Finance Question
Problem 1
| UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT | ||
| Chapter 12 -- Project Risk Analysis | ||
| PROBLEM 1 | ||
| The managers of Merton Medical Clinic are analyzing a proposed project. The project's most likely | ||
| NPV is $120,000, but, as evidenced by the following NPV distribution, there is considerable risk | ||
| involved: | ||
| Probability | NPV | |
| 0.05 | -$700,000 | |
| 0.2 | -$250,000 | |
| 0.5 | $120,000 | |
| 0.2 | $200,000 | |
| 0.05 | $300,000 | |
| a. What are the project's expected NPV and standard deviation of NPV? | ||
| b. Should the base case analysis use the most likely NPV or expected NPV? Explain your answer. | ||
| ANSWER |
Problem 2
| UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT | ||||
| Chapter 12 -- Project Risk Analysis | ||||
| PROBLEM 2 | ||||
| Heywood Diagnostic Enterprises is evaluating a project with the following net cash flows and | ||||
| probabilities: | ||||
| Year | Prob=0.2 | Prob=0.6 | Prob=0.2 | |
| 0 | -$100,000 | -$100,000 | -$100,000 | |
| 1 | $20,000 | $30,000 | $40,000 | |
| 2 | $20,000 | $30,000 | $40,000 | |
| 3 | $20,000 | $30,000 | $40,000 | |
| 4 | $20,000 | $30,000 | $40,000 | |
| 5 | $30,000 | $40,000 | $50,000 | |
| The Year 5 values include salvage value. Heywood's corporate cost of capital is 10 percent. | ||||
| a. What is the project's expected (i.e., base case) NPV assuming average risk? (Hint: The base case net | ||||
| cash flows are the expected cash flows in each year.) | ||||
| b. What are the project's most likely, worst, and best case NPVs? | ||||
| c. What is the project's expected NPV on the basis of the scenario analysis? | ||||
| d. What is the project's standard deviation of NPV? | ||||
| e. Assume that Heywood's managers judge the project to have higher-than-average risk. Furthermore, the | ||||
| company's policy is to adjust the corporate cost of capital up or down by 3 percentage points to account | ||||
| for differential risk. Is the project financially attractive? | ||||
| ANSWER |
Problem 3
| UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT | |||||
| Chapter 12 -- Project Risk Analysis | |||||
| PROBLEM 3 | |||||
| Consider the project contained in Problem 7 in Chapter 11 (California Health Center). | |||||
| a. Perform a sensitivity analysis to see how NPV is affected by changes in the number of procedures per | |||||
| day, average collection amount, and salvage value. Remember supplies vary with number of procedures. | |||||
| b. Conduct a scenario analysis. Suppose that the hospital's staff concluded that the three most uncertain | |||||
| variables were number of procedures per day, average collection amount, and the equipment's salvage | |||||
| value. Furthermore, the following data were developed: | |||||
| Equipment | |||||
| Number of | Average | Salvage | |||
| Scenario | Probability | Procedures | Collection | Value | |
| Worst | 0.25 | 10 | $60 | $100,000 | |
| Most likely | 0.50 | 15 | $80 | $200,000 | |
| Best | 0.25 | 20 | $100 | $300,000 | |
| c. Finally, assume that California Health Center's average project has a coefficient of variation of NPV in | |||||
| the range of 1.0 - 2.0. (Hint: Coefficient of variation is defined as the standard deviation of NPV divided | |||||
| by the expected NPV.) The hospital adjusts for risk by adding or subtracting 3 percentage points to its | |||||
| 10 percent corporate cost of capital. After adjusting for differential risk, is the project still profitable? | |||||
| d. What type of risk was measured and accounted for in Parts b and c? Should this be of concern to the | |||||
| hospital's managers? | |||||
| ANSWER |
Problem 4
| UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT | |||
| Chapter 12 -- Project Risk Analysis | |||
| PROBLEM 4 | |||
| The managers of United Medtronics are evaluating the following four projects for the coming budget | |||
| period. The firm's corporate cost of capital is 14 percent. | |||
| Project | Cost | IRR | |
| A | $15,000 | 17% | |
| B | $15,000 | 16% | |
| C | $12,000 | 15% | |
| D | $20,000 | 13% | |
| a. What is the firm's optimal capital budget? | |||
| b. Now, suppose Medtronic's managers want to consider differential risk in the capital budgeting process. | |||
| Project A has average risk, B has below-average risk, C has above-average risk, and D has average | |||
| risk. What is the firm's optimal capital budget when differential risk is considered? (Hint: The firm's | |||
| managers lower the IRR of high-risk projects by 3 percentage points and raise the IRR of low-risk | |||
| projects by the same amount.) | |||
| ANSWER |
Problem 5
| UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT | |||
| Chapter 12 -- Project Risk Analysis | |||
| PROBLEM 5 | |||
| Allied Managed Care Company is evaluating two different computer systems for handling provider claims. | |||
| There are no incremental revenues attached to the projects, so the decision will be made on the basis of | |||
| the present value of costs. Allied's corporate cost of capital is 10 percent. Here are the net cash flow | |||
| estimates in thousands of dollars: | |||
| Year | System X | System Y | |
| 0 | -$500 | -$1,000 | |
| 1 | -$500 | -$300 | |
| 2 | -$500 | -$300 | |
| 3 | -$500 | -$300 | |
| a. Assume initially that the systems both have average risk. Which one should be chosen? | |||
| b. Assume that System X is judged to have high risk. Allied accounts for differential risk by adjusting its | |||
| corporate cost of capital up or down by 2 percentage points. Which system should be chosen? | |||
| ANSWER |
Problem 6
| UNDERSTANDING HEALTHCARE FINANCIAL MANAGEMENT | ||
| Chapter 12 -- Project Risk Analysis | ||
| PROBLEM 6 | ||
| University Health System has three divisions: Real Estate, with an 8 percent cost of capital; Health | ||
| Services, with a 10 percent cost of capital; and Managed Care, with a 12 percent cost of capital. The | ||
| System's risk adjustment procedures call for adding 3 percentage points to adjust for high risk and | ||
| subtracting 2 percentage points for low risk. Construct a diagram such as the one in Figure 12.4 that | ||
| illustrates the range of project costs of capital for the system. | ||
| ANSWER |