{"edition":"california","organization":"California Dental Association Foundation","organizationId":"ein:68-0411536","boundaryVersion":"US-CA-state-v1","updated":"2026-09-14","model":{"version":"ca-cda-symptomatic-care-v2","costScope":"All recipient annual expenses plus modeled unrecognized partner resources for the priced branch. Full portfolio cost, partial symptomatic dental health. Actual partner resources remain unknown.","geographicAttribution":"California clinics support g_CA=.98 judgment for resident health, with low .9 and high1. Not inferred from headquarters; Foundation distinct from association and political entities.","formula":"N=E*f/k; C=E+N*z; q=s*u*(1-(1+d)^(-T))/ln(1+d)-h; Q_CA=N*a*b*q*g_CA; P10=10*C/Q_CA. k recipient resources/course, z additional partner resources/course. a alternative-care adjustment, b funding response. One pain episode only; no recurrent lifetime credit.","counterfactual":"Medi-Cal and alternative dentists, scheduled publicly funded capacity and partner volunteers continue. Count earlier effective treatment beyond these alternatives, not every referral or future clinic attendee.","attribution":"Completion is built into delivered course unit; s is clinical success, not another completion rate. a discounts comparable alternative care, b financing/capacity response, each once. Partner cost added once only for unrecognized resources. Because a multiplies the net effect including h, the central assumes equivalent alternative treatment offsets both benefit and burden for the (1−a) portion. h is incremental burden for the care actually changed, not all gross delivered courses. A separate unoffset-treatment-harm stress retains burden for all funding-responsive courses.","uncertainty":"Allocation, clinical yield and partner resources are judgments. Dental cohort compares two active treatments and does not calibrate treatment-versus-delay utility. Complete portfolio value remains unknown.","nativeOutcomes":"687.6278000000001 modeled delivered course-equivalents; 85.95347500000001 additional course-equivalents before geography; net q=0.00747051387367806 QALY/course.","inputs":[{"name":"E","value":3438139,"unit":"USD/year recipient expenses","basis":"observed","rationale":"Original gross return reconciles to audit.","sourceIds":["99024","schedule2024"]},{"name":"f","value":0.2,"unit":"symptomatic-care resource fraction","basis":"judgment","rationale":"Judgment, not restricted gift allocation.","sourceIds":[]},{"name":"k","value":1000,"unit":"USD recipient resources/delivered course","basis":"judgment","rationale":"Coordination/care allocation prior, not fee quote.","sourceIds":[]},{"name":"z","value":1000,"unit":"USD additional partner resources/delivered course","basis":"judgment","rationale":"Volunteer/facility provision; not observed fair value.","sourceIds":[]},{"name":"a","value":0.5,"unit":"alternative-care adjustment","basis":"judgment","rationale":"Otherwise available or later treatment.","sourceIds":[]},{"name":"b","value":0.25,"unit":"ordinary-funding response","basis":"judgment","rationale":"Public/volunteer capacity and substitution.","sourceIds":[]},{"name":"s","value":0.8,"unit":"clinical resolution probability","basis":"judgment","rationale":"Judgment after delivered course.","sourceIds":[]},{"name":"u","value":0.04,"unit":"utility gain while pain avoided","basis":"judgment","rationale":"Subjective, not symptom-score conversion.","sourceIds":[]},{"name":"T","value":0.25,"unit":"years of avoided untreated pain","basis":"judgment","rationale":"Quarter-year only.","sourceIds":[]},{"name":"h","value":0.0005,"unit":"QALY treatment burden/course","basis":"judgment","rationale":"Subjective complications/procedure allowance.","sourceIds":[]},{"name":"g_CA","value":0.98,"unit":"California resident-health share","basis":"judgment","rationale":"California clinics, small leakage allowed.","sourceIds":["connects"]},{"name":"d","value":0.03,"unit":"continuous discount convention using ln(1+d)","basis":"judgment","rationale":"Annual rate3%.","sourceIds":[]},{"name":"Q_other_CA","value":null,"unit":"California QALYs","basis":"unknown","rationale":"Other portfolio clinical and policy effects omitted.","sourceIds":[]}],"scenarios":[{"id":"central","label":"Conditional symptomatic-care central","costUSD":4125766.8,"allPopulationQalys":0.6421166274783404,"editionQalys":0.6292742949287736,"assumptions":"f,k,z,a,b,s,u,T,h,g_CA = 0.2, 1000, 1000, 0.5, 0.25, 0.8, 0.04, 0.25, 0.0005, 0.98; d=.03."},{"id":"low","label":"Low benefit and higher resources","costUSD":3781952.9,"allPopulationQalys":0.0019204845338215747,"editionQalys":0.0017284360804394174,"assumptions":"f,k,z,a,b,s,u,T,h,g_CA = 0.1, 2500, 2500, 0.2, 0.1, 0.6, 0.02, 0.1, 0.0005, 0.9; d=.03."},{"id":"high","label":"Favorable finite pain relief","costUSD":4813394.6,"allPopulationQalys":38.7660090988108,"editionQalys":38.7660090988108,"assumptions":"f,k,z,a,b,s,u,T,h,g_CA = 0.4, 500, 500, 0.8, 0.5, 0.9, 0.08, 0.5, 0.0005, 1; d=.03."},{"id":"zero","label":"No added health","costUSD":4125766.8,"allPopulationQalys":0,"editionQalys":0,"assumptions":"No donation-sensitive effective care."},{"id":"adverse","label":"Net adverse stress","costUSD":4125766.8,"allPopulationQalys":-1,"editionQalys":-1,"assumptions":"One California QALY lost; subjective stress."},{"id":"portfolio","label":"Complete portfolio unpriced","costUSD":4125766.8,"allPopulationQalys":null,"editionQalys":null,"assumptions":"Other health unpriced."},{"id":"unoffset-treatment-harm","label":"Retain all funding-responsive treatment burden","costUSD":4125766.8,"allPopulationQalys":0.5991398899783404,"editionQalys":0.5871570921787737,"assumptions":"Central delivery/benefit assumptions; Qall=N*b*(a*s*u*integral-h), N=E*.2/1000,b=.25,a=.5,h=.0005. Alternative care does not offset any procedure burden; no extra clinical success/completion multiplier."}],"sensitivity":["Unrecognized partner cost provision can be replaced with measured opportunity cost; do not use billed charity-care value as QALYs.","Prompt alternative care collapses the avoided-pain duration; general anesthesia requires a different burden model.","All clinical assumptions are subjective; favorable cases are not statistical bounds."],"missingInputs":["Current unrestricted allocation and funded/volunteer bottlenecks.","Completed symptomatic courses, resident mix and untreated delay.","Measured pain utility, resolution and complication outcomes.","Partner resource value and other portfolio health."]},"sources":[{"id":"about","title":"Foundation identity and scope","publisher":"CDA Foundation","url":"https://www.cda.org/About/CDA-Foundation/About-Us/","published":null,"retrieved":"2026-09-13"},{"id":"connects","title":"CDA Cares Connects current program page","publisher":"CDA Foundation","url":"https://www.cda.org/about/cda-foundation/cda-cares-connects/","published":null,"retrieved":"2026-09-13"},{"id":"evolution","title":"Evolution of community clinic model","publisher":"CDA Foundation","url":"https://www.cda.org/newsroom/access-to-care/celebrating-25-years-of-expanding-access-to-care-the-evolution-of-cda-foundation-clinics/","published":"2026-01-14","retrieved":"2026-09-13"},{"id":"clinic","title":"September 19 special-needs clinic volunteer request","publisher":"CDA Foundation","url":"https://www.cda.org/newsroom/cda-foundation/restorative-dentists-and-oral-surgeons-needed-for-sept-19-clinic/","published":"2026-08-18","retrieved":"2026-09-13"},{"id":"annual25","title":"2025 Foundation annual report","publisher":"CDA Foundation","url":"https://www.cda.org/wp-content/uploads/CDAF_26_2025_Annual_Report_fnl.pdf","published":null,"retrieved":"2026-09-13"},{"id":"99024","title":"Original 2024 Form 990","publisher":"CDA Foundation / IRS via ProPublica","url":"https://projects.propublica.org/nonprofits/organizations/680411536/202523189349313247/full","published":null,"retrieved":"2026-09-13"},{"id":"99023","title":"Original 2023 Form 990 with 2022 comparative","publisher":"CDA Foundation / IRS via ProPublica","url":"https://projects.propublica.org/nonprofits/organizations/680411536/202402839349302065/full","published":null,"retrieved":"2026-09-13"},{"id":"dhcs","title":"Current Medi-Cal dental benefit-change FAQ","publisher":"California DHCS","url":"https://www.dhcs.ca.gov/services/medi-cal-dental-benefit-changes/medi-cal-dental-benefit-changes-frequently-asked-questions/","published":null,"retrieved":"2026-09-13"},{"id":"chffa","title":"Specialty Dental Clinic Grant Program funding and status","publisher":"California Treasurer / CHFFA","url":"https://www.treasurer.ca.gov/chffa/dental/sdcgp","published":null,"retrieved":"2026-09-13"},{"id":"rotations","title":"Publicly funded dental-school community rotations","publisher":"CDA Foundation","url":"https://www.cda.org/newsroom/access-to-care/california-dental-students-and-underserved-communities-benefit-from-community-based-clinical-education-funds/","published":"2025-07-21","retrieved":"2026-09-13"},{"id":"utility","title":"Prospective dental treatment cost and EQ-5D cohort","publisher":"Wigsten et al., Clinical and Experimental Dental Research","url":"https://pubmed.ncbi.nlm.nih.gov/37386766/","published":null,"retrieved":"2026-09-13"},{"id":"fluoride","title":"Foundation fluoridation protection work","publisher":"CDA Foundation","url":"https://www.cda.org/newsroom/cda-foundation/celebrating-a-legacy-of-water-fluoridation-and-protecting-systems-for-the-future/","published":"2026-07-13","retrieved":"2026-09-13"},{"id":"donate","title":"Foundation donation route","publisher":"CDA Foundation","url":"https://myaccount.cda.org/CDAFoundation/s/donations","published":null,"retrieved":"2026-09-13"},{"id":"schedule2022","title":"Original 2022 Schedule D expense reconciliation","publisher":"CDA Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202323179349302837/IRS990ScheduleD","published":null,"retrieved":"2026-09-14"},{"id":"schedule2023","title":"Original 2023 Schedule D expense reconciliation","publisher":"CDA Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202402839349302065/IRS990ScheduleD","published":null,"retrieved":"2026-09-14"},{"id":"schedule2024","title":"Original 2024 Schedule D expense reconciliation","publisher":"CDA Foundation / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202523189349313247/IRS990ScheduleD","published":null,"retrieved":"2026-09-14"}]}