Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland 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 Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland case study

At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland case study is a Harvard Business School (HBR) case study written by Nicole Gross, Niall Connolly, Peter McNamara. The Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland (referred as “Pharmacies Dublin” from here on) case study provides evaluation & decision scenario in field of Strategy & Execution. It also touches upon business topics such as - Value proposition, .

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 Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland Case Study

After the Irish pharmacy industry's deregulation, large competitors entered the market, upsetting small private players like single shop outlets and independent chains. While some of the new competitors implemented sophisticated technologies, others announced price cuts of up to 31 per cent on drugs. Not only did market shares for small players shrink, but the recession, changes in payment structures, government spending cuts and decreased consumer loyalty further reduced pharmacies' profit margins. Many private pharmacists had observed that other pharmacies in Ireland and in the United States had successfully adopted connected health technologies (CHTs) to improve their performance. In order to compete against powerful multinational retail pharmacies, private pharmacists needed to analyze their business models and make any necessary alterations as soon as possible. Should they reinforce their current business models or try to innovate? Did they have the capabilities to develop CHTs and would these investments prove worthwhile? Nicole Gross is affiliated with University College Dublin. Niall Connolly is affiliated with University College Dublin. Peter McNamara is affiliated with University College Dublin.

Case Authors : Nicole Gross, Niall Connolly, Peter McNamara

Topic : Strategy & Execution

Related Areas :

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Calculating Net Present Value (NPV) at 6% for Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland Case Study

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 6 %	Discounted Cash Flows
Year 0	(10013937)	-10013937	-	-
Year 1	3451483	-6562454	3451483	0.9434	3256116
Year 2	3954982	-2607472	7406465	0.89	3519920
Year 3	3972407	1364935	11378872	0.8396	3335310
Year 4	3238073	4603008	14616945	0.7921	2564857
TOTAL			14616945		12676203

The Net Present Value at 6% discount rate is 2662266

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. Internal Rate of Return
2. Net Present Value
3. Payback Period
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 Pharmacies Dublin 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. Pharmacies Dublin shareholders have preference for diversified projects investment rather than prospective high income from a single capital intensive project.

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Formula and Steps to Calculate Net Present Value (NPV) of Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland

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 Pharmacies Dublin 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 Pharmacies Dublin 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	(10013937)	-10013937	-	-
Year 1	3451483	-6562454	3451483	0.8696	3001290
Year 2	3954982	-2607472	7406465	0.7561	2990535
Year 3	3972407	1364935	11378872	0.6575	2611922
Year 4	3238073	4603008	14616945	0.5718	1851379
TOTAL					10455125

The Net NPV after 4 years is 441188

(10455125 - 10013937 )

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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	(10013937)	-10013937	-	-
Year 1	3451483	-6562454	3451483	0.8333	2876236
Year 2	3954982	-2607472	7406465	0.6944	2746515
Year 3	3972407	1364935	11378872	0.5787	2298847
Year 4	3238073	4603008	14616945	0.4823	1561571
TOTAL					9483168

The Net NPV after 4 years is -530769

At 20% discount rate the NPV is negative (9483168 - 10013937 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Pharmacies Dublin 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 Pharmacies Dublin has a NPV value higher than Zero then finance managers at Pharmacies Dublin 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 Pharmacies Dublin, then the stock price of the Pharmacies Dublin 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 Pharmacies Dublin 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 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.

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

Understanding of risks involved in the project.

What can impact the cash flow of 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.

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Negotiation Strategy of Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland

References & Further Readings

Nicole Gross, Niall Connolly, Peter McNamara (2018), "Connected Health Technology: Private Pharmacies Competing Innovatively in Ireland Harvard Business Review Case Study. Published by HBR Publications.