic preservatives, artificial colors and flavors, hydrogenated oils, and only accepting natural sweeteners such as honey, maple syrup, and molasses.10 Both products had experienced very little evolution in terms of ingredients and recipes and they had a very loyal customer base. Hurlbut said: Erewhon was a $10 million business in 1972, and it‘s since gone through all kinds of changes. At one point it had 600 SKUs under the Erewhon brand, and what 6 http://www.mrbreakfast.com/cereal_detail.asp?id=1190 (accessed 9/4/11). 7 Erewhon is derived from the 1872 novel of the same name. In this satirical novel by Samuel Butler, Erewhon (an anagram of ―nowhere‖) is a utopia in which individuals are responsible for their own health. 8 ―Biography of Michio Kushi‖ (http://www.michiokushi.org/bio.php, accessed 9/4/11). 9 Extract from the citation when Kushi was awarded the Award of Excellence of the United Nations Society of Writers (see http://www.michiokushi.org/honors.php) on 9/20/1994. 10 William Shurtleff and Akiko, ―History of Erewhon: Natural Foods Pioneers in the United States,‖ 2006 (http://www.soyinfocenter.com/pdf/Erewhon.pdf) and http://en.wikipedia.org/wiki/Erewhon_Organic_Cereal#cite_note-test-0 (accessed 9/4/11).
  • 5. Attune Foods: Challenging the Goliaths SM-200 p. 5 was left of it was about 30 cereal SKUs, many of them gluten-free. So, really, we viewed the opportunity not only in the organic but also in the gluten-free segment. We consider gluten-free as part of the broader allergen avoidance market, which is another big part of digestive health. Combined, Attune and U.S. Mills represented $13 million in revenue at the time of the acquisition. When Attune acquired them, both brands had very different customer profiles and their brand image was considered old-fashioned. Typical customers‘ reactions to the products were: ―Uncle Sam? Yeah, my grandfather eats that!‖ while Erewhon was considered an ―old hippie brand.‖ MARKET AND INSTITUTIONAL CONTEXT Nutrition in the U.S. Many adverse health conditions were believed to occur due to inappropriate nutrition in the U.S. In fact, in 2008 poor nutrition was thought to be responsible for the doubling obesity and diabetes rates over the previous 25 years (Exhibit 2). ―The real tragedy is that overweight and obesity, and their related chronic diseases, are largely preventable,‖ said Dr. Robert Beaglehole, WHO Director of Chronic Diseases and Health Promotion. ―Approximately 80 percent of heart disease, stroke, and type 2 diabetes, and 40 percent of cancer could be avoided through healthy diet, regular physical activity and avoidance of tobacco use.‖11 People suffering from nutrition-related diseases had to adapt their nutrition (e.g. reduce sugar consumption, eat gluten-free). These diseases include digestive diseases, diabetes, and celiac. By the first decade of the twenty-first century, digestive diseases affected 60 to 70 million Americans, and were the underlying cause of more than 236,000 annual deaths. This cost the U.S. health care system about $86 billion per year 12 (see Exhibit 3 for statistics broken down by digestive disease). Diabetes is a disease in which blood glucose levels are above normal.13 Of total diabetes cases, 90-95 percent were type II diabetes, which is associated with older age and obesity. Diabetes affected an estimated 25.8 million Americans, out of which 7.0 million were undiagnosed. On top of that ―35 percent of U.S. adults aged 20 years or older had prediabetes (50 percent of adults aged 65 years or older),‖ according to the CDC. Diabetes was reported to be the underlying 11 World Health Organization, ―The World Health Organization warns of the rising threat of heart disease and stroke as overweight and obesity rapidly increase‖, September 22, 2005. 12 ―Opportunities and Challenges in Digestive Diseases Research: Recommendations of the National Commission on Digestive Diseases,‖ Bethesda, MD, National Institutes of Health, U.S. Department of Health and Human Services, 2009. 13 ―National Diabetes Fact Sheet, 2011,‖ Centers for Disease Control and Prevention (CDC), 2011.
  • 6. Attune Foods: Challenging the Goliaths SM-200 p. 6 cause for 71,382 deaths per year in 2007 and to generate about $116 billion direct cost to the U.S. health care system. Celiac disease is a chronic intestinal disease caused by intolerance to gluten. Celiac disease cannot be cured; affected people have to follow a lifelong gluten-free diet.14 Three million Americans were estimated to be affected, the vast majority of which were undiagnosed. On top of that an estimated 10-15 percent of the population (approximately 30 to 45 million Americans) were reported to be non-celiac gluten intolerant (NCGI).15 In line with the growing health concerns of the American population, the sales of labeled ―free- from‖ products increased about 15 percent per year between 2008 and 2010. The gluten-free subcategory increased 18 percent per year (Exhibit 4). Following the same trend, gluten-free cereal grew 19 percent per year to an estimated $22.2 million for the same period.16 The Organic Food Market17 The organic market experienced strong growth in the first decade of the 21st century: U.S. sales of organic food and beverages grew from $1 billion in 1990 to $26.7 billion in 2010. Sales in 2010 represented 7.7 percent growth over 2009 sales. Organic food and beverage sales represented approximately 4 percent of overall food and beverage sales in 2010. In 2010 mass market retailers (mainstream supermarkets, club/warehouse stores, and mass merchandisers) sold 54 percent of organic food. Natural retailers (e.g., Whole Foods, Trader Joe‘s) were next, selling 39 percent of total organic food sales. Other sales occurred via farmers‘ markets or community supported agriculture (CSA), mail order, or specialty stores. The production of organic food experienced a similar strong growth. However, organic production remained marginal. ―Overall, certified organic cropland and pasture accounted for about 0.6 percent of U.S. total farmland in 2008,‖ according to the U.S. Department of Agriculture. Organic fruits and vegetables, which had been developing for decades in the U.S., represented a larger share of the pie: 5 percent of U.S. apple acreage was organic, 8 percent of lettuce, and 13 percent of carrots. Organic livestock represented ―2.7 percent of U.S. dairy cows and 1.5 percent of the layer hens managed under certified organic systems‖ in 2008.18 Cereal Market and Competition The breakfast cereals market in the U.S. was huge: a study revealed that 85 percent of Americans reported eating cold cereal for breakfast in the prior three months.19 As one can expect from a 14 National Center for Biotechnology Information (http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001280/ and http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1435993/, accessed August 30, 2011). 15 www.foodreactions.org, quoted by Mintel. It is important to note that a real diagnosis is difficult to obtain, leading some to think that part of the rise of NCGI is just a fad (see for instance http://www.foodrenegade.com/the- rise-of-gluten-intolerance/). 16 ―Food Allergies and Intolerance – U.S.,‖ Mintel, October 2010 (figures for natural supermarkets only). 17 Organic Trade Association (http://www.ota.com/organic/mt/business.html, accessed August 23, 2011). 18 U.S. Department of Agriculture (http://www.ers.usda.gov/data/organic/, accessed August 23, 2011). 19 ―Breakfast Cereal—U.S.,‖ Mintel, August 2007.
  • 7. Attune Foods: Challenging the Goliaths SM-200 p. 7 market that had reached such a level of maturity, growth was insignificant (Exhibit 5): annual growth over a 10-year period was expected to be 0.5 percent.20 Within the cereal market the organic sub-segment was growing much faster though: the market for organic grain products (bread, cereal, and pasta) was expected to grow at 12 percent annually (Exhibit 6) and to amount to $941 million by 2010.21 In the organic cereal business, Attune faced several competitors: some were owned by large processed food conglomerates, like Kashi (owned by the Kellogg Company), Cascadian Farms (owned by General Mills), and Barbara‘s Bakery (owned by Weetabix), and others were privately owned, like Nature‘s Path. Kashi was considered the largest competitor, followed by Cascadian Farms and Nature‘s Path. Barbara‘s Bakery and Attune were the smallest of the large market players. Kashi, Cascadian Farms, and Barbara‘s Bakery all started as small private companies rooted in the counterculture; each developed a strong image in the organic/good-for-you segment. None of them prominently referred to their powerful mother companies in their consumer communication after their acquisition, probably because ―organic-food buyers tend to eschew conglomerates' famous brands.‖22 Yet, being part of larger groups allowed them to leverage the scale and distribution power of their respective mother companies. Kashi23 was founded in 1984 in California by the Tauber couple who were ―seeking a nutritionally balanced breakfast. They began experimenting with different whole grains and seeds, trying to create a pure blend that would satisfy their own health-conscious lifestyle, as well as others.‖24 Acquired by Kellogg in 2000, it was an organic food company that marketed a broad product portfolio ranging from cereals to frozen pizzas. Its tagline, ―7 whole grains on a mission,‖ reflected the company philosophy to provide nutritious whole grain foods to a growing number of people.25 Kashi employed about 70 people. Cascadian Farms was started by Gene Kahn in 1972, as a small organic farm in the Cascade Mountains of Washington.26 ―Gene was an idealistic 24-year-old grad-school dropout from Chicago, who just wanted to make a difference in the world. He recognized the delicate balance between nature and humans … and wanted to go back to the land and farm in a way that would not harm the natural beauty of the earth or her inhabitants.‖27 The farm is still there but the product portfolio broadened significantly to include organic frozen fruits and breakfast cereals. 20 ―Breakfast Foods: The Market – U.S.,‖ Mintel, November 2008. 21 ―Organic Food – U.S.,‖ Mintel, October 2008. 22 Kevin Helliker, ―In Natural-Foods Sector, A Big Name Isn't Tasty ‒ Buyers Often Eschew Well-Known Brands,‖ The Wall Street Journal, June 10, 2002. 23 According to ―The Kashi Yearbook,‖ the name Kashi was inspired by Michio Kushi, ―the Japanese philosopher, writer and spiritualist who helped introduce the macrobiotic diet to the U.S.‖ and who in 1966 launched Erewhon, which later became one of Attune‘s main products.. 24 Kashi‘s website (www.kashi.com, accessed 9/4/11). 25 Kashi‘s website (www.kashi.com, accessed 9/4/11). 26 Cascadian Farms‘ website (http://cascadianfarm.com, accessed 9/4/11). 27 http://cascadianfarm.com/Mission.aspx, (accessed 9/4/11).
  • 8. Attune Foods: Challenging the Goliaths SM-200 p. 8 In a cereal blind tasting competition in San Francisco in 2006, Cascadian Farms‘ cereals were voted into the Hall of Fame, the competition‘s highest honor.28 It was taken over by Small Planet Foods, which in its turn was taken over by General Mills in 2000. According to the Wall Street Journal: When it was bought by General Mills, Cascadian Farms was a small maker of organic frozen fruits, vegetables and entrees. It had never produced a breakfast cereal. General Mills, a close rival to Kellogg to be the largest U.S. cereal maker, wanted a larger share of that category in the natural-foods market. General Mills‘ officials concluded their company's reputation meant less to natural-foods customers than a brand known to be organic. ‗To the organic customer, the heritage of Cascadian Farms has more equity‘ than the image of General Mills, says Marc Belton, a General Mills senior vice president.29 Barbara‘s Bakery30 was launched in 1971 in the San Francisco Bay Area by 17-year-old Barbara Jaffe who ―found her calling in real food and opened a small natural bakery in Northern California. She had a simple plan—make wholesome food taste incredibly delicious. Inspired by good health, family, and the kitchen table as the cornerstones of the good life, she used whole grains and oats just as nature intended.‖ Forty years later Barbara‘s Bakery had become a wholesale business offering products including cereals, snack bars, cookies, crackers, and cheese puffs. Its philosophy was to offer the ―best-tasting natural products free of artificial preservatives, hydrogenated oils, and refined white sugar.‖31 It was acquired by U.K. breakfast giant Weetabix. Nature‘s Path, started in 1985, was a privately held, family-owned company that produced organic breakfast foods and snacks.32 Based in British Columbia (Canada) it employed 350 people and sold in 40 countries. According to Mintel, Nature‘s Path ―leads the gluten-free cold cereal sub-segment with $9.4 million in sales for the rolling 52 weeks ending June 12, 2010. The company is generally regarded as being exceptionally well run, with a history of launching products that consumers want, which has proven challenging for many entrants.‖33 Nature‘s Path claimed to be always organic and to have a strict non-GMO policy. In its ―Minifesto,‖34 stating its mission and values, Nature‘s Path reported to ―aspire to advance the cause of people and planet, along the path to sustainability. And we like to think we put our money where our mouth is.‖35 For instance, Nature‘s Path ―reduced the size of its boxes by 10 percent, while keeping the contents the same, contributing to ‗global sustainability‘.‖36 Another example of the 28 Carol Ness, ―Two brands of raisin bran voted into Hall of Fame,‖ March 22, 2006. 29 Kevin Helliker, ―In Natural-Foods Sector, A Big Name Isn't Tasty ‒ Buyers Often Eschew Well-Known Brands,‖ The Wall Street Journal, June 10, 2002. 30 www.barbarasbakery.com (accessed 9/4/11). 31 http://www.barbarasbakery.com/about/ (accessed 9/7/11). 32 Natures‘ Path website (www.naturespath.com, accessed 9/4/11). 33 ―Food Allergies and Intolerance – U.S.,‖ Mintel, October 2010. 34 ―Spelled ‗Mini‘festo because ‗it delivers our promise in a bite-size format that's easy to digest‘,‖ (post on Nature‘s Path Facebook page, 9/7/11). 35 http://www.naturespath.com/company/minifesto (accessed 9/7/11). 36 Marian Burros, ―Idealism for Breakfast,‖ The New York Times, January 11, 2006.
  • 9. Attune Foods: Challenging the Goliaths SM-200 p. 9 quality of Nature‘s Path‘s products, a New York Times article cited an ―undated article on menshealth.com declar[ing] Nature's Path Optimum Power Breakfast the ‗best high-fiber cereal.‘‖37 Nature‘s Path philosophy is probably best summarized by Arran Stephens, president of Nature's Path in 2002, commenting on the recent reduction in sugar content of one of Nature‘s Path cereals: ―There's lots of junky stuff out there. We're offering a much healthier alternative.‖38 AUTHENTICITY ―Digestive health is a pretty big business opportunity but is not something that Americans really want to talk about,‖ said Attune‘s CEO. ―So our challenge is to develop a brand approach that is going to make this topic more accessible.‖ Daniel Wiser, Stanford MBA ‘07 and marketing director at Attune, continued: We call ourselves a ‗digestive health‘ food company, but consumers do not look to food to provide such clinical benefits. They want food to be food―not medicine. We instead articulate the meaning through our brand promise of ‗What Matters Most Is What‘s Inside,‘ which spans across multiple product categories― fiber for Uncle Sam, allergen (including gluten) avoidance with Erewhon, and probiotics with Attune. We promise products that have ‗Simple Ingredients‘ and that are ‗Simply Made,‘ using recipes that have been around for (in some cases) over 100 years. We focus on providing better-for-you foods that consumers trust to help them feel their best from the inside out. At the core of Attune‘s brand strategy, Hurlbut and his team developed the concept of authenticity. According to Wiser: Authenticity means transparency and truth in what the brand promises. A brand is nothing but a promise. An authentic brand communicates to consumers what it stands for in a transparent and honest way. Honesty and transparency are particularly important today: 30 years ago it was easier for brands to say something but be something different. But today, particularly with the Internet and the emergence of new media like blogging and online social media, there‘s just so much more information for so many more people that, if you're not telling the truth and if you're not being transparent and honest about who you are and what you are, you're going to be called out and that erodes your brand instantly. It‘s very important for us to do as we say and say as we do. We have nothing left, if not our word. The basis of Attune‘s approach to authenticity was its old and ―unspoiled‖ products: Attune‘s cereals products had been around for several decades, and their recipes and production methods 37 Andrew Adam Newman, ―For Those Who Want Their Cereal Extra Manly,‖ The New York Times, July 23, 2009. 38 Betsy McKay, ―The Organic Myth ― That Pesticide-Free Product Isn't Always Healthiest Pick; Anyone for 'Natural' Cheetos?‖ The Wall Street Journal, December 26, 2002.
  • 10. Attune Foods: Challenging the Goliaths SM-200 p. 10 were still very similar to the original ones. Wiser explained: ―People have an inherent trust in things that have been around for a long time. If something has been around for over 100 years, if it hasn‘t changed, there‘s an implicit assumption that there has to be something special about it. You can imagine how few food products from 1908 are still on grocery shelves today. Since then there have been dozens of food fads, diets that have come and gone, countless trends that have dominated consumers‘ purchasing habits, and thousands of new product failures. That Uncle Sam has survived since then is a badge of honor that he needs to continue to wear proudly.‖ Among other advantages of old brands, Attune‘s consumers are reportedly highly loyal. Finally, taking over these existing brands gave access to a broad portfolio of distribution channels: Uncle Sam was distributed by more than 3,000 retailers across the U.S. Attune prided itself in putting on the market products with unadulterated ingredients: Uncle Sam‘s recipe was simple, as Wiser explained: We take whole wheat berries and then steam, toast, and flatten them. We flavor them with a tiny bit of barley malt and sea salt. We then add whole flaxseeds, and that‘s it. Our process keeps the ingredients unadulterated and preserves the natural fiber and nutrition of the whole grain. The vast majority of cereals on the market are made with flours which are turned into batters and slurries, and then pressed through a machine to form what appears to be a flake (or another shape like an O). It was because of these modern ways of making food products that the government required cereal (and other grain) manufacturers to fortify their products with b-vitamins. Not enough of the natural vitamins that were present in the raw grain were seen in the finished product. Fortification is no longer required, but it is still commonly practiced with cereals. In fact, Uncle Sam was fortified until 2010 when we decided to investigate why. We tested the presence of b-vitamins in a non-fortified finished product, and compared them to what was present in the raw grain. We found that our minimal processing preserved the integrity of the b-vitamins. As a result, we stopped fortifying our cereal. This willingness to be transparent carried over to many other fields. One instance was packaging: Attune had recently redesigned its packaging with the objective to create a classic, old-fashioned but still modern look and feel to the brand. Annelies Zijderveld, online community manager, explained: ―One of the things that was important to us when we were taking the photographs for the new packaging was using the actual product: we didn‘t use lots of Photoshop to make it look different. A lot of times if you look at cereal products on the shelf it looks perfect. The thing with food is: food is not perfect. Food is food.‖ Attune‘s willingness to be true to its word went beyond what the best informed consumers would ever know. When talking about the importance of being consistent with the brand when sourcing ingredients, Wiser told this anecdote: We just found out that a small portion of our flaxseed came from Canada. There‘s nothing wrong with Canada.39 Obviously I love Canada: it has great agricultural systems and a trustworthy food supply chain. It‘s fine, except that we sell a 39 Wiser is Canadian.
  • 11. Attune Foods: Challenging the Goliaths SM-200 p. 11 product called Uncle Sam which has a lot of American heritage built into the brand and perception. We thought, ―If not Uncle Sam, who else would use only American grown grains?‖ So we just made it a small point to source 100 percent U.S. flaxseed. Is that something that the consumer is ever going to know? Never. Ever. We don‘t say it on the box, and there is no place on the ingredient panel to list the source. It‘s just an important principal that is part of our brand promise. We apply the same principles to our partners: the partners that we choose are ones that are consistent with our mission and our brand. Communication Besides products, communication was considered by Attune‘s staff to be another key pillar of authenticity: ―Today‘s customers are definitely becoming much more interested in figuring out where their food is coming from and how is it made,‖ said Zijderveld. Next to in-store activities, social media played a key role in Attune‘s communication: ―Social media helps us be more authentic because it allows more transparency and more depth of information. And we can leverage a key resource, which we can‘t in other ways: our very passionate fan base for our products, who recommend them,‖ according to Zijderveld. Social media also offered a way to communicate a different message. Zijderveld continued: ―Our big competitors have very loud speakers out there and you have this little speaker in the back that‘s saying something different from this sea of loud music. There‘s no point in us even bothering to compete there. So instead, we have very clear target consumers and we‘re doing our best to reach them in a way that is authentic, real, and true to our message. Being online allows us to be very targeted in terms of who we reach.‖ CHALLENGES OF A GROWING ORGANIC FOOD COMPANY Distribution Getting access to the final consumers was one of the main challenges of small food companies. Attune sold mainly in two ways: directly through supermarkets (e.g., Wal-Mart, Trader Joe‘s, Publix, Kroger, and Safeway) and through distributors (e.g., United Natural Food and Kehe), which in their turn sold to retailers in their portfolio. Attune‘s products were sold through 400 supermarket chains across the U.S. Steve Bernier, Attune‘s director of sales, explained how he dealt with account management: The decision to add or keep an account [supermarket chain] is made through a cost/benefit analysis. Some accounts are more costly to work with than others. What make an account more costly are among others spoils and damages. Also the pathway [whether it is a direct customer or a distributor customer]: additional costs are incurred through a distributor, because you have to pay a mark-up. Some accounts also charge participatory ad packages or other fixed costs, which increase the cost-thresholds of these accounts. Finally in some cases you need to
  • 12. Attune Foods: Challenging the Goliaths SM-200 p. 12 meet minimum volume thresholds to get in a new account: for instance Wal-Mart has a higher volume threshold than other accounts. Our large competitors throw millions of dollars up against their brand to support them. We don‘t have that luxury. In dealing with supermarkets, this is definitely a challenge because dollars really speak to them. Not only money but also time was a challenge in Attune‘s relationships with supermarket chains and distributors. Hurlbut said: ―In some accounts we can see a category buyer once a year. When you get 30 minutes at the most once a year, you just don‘t have a lot of time to actually make change and get things going.‖ On the other hand, Attune had some strong arguments, as Bernier explained: A lot of our accounts have been carrying Uncle Sam and Erewhon since before many competitors were even out there. We‘ve been true to our brand all the way through: that‘s definitely one of our strengths, it is our legacy. One of the biggest questions of supermarkets is, ‗What kind of volume and dollars [price] are you going to bring?‘ They don‘t want products that aren‘t going to move and take up shelf space. Uncle Sam‘s and Erewhon‘s high customer loyalty is a key argument here. Also our products drive a higher price premium for the supermarkets: we are from 10 to 25 percent more expensive than non-organic products, depending on the retailer and whether we sell directly or through a distributor. Supermarkets wanted to take advantage of the rapidly growing ―good-for-you‖ segment in the food industry. Attune‘s products were well positioned in this niche, as Bernier explained: ―Our argumentation towards supermarkets is about our very straightforward and non-GMO ingredient panel, our clean products, and product-specific characteristics like gluten-free and organic certification. Production Producing organic food creates additional challenges for a food company, as explained by Linda Lam, in charge of operations at Attune: Most of our ingredients are organic and all are non-GMO certified, which makes them more expensive. The cost difference varies by ingredient: the cost difference between regular and organic raisins is very small whereas the difference between organic and non-organic milk may be up to 50 percent. Being organic increases the administrative burden: each of our ingredient suppliers and our co-packers, which produce our products, has to go through a certification audit every year. We have about 100 ingredient suppliers and four co-packers: maintaining the certificates can be a painful process. On top of that some of our products are gluten-free, which we have to test in a lab after each production batch.
  • 13. Attune Foods: Challenging the Goliaths SM-200 p. 13 Availability is also a challenge, as the number of suppliers is limited for some ingredients. For instance we use a very specific organic corn grit that not many producers supply. The same applies to co-packers: some co-packers don‘t want to go through the process of getting certified and having the continuous audits. For one of our small chocolate products there is only one co-packer in North America that can make our product. It makes production cost so high that we are discontinuing that product. And, of course, there is a timing issue with organic ingredients: if you need stuff in February but the organic crop is later in the year, you have a problem. That makes the production planning a bit more challenging. Finally, organic products are more difficult to export. When we want to export to Canada or Japan, our products need to be Canadian or Japanese certified. Each country has different organic certification guidelines. That‘s an added challenge. LOOKING FORWARD Hurlbut sat back and thought for a minute. The past 18 months had been intense and challenging: the small Attune team managed to bring together Uncle Sam and Erewhon with Attune‘s innovative mindset. They had aligned branding and packaging around the concept of authenticity, reduced the number of SKUs, and drastically reduced costs to make operations profitable. The time had come for the next step: leverage the strengths of Attune‘s renewed product portfolio in order to grow. Hurlbut‘s objective: double sales over the next four years. In a gloomy economy and a mature cereal market, this was going to be a challenge. Hurlbut knew that he could count on Attune‘s unique strengths and strong team. Yet questions remained unanswered. For example, what were the pros and cons of the company‘s focus on authenticity? Should it adapt its marketing and sales approach, and if so, how? Also he was concerned about the sustainability of some customer segments, like gluten-free: some experts thought it was just a fad; how could Attune take advantage of this rising market, keeping in mind that the market trend could reverse in the coming years?
  • 14. Attune Foods: Challenging the Goliaths SM-200 p. 14 Exhibit 1 Growth of the U.S. Real GDP Growth of the US Real GDP (%) 25 20 15 10 5 0 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 -5 -10 -15 Based on data from the U.S. Bureau of Economic Analysis (BEA)
  • 15. Attune Foods: Challenging the Goliaths SM-200 p. 15 Exhibit 2 Increase in Obesity and Diabetes in the U.S. Source: Centers for Disease Control & Prevention (Department of Health and Human Services)
  • 16. Attune Foods: Challenging the Goliaths SM-200 p. 16 Exhibit 3 Burden of Selected Digestive Diseases in the United States, 2004 Digestive diseases Number of deaths in the U.S. Direct cost to the U.S. health (2004) care system ($ million) (2004) Digestive cancers (e.g. colorectal, 135,107 $8,441.5 pancreatic) Liver disease 36,090 $2,532.0 Viral hepatitis 5,393 $1,300.5 Gastrointestinal Infections 4,396 $1,343.4 Peptic Ulcer Disease 3,692 $2,599.9 Pancreatitis 3,480 $2,546.2 Diverticular Disease 3,372 $3,569.3 Abdominal Wall Hernia 1,172 $5,698.9 Gastro-esophageal Reflux Disease 1,150 $12,125.0 Gallstones 1,092 $5,763.6 Inflammatory Bowel Disease 933 $1,071.0 Appendicitis 453 $2,310.6 Functional Intestinal Disorders 423 $3,661.2 Hemorrhoids 14 $775.8 Other 39,397 $31,960.8 All digestive diseases` 236,164 $85,699.7 Source: ―The Burden of Digestive Diseases in the United States,‖ Dr. James E. Everhart, U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2008. Note: The direct costs represent charges for hospital services, physician services, prescription drugs, over-the- counter drugs, nursing home care, home health care, hospice care, and outpatient endoscopy.
  • 17. Attune Foods: Challenging the Goliaths SM-200 p. 17 Exhibit 4 [Natural] Supermarket Sales of Gluten-free and Dairy-free Foods, 2008 - 2010 ($ million) 2008 (ending 2009 (ending 2010 (ending CAGR 2008- June 14) June 13) June 12) 2010 (%) Dairy-free: Beverages 68.7 74.7 76.9 5.8% Frozen novelties and desserts 16 19.6 22.8 19.4% Yogurt and kefir 9.3 10.8 13.5 20.5% Gluten-free: Snacks 50.5 57.4 68 16.0% Baking mixes supplies and flour 20.4 24.3 27.8 16.7% Bread and baked goods 17 21.6 27.2 26.5% Cereal 15.7 18.9 22.2 18.9% Pasta and pizza 12.9 15.5 17.9 17.8% Total 210.6 242.8 276.4 14.6% Source: ―Food Allergies and Intolerance – US,‖ Mintel, October 2010.
  • 18. Attune Foods: Challenging the Goliaths SM-200 p. 18 Exhibit 5 Market Size and Growth of Cereal Sales in Supermarkets (2003 - 2013F) Cereals in Supermarkets - Market Size ($ million) and Growth (%) 8,000 2.0% 1.5% 6,000 1.0% 0.5% 4,000 0.0% $million % change -0.5% 2,000 -1.0% -1.5% 0 -2.0% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 (est.) (fore.) (fore.) (fore.) (fore.) (fore.) Based on data from: ―Breakfast Foods: The Market – US,‖ Mintel, November 2008.
  • 19. Attune Foods: Challenging the Goliaths SM-200 p. 19 Exhibit 6 U.S. Sales and Forecast of Organic Grain Products (2003 - 2013F) Organic Grains Products ‒ Market Size ($ million) and Growth (%) 1400 25.0% 1200 20.0% 1000 15.0% 800 $million 600 % change 10.0% 400 5.0% 200 0 0.0% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 (est) (fore) (fore) (fore) (fore) (fore) Based on data from: ―Organic Food – US,‖ Mintel, October 2008. Note: Includes sales of organic food through FDMx (Food, Drug, and Mass distribution) and Natural channels. Does not include Wal-Mart or Trader Joe‘s. Does not include private label products. Grain products include bread, cereal, and pasta.