The purpose of this case study is to hypothetically conduct a complete project analysis on the ambulatory surgery center and to present my findings and recommendations.
1) Complete Table 1 by adding the cash flows for Years 4 and 5.
See Excel Spreadsheet
2) You provided us with the NPV and IRR. These values are $1,376,564 and 14.0%, respectively. The purpose of NPV is the assist in determining if a new project will be financially viable or not. Because the NPV value is positive, then it is expected to produce more income than what could be gained by earning the discount rate. Thus, meaning this project should be undertaken. Commonly, the internal rate of return (IRR) is also utilized to compare projects and decide which is more financially beneficial. In this case, the IRR and the NPV can be employed to ensure that adding the proposed ambulatory surgery center would be worth the
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The hospital might benefit because the demand for outpatient surgeries will be higher, but this could still mean the inpatient surgeries could have an adverse financial impact. However, if the local physicians had opened their facility, then we would need to assess the analysis as to which physicians were cannibalizing the most of our business. Thus, It is important to look at both how much each cannibalization is occurring as well as the losses and how they are related to the hospital as a whole.
5) Expected NPV is $1,376,536. This positive NPV shows you that you have income coming in and that it is safe to undertake the project. The worst shows you what to expect at the very worst if upon taking up the new project, and it fails to be financially successful. You can use this method to argue for or against taking up a new project. Since our goal is to increases owner wealth, NPV is a useful measure in determining how well the project will meet this
After calculating the Net Present Value (NPV) and the Internal Rate of Return (IRR) for each project, I have determined that both the dishwasher and the trash compactor projects should be pursued. Both of them have shown positive NPVs at the new discount rate of 11.58% (WACC). Another indicator that told me that these two projects should be pursued by Star was that they both yielded IRRs greater than the given hurdle rate. The disposal did not meet these requirements and therefore should not be undertaken.
...eting tool that show the differences between the present value of revenues and the present value of expenses. The project can be profitable when the net present value is positive. In other words, the present value of revenues is greater than the present value of expenses. Profitability index is another tool for evaluating investment projects, which is the ratio of the PV of benefits on the PV of costs. A project can be beneficial if the profitability index is greater than 1. Also, it has the same idea as NPV that In other words, the present value of benefits is greater than the present value of costs. However, these two methods (NPV and Profitability Index) have been used to evaluate the proposal of implementing EHR.
The discount rate is a significant element which is considered the value of future cash flows, whether they are earnings or obligations. By applying net present value (NPV), which is a useful tool, the department can determine whether a project will result in a net profit or a net loss. In this case, by calculating the NPV, the department found out that the NPV is positive, indicating that the benefits outweigh the costs, and the project will pay for itself making a profit over time. Therefore, the pilot program is worthwhile and the investment would add value to the department. Another major metric for cost-benefit analysis is cost-benefit ratio, which plays an important role in this project. The total discount benefits are divided by the total discounted costs, which equals 1.07. The benefit-cost ratio of this project is greater than 1, which shows that the benefits are greater than the costs. Also, the payback period is the one main piece of the sensitivity analysis in this project because it tells us how long the initial investment is at risk. By calculating the NPV, which is a negative number, the department can estimate if the NPV for the third Operational Year is still a deficit. However, when the sum turns positive in
Making an investment towards a new project/product/company is hardly a simple process. Numerous factors including costs, benefits, time, and resources need to be taken into account before a decision to pursue a new project should be ventured into. At the end of the day prioritising projects and investing funds into projects that have the most potential towards favourable return on investment should be considered. Investment appraisal should not only be used for projects with a monetary return, it is also pertinent to use the tools where the return may not be easy to quantify such as training or development programs. Investment
There are a couple of problems affecting the surgical services department. One of them is that the unit /hospital pays a lot of money for surgical supplies and equipment. The second problem is labor and productivity. The two problems are included in the operational and personnel budget. These types of budgets are the highest cost to the department; personnel budget being the highest then the operational budget (Marquis & Huston, 2012).
With the added income generated from the continuous process improvements Dr. Martin has additional strategic plans. One strategic goal of Dr. Martin’s is carrying out a major renovation in the waiting and examination areas. With his floor plan modified, he wishes to expand his clinic into a 3-physician group and if possible rent out some space to physical therapist in order to generate some more income. This will also be achievable through the additional profits that he will get from the implementation of EHR system i.e. through more customer retention due to improvement in the patient
After a period of meticulous planning, project managers (PM) anticipate that their projects will be executed on schedule and within the proposed budget. According to Maheshwari and Credle (2010), there are internal and external factors that can impede a project’s progress. Therefore, once a project is in motion PMs often rely on tools to assist them with staying on course - and to mitigate project risk. One such tool is the Earned Value Measurement System (EVMS) that can be used to quantify a project 's progress and assist PMs with managing and controlling project costs, instead of merely monitoring costs during various stages of a project. The EVMS can also be used to forecast a project’s completion date and present an analysis of variances, which may occur due to additional or misinterpreted requirements, to determine a project’s earned value (Kerzner, 2013).
Everybody enthusiastically suggested different project. It was very heard for all of us to select the particular project but then I came up with idea that everyone shall choose 2 project names and first will get 5 points and second one will get less points. Through this way we selected the project with majority of votes. I was glad we selected the Solar system project cause we already put the idea of solar roofs in previous mini project and now we could build up the entire housings plan. This project can cover more than 20 solar based houses and recreational clubs. The major feature of this project was that the houses are independent of conventional electricity as they have electricity generated by using solar roofs moreover they have a backup source which can be used to deliver solar energy to other cities in emergency. Recreational centers and shopping centers are other associated features of our project. Unlike previous project this major project does include capital expenditure request. The purpose of this Capital Expenditure Request (CER) is to request funding approval for the construction of the project. I started on working of work break down structure, gantt chart and budget
The following paper will address and answer the case study questions concerning Shouldice Hospital and the utilization of their facilities to include beds, performing operations, and possible expansion
I would not sell it but invest in the business. The consultants have the detailed data. As you can see from my chart year 1 PV cash flow would be negative 238, then year 2 PV cash flow would be negative 227, and year 3 PV cash flow would be negative 43, and year 4 the cash flow would be negative 41 and year 5 we hit a positive 157 and years going forward we see positive growth. The project pays for itself by year 9 or year 10 when you look at the cumulative PV.
It enables managers to close the loop in the plan-do-check-act management cycle (PMI, 2005). Earned Value Management has become the most commonly used method of project performance measurement (Chen and Zhang 2012). Practitioners also refer to Earned Value Management concept as Earned Value Project Management, Earned Value System or Earned Value Analysis, but there is no much difference between these terminologies. Earned Value Management offers the project manager a tool to timely evaluate the general health of a project along the life of the project. Particularly Earned Value Management has been used to estimate cost and time to complete, identify cost and schedule impacts of known problems, accurately portray the cost status of a project, trace problems to their sources, portray the schedule status of a project, provide timely information on projects and identify problem areas not previously recognized (Kim and Duffey 2003). The description and derivation of Earned Value Management elements have been comprehensively described in many sources. (PMI, 2005) classifies the terminology into two categories: key parameters of Earned Value Management including Planned Value, Earned Value and Actual Cost and Earned Value Management measures (variances, indices and forecasts). Additionally the evolution of Earned Value Management concepts raised
It is important to clarify some key assumptions that were made in valuing the properties to this NPV. First, the project yields a high IRR of 73 %, due largely in part to the sale of each building upon lease up. For the cash flow projections, it was assumed that all buildings are sold 18 months after construction completion. Therefore, with the exception of the last building to be sold, Heron Quay, the buildings are sold toward the end of their free-rent periods and no rent is collected.
...of money and the value of cash flows in future periods. In addition, the NPV approach has no significant flaws (Kaplan Higher Education Study Guide, 2015, p. 94) and is the desired method for appraising projects because it considers risk and the time value of money, and has no random cut-off. NPV is easy to use, easily comparable, and customizable. Only if all alternatives are discounted to the same point in time, NPV allows for simple comparison between investment alternatives. It provides clear-cut decision suggestion for investments. The NPV rule also effortlessly handles both mutually exclusive and independent projects compared to IRR which can’t be used for exclusive projects or those of different period of time, IRR may exaggerate the rate of return and also profitability index which may not give the right choice when used to compare mutually exclusive projects.
As NPV and IRR use the output of risk management (Atrill and McLaney, 2012) this is likely to increase the accuracy of these processes. But accurate outputs do not necessarily increase firms and projects performance. The information needs to be analysed by people with the skills to interpret the data: Financial decisions rarely have a yes/no answer, and are often multidimensional. (Atrill and McLaney, 2012) To minimise mistakes, skilled staff are needed.
Afterwards the findings are discounted and compared with the initial investment. A high ratio for the NPV is considered as a good result. With the higher ratios for NPV the company can be considered on investments and when lower the NPV is the same will be rejected. Because the company insufficiency to cover the expenditure or the cost occurring for the project. The NPV is a good investment technique in financial appraisal as it adjust for timing of project’s cash flow. With the value of NPV states that an investment should only take place when only having a positive NPV ratio which is a higher