We have 7 cats. Four of them turn 8 this year. The youngest will be... 3 or 4.
Lazlo (our first indoor-only rescue) was rescued 8 years ago yesterday.
Shelly, his brother from same litter came inside 8 years ago nine days from now.
Spooky, their sister, was adopted out badly by us, and we rescued her back after she was abused in December 8 years ago.

Tuxedo, their brother, we deemed unadoptable because he was so mean and totally disruptive to the feral colony - and sent two cats to the hospital with wounds. He came inside 8 years ago next March? April?
We fostered kittens almost continuously for several years starting the summer 8 years ago. The health or special needs problems were the ones we kept.
Our last adoption was in 2008.
We are in the process of introducing an FIV+ kitty to the group as a long term foster - he will make 8.
We live in an RV that is 38' long and 8' wide. We do not have slide-outs.
We have made the RV extremely kitty friendly. We took out the dining area and put in cat trees. There is access to all the windows via window seats or the back of the couch.
The trick to having a large kitty household is proper introductions. We found that our kitties accepted kittens pretty well, but we had to put a lot more work into older cats.
If your cats are all indoor-only, there shouldn't be much in the way of health issues. If they go outside, then you have to keep up with the deworming. (In fact, the lifecycle of worms is such that the treatment only kills the adults, so deworming must be done in cycles of three weeks, and the cycle must be done at least once, and better to do it a third time just to make sure).
The sooner the kittens can be spayed/neutered the better.
One of our females was NOT good with the last female we introduced to the group, but has been totally fine with the subsequent two males. It took her a year to fullly accept the "new" female.
But yes - multicat households require more work, because there is more stress. We have to give them frequent attention - directed play and individual "alone time" play REALLY helps reduce stress.
Providing a lot of vertical space helps reduce stress.
Making sure there are enough litter boxes, and keeping them clean is important. The rule of thumb is you should have one more litter box than you have cats. Being in the RV, there simply isn't room for nine litter boxes. We have three. This would NOT work if we did not work from home, because I scoop all day long - the bare minimum is three times a day.
We also use Feliway to help keep things calm. This is a synthetic hormone based on the "friendly" markers in cats' cheeks. It helps reduce the territory issues that can arise between even spayed/neutered cats. We've found it to be most effective by using it three weeks on, two weeks off. We prefer the spray - others prefer to use the diffusers.
We also add Bach's Rescue Remedy (Flower essences) to their water. Our kitty that stresses the most easily, Spooky, we often dab it under her chin.
The boys did develop crystals in their urine when they were a year or two old. This is a combination of genes, diet, and stress. It took some work to get their bladders calm, and they're all on the prescription diet of Hill's c/d, which is not the highest quality food, but it has helped a LOT of cats with this problem.
One of our little rescues, Flowerbelle, was so badlly riddled with herpes when rescued she ended up having an eye removed. Despite the fostering and the adding of cats to our home, she has NEVER had a flare-up. We give them all an L-lysine (250mg) supplement, and none of the other cats has ever had a problem with herpes virus (manifests like a URI but does more damage to sinuses and eyes and such).
Tuxedo has an autoimmune disorder that is not contagious, but keeping his stress levels as low as possible is important to his ongoing health.
Any situation can be made to work, it's just a question of time, money, and effort, really.

Sometimes it takes some creativity - but remember, there's always TCS to turn to!
