The Return on Investment Tool for Effective Medical Training (RITE-MT) effort sought to develop a decision-support software tool to assess Return on Training Investment (ROTI) by looking at cost, schedule and training performance benefit throughout the training system lifecycle. This includes quantifying the gains achieved in training effectiveness and efficiency. The result of this effort was the development of the Evaluation of Value Added in Learning Systems-RITE-MT (EVALS-R) tool. EVALS-R provides a training needs-based methodology (TNM) within a network-capable software system guided by user validated interfaces. The TNM guides users in identifying fidelity requirements necessary meet target training objectives and evaluate training systems for their capability to support this. EVALS-R provide users with an interactive Return on Training Investment analysis that can be used to weigh performance improvements versus long-term costs and allow users to identify the most cost-effective system that meets task training objectives/training needs.