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CareMessage 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 CareMessage case study


At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. CareMessage case study is a Harvard Business School (HBR) case study written by Russell Siegelman, Amon Anderson. The CareMessage (referred as “Caremessage Singal” from here on) case study provides evaluation & decision scenario in field of Innovation & Entrepreneurship. It also touches upon business topics such as - Value proposition, Financial management, Growth strategy, Health, Market research, Social enterprise, Technology.

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 CareMessage Case Study


The CareMessage case describes the evolution of the nonprofit organization from its founding in 2012 through the end of 2014. CareMessage was launched by Vineet Singal, a young biological sciences graduate from Stanford University. Having dealt with his own personal health issues, Singal was passionate about helping patients get the right information, support, and motivation to make better health decisions. Singal was especially determined to help low-income patients, who historically lacked the tools and resources for effective health management. The case emphasizes some of the major challenges and decisions faced by Singal in the organization's early years: the appropriate technology to serve CareMessage's mission, CareMessage's business model (market, pricing, go-to-market strategy, competition), structuring the venture as a nonprofit or for-profit organization, and scaling the business. As of 2014, CareMessage had proven incredibly successful in its ability to serve low-income patients across the United States by targeting health care providers in low-income neighborhoods, yet these opportunities were fairly limited in terms of revenue and profit potential. Thus, Singal faced a dilemma; should CareMessage pursue additional markets, partnerships, and revenue opportunities, or instead stay the course by continuing to focus on low-income health care providers?


Case Authors : Russell Siegelman, Amon Anderson

Topic : Innovation & Entrepreneurship

Related Areas : Financial management, Growth strategy, Health, Market research, Social enterprise, Technology




Calculating Net Present Value (NPV) at 6% for CareMessage Case Study


Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 6 %
Discounted
Cash Flows
Year 0 (10009179) -10009179 - -
Year 1 3458991 -6550188 3458991 0.9434 3263199
Year 2 3969225 -2580963 7428216 0.89 3532596
Year 3 3971834 1390871 11400050 0.8396 3334828
Year 4 3230896 4621767 14630946 0.7921 2559172
TOTAL 14630946 12689796




The Net Present Value at 6% discount rate is 2680617

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

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 Caremessage Singal 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. Caremessage Singal 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 CareMessage

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 Innovation & Entrepreneurship 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 Caremessage Singal 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 Caremessage Singal 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 (10009179) -10009179 - -
Year 1 3458991 -6550188 3458991 0.8696 3007818
Year 2 3969225 -2580963 7428216 0.7561 3001304
Year 3 3971834 1390871 11400050 0.6575 2611545
Year 4 3230896 4621767 14630946 0.5718 1847275
TOTAL 10467943


The Net NPV after 4 years is 458764

(10467943 - 10009179 )








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 (10009179) -10009179 - -
Year 1 3458991 -6550188 3458991 0.8333 2882493
Year 2 3969225 -2580963 7428216 0.6944 2756406
Year 3 3971834 1390871 11400050 0.5787 2298515
Year 4 3230896 4621767 14630946 0.4823 1558110
TOTAL 9495523


The Net NPV after 4 years is -513656

At 20% discount rate the NPV is negative (9495523 - 10009179 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Caremessage Singal 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 Caremessage Singal has a NPV value higher than Zero then finance managers at Caremessage Singal 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 Caremessage Singal, then the stock price of the Caremessage Singal 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 Caremessage Singal 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.

Understanding of risks involved in the project.

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.

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 CareMessage

References & Further Readings

Russell Siegelman, Amon Anderson (2018), "CareMessage Harvard Business Review Case Study. Published by HBR Publications.


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