Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond 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 Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond case study

At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond case study is a Harvard Business School (HBR) case study written by Rosabeth Moss Kanter, Matthew Bird. The Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond (referred as “Piramal Pilots” 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, Corporate governance.

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 Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond Case Study

To maximize their effectiveness, color cases should be printed in color.Anand Piramal and his team sought to "democratize healthcare" in India through the development of a new service delivery model. If Henry Ford could build and deliver cars to everyone in the United States, Piramal thought, then why can't India deliver healthcare to the 70% of its citizens who lack access to it? They began pilots in 2008 but soon ran into unexpected difficulties. After a second round of pilots in early 2010, they had to decide whether to proceed and if so how.

Case Authors : Rosabeth Moss Kanter, Matthew Bird

Topic : Leadership & Managing People

Related Areas : Corporate governance

---

Calculating Net Present Value (NPV) at 6% for Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond Case Study

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 6 %	Discounted Cash Flows
Year 0	(10023169)	-10023169	-	-
Year 1	3452850	-6570319	3452850	0.9434	3257406
Year 2	3973351	-2596968	7426201	0.89	3536268
Year 3	3958406	1361438	11384607	0.8396	3323554
Year 4	3245880	4607318	14630487	0.7921	2571041
TOTAL			14630487		12688269

The Net Present Value at 6% discount rate is 2665100

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. Magnitude of both incoming and outgoing cash flows – Projects can be capital intensive, time intensive, or both. Piramal Pilots shareholders have preference for diversified projects investment rather than prospective high income from a single capital intensive project.
2. Timing of the expected cash flows – stockholders of Piramal Pilots have higher preference for cash returns over 4-5 years rather than 10-15 years given the nature of the volatility in the industry.

---

Formula and Steps to Calculate Net Present Value (NPV) of Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond

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 Piramal Pilots 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 Piramal Pilots 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	(10023169)	-10023169	-	-
Year 1	3452850	-6570319	3452850	0.8696	3002478
Year 2	3973351	-2596968	7426201	0.7561	3004424
Year 3	3958406	1361438	11384607	0.6575	2602716
Year 4	3245880	4607318	14630487	0.5718	1855842
TOTAL					10465461

The Net NPV after 4 years is 442292

(10465461 - 10023169 )

---

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	(10023169)	-10023169	-	-
Year 1	3452850	-6570319	3452850	0.8333	2877375
Year 2	3973351	-2596968	7426201	0.6944	2759272
Year 3	3958406	1361438	11384607	0.5787	2290744
Year 4	3245880	4607318	14630487	0.4823	1565336
TOTAL					9492726

The Net NPV after 4 years is -530443

At 20% discount rate the NPV is negative (9492726 - 10023169 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Piramal Pilots 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 Piramal Pilots has a NPV value higher than Zero then finance managers at Piramal Pilots 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 Piramal Pilots, then the stock price of the Piramal Pilots 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 Piramal Pilots 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 will be a multi year spillover effect of various taxation regulations.

What can impact the cash flow of 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.

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.

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 Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond

References & Further Readings

Rosabeth Moss Kanter, Matthew Bird (2018), "Piramal e-Swasthya: Attempting Big Changes for Small Places - in India and Beyond Harvard Business Review Case Study. Published by HBR Publications.