Important: On raw TCO alone, this platform costs $5.53M more than a hypothetical world where ACME Health simply kept paying for CareLink Classic over 7 years. TCO does not account for benefits — see the companion Cost-Benefit Analysis for the quantified benefits, which at the corrected budget don't fully offset this incremental cost within 7 years. It's also worth noting the "keep paying for CareLink Classic" column is illustrative only — Vantix's announced end-of-support means that isn't actually an available option past the vendor's 18-month window, regardless of what this comparison shows.
Annual Ongoing Cost Breakdown
| Category | Annual Amount |
|---|---|
| PulseConnect Video SDK License & Support | $210,000 |
| Cloud Infrastructure (Hosting) | $114,000 |
| Internal Sustainment Team | $220,000 |
| Periodic Feature Enhancements / Minor Changes | $56,000 |
| TOTAL ANNUAL ONGOING COST | $600,000 |
New Platform vs. Legacy Status Quo
What would it cost to NOT modernize, and simply keep paying Vantix Health Systems for CareLink Classic? (Illustrative only — not actually available past Vantix's end-of-support date.)
| Metric | New Platform (Modernized) | Legacy Status Quo |
|---|---|---|
| Year 0 (Implementation) | $3,713,000 | $0 |
| Annual Ongoing Cost | $600,000 | $340,000 |
| 5-Year Total | $6,713,000 | $1,700,000 |
| 7-Year Total | $7,913,000 | $2,380,000 |
| 7-Year TCO Delta (New − Legacy) | +$3,670,000 | |
Legacy annual cost ($340,000/year) reflects CareLink Classic's per-desktop-seat licensing at current volume — held flat for this comparison, though the Vision & Roadmap notes pricing had already risen 34% at last renewal, meaning a true multi-year legacy projection would likely run higher than shown here. Full year-by-year detail is on the 7-Year Breakdown tab of the Excel workbook.
How This Relates to the CBA
TCO answers "what will this cost" — and on that measure alone, modernizing costs more than a hypothetical do-nothing baseline. The Cost-Benefit Analysis answers "what do we get for it," and shows that $1.13M/year in quantified benefits (at full realization) doesn't fully offset this $5.53M 7-year cost delta — a 7-year NPV of about −$1.47M at an 8% discount rate. Neither document argues this pays for itself quickly; both exist because the "keep paying for CareLink Classic" baseline isn't actually available past Vantix's end-of-support, so the real question is what the right-sized replacement costs and delivers. Read the two documents together, not in isolation.