Okay, let's calculate this. Cosme has 111 years of experience, which is extremely rare. Typically, executive directors with similar experience can earn $200-$300 per hour. However, considering his medical background and leadership experience, I'll estimate a higher rate. Mediators and arbitrators with similar experience can charge $400-$600 per hour, but this is not directly applicable. Instead, I'll consider the average salary range for nonprofit executives, which can range from $150,000 to $250,000 per year. Assuming a 40-hour workweek, this translates to around $250 per hour. However, this is a rough estimate and may vary based on location, industry, and other factors. Let's assume a 10-20% premium for his unique experience and education, which puts the estimated hourly rate at $250.