And dont forget some heavy loads such as an electric water heater, any electric heating or cooling devices, electric range (if these is living space in this same building), etc.
The existing 200A breaker box does not necessaily need to be replaced, they could add a secondary box, such as a 100A box, which could be used to power the new bed, as well as all the other stuff like lighting and so on. That may or may not require a separate service entrance and maybe a second meter. Also the pole transformer may need to be upgraded.
Something like this, really needs a licensed electrician to look over, and determine the best solution.
I do question how often the OP actually uses all these beds at the same time??? But I dont know anything about this sort of business. (I'm glad I dont have to pay the electric bill though)....