ORNGE: A Crisis at Ontario's Air Ambulance Service 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 ORNGE: A Crisis at Ontario's Air Ambulance Service case study

At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. ORNGE: A Crisis at Ontario's Air Ambulance Service case study is a Harvard Business School (HBR) case study written by W. Glenn Rowe, Sharda Prashad. The ORNGE: A Crisis at Ontario's Air Ambulance Service (referred as “Ambulance Ontario's” 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, .

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 ORNGE: A Crisis at Ontario's Air Ambulance Service Case Study

The interim president and chief executive officer (CEO) of Ontario's air ambulance service is reflecting on the first challenging months of his tenure. Previously a deputy minister in the provincial government, he now has to deal with ongoing issues of accountability within the organization and the safety of its fleet of helicopters. In the middle of a media storm of accusations of mismanagement, questionable business and spending practices that had wasted millions of dollars of public funding, problematic hiring of unqualified staff and extravagant salaries, along with possible personal improprieties of the previous CEO, he is wondering what new allegations might surface and how he might not only remedy the internal management problems but regain the public's trust in the organization.

Case Authors : W. Glenn Rowe, Sharda Prashad

Topic : Leadership & Managing People

Related Areas :

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Calculating Net Present Value (NPV) at 6% for ORNGE: A Crisis at Ontario's Air Ambulance Service Case Study

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 6 %	Discounted Cash Flows
Year 0	(10015081)	-10015081	-	-
Year 1	3458296	-6556785	3458296	0.9434	3262543
Year 2	3978750	-2578035	7437046	0.89	3541073
Year 3	3971529	1393494	11408575	0.8396	3334572
Year 4	3222919	4616413	14631494	0.7921	2552854
TOTAL			14631494		12691043

The Net Present Value at 6% discount rate is 2675962

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. Net Present Value
2. Internal Rate of Return
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 Ambulance Ontario's 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. Ambulance Ontario's 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 ORNGE: A Crisis at Ontario's Air Ambulance Service

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 Ambulance Ontario's 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 Ambulance Ontario's 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	(10015081)	-10015081	-	-
Year 1	3458296	-6556785	3458296	0.8696	3007214
Year 2	3978750	-2578035	7437046	0.7561	3008507
Year 3	3971529	1393494	11408575	0.6575	2611345
Year 4	3222919	4616413	14631494	0.5718	1842714
TOTAL					10469780

The Net NPV after 4 years is 454699

(10469780 - 10015081 )

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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	(10015081)	-10015081	-	-
Year 1	3458296	-6556785	3458296	0.8333	2881913
Year 2	3978750	-2578035	7437046	0.6944	2763021
Year 3	3971529	1393494	11408575	0.5787	2298339
Year 4	3222919	4616413	14631494	0.4823	1554263
TOTAL					9497535

The Net NPV after 4 years is -517546

At 20% discount rate the NPV is negative (9497535 - 10015081 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Ambulance Ontario's 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 Ambulance Ontario's has a NPV value higher than Zero then finance managers at Ambulance Ontario's 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 Ambulance Ontario's, then the stock price of the Ambulance Ontario's 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 Ambulance Ontario's 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 key aspects of the projects that need to be monitored, refined, and retuned for continuous delivery of projected cash flows.

What can impact the cash flow of the project.

Understanding of risks involved in the project.

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.

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Negotiation Strategy of ORNGE: A Crisis at Ontario's Air Ambulance Service

References & Further Readings

W. Glenn Rowe, Sharda Prashad (2018), "ORNGE: A Crisis at Ontario's Air Ambulance Service Harvard Business Review Case Study. Published by HBR Publications.