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Liberty Medical Group (A) 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 Liberty Medical Group (A) case study


At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. Liberty Medical Group (A) case study is a Harvard Business School (HBR) case study written by David Caldwell, Robert Pearl, Charles A. O'Reilly. The Liberty Medical Group (A) (referred as “Liberty Townsend” from here on) case study provides evaluation & decision scenario in field of Strategy & Execution. It also touches upon business topics such as - Value proposition, Human resource management, Managing people, Strategy execution.

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






Case Description of Liberty Medical Group (A) Case Study


In 1999, Richard Townsend, M.D. was the newly appointed executive director (CEO) of the Liberty Medical Foundation (LMF). Townsend was responsible for both the Liberty Medical Group (LMG), a large, 3,000 physician multispecialty medical group that provided health care to two million subscribers, and the Liberty Medical Plan (LMP), a nonprofit insurance company. This was his first official meeting as CEO with the board of directors and a critical one. In it, he would formally present to the board his strategy for the struggling LMF. Townsend believed that Liberty faced a stark strategic choice: either dramatically lower its rates through cost cutting to become a cost leader once again or to differentiate itself by building a reputation for both quality and service. The first option would require them to re-establish a price advantage by reducing the cost structure by 10% to 15%. This tact would almost certainly entail layoffs and salary reductions. The second option would be to raise rates and rely on a service, access, and quality strategy.


Case Authors : David Caldwell, Robert Pearl, Charles A. O'Reilly

Topic : Strategy & Execution

Related Areas : Human resource management, Managing people, Strategy execution




Calculating Net Present Value (NPV) at 6% for Liberty Medical Group (A) Case Study


Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 6 %
Discounted
Cash Flows
Year 0 (10010605) -10010605 - -
Year 1 3461180 -6549425 3461180 0.9434 3265264
Year 2 3979014 -2570411 7440194 0.89 3541308
Year 3 3970708 1400297 11410902 0.8396 3333883
Year 4 3223081 4623378 14633983 0.7921 2552982
TOTAL 14633983 12693437




The Net Present Value at 6% discount rate is 2682832

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.




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. Net Present Value
3. Internal Rate of Return
4. Profitability Index

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






Formula and Steps to Calculate Net Present Value (NPV) of Liberty Medical Group (A)

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 Strategy & Execution 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 Liberty Townsend 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 Liberty Townsend 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 (10010605) -10010605 - -
Year 1 3461180 -6549425 3461180 0.8696 3009722
Year 2 3979014 -2570411 7440194 0.7561 3008706
Year 3 3970708 1400297 11410902 0.6575 2610805
Year 4 3223081 4623378 14633983 0.5718 1842807
TOTAL 10472040


The Net NPV after 4 years is 461435

(10472040 - 10010605 )








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 (10010605) -10010605 - -
Year 1 3461180 -6549425 3461180 0.8333 2884317
Year 2 3979014 -2570411 7440194 0.6944 2763204
Year 3 3970708 1400297 11410902 0.5787 2297863
Year 4 3223081 4623378 14633983 0.4823 1554341
TOTAL 9499725


The Net NPV after 4 years is -510880

At 20% discount rate the NPV is negative (9499725 - 10010605 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Liberty Townsend 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 Liberty Townsend has a NPV value higher than Zero then finance managers at Liberty Townsend 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 Liberty Townsend, then the stock price of the Liberty Townsend 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 Liberty Townsend 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.

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

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

Understanding of risks involved in the project.

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.






Negotiation Strategy of Liberty Medical Group (A)

References & Further Readings

David Caldwell, Robert Pearl, Charles A. O'Reilly (2018), "Liberty Medical Group (A) Harvard Business Review Case Study. Published by HBR Publications.


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