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Costing Question

My lecture notes assert that not all expected future revenues and costs are relevant. It says that "expected revenues and costs that do not differ accross alternatives are irrelevant and hence can be eliminated from the analysis". In saying this, we can eliminate the opportunity cost of the revenue forgone from the medical-surgical patients of $120 x 8 x 365 cant we? I think you mentioned this before...

How would I calculate the return on capital for say the first option ($80 charge per day @ 40% usage rate)?
Im confused as we have a negative differential margin to start with....

I've attached the revised solution, taking away the opportunity cost for the medical-surgery opportunity cost...

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$2.19