| System | Initial Cost ($ + hrs) / unit | Annualized Cost ($ + hrs) / unit | Other Resources | Revenue | Market Cost | Benefits | | -------------------- | ----------------------------- | -------------------------------- | ------------------------------ | ------- | ----------- | --------------------------------------------------------------------------------------------- | | Elderly Care Complex | $4.2M + 20,000 hrs | $980K + 42,000 hrs | 1 acre adjacent to central hub | $2.16M | $3.6M | Aging with dignity, stable community income, extended family support, complete lifecycle care | ### Assumptions #### Population Distribution (Based on 1000 person community) - Independent Living: 40 residents (natural community aging) - Assisted Living: 30 residents (25 internal, 5 external) - Skilled Nursing: 20 residents (15 internal, 5 external) - Memory Care: 15 residents (10 internal, 5 external) - Total External Capacity: 15 residents (additional revenue stream) - Total Facility Capacity: 105 residents #### Facility Integration - Located adjacent to central hub - Direct covered access to: * Main dining hall * Pool/therapy areas * Community spaces * Medical facilities - Dedicated secure areas for memory care - Progressive care design allowing aging in place #### Community vs Professional Labor Split | Care Level | Community Labor | Professional Staff Required | |------------|-----------------|----------------------------| | Independent | 90% | 10% | | Assisted | 70% | 30% | | Skilled | 40% | 60% | | Memory | 30% | 70% | ### Market Solutions $3.6M/year Traditional facilities charge: - Independent Living: $3,000/month - Assisted Living: $5,000/month - Skilled Nursing: $9,000/month - Memory Care: $10,000/month ### Labor Requirements #### Professional Staff (External) - 15,520 hours/year | Role | FTE | Annual Cost | Primary Duties | |------|-----|-------------|----------------| | Director of Care | 1 | $90K | Overall management, compliance | | Registered Nurses | 3 | $240K | Medical oversight, coordination | | Licensed Practical Nurses | 4 | $200K | Direct medical care | | Certified Nursing Assistants | 8 | $280K | Daily care assistance | | Activities Director | 1 | $55K | Program coordination | | Social Worker | 1 | $65K | Family liaison, care planning | | Total Professional Staff | 18 | $930K | | #### Community Labor - 42,000 hours/year | Task | Hours/Year | Notes | |------|------------|-------| | Companionship/Activities | 15,000 | Social engagement, recreation | | Meal Service/Assistance | 8,000 | Food delivery, feeding assistance | | Light Medical Support | 5,000 | Vitals, medication reminders | | Facility Maintenance | 4,000 | Cleaning, repairs, laundry | | Transportation | 2,000 | Appointments, outings | | Administrative Support | 3,000 | Records, scheduling | | Care Assistance | 5,000 | Bathing, dressing, mobility | | Total Community Labor | 42,000 | ~20 FTE equivalent | ### Operating Costs $980K/year | Component | Annual Cost | Justification | | | ------------------- | ----------- | ---------------------------- | --- | | Professional Staff | $930K | See staffing breakdown | | | Medical Supplies | $120K | $100/resident/month | | | Facility Operations | $180K | Utilities, maintenance, etc. | | | Program Materials | $50K | Activities, therapy supplies | | | Insurance/Legal | $100K | Liability coverage | | | Staff Training | $50K | Continuing education | | | Total Annual Cost | $980K | | | ### Initial Costs $4.2M + 20,000 hrs | Component | Initial Cost ($ + hrs) | Lifespan (Years) | Amortized Cost/Year | Justification | |-----------|------------------------|------------------|---------------------|---------------| | Building Construction | $3.2M | 40 | $80K | 30,000 sq ft facility | | Medical Equipment | $400K | 10 | $40K | Beds, lifts, monitoring | | Security Systems | $200K | 5 | $40K | Access control, cameras | | Furnishings | $300K | 10 | $30K | Furniture, fixtures | | Initial Training | $100K + 20,000 hrs | 5 | $20K + 4,000 hrs | Community certification | | Total Initial Cost | $4.2M + 20,000 hrs | - | $210K + 4,000 hrs | | ### Revenue Potential $2.16M/year | Service Category | Revenue | Operating Cost | Profit Margin | Notes | |-----------------|----------|----------------|---------------|--------| | Independent Living (40) | $480K | $240K | $240K | $1,000/month (community) | | Assisted Living (30) | $600K | $300K | $300K | $1,500/month (community), $3,000 (external) | | Skilled Nursing (20) | $600K | $300K | $300K | $2,000/month (community), $4,000 (external) | | Memory Care (15) | $480K | $240K | $240K | $2,500/month (community), $5,000 (external) | | Total | $2.16M | $1.08M | $1.08M | ~50% margin through community labor | ### Community Labor Capabilities #### Can Do: - Social engagement and activities - Basic health monitoring - Medication reminders - Meal assistance - Light housekeeping - Transportation - Basic personal care - Activity coordination - Facilities maintenance #### Cannot Do: - Medical procedures - Medication administration - Complex wound care - Medical assessments - Care plan development - Legal/compliance oversight - Emergency medical response - Memory care supervision ### Professional Staff Requirements #### Must Have: - 24/7 nursing coverage - Licensed medical professionals - Certified care specialists - Emergency response team - Care coordination - Legal/compliance oversight - Mental health support - Family liaison ### Care Level Analysis | Care Level | Market Cost/Month | Staff Ratio | Hours Needed/Day/Person | Group Activities | Community Integration Potential | Examples | | ------------------ | ----------------- | ------------------------- | ----------------------- | ----------------------------------- | ------------------------------------ | ------------------------------------------------------------------------------------------------------------------ | | Independent Living | $2,000-4,000 | 1:40 | 0.5-1 | Fully capable | High - Full participation | - Task system participation<br>- Mentoring<br>- Project leadership<br>- Knowledge documentation | | Assisted Living | $4,000-6,000 | 1:15 | 2-4 | Most capable with support | High - Modified participation | - Modified tasks<br>- Social activities<br>- Meal support<br>- Medication reminders | | Skilled Nursing | $8,000-10,000 | 1:8 daytime<br>1:12 night | 6-8 | Limited, needs constant supervision | Moderate - Specialized participation | - Supervised activities<br>- Basic tasks with support<br>- Social engagement<br>- Needs regular medical monitoring | | Memory Care | $7,000-12,000 | 1:5 daytime<br>1:8 night | 12-24 | Very limited, specialized support | Limited - Highly supervised | - Secure environment needed<br>- Specialized activities<br>- Constant supervision<br>- High safety requirements | ### Analysis of Community Integration Potential #### Independent & Assisted Living - Fully compatible with community model - Support needs align with existing systems - Meal preparation already communal - Regular health monitoring feasible - Social integration natural - Task system easily adapted #### Skilled Nursing Challenges - Requires dedicated medical staff - Higher liability concerns - More intensive monitoring - Limited task participation - Still possible within community but needs: * Dedicated care team * Medical oversight * Specialized facilities * Higher staffing costs #### Memory Care Limitations - Requires specialized secure facilities - Highly trained staff - Constant supervision - Safety concerns - Beyond current community capability - Would need separate facility/program ### Progressive Care Integration 1. Early Support Phase - Regular health monitoring - Task modification as needed - Technology assistance - Social engagement support - Preventive health focus 2. Intermediate Support - Daily check-ins - Medication management - Modified task participation - Enhanced monitoring - Transportation assistance 3. Advanced Support (Community Limits) - When 24/7 medical supervision needed - When secure facilities required - When specialized medical care constant - When safety risks exceed community capability - When liability concerns too high ### Transition Points The community should be clear about: 1. What care levels it can safely provide 2. When external care becomes necessary 3. How transitions are handled 4. What support continues after transition 5. How costs are managed #### Pitch Join a community that: 1. Keeps you engaged and growing 2. Provides natural support through shared living 3. Values your wisdom and experience 4. Offers meaningful ways to contribute 5. Maintains your independence longer through: - Community support network - Integrated technology - Preventive wellness focus - Natural daily activity - Social engagement 6. Costs less than traditional options while providing: - Better quality of life - More independence - Continued purpose - Built-in community - Progressive support as needed