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Cleveland Clinic Express Care Clinic is considering whether to purchase a newly developed MRI machine that the manufacturer tells them will provide the basis for

Cleveland Clinic Express Care Clinic is considering whether to purchase a newly developed MRI machine that the manufacturer tells them will provide the basis for better diagnoses of foot and knee problems. The new machine is quite expensive but should last for a number of years. The clinic's CFO asked an analyst to work up estimates of the NPV of the investment under three different assumptions about the level of demand for its use (high, medium, and low). To carry out the analysis, the CFO assigned a 59 percent probability to the medium-demand state, a 30 percent probability to the high-demand state, and the remaining 11 percent to the low-demand state. After forecasting the demand for the machine based on the CFO's judgment and past utilization rates for MRI scans, the analyst made the following NPV estimates:

Demand State

Probability of State

NPV Estimate

Low

11%

$(304,000)

Medium

59%

$194,000

High

30%

$

a. What is the expected NPV for the MRI machine based on the above estimates? How would you interpret the meaning of the expected NPV? Does this look like a good investment to you?

b. Assuming that the probability of the medium-demand state remains 59 %, calculate the maximum probability you can assign to the low-demand state and still have an expected NPV of 0 or higher. (Hint: The sum of the probabilities assigned to all three states must be 100 %.)

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