SCP-4409 — SCP-4409 | Cost Breakdown

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SCP-4409 Safe ~ medium confidence

SCP-4409

Expected annual

$304K

One-time setup

$194K

Annual recurring

$299K

Personnel

5.2

One-time setup and bariatric refit (~$194,000) plus reserves; recurring annual operations driven primarily by staffed wages and ongoing medical care (~$299,250/year). Main drivers are security/medical staffing and ongoing medical/specialist costs.

🏗️ One-Time Capital Costs Total: $194K

Surgical Contingency Fund $50K

[#12] Major surgical contingency for debridement/revision/reconstructive procedures ($20k–$100k typical per major surgery).

Contingency Reserve $50K

[#23] Reserve fund for unexpected complications, incidents or long-term care escalation (recommended $25k–$100k).

Facilities $45K

[#1] Modify existing low-security residential cell for bariatric occupancy (widening, reinforced flooring/bed supports, roll-in shower/toilet, grab bars, anti-entrapment locks, soundproofing, single-camera CCTV and emergency-call panel).

Instrumentation Surgical Contingency $15K

[#11] Potential revision surgery or major intervention related to implanted ivory valves (revision surgery estimate $5k–$30k).

Equipment $9K

[#2] Bariatric wheelchair, bariatric gurney/stretcher, walker with seat, cane(s), transfer boards and one spare set for redundancy.

Specialist Procedure One Time $8K

[#9] Potential single specialist procedures (e.g., imaging or outpatient procedures) cost reserve ($2k–$15k each).

Legal Cover Initial $8K

[#22] Initial cover-story / legal / records sanitization setup costs (~$2k–$15k initial).

Bariatric Furniture And Bedding $4K

[#3] Bariatric mattress, reinforced chair/seat, larger-sized institutional clothing and linens, sling/hoist-compatible slings.

Transport Emergency One Time $3K

[#20] Single emergency transfer / ambulance cost estimate ($1k–$5k per incident).

Training Initial $2K

[#17] Initial staff training for bariatric transfers, infection control, hoist/gurney use and protocol (~$1k–$3k initial).

Initial Research And Lab Setup $0

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Planning And Budgeting Summary $0

[#24] Budget/summary line; encapsulates one-time + recurring ballpark estimates (no discrete additional cost).

🔄 Annual Recurring Costs Total: $299K/yr

Staff Wages $230K/yr

[#6, #7, #8] On-going staffing costs: nursing/med-tech fractional FTE (0.25–0.5 FTE), security coverage (3–6 guards), and caretaker/handler wages (0.5–1.0 FTE) aggregated.

Research And Monitoring $10K/yr

[#21] Minimal observation/research budget for acoustics/biology or morphology studies (chosen minimal observation $5k–$15k/year).

Specialist Consults $9K/yr

[#9] Ongoing specialist visits (podiatry, endocrinology, cardiology, imaging) estimated ~$3k–$15k/year typical.

Meals And Nutrition $8K/yr

[#4] Tailored daily nutrition (meals + supplements) at ~$15–$30/day (~$5,500–$11,000/year).

Medications And Lab Monitoring $7K/yr

[#5] Chronic gout meds, metabolic agents, vitamin supplements and routine labs (CMP, uric acid, lipids, A1c) (~$300–$800/month).

Recordkeeping And Admin $6K/yr

[#18] Fractional administrative support for medical records, scheduling, auditing and inventory (~$3k–$10k/year).

Logistics And Transport $6K/yr

[#20] Contracts/secure transport readiness, vehicle upkeep, medevac/drill costs (~$2k–$10k/year).

Physiotherapy And Mobility $5K/yr

[#10] PT/OT sessions, caregiver training and mobility maintenance (~$2k–$8k/year).

Utilities $5K/yr

[#14] Incremental power, HVAC and medical refrigeration costs (~$200–$600/month).

Psychological Care $4K/yr

[#19] Periodic counseling / behavioral support (~$1k–$6k/year).

Cover Story And Legal $3K/yr

[#22] Ongoing cover identity maintenance and legal/PR costs (~$500–$5k/year).

Supplies And Consumables $2K/yr

[#15] Laundry, bedding replacements, cleaning supplies, incontinence supplies, pill organizers, wound dressings (~$1k–$4k/year).

Cctv And It $2K/yr

[#13] Digital storage, periodic maintenance, replacement and IT support for CCTV (~$500–$3,000/year).

Medical Waste Disposal $1K/yr

[#16] Contract for disposal of sharps and hazardous clinical waste (~$500–$2,000/year).

Training Refreshers $750/yr

[#17] Annual refresher training costs for staff (~$500–$1,000/year).

Instrumentation Maintenance $600/yr

[#11] Routine cleaning/sterilization and inspection of implanted valves (~$200–$1,000/year).

Facilities Maintenance $0/yr

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⚡ Cost Scenarios

📊 Baseline (baseline) $299K/yr

82.0% probability / year

Normal uneventful year with routine care, no major medical incidents or emergency surgeries.

routine_medical_care no_emergency_interventions

🚨 Minor Medical Incident $312K/yr

15.0% probability / year +$13K vs baseline

Year includes a minor incident requiring emergency transfer and outpatient/specialist procedures (e.g., imaging, short procedure, brief hospitalization).

emergency_transfer outpatient_procedure extra_imaging

🚨 Major Surgery $379K/yr

3.0% probability / year +$80K vs baseline

Year includes a major surgical intervention (revision of implanted valves, debridement or reconstructive surgery) with hospitalization and post-op care.

valve_revision infected_tissue_or_debridement extended_hospitalization

👥 Personnel 5.2 total

Role	Count	Notes
Security Officer / MTF Agent	4	[#7] Low-security 24/7 coverage: estimated 3–6 guards; modeled here as ~4 on staff for wing coverage.
Medical Officer / RN	0.4	[#6] Fractional nursing/med-tech coverage for daily meds and monitoring (0.25–0.5 RN-equivalent).
Caretaker / Handler	0.7	[#8] Non-medical caregiver for assistance with mobility and ADLs (0.5–1.0 FTE modeled fractional).
Administrative Staff	0.1	[#18] Fractional admin support for records and scheduling (small fractional FTE).

📋 Confidence Notes

Estimates are grounded in detailed line-item analyst notes and SCP text, but many items are given as ranges and depend on local labor/hospital rates and whether care is in-house vs external, so uncertainty remains.

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