{"edition":"atlanta","organization":"Georgia Lions Lighthouse Foundation","organizationId":"org:georgia-lions-lighthouse-foundation","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-09-29","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":10628584.560143625,"canonicalPriceUSDPerTenEquivalentYears":106285845.60143626,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":10628584.560143625,"canonicalPriceUSDPerTenEquivalentYears":106285845.60143626,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"gllf-atlanta-alpha-conditional-v2","costScope":"FY 2025 entire recipient reconstructed resources: tax functional expenses+recognized donated services+direct event costs excluded from PartIX. Includes investment management; not societal partner costs outside these accounts.","geographicAttribution":"Modeled cohort is Atlanta Public Schools;100%metro is an explicit enrollment-based inference, not patient residence audit. Statewide and overseas services receive zero positive credit.","formula":"C=2617279+892628+190169=3700076; Q_all=N*p*w*a*f*u*T-H; Q_metro=N*p*w*a*f*u*T*g-H; price=10*C/Q_metro only if positive. Central N=1114,p=.5,w=.5,a=.5,f=.5,u=.01,T=.5,g=1,H=0.","counterfactual":"a discounts corrective eyewear obtained anyway from families, insurance, schools or alternative charities. f separately discounts capacity that would persist despite changed donor funding; neither is estimated.","attribution":"Whole recipient costs retained without allocation to schools. KIA and school partners contribute to observed provision; alternative delivery and funding replacement remain possible. No independent claim to all partnership benefit.","uncertainty":"Accepted only as a weak-confidence conditional alpha. No empirical posterior or expected marginal gift estimate. All bridge factors, including prescription share, are uncalibrated judgments. Donor HOLD; not a top-pick endorsement.","nativeOutcomes":"FY2025 APS examination cohort: 1,114 students. Glasses reportedly fulfilled for those needing them; prescription-needed share is unknown. Statewide 207 surgical patients / 421 procedures excluded. Screenings and recycled shipments are not health outcomes.","inputs":[{"name":"C: full-recipient resources","value":3700076,"unit":"USD/FY 2025","basis":"observed","rationale":"Calculated from original tax functional expenses2617279+donated services892628+direct event expenses190169.","sourceIds":["return25","d25"]},{"name":"N: APS examination cohort","value":1114,"unit":"reported examined students","basis":"observed","rationale":"Original report p5 identifies examination recipients; it does not unambiguously identify the number needing glasses.","sourceIds":["annual25"]},{"name":"p: prescription-needed and fulfilled share","value":0.5,"unit":"fraction of examined students","basis":"judgment","rationale":"Unknown locally. One-half is an uncalibrated conditional scenario, not inferred from 100% fulfillment among those needing correction. Sensitivity spans zero to one.","sourceIds":["annual25"]},{"name":"w: effective wear fraction","value":0.5,"unit":"fraction","basis":"judgment","rationale":"Allows nonwear, poor fit, breakage and lack of sustained use; external short-term wear trial does not estimate this local rate.","sourceIds":["wear"]},{"name":"a: incremental correction versus alternatives","value":0.5,"unit":"fraction","basis":"judgment","rationale":"Half the correction is assumed not to occur as soon via family or other providers; no local control group.","sourceIds":[]},{"name":"f: funding-response prior","value":0.5,"unit":"fraction","basis":"judgment","rationale":"Hypothetical responsiveness, not verified marginal room. Existing sponsor funding and partner capacity could fully replace new gifts.","sourceIds":["annual25"]},{"name":"u: utility improvement while effectively corrected","value":0.01,"unit":"QALY per year","basis":"judgment","rationale":"Explicit small utility judgment. Singapore cross-sectional association is context, not a causal calibration.","sourceIds":["utility"]},{"name":"T: effective benefit horizon","value":0.5,"unit":"year","basis":"judgment","rationale":"No credit beyond six months, allowing prescription change, replacement and alternative access. No lifetime or mortality benefit.","sourceIds":[]},{"name":"g: metro attribution","value":1,"unit":"fraction","basis":"judgment","rationale":"Enrollment in Atlanta Public Schools strongly anchors metro delivery; beneficiary addresses not audited.","sourceIds":["annual25"]},{"name":"H: other net adverse health","value":0,"unit":"metro QALYs","basis":"judgment","rationale":"Zero only in central; omitted portfolio is not assumed beneficial or harmless.","sourceIds":[]},{"name":"Verified additional gift capacity","value":null,"unit":"additional services/USD","basis":"unknown","rationale":"Appeals and giving menu do not establish current unfunded budget, waiting list or staff expansion.","sourceIds":["annual25","donate"]}],"scenarios":[{"id":"central","label":"Conditional alpha central; donor HOLD","costUSD":3700076,"allPopulationQalys":0.348125,"editionQalys":0.348125,"assumptions":"N is examined students; prescription-needed share p=0.5. 1114*.5 wear*.5 alternative-care adjustment*.5 funding response*.01 utility*.5 year*1 metro;H=0. All bridge factors judgmental, not measured QALYs or expected gift price."},{"id":"low","label":"Weak pathway combination","costUSD":3700076,"allPopulationQalys":0.0008703125000000001,"editionQalys":0.0008267968750000001,"assumptions":"N is examined students; prescription-needed share p=0.1. N 1114,w.25,a.25,f.1,u.005,T.25,g.95,H 0. No probability assigned."},{"id":"high","label":"Favorable pathway combination","costUSD":3700076,"allPopulationQalys":12.5325,"editionQalys":12.5325,"assumptions":"N is examined students; prescription-needed share p=1. N 1114,w.75,a.75,f 1,u.02,T 1,g 1,H 0. Not an upper confidence bound."},{"id":"null","label":"No incremental benefit","costUSD":3700076,"allPopulationQalys":0,"editionQalys":0,"assumptions":"Setf=0 (orw=0 ora=0): no marginal response, no effective use or full alternative access."},{"id":"adverse","label":"Net adverse health stress test","costUSD":3700076,"allPopulationQalys":-1,"editionQalys":-1,"assumptions":"Setf=0 andH=1; hypothetical net harm, not observed adverse event count."},{"id":"no-prescription-benefit","label":"No prescription-mediated benefit","costUSD":3700076,"allPopulationQalys":0,"editionQalys":0,"assumptions":"p=0 (or u=0), so examinations produce no modeled prescription-mediated QALYs; this stress test is not a claim that nobody needed glasses."}],"sensitivity":["Prescription share 0.25 instead of 0.5 doubles price; 1 halves it; 0 eliminates finite price.","Utility 0.005 instead of 0.01 doubles price; 0.02 halves it; zero eliminates finite price.","Funding response 0.1 instead of 0.5 multiplies price by 5; zero eliminates finite price.","Joint weak/favorable combinations span $44.75 billion–$2.95 million per 10 metro QALYs, not confidence bounds.","No benefit credited to surgery, screenings or overseas shipments."],"missingInputs":["Actual fraction of examined APS students needing and receiving prescription glasses","Audited deduplicated APS glasses recipients and baseline refractive severity","Local wear, breakage, replacement and duration follow-up","Preference-based causal utility change for comparable children","Counterfactual alternative-glasses access","Current marginal funding gap, staffed capacity and gift restriction","Reconciliation of repeated screening count and growth claim","Surgery disease mix, outcomes and metro residence"]},"sources":[{"id":"annual25","title":"FY 2025 impact report, original PDF pages 5–6","publisher":"Georgia Lions Lighthouse Foundation","url":"https://lionslighthouse.aflip.in/fy25impactreport","published":null,"retrieved":"2026-09-29"},{"id":"return25","title":"FY 2025 original Form 990 reconstructed from IRS filing","publisher":"Georgia Lions Lighthouse Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202621349349310557/IRS990","published":null,"retrieved":"2026-09-29"},{"id":"d25","title":"FY 2025 original Form 990 Schedule D","publisher":"Georgia Lions Lighthouse Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202621349349310557/IRS990ScheduleD","published":null,"retrieved":"2026-09-29"},{"id":"return24","title":"FY 2024 original Form 990","publisher":"Georgia Lions Lighthouse Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202501169349300705/IRS990","published":null,"retrieved":"2026-09-29"},{"id":"d24","title":"FY 2024 original Form 990 Schedule D","publisher":"Georgia Lions Lighthouse Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202501169349300705/IRS990ScheduleD","published":null,"retrieved":"2026-09-29"},{"id":"return23","title":"FY 2023 original Form 990","publisher":"Georgia Lions Lighthouse Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202401329349300345/IRS990","published":null,"retrieved":"2026-09-29"},{"id":"d23","title":"FY 2023 original Form 990 Schedule D","publisher":"Georgia Lions Lighthouse Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202401329349300345/IRS990ScheduleD","published":null,"retrieved":"2026-09-29"},{"id":"services","title":"Current vision services","publisher":"Georgia Lions Lighthouse Foundation","url":"https://lionslighthouse.org/services/","published":null,"retrieved":"2026-09-29"},{"id":"donate","title":"Officially linked Give the Gift of Clear Sight campaign","publisher":"Georgia Lions Lighthouse Foundation / GoFundMe Pro","url":"https://www.classy.org/campaign/give-the-gift-of-clear-sight-2025/c650490","published":null,"retrieved":"2026-09-29"},{"id":"utility","title":"Utility values and myopia in teenage school students","publisher":"Saw et al., British Journal of Ophthalmology","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1771541/","published":null,"retrieved":"2026-09-29"},{"id":"wear","title":"Spectacle wear among children in a school-based program: randomized trial","publisher":"Morjaria et al., JAMA Ophthalmology","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC5847082/","published":null,"retrieved":"2026-09-29"},{"id":"cataract","title":"First-eye cataract surgery randomized trial","publisher":"Harwood et al., British Journal of Ophthalmology","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1772474/","published":null,"retrieved":"2026-09-29"},{"id":"annual24","title":"FY 2024 impact report","publisher":"Georgia Lions Lighthouse Foundation","url":"https://online.flippingbook.com/view/321900437/","published":null,"retrieved":"2026-09-29"},{"id":"news","title":"Current news, including May 2026 delivered school glasses","publisher":"Georgia Lions Lighthouse Foundation","url":"https://lionslighthouse.org/news-events/","published":null,"retrieved":"2026-09-29"}]}