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McDonald's: Healthy Repositioning Amid Changing Food Preferences

  • Writer: Mark Hub24
    Mark Hub24
  • Jan 3
  • 12 min read

Executive Summary

McDonald's Corporation, the world's largest fast-food chain by revenue and restaurant count, has faced significant challenges since the early 2010s as consumer preferences shifted toward healthier eating options. This case study examines McDonald's strategic response to declining sales and changing market dynamics through menu innovation, ingredient transparency, and brand repositioning. The analysis focuses exclusively on publicly documented information from company reports, executive interviews, and credible news sources to understand how a legacy fast-food brand adapted to evolving health consciousness among consumers.


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Company Background

McDonald's Corporation was founded in 1940 by Richard and Maurice McDonald in San Bernardino, California, and was later franchised by Ray Kroc beginning in 1955. According to the company's 2023 Annual Report, McDonald's operated approximately 41,800 restaurants across more than 100 countries as of December 2023. The company's 2023 Annual Report stated that approximately 95% of McDonald's restaurants worldwide were owned and operated by independent franchisees.


McDonald's built its business model on standardization, speed, affordability, and consistency. According to the company's investor presentations, the core menu historically centered on burgers, fries, and soft drinks—products that became synonymous with American fast food globally.


The Challenge: Shifting Consumer Preferences


Declining Sales Performance

McDonald's experienced notable sales challenges in the early-to-mid 2010s. According to the company's 2014 Annual Report, global comparable sales decreased 1.0% in 2014, with the U.S. market showing a decline of 3.3% in the fourth quarter of 2014. The company's 2014 annual filing noted that "restaurant margins declined due to negative comparable sales."


In January 2015, McDonald's reported its worst annual sales performance in more than a decade. According to Reuters reporting from January 23, 2015, McDonald's posted a 2.7% drop in global same-store sales for the fourth quarter of 2014, marking the company's fifth consecutive quarter of declining comparable sales.


Health and Wellness Trends

Multiple industry reports and news articles documented the rise in consumer health consciousness during this period. According to a Nielsen global survey reported by CNBC in January 2015, nearly half of global consumers were trying to lose weight, with many choosing to avoid specific ingredients and seeking healthier food options.


The trend was particularly pronounced among younger consumers. According to a study by the NPD Group cited in a March 2015 Wall Street Journal article, millennials were eating fast food less frequently than previous generations and showed greater interest in food quality and ingredient transparency.


In a February 2014 interview with the Associated Press, McDonald's USA President Mike Andres acknowledged the challenge directly: "There is a lot of competition out there and the consumer is more educated and they want food that is fresh and less processed."


Competitive Pressure

McDonald's faced increasing competition from fast-casual chains that positioned themselves as healthier alternatives. According to market research firm Technomic, as reported by Bloomberg in March 2015, fast-casual restaurants grew sales by 11% in 2014 compared to 3.8% growth for traditional fast food. Chains like Chipotle Mexican Grill, Panera Bread, and Shake Shack gained market share by emphasizing fresh ingredients and customization options.


Strategic Response: The Turnaround Plan


Leadership Change

In January 2015, McDonald's appointed Steve Easterbrook as CEO, replacing Don Thompson. According to the company's press release dated January 28, 2015, Easterbrook had previously served as McDonald's Chief Brand Officer and President of McDonald's Europe. In his appointment announcement, Easterbrook acknowledged the need for transformation, stating that McDonald's would focus on becoming a "modern, progressive burger company."


The Turnaround Vision

On May 4, 2015, Easterbrook presented McDonald's turnaround plan to investors. According to the company's investor presentation and subsequent press release, the plan included several strategic pillars focused on improving food quality, modernizing operations, and enhancing customer experience. Easterbrook stated in the presentation: "We are committed to providing customers with more choice and greater control over their orders."


Menu Innovation and Health-Focused Changes


All-Day Breakfast

One of McDonald's most significant menu innovations was the introduction of all-day breakfast in the United States. According to the company's October 6, 2015 press release, McDonald's launched all-day breakfast nationwide on October 6, 2015, after successful testing in San Diego markets.


The impact was immediate. According to McDonald's fourth quarter 2015 earnings call transcript, U.S. comparable sales increased 5.7% in the fourth quarter of 2015, which CEO Steve Easterbrook attributed significantly to all-day breakfast. He stated: "All-Day Breakfast has been a significant driver of our momentum."


Ingredient Changes and Transparency

McDonald's undertook several initiatives to address ingredient concerns and improve perceptions of food quality. According to a March 4, 2015 company announcement, McDonald's committed to transitioning to cage-free eggs in the U.S. and Canada over a 10-year period. The company stated this decision reflected "our continued focus on food quality and our menu."


In August 2015, McDonald's announced it would begin serving chicken raised without antibiotics important to human medicine in the United States. According to the company's August 5, 2015 press release, the transition would be completed by March 2017. Marion Gross, Senior Vice President of McDonald's North America supply chain, stated: "Our customers want food that they feel good about eating, and these moves take our menu to the next level."


On March 1, 2016, McDonald's announced further antibiotic policy changes. According to the company's press release, McDonald's committed to serving chicken raised without antibiotics important to human medicine in eight additional European markets by 2018, and globally by 2027.


McDonald's also made changes to its milk sourcing. According to a March 31, 2016 company announcement, McDonald's USA transitioned to serving milk from cows not treated with the artificial growth hormone robust. The company stated this change affected approximately 14,000 U.S. restaurants.


Menu Simplification and Customization

McDonald's simultaneously pursued menu simplification while offering greater customization. According to McDonald's 2015 Annual Report, the company "simplified operations and elevated the customer experience" by streamlining menus and introducing "Create Your Taste" customization platforms in select markets.


The "Create Your Taste" program, which allowed customers to customize burgers with premium ingredients, was launched in various markets beginning in 2014. According to an interview with Chef Michael Haracz published in QSR Magazine in May 2015, the customization platform featured artisan buns, premium toppings, and higher-quality ingredients. However, no verified information is publicly available on specific sales performance metrics for this program.


Addition of Healthier Menu Items

McDonald's expanded offerings perceived as healthier alternatives to core menu items. According to the company's September 15, 2015 press release, McDonald's announced it would transition to using only real butter in its Egg McMuffins and remove artificial preservatives from its American Cheese slices and Big Mac special sauce.


In June 2016, McDonald's announced a partnership with Fresh Express to introduce side salads using three lettuce blends. According to the June 14, 2016 company announcement, the change was designed to "make healthy delicious food for our customers."


McDonald's also committed to reducing sodium, saturated fat, and added sugars. According to the company's 2018 Global Vision for Antimicrobial Stewardship in Food Animals report, McDonald's set global nutrition targets including reducing sodium by 20% by 2025 in the company's 10 top-selling menu items across the top 20 markets.


Happy Meal Reformulation

McDonald's made significant changes to its children's Happy Meal offerings. According to a February 15, 2018 company announcement, McDonald's committed to offering more balanced Happy Meal options by 2022. The initiative included automatic inclusion of fruit, vegetable, or low-fat dairy side with every Happy Meal, unless a customer chose otherwise.


According to the press release, this change meant cheeseburgers would no longer be listed on menu boards as part of Happy Meal options, though they remained available upon request. McDonald's stated the goal was to "make it easier for families to choose options they feel good about."


Operational and Technology Enhancements


Digital Integration

McDonald's invested heavily in digital ordering and delivery capabilities. According to the company's 2018 Annual Report, McDonald's launched the McDonald's mobile app in the United States in December 2015. The app allowed mobile ordering and payment, which the company positioned as enhancing convenience and control for customers.


In March 2019, McDonald's acquired Dynamic Yield, a technology company specializing in personalization and decision logic. According to the company's March 25, 2019 press release, McDonald's planned to use the technology for digital menu boards that could display menu items based on time of day, weather, current restaurant traffic, and trending menu items.


Restaurant Modernization

McDonald's undertook an "Experience of the Future" restaurant modernization initiative. According to the company's 2017 Annual Report, this program included features such as self-order kiosks, table service, digital menu boards, and mobile order and pay capabilities. The company reported that by the end of 2017, approximately 3,600 U.S. restaurants had been reimaged under this program.


Communication and Transparency Initiatives


"Our Food. Your Questions" Campaign

In October 2014, McDonald's USA launched "Our Food. Your Questions" campaign to address consumer concerns about food quality and ingredients. According to a company blog post from October 13, 2014, the campaign invited customers to ask questions about McDonald's food, which the company would answer with videos and detailed responses.

In an interview with USA Today published October 13, 2014, Kevin Newell, McDonald's U.S. chief brand and strategy officer, stated: "We're not trying to avoid the uncomfortable questions. This is really about engaging with customers on their terms."


The campaign included videos showing the production of menu items and addressing common myths. According to McDonald's corporate website, topics addressed included the composition of McNuggets, whether burgers contained fillers, and the source of ingredients.


Open Door Transparency

McDonald's hosted events allowing customers and media to tour facilities and meet suppliers. According to a report by Forbes from September 16, 2014, McDonald's invited social media influencers and consumers to tour Cargill beef facilities and meet with suppliers to demonstrate ingredient sourcing and food safety practices.


Results and Performance


Financial Performance Recovery

Following the implementation of turnaround strategies, McDonald's showed significant improvement in financial performance. According to the company's 2015 Annual Report, global comparable sales increased 4.0% in 2015, representing a reversal from the 2014 decline. U.S. comparable sales increased 3.0% in 2015 after declining in previous years.


The positive trajectory continued. According to McDonald's 2016 Annual Report, global comparable sales increased 3.8% in 2016, with U.S. comparable sales increasing 2.7%. The company's 2017 Annual Report showed global comparable sales growth of 5.3%, with U.S. comparable sales increasing 2.5%.


By 2018, McDonald's reported even stronger performance. According to the company's 2018 Annual Report, global comparable sales increased 4.5%, with U.S. comparable sales increasing 2.3%. The company reported consolidated revenues of $21.0 billion in 2018.


Market Perception Changes

McDonald's efforts to improve food quality perception showed some measurable results. According to a Market Force Information study reported by Business Insider in June 2017, McDonald's ranked fifth among fast-food chains in food quality, up from ninth place the previous year.


However, challenges remained in public perception. According to a Consumer Reports survey reported by CNBC in June 2018, while 43% of respondents said McDonald's food quality had improved over the previous year, the chain still ranked in the middle of fast-food chains for healthy options.


Continued Menu Evolution

McDonald's continued introducing products positioned as fresher or healthier. In 2017, the company tested fresh beef Quarter Pounders (rather than frozen patties) in select markets. According to a March 6, 2018 company announcement, McDonald's expanded fresh beef Quarter Pounders to all contiguous U.S. restaurants. Chris Kempczinski, then-President of McDonald's USA, stated: "We believe our customers will taste the difference."


In 2019, McDonald's tested plant-based menu items. According to a September 26, 2019 press release, McDonald's began testing a "P.L.T." (plant, lettuce, tomato) burger made with a Beyond Meat patty in 28 Canadian restaurants. The company stated it would use the test "to better understand how this offering will impact the kitchen, service times, and customer satisfaction."


Ongoing Challenges and Limitations


Persistent Health Concerns

Despite improvements, McDonald's continued facing criticism regarding menu healthfulness. According to a study published in the Journal of the Academy of Nutrition and Dietetics in October 2016, as reported by Reuters Health, most McDonald's combo meals exceeded recommended daily limits for calories, sodium, or saturated fat.


Environmental and health advocacy groups continued pressuring McDonald's on various fronts. According to reporting by The Guardian from June 13, 2017, the Natural Resources Defense Council and other groups urged McDonald's to strengthen its antibiotic policies to include beef supply chains.


Competitive Landscape Evolution

The competitive environment continued evolving with new entrants and changing consumer preferences. According to QSR Magazine's 2019 data reported in August 2019, while McDonald's remained the largest fast-food chain by sales, growth rates varied significantly across segments, with fast-casual chains continuing to show strong performance.


Implementation Complexity

The company acknowledged implementation challenges for some initiatives. According to McDonald's 2019 Annual Report, the company noted that delivering food quality improvements while maintaining speed of service and operational efficiency required ongoing operational adjustments. No specific metrics on implementation success rates were publicly disclosed.


Limitations of Available Information

Several aspects of McDonald's repositioning strategy lack publicly available verification:


Customer Research Data: McDonald's has not publicly released detailed customer research data showing specific changes in perception metrics before and after health-focused initiatives. While financial results improved, the company has not disclosed what percentage of growth specifically resulted from health-related menu changes versus other factors such as value offerings, convenience improvements, or marketing.

Supplier Relationships: Details about negotiations with suppliers, cost implications of ingredient changes, and supplier compliance rates for new standards are not publicly documented beyond general commitments stated in press releases.

Testing and Development Metrics: McDonald's has not publicly shared specific sales data, customer satisfaction scores, or operational performance metrics for individual menu items introduced during the repositioning period.

Regional Variations: While some announcements specified U.S. or European market implementations, comprehensive information about the rollout of health-focused initiatives across all global markets is not publicly available.

Internal Processes: Details about internal decision-making processes, team structures dedicated to health initiatives, and resource allocation between health-focused innovations and traditional menu items remain undisclosed.

Customer Segmentation: McDonald's has not publicly released detailed demographic breakdowns showing which customer segments responded most positively to healthier offerings versus which continued preferring traditional menu items.


Key Lessons


Strategic Repositioning Without Alienating Core Customer Base

McDonald's approach demonstrated attempting to address health concerns while maintaining core menu items that appealed to existing customers. The company did not eliminate signature products like the Big Mac or French fries, but instead added options and improved ingredient quality across the menu. This strategy appears to have balanced innovation with preservation of brand identity, though the company has not publicly disclosed customer retention metrics to verify this approach's effectiveness.


Transparency as a Competitive Tool

McDonald's invested significantly in transparency initiatives, from "Our Food. Your Questions" campaign to facility tours and detailed ingredient disclosures. In an industry where ingredient sourcing and food preparation had become consumer concerns, the company positioned transparency as a differentiating factor. This approach recognized that consumer trust required proactive communication rather than defensive responses to criticism.


Incremental Change Over Radical Transformation

Rather than completely overhauling its menu or business model, McDonald's pursued incremental improvements: transitioning to cage-free eggs over 10 years, phasing in antibiotic-free chicken, gradually reformulating sauces and cheese. This approach allowed for supply chain adjustments and operational adaptations without disrupting the entire system. However, it also meant changes were gradual and took years to fully implement.


Technology Integration as an Enabler

McDonald's recognized that digital ordering, mobile apps, and kiosk technology could support healthier eating by giving customers more control over customization and more time to review nutritional information. The integration of technology served both operational efficiency goals and customer experience improvements, demonstrating how operational investments can support strategic repositioning.


Leadership Commitment to Cultural Change

The appointment of Steve Easterbrook and his explicit acknowledgment of needed changes signaled leadership commitment to transformation. His public statements about becoming a "modern, progressive burger company" set expectations both internally and externally. This top-down commitment appeared essential for driving organization-wide changes across thousands of franchised locations.


Conclusion

McDonald's repositioning amid changing food preferences represents a case study in how a large, established corporation with complex franchise systems and global supply chains can attempt strategic adaptation to shifting consumer demands. The company's multi-year effort included ingredient improvements, menu innovations, enhanced transparency, and operational modernization.


The financial results showed recovery from the 2014 sales declines, with sustained comparable sales growth from 2015 through 2018. However, attributing this recovery exclusively to health-focused initiatives remains difficult without detailed company disclosures about which specific factors drove customer traffic and sales increases.


McDonald's case illustrates both the possibilities and constraints of repositioning in the fast-food industry. The company made verifiable improvements in ingredient sourcing, added menu variety, and increased transparency. Yet fundamental tensions remained between the quick-service, affordable, indulgent positioning that built the brand and evolving consumer preferences for fresh, healthy, customizable food options.


The repositioning remained ongoing as of the period covered by publicly available documentation, with continued testing of plant-based options, further nutritional commitments, and menu evolution. Whether these changes fundamentally altered consumer perceptions of McDonald's as a healthy option, or simply reduced negative perceptions enough to stabilize and grow the business, cannot be conclusively determined from publicly available information.


Discussion Questions for Business School Analysis


  1. Strategic Positioning Dilemma: Given McDonald's core brand identity built on affordability, convenience, and indulgent comfort food, evaluate the strategic risks and opportunities of repositioning toward health and wellness. Was McDonald's attempting to compete in a category where it has fundamental disadvantages relative to fast-casual competitors, or was it defending its market position against an existential shift in consumer preferences? Use the documented financial performance and competitive dynamics to support your analysis.

  2. Franchise System Complexity: Considering that approximately 95% of McDonald's restaurants are independently owned and operated by franchisees, analyze the challenges of implementing system-wide changes such as ingredient transitions, new equipment for customization platforms, and training for new menu items. How does the franchise business model create both obstacles and potential advantages for the type of strategic repositioning McDonald's attempted? What mechanisms did the company likely need to use to drive franchisee compliance and investment, even though specific internal processes are not publicly documented?

  3. Measurement and Attribution Challenge: McDonald's showed clear financial recovery with comparable sales growth improving from -1.0% in 2014 to consistent positive growth through 2018. However, during this same period, the company implemented all-day breakfast, ingredient improvements, digital ordering technology, restaurant remodels, and various marketing initiatives. Given the absence of publicly disclosed data isolating the impact of health-focused changes specifically, how should management evaluate whether health repositioning strategies are delivering sufficient return on investment relative to other initiatives? What metrics would you recommend McDonald's track and potentially disclose to stakeholders?

  4. Speed vs. Authenticity Trade-off: McDonald's built a competitive advantage on standardization and speed of service, while fast-casual competitors differentiated on customization and fresh preparation, often with longer wait times. Analyze whether McDonald's "Create Your Taste" customization platform and fresh beef Quarter Pounders represented a viable competitive response or a fundamental misalignment with the company's operational model and core customer value proposition. What does the limited publicly available information about these programs' outcomes suggest about this strategic trade-off?

  5. Transparency as Strategy vs. Public Relations: Evaluate McDonald's transparency initiatives such as "Our Food. Your Questions" and supplier facility tours. Were these genuine strategic commitments to stakeholder engagement and trust-building that could create sustainable competitive advantage, or primarily public relations responses to brand image challenges? Consider the potential costs and risks of transparency (revealing information competitors or critics might use against the company) versus the benefits (improved consumer trust and perception). What evidence from the documented initiatives suggests how McDonald's leadership viewed this trade-off?

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