Caregiver Intensity Insights · Powered by ARCHANGELS
Beth Israel Lahey Health
24 entities · n = 888 caregivers to date · November 2025 – June 2026 · Internal Use
Caregivers Identified
888
CII completions to date
High Intensity
25.6%
in the red
Moderate Intensity
64.7%
moderate intensity
Sandwich Caregivers
20.0%
caring for youngers & olders
Sandwich — In the Red
39.0%
of sandwich caregivers
High 25.6%
Moderate 64.7%
Clear 9.7%
Sandwich Caregivers — Overall
20.0%
Caring for both youngers and olders at the same time.
Sandwich — High Intensity
39.0%
of sandwich caregivers are in the red. Sandwich caregivers are 1.7× more likely to be High than the 25.6% system average.
Sandwich vs. Non-Sandwich High%
39% vs 23%
The gap between sandwich and non-sandwich high-intensity rates signals meaningful added burden from dual caregiving demands.
Entities with Highest Sandwich %
Lahey Clinic & BID Milton
Lahey Clinic, Inc. reports 50% sandwich and BID Milton 40% — both well above the 20% system average.
Top Driver
Time pressure drives intensity across BILH
"No time for you" scores 63.7% system-wide — the top driver at the large majority of entities. "Not knowing what to expect" (56.5%) and "Feeling stressed or depressed" (49.4%) follow closely and appear in the top 3 at most sites.
Top Buffer
Purpose and work belonging protect caregivers
"Feeling a sense of purpose" leads at 77.3% — present as the top buffer at nearly every entity. "Making it work at work" (63.2%) and "Feeling supported" (59.9%) reflect the role workplace culture plays in caregiver resilience.
Explore by Entity
Caregiver Pressure & Need by Entity (bubble size = n · color = % High)
X axis: overall % High intensity · Y axis: % of sandwich caregivers who are High intensity. Click any bubble to explore.
Click an entity bubble or row to explore its data
Scenario Planning
Two levers: expanding reach, freeing up budget
Step 1 models the impact of expanding caregiver participation across BILH. It shows how the program scales. Step 2 models how savings from caregiver support free up budget for benefits BILH offers the whole workforce. It shows how many caregivers need to engage to cover the cost. Both compound. More reach surfaces more “in the red” caregivers, and each one who comes to feel supported saves BILH in productivity, turnover, and healthcare. The conservative anchor: 25% of “in the red” caregivers come to feel supported through the program (SSRS 2025).
Foundational Assumption · Drives Both Levers
Average Annual Salary
$
/yr
adjust to match BILH’s actual workforce mix
→
Each “In the Red” Caregiver Who Feels Supported Saves BILH
$35,245 / yr
productivity $27,750 + turnover $4,928 + healthcare $2,567
1
Expand reach
As BILH reach grows, what’s the impact?
Caregiver Prevalence Assumption
%
share of BILH’s ~32,000 employees
Reach 3% of BILH’s Caregivers
Caregivers Reached
888
of ~12,800 at full scale
→
“In the Red” Who Feel Supported
53
at the 25% conservative rate
→
Annual Impact
$1.9M
vs. $1.9M today
32,000 employees × 40% caregiver prevalence × 25.6% “in the red” = 3,277 caregivers “in the red” at full scale.
2
Free up budget for everyone
How many caregivers need to engage to generate enough savings to cover the cost of a benefit BILH pays for? Any benefit the organization funds — for caregivers or the whole workforce — can be measured this way.
Resource
any benefit BILH funds (EAP, FSA, wellness program…)
Annual Investment
$
/yr
budget for this resource per year
Caregivers Needed to Cover It
237
take the CII, get a score, act on resources
→
As Share of Current Engagement
→
Net ROI at Today’s Engagement
+$1.4M
left over after EAP covered
Each engaged caregiver yields $8,811/yr in expected savings (25.6% “in the red” × 25% feel supported × savings per). $500,000 ÷ $8,811 = 57 caregivers cover the cost.
