Or look at how many of those can be combined, MP3 recording can be taken off the USB recording facility, no need for that to be an analogue output, you could do the same for social media etc (usbB if you need it live streamed).
I’d suggest that the audio feed for video and hearing aids maybe needn’t/shouldn’t be the same. People with hearing aids by definition have compromised hearing – I normally give them a cut down mix, they don’t need all the twiddly bits, clarity is generally king.
I think that’s only mono (loop) and one stereo (video feed) analogue output (possibly duplicated on alt-out) as well as the qudrive…