Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities Net Present Value (NPV) / MBA Resources

Introduction to Net Present Value (NPV) - What is Net Present Value (NPV) ? How it impacts financial decisions regarding project management?

NPV solution for Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities case study

At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities case study is a Harvard Business School (HBR) case study written by Gil Preuss, Ann C. Frost. The Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities (referred as “Cooperation Labor” from here on) case study provides evaluation & decision scenario in field of Organizational Development. It also touches upon business topics such as - Value proposition, Negotiations, Performance measurement.

The net present value (NPV) of an investment proposal is the present value of the proposal’s net cash flows less the proposal’s initial cash outflow. If a project’s NPV is greater than or equal to zero, the project should be accepted.

NPV = Present Value of Future Cash Flows LESS Project’s Initial Investment

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Case Description of Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities Case Study

Labor-management cooperation has been regarded for many years as a panacea for organizations' competitive woes. The academic and popular presses have lauded the joint efforts of companies and their unionized workforces to come together to solve companies' competitive problems while saving employees' jobs. Moreover, research on and examples of labor-management cooperation have found that through joint efforts, unions and firms can improve organizational performance and employee outcomes. Increasingly, however, it appears that cooperation is often but a short-lived phenomenon. This article examines a major initiative of labor-management cooperation that was undertaken to facilitate the fundamental restructuring of the health care delivery system in Minneapolis/St. Paul, Minnesota. For 10 years, management of more than a dozen hospitals and representatives of the Minnesota Nurses' Association came together to negotiate and manage the process of system integration, rationalization, and delivery improvement. The results were remarkable. Yet, just a few years later, despite the success, only remnants of labor-management cooperation remain in these hospitals. This article examines the reasons for this demise and provides lessons for those engaged in cooperative undertakings that may help extend the life of those initiatives.

Case Authors : Gil Preuss, Ann C. Frost

Topic : Organizational Development

Related Areas : Negotiations, Performance measurement

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Calculating Net Present Value (NPV) at 6% for Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities Case Study

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 6 %	Discounted Cash Flows
Year 0	(10017345)	-10017345	-	-
Year 1	3463180	-6554165	3463180	0.9434	3267151
Year 2	3976573	-2577592	7439753	0.89	3539136
Year 3	3970592	1393000	11410345	0.8396	3333786
Year 4	3237261	4630261	14647606	0.7921	2564214
TOTAL			14647606		12704286

The Net Present Value at 6% discount rate is 2686941

In isolation the NPV number doesn't mean much but put in right context then it is one of the best method to evaluate project returns. In this article we will cover -

Different methods of capital budgeting

What is NPV & Formula of NPV,
How it is calculated,
How to use NPV number for project evaluation, and
Scenario Planning given risks and management priorities.

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Capital Budgeting Approaches

Methods of Capital Budgeting

There are four types of capital budgeting techniques that are widely used in the corporate world –

1. Payback Period
2. Internal Rate of Return
3. Profitability Index
4. Net Present Value

Apart from the Payback period method which is an additive method, rest of the methods are based on Discounted Cash Flow technique. Even though cash flow can be calculated based on the nature of the project, for the simplicity of the article we are assuming that all the expected cash flows are realized at the end of the year.

Discounted Cash Flow approaches provide a more objective basis for evaluating and selecting investment projects. They take into consideration both –

1. Magnitude of both incoming and outgoing cash flows – Projects can be capital intensive, time intensive, or both. Cooperation Labor shareholders have preference for diversified projects investment rather than prospective high income from a single capital intensive project.
2. Timing of the expected cash flows – stockholders of Cooperation Labor have higher preference for cash returns over 4-5 years rather than 10-15 years given the nature of the volatility in the industry.

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Formula and Steps to Calculate Net Present Value (NPV) of Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities

NPV = Net Cash In Flowt1 / (1+r)t1 + Net Cash In Flowt2 / (1+r)t2 + … Net Cash In Flowtn / (1+r)tn
Less Net Cash Out Flowt0 / (1+r)t0

Where t = time period, in this case year 1, year 2 and so on.
r = discount rate or return that could be earned using other safe proposition such as fixed deposit or treasury bond rate. Net Cash In Flow – What the firm will get each year.
Net Cash Out Flow – What the firm needs to invest initially in the project.

Step 1 – Understand the nature of the project and calculate cash flow for each year.
Step 2 – Discount those cash flow based on the discount rate.
Step 3 – Add all the discounted cash flow.
Step 4 – Selection of the project

Why Organizational Development Managers need to know Financial Tools such as Net Present Value (NPV)?

In our daily workplace we often come across people and colleagues who are just focused on their core competency and targets they have to deliver. For example marketing managers at Cooperation Labor often design programs whose objective is to drive brand awareness and customer reach. But how that 30 point increase in brand awareness or 10 point increase in customer touch points will result into shareholders’ value is not specified.

To overcome such scenarios managers at Cooperation Labor needs to not only know the financial aspect of project management but also needs to have tools to integrate them into part of the project development and monitoring plan.

Calculating Net Present Value (NPV) at 15%

After working through various assumptions we reached a conclusion that risk is far higher than 6%. In a reasonably stable industry with weak competition - 15% discount rate can be a good benchmark.

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 15 %	Discounted Cash Flows
Year 0	(10017345)	-10017345	-	-
Year 1	3463180	-6554165	3463180	0.8696	3011461
Year 2	3976573	-2577592	7439753	0.7561	3006860
Year 3	3970592	1393000	11410345	0.6575	2610729
Year 4	3237261	4630261	14647606	0.5718	1850914
TOTAL					10479965

The Net NPV after 4 years is 462620

(10479965 - 10017345 )

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Calculating Net Present Value (NPV) at 20%

If the risk component is high in the industry then we should go for a higher hurdle rate / discount rate of 20%.

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 20 %	Discounted Cash Flows
Year 0	(10017345)	-10017345	-	-
Year 1	3463180	-6554165	3463180	0.8333	2885983
Year 2	3976573	-2577592	7439753	0.6944	2761509
Year 3	3970592	1393000	11410345	0.5787	2297796
Year 4	3237261	4630261	14647606	0.4823	1561179
TOTAL					9506468

The Net NPV after 4 years is -510877

At 20% discount rate the NPV is negative (9506468 - 10017345 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Cooperation Labor to discount cash flow at lower discount rates such as 15%.

Acceptance Criteria of a Project based on NPV

Simplest Approach – If the investment project of Cooperation Labor has a NPV value higher than Zero then finance managers at Cooperation Labor can ACCEPT the project, otherwise they can reject the project. This means that project will deliver higher returns over the period of time than any alternate investment strategy.

In theory if the required rate of return or discount rate is chosen correctly by finance managers at Cooperation Labor, then the stock price of the Cooperation Labor should change by same amount of the NPV. In real world we know that share price also reflects various other factors that can be related to both macro and micro environment.

In the same vein – accepting the project with zero NPV should result in stagnant share price. Finance managers use discount rates as a measure of risk components in the project execution process.

Sensitivity Analysis

Project selection is often a far more complex decision than just choosing it based on the NPV number. Finance managers at Cooperation Labor should conduct a sensitivity analysis to better understand not only the inherent risk of the projects but also how those risks can be either factored in or mitigated during the project execution. Sensitivity analysis helps in –

What can impact the cash flow of the project.

Understanding of risks involved in the project.

What are the uncertainties surrounding the project Initial Cash Outlay (ICO’s). ICO’s often have several different components such as land, machinery, building, and other equipment.

What are the key aspects of the projects that need to be monitored, refined, and retuned for continuous delivery of projected cash flows.

What will be a multi year spillover effect of various taxation regulations.

Some of the assumptions while using the Discounted Cash Flow Methods –

Projects are assumed to be Mutually Exclusive – This is seldom the came in modern day giant organizations where projects are often inter-related and rejecting a project solely based on NPV can result in sunk cost from a related project.

Independent projects have independent cash flows – As explained in the marketing project – though the project may look independent but in reality it is not as the brand awareness project can be closely associated with the spending on sales promotions and product specific advertising.

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Negotiation Strategy of Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities

References & Further Readings

Gil Preuss, Ann C. Frost (2018), "Rise and Decline of Labor-Management Cooperation: Lessons from Health Care in the Twin Cities Harvard Business Review Case Study. Published by HBR Publications.