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Amir Dan Rubin: Success from the Beginning 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 Amir Dan Rubin: Success from the Beginning case study


At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. Amir Dan Rubin: Success from the Beginning case study is a Harvard Business School (HBR) case study written by Jeffrey Pfeffer. The Amir Dan Rubin: Success from the Beginning (referred as “Rubin Stanford” from here on) case study provides evaluation & decision scenario in field of Leadership & Managing People. It also touches upon business topics such as - Value proposition, Collaboration, Corporate governance, Leadership, Strategy.

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 Amir Dan Rubin: Success from the Beginning Case Study


In November of 2010, the board of Stanford Hospital and Clinics announced that Amir Dan Rubin, at the time chief operating officer of the UCLA Hospital System, would become the next CEO at Stanford Hospital and Clinics. Although by 2010 Stanford hospital had largely recovered from a failed merger with the hospital of the University of California, San Francisco, and was financially stable, Rubin would lead an organization that still faced significant challenges. These included creating a focus on patient care and improving operational performance, especially in the wake of an increasingly competitive health system landscape. Rubin's success depended on obtaining the support of a large existing internal staff as well as the medical center faculty. The faculty reported to the dean of the medical school, not to Rubin. The case describes what Rubin did to transform the culture and operations of Stanford Health Care and, specifically, what he did to build support among the various constituencies so critical to his being successful: the medical school physicians, the board of the hospital, and the colleagues already at Stanford. The case also looks at the next steps that Rubin planned in 2014 for continuing to move the hospital forward and the challenges with which he would need to grapple. The case is useful in classes on leadership, organizational culture and culture change, and in classes on power and influence where outside succession and the task of building internal support is a topic.


Case Authors : Jeffrey Pfeffer

Topic : Leadership & Managing People

Related Areas : Collaboration, Corporate governance, Leadership, Strategy




Calculating Net Present Value (NPV) at 6% for Amir Dan Rubin: Success from the Beginning Case Study


Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 6 %
Discounted
Cash Flows
Year 0 (10015437) -10015437 - -
Year 1 3450473 -6564964 3450473 0.9434 3255163
Year 2 3972719 -2592245 7423192 0.89 3535706
Year 3 3958665 1366420 11381857 0.8396 3323771
Year 4 3224463 4590883 14606320 0.7921 2554077
TOTAL 14606320 12668717




The Net Present Value at 6% discount rate is 2653280

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. Net Present Value
2. Internal Rate of Return
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 Rubin Stanford 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. Rubin Stanford 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 Amir Dan Rubin: Success from the Beginning

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 Leadership & Managing People 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 Rubin Stanford 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 Rubin Stanford 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 (10015437) -10015437 - -
Year 1 3450473 -6564964 3450473 0.8696 3000411
Year 2 3972719 -2592245 7423192 0.7561 3003946
Year 3 3958665 1366420 11381857 0.6575 2602886
Year 4 3224463 4590883 14606320 0.5718 1843597
TOTAL 10450841


The Net NPV after 4 years is 435404

(10450841 - 10015437 )








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 (10015437) -10015437 - -
Year 1 3450473 -6564964 3450473 0.8333 2875394
Year 2 3972719 -2592245 7423192 0.6944 2758833
Year 3 3958665 1366420 11381857 0.5787 2290894
Year 4 3224463 4590883 14606320 0.4823 1555007
TOTAL 9480128


The Net NPV after 4 years is -535309

At 20% discount rate the NPV is negative (9480128 - 10015437 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Rubin Stanford 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 Rubin Stanford has a NPV value higher than Zero then finance managers at Rubin Stanford 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 Rubin Stanford, then the stock price of the Rubin Stanford 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 Rubin Stanford 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 –

Understanding of risks involved in the project.

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

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 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 Amir Dan Rubin: Success from the Beginning

References & Further Readings

Jeffrey Pfeffer (2018), "Amir Dan Rubin: Success from the Beginning Harvard Business Review Case Study. Published by HBR Publications.


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