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Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B) 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 Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B) case study


At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B) case study is a Harvard Business School (HBR) case study written by Heidi K. Gardner, Edo Bedzra, Shereef M. Elnahal. The Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B) (referred as “Cancer Center” 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, Communication, Leading teams, Organizational culture.

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 Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B) Case Study


Dr. Barrett Rollins, Chief Scientific Officer of the Dana Farber Cancer Institute, attempts to engender cross-scientist collaboration by applying project management principles to medical research. The resulting innovation, Integrative Research Centers, are novel in this field and present a substantial challenge to the Institute's culture, which had previously allowed faculty scientists complete autonomy over their research. Center leaders are required to develop a business plan, adhere to agreed-upon performance metrics, and undergo regular progress reviews conducted by a peer-led oversight committee. In the "A" case, the Center for Nanotechnology in Cancer, a new but crucial center in the program, had failed to meet almost all of its objectives in the first year, and a heated dispute between two faculty members in the center had complicated matters significantly. The "B" case outlines the decisions Rollins took in terms of leadership and other strategic matters, and shows how the Center is performing a year after its initial disappointing progress.


Case Authors : Heidi K. Gardner, Edo Bedzra, Shereef M. Elnahal

Topic : Leadership & Managing People

Related Areas : Collaboration, Communication, Leading teams, Organizational culture




Calculating Net Present Value (NPV) at 6% for Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B) Case Study


Years              Cash Flow     Net Cash Flow     Cumulative    
Cash Flow
Discount Rate
@ 6 %
Discounted
Cash Flows
Year 0 (10003279) -10003279 - -
Year 1 3459720 -6543559 3459720 0.9434 3263887
Year 2 3953405 -2590154 7413125 0.89 3518516
Year 3 3962371 1372217 11375496 0.8396 3326883
Year 4 3250356 4622573 14625852 0.7921 2574586
TOTAL 14625852 12683873




The Net Present Value at 6% discount rate is 2680594

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. Payback Period
3. Net Present Value
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 Cancer Center 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. Cancer Center 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 Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B)

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 Cancer Center 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 Cancer Center 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 (10003279) -10003279 - -
Year 1 3459720 -6543559 3459720 0.8696 3008452
Year 2 3953405 -2590154 7413125 0.7561 2989342
Year 3 3962371 1372217 11375496 0.6575 2605323
Year 4 3250356 4622573 14625852 0.5718 1858402
TOTAL 10461519


The Net NPV after 4 years is 458240

(10461519 - 10003279 )








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 (10003279) -10003279 - -
Year 1 3459720 -6543559 3459720 0.8333 2883100
Year 2 3953405 -2590154 7413125 0.6944 2745420
Year 3 3962371 1372217 11375496 0.5787 2293039
Year 4 3250356 4622573 14625852 0.4823 1567494
TOTAL 9489053


The Net NPV after 4 years is -514226

At 20% discount rate the NPV is negative (9489053 - 10003279 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Cancer Center 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 Cancer Center has a NPV value higher than Zero then finance managers at Cancer Center 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 Cancer Center, then the stock price of the Cancer Center 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 Cancer Center 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 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.

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 Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B)

References & Further Readings

Heidi K. Gardner, Edo Bedzra, Shereef M. Elnahal (2018), "Ganging up on Cancer: Integrative Research Centers at Dana-Farber Cancer Institute (B) Harvard Business Review Case Study. Published by HBR Publications.


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