{"edition":"california","organization":"Center for Independent Living","organizationId":"ein:23-7175191","boundaryVersion":"US-CA-state-v1","updated":"2026-09-13","model":{"version":"ca-cil-alpha-v2-conditional-repair","costScope":"Ordinary unrestricted gift, C=$100,000 analytical normalization. Full gift remains charged even though this model quantifies only a repair/loaner health pathway. f is an explicit marginal portfolio allocation, not a restricted donation. Unit cost k includes wages, employment loading, materials and allocated recipient support. This is donor-dollar cost, not a societal-cost estimate; donated device and partner resource opportunity costs remain unknown.","geographicAttribution":"g_CA=1 for the short-duration direct-service scenario, based on Northern Alameda County eligibility. National advocacy benefits are not counted. This is an inference about weeks of local client benefit, not location of headquarters.","formula":"k=(w*b*h+p)*o USD per attempted repair/loaner episode. N=C*f/k*m*s*a additional successfully restored-function episodes, where m is financing/capacity additionality, s is fit/completion success, and a excludes otherwise equivalent timely alternatives. q=du*exp(-r*L)*(1-exp(-r*D/365))/r for D days gained beginning L years after gift. Q_all=N*q; Q_CA=g_CA*Q_all; price_10_CA=10*C/Q_CA if positive. Each episode is counted only for the actual counterfactual interval with lost function; sum person-days without overlaps and no repeated lifetime award. Other CIL channels remain unestimated.","counterfactual":"CIL's existing grants, payroll and inventory, insured/vendor service, publicly financed device loan centers, Easy Does It emergency repair and individual backups continue. A donor-funded slot must actually accelerate restoration relative to these options. CIL's current month-long response queue is NOT itself the number of functional days lost or saved.","attribution":"m discounts replacement of grant/reserve funding or staffing constraints; a separately discounts equivalent alternative repair/loaner service and usable backups. s accounts for failed or unsuitable delivery. Do not count one disability-related utility improvement separately as avoided injury, isolation and mobility restoration. No attribution of all recipient work to the repair branch.","uncertainty":"A bottom-up subjective conditional central, not a measured CIL effect and not a comprehensive estimate of every recipient benefit. Wage and organization support scale have source anchors; allocation, labor time, materials, completion, substitution and health gain are judgments. Favorable/adverse scenarios are simultaneous stress tests, not confidence limits. Zero and harms are not excluded. Omitted institutional-transition, access, counseling, education and rights benefits could materially change a full-portfolio estimate; this partial model should not be read as proof of a poor overall return.","nativeOutcomes":"Central at C=$100,000: $10,000 of modeled portfolio allocation; 22.203 gross attempted slots at k=$450.39279; 11.101 after financing/capacity adjustment; 8.881 completed appropriate episodes; 4.441 that beat an equivalent alternative; 62.168 otherwise-lost functional person-days regained. With du=0.10, finite duration and start delay this produces 0.01689533 California QALYs. No episode, day or utility value is an observed CIL outcome.","inputs":[{"name":"C","value":100000,"unit":"USD ordinary gift","basis":"judgment","rationale":"Calculation normalization; not a verified funding request.","sourceIds":[]},{"name":"FY2025 total expenses","value":4370584,"unit":"USD/year","basis":"observed","rationale":"Original return Part IX recipient total; retained financial scale.","sourceIds":["99025"]},{"name":"FY2025 program expenses","value":2752037,"unit":"USD/year","basis":"observed","rationale":"Original Part IX program column; not a repair-only budget.","sourceIds":["99025"]},{"name":"f","value":0.1,"unit":"ordinary gift share supporting repair/loaner capacity","basis":"judgment","rationale":"A modest share within a broad portfolio. Core consumer services includes AT along with housing, home modification and transitions; repair-only allocation is not reported. Stress 0.02–0.25. The allocated share includes its corresponding support costs; k is therefore support-loaded, not a second charge to the total gift.","sourceIds":["99025","repairs"]},{"name":"w","value":34,"unit":"USD direct wage/hour","basis":"judgment","rationale":"Rounded proxy from current $33.99/hour community independent-living specialist vacancy; not a verified repair technician wage. General CIL careers page states starting pay $28/hour. Stress $28–40.","sourceIds":["cil-job-specialist","cil-jobs"]},{"name":"b","value":1.35,"unit":"employment-cost multiplier on wage","basis":"judgment","rationale":"35% benefits/payroll/paid-leave loading; CIL advertises extensive benefits but actual marginal load is unreported. Stress 1.2–1.5.","sourceIds":["cil-jobs"]},{"name":"h","value":4,"unit":"staff hours per attempted episode","basis":"judgment","rationale":"Intake, handling, repair or loaner preparation, fitting and closeout combined. No local time-motion study; stress 2–8 hours.","sourceIds":["repairs","cil-at"]},{"name":"p","value":100,"unit":"USD materials per attempted episode","basis":"judgment","rationale":"Average repair/cleaning/component allowance, not device retail price or CIL observed invoice. Stress $50–500; actual case mix could exceed this.","sourceIds":[]},{"name":"o","value":1.5881269038170636,"unit":"recipient support-loading factor","basis":"judgment","rationale":"Central proxy equals observed total/program expense ratio 1.5881269; applying average support loading to marginal service cost is a judgment. Stress 1.3–2, not an accounting confidence bound.","sourceIds":["99025"]},{"name":"m","value":0.5,"unit":"financial/capacity additionality","basis":"judgment","rationale":"Half the modeled allocation adds usable service capacity after grant/reserve replacement and staffing constraints. Public grants are large, while requests and volunteer needs suggest unmet demand. Stress 0.1–0.8 plus zero.","sourceIds":["99025","cil-at"]},{"name":"s","value":0.8,"unit":"completed appropriate-function fraction","basis":"judgment","rationale":"Repair/loaner can fail or be unsuitable. External SCI repair survey's completion data motivate uncertainty, not a measured CIL success rate. Stress 0.5–0.95.","sourceIds":["cil-repair-study-full"]},{"name":"a","value":0.5,"unit":"fraction beating equivalent timely alternatives","basis":"judgment","rationale":"Half successful episodes deliver function otherwise lost after allowing insurance/vendors, state loan centers, EDI and backups. Stress 0.1–0.9.","sourceIds":["repairs"]},{"name":"D","value":14,"unit":"functional days gained per truly additional episode","basis":"judgment","rationale":"Finite acceleration prior, not observed days saved. External survey median repair duration was 14 days; CIL reports roughly one month before responding, so its current service is not automatically faster. Stress 2–60 days.","sourceIds":["repairs","cil-repair-study-full"]},{"name":"du","value":0.1,"unit":"health-utility increment during gained days","basis":"judgment","rationale":"Assumed health-related change from restored appropriate mobility function; not a valuation of the person's life. Stress 0.02–0.2. Does not monetize independence, rights or all social benefits.","sourceIds":[]},{"name":"L","value":0.25,"unit":"years before gained function begins","basis":"judgment","rationale":"Central quarter-year implementation/queue delay; stress 0.05–0.5.","sourceIds":[]},{"name":"r","value":0.03,"unit":"annual continuous QALY discount","basis":"judgment","rationale":"Explicit convention; survival set to one over at most 60 days with no mortality gain claimed.","sourceIds":[]},{"name":"g_CA","value":1,"unit":"California share of short direct health gain","basis":"judgment","rationale":"Local client eligibility and short horizon; no nationwide spillover credited.","sourceIds":["repairs"]},{"name":"incremental partner/device opportunity cost","value":null,"unit":"USD","basis":"unknown","rationale":"Donated equipment, public loan shipping, external repair and any public costs induced by expansion not measured.","sourceIds":[]}],"scenarios":[{"id":"central","label":"Central — partial-health conditional scenario","costUSD":100000,"allPopulationQalys":0.016895330225604348,"editionQalys":0.016895330225604348,"assumptions":"{\"f\":0.1,\"w\":34,\"b\":1.35,\"h\":4,\"p\":100,\"o\":1.5881269038170636,\"m\":0.5,\"s\":0.8,\"a\":0.5,\"days\":14,\"u\":0.1,\"g\":1,\"cost\":450.3927899225193,\"N\":4.440568421053229,\"q\":0.003804767458486105,\"Q\":0.016895330225604348,\"price\":59187952.33043336,\"L\":0.25}; r=0.03. All nonfinancial pathway inputs are judgments; not empirical bounds."},{"id":"favorable","label":"Favorable joint stress scenario","costUSD":100000,"allPopulationQalys":3.6752904258494232,"editionQalys":3.6752904258494232,"assumptions":"{\"f\":0.25,\"w\":28,\"b\":1.2,\"h\":2,\"p\":50,\"o\":1.3,\"m\":0.8,\"s\":0.95,\"a\":0.9,\"days\":60,\"u\":0.2,\"g\":1,\"cost\":152.36,\"N\":112.23418220005249,\"q\":0.0327466227650537,\"Q\":3.6752904258494232,\"price\":272087.34117083624,\"L\":0.05}; r=0.03. All nonfinancial pathway inputs are judgments; not empirical bounds."},{"id":"adverse","label":"Adverse joint stress scenario","costUSD":100000,"allPopulationQalys":5.507581637880014e-7,"editionQalys":5.507581637880014e-7,"assumptions":"{\"f\":0.02,\"w\":40,\"b\":1.5,\"h\":8,\"p\":500,\"o\":2,\"m\":0.1,\"s\":0.5,\"a\":0.1,\"days\":2,\"u\":0.02,\"g\":1,\"cost\":1960,\"N\":0.005102040816326531,\"q\":0.00010794860010244826,\"Q\":5.507581637880014e-7,\"price\":1815678941774.0188,\"L\":0.5}; r=0.03. All nonfinancial pathway inputs are judgments; not empirical bounds."},{"id":"zero","label":"No added function","costUSD":100000,"allPopulationQalys":0,"editionQalys":0,"assumptions":"m=0, a=0 or D=0: funding substitution, equal alternative service or no acceleration. No finite positive cost-per-QALY."}],"sensitivity":["Central partial-health price is about $59 million per ten California QALYs, favorable about $272,000 and adverse about $1.8 trillion. These joint stress scenarios are not confidence limits.","Halving f, m, s, a or du halves modeled QALYs. Doubling episode cost k doubles price. Longer counterfactual loss, not a longer loan recorded on paper, is needed to increase D.","At central delivery yield, reaching $1 million per ten QALYs requires roughly 59 times more health gain than the 14-day repair scenario supplies. Substantially longer unresolved access problems or separately demonstrated benefits from other programs could alter that assessment.","Current CIL response time is longer than the external median completed-repair time. Replacing D with that queue length without checking alternatives would overstate donation impact.","Home modifications are not added merely because a ramp is durable. Public funding substitution, who would otherwise remain without access, severity and duration are separate unresolved inputs.","The model's high partial-pathway price is not an estimate that unmodeled CIL services provide no value. Preserve this scope warning beside any displayed number."],"missingInputs":["Actual marginal allocation to repair/loaner capacity and costed staffing plan.","Hours, materials, completed repairs/loaners, device fit and unique client follow-up.","Unfunded versus already-financed demand and whether money or skilled labor/inventory is limiting.","Counterfactual functional days without CIL, alternative providers, backups and measured utility.","Separate nonoverlapping home-access, institutional transition, Living Well and advocacy effects; these may dominate the partial model.","Marginal third-party resource cost and current audit/control remediation evidence."]},"sources":[{"id":"home","title":"Current programs and Northern Alameda County service area","url":"https://thecil.org/","publisher":"Center for Independent Living","published":null,"retrieved":"2026-09-13"},{"id":"faq","title":"Eligibility, free services and funding","url":"https://thecil.org/about-us/faq/","publisher":"Center for Independent Living","published":null,"retrieved":"2026-09-13"},{"id":"repairs","title":"Assistive technology loaners and repairs","url":"https://thecil.org/assistive-technology/at-loaners-and-repairs/","publisher":"Center for Independent Living","published":null,"retrieved":"2026-09-13"},{"id":"access","title":"Residential access and geographic funding gap","url":"https://thecil.org/residential-access/","publisher":"Center for Independent Living","published":null,"retrieved":"2026-09-13"},{"id":"attendants","title":"Personal attendant services and limited provider registry","url":"https://thecil.org/core-services/personal-attendant-services/","publisher":"Center for Independent Living","published":null,"retrieved":"2026-09-13"},{"id":"living","title":"Living Well Senior Program","url":"https://thecil.org/core-services/living-well-senior-program/","publisher":"Center for Independent Living","published":null,"retrieved":"2026-09-13"},{"id":"donate","title":"General donation route","url":"https://thecil.org/donate/","publisher":"Center for Independent Living","published":null,"retrieved":"2026-09-13"},{"id":"99025","title":"Original FY2025 Form 990, IRS electronic filing","url":"https://projects.propublica.org/nonprofits/organizations/237175191/202641359349312384/full","publisher":"Center for Independent Living / IRS","published":null,"retrieved":"2026-09-13"},{"id":"99024","title":"Original FY2024 Form 990 with FY2023 comparative totals","url":"https://projects.propublica.org/nonprofits/organizations/237175191/202521359349306602/full","publisher":"Center for Independent Living / IRS","published":null,"retrieved":"2026-09-13"},{"id":"index","title":"Filing and audit index","url":"https://projects.propublica.org/nonprofits/organizations/237175191","publisher":"ProPublica / IRS and Federal Audit Clearinghouse","published":null,"retrieved":"2026-09-13"},{"id":"repair-study","title":"Wheelchair repairs: delays, causes and associated outcomes","url":"https://pubmed.ncbi.nlm.nih.gov/39427781/","publisher":"Wheelchair repair investigators, Archives of Physical Medicine and Rehabilitation","published":"2024-10-18","retrieved":"2026-09-13"},{"id":"consequences","title":"Factors influencing wheelchair repairs and consequences","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8501145/","publisher":"Worobey and colleagues, Archives of Physical Medicine and Rehabilitation","published":"2021-04-09","retrieved":"2026-09-13"},{"id":"living-trial","title":"Health promotion: evaluation of Living Well with a Disability","url":"https://pubmed.ncbi.nlm.nih.gov/17032708/","publisher":"Ravesloot and colleagues, Health Education Research","published":null,"retrieved":"2026-09-13"},{"id":"living-followup","title":"Living Well with a Disability: intervention and follow-up synthesis","url":"https://www.cdc.gov/mmwr/volumes/65/su/su6501a10.htm","publisher":"Ravesloot and colleagues, CDC MMWR","published":"2016-02-12","retrieved":"2026-09-13"},{"id":"home-rct","title":"HIPI home modification cluster-randomized trial","url":"https://pubmed.ncbi.nlm.nih.gov/25255696/","publisher":"Keall and colleagues, The Lancet","published":"2015-01-17","retrieved":"2026-09-13"},{"id":"cil-at","title":"Assistive Technology: current queue, non-emergency scope and volunteer needs","publisher":"Center for Independent Living","url":"https://thecil.org/assistive-technology/","published":null,"retrieved":"2026-09-13"},{"id":"cil-jobs","title":"Current careers pay and benefits","publisher":"Center for Independent Living","url":"https://thecil.org/job-listings/","published":null,"retrieved":"2026-09-13"},{"id":"cil-job-specialist","title":"Community Independent Living Specialist vacancy","publisher":"Center for Independent Living / Gusto","url":"https://jobs.gusto.com/postings/center-for-independent-living-inc-community-independent-living-specialist-e3d951ce-6b3c-4e55-b1bf-48c31cc1a655","published":null,"retrieved":"2026-09-13"},{"id":"cil-repair-study-full","title":"Wheelchair Repairs: Delays, Causes, and Associated Outcomes — author institution abstract","publisher":"Worobey et al. / University of Minnesota","url":"https://experts.umn.edu/en/publications/wheelchair-repairs-delays-causes-and-associated-outcomes/","published":null,"retrieved":"2026-09-13"},{"id":"cil-caper25","title":"Draft PY2024 / FY2025 Consolidated Annual Performance and Evaluation Report","publisher":"City of Berkeley","url":"https://berkeleyca.gov/sites/default/files/documents/DRAFT_COB_PY24%20CAPER_SAGE_0.pdf","published":null,"retrieved":"2026-09-13"},{"id":"cil-schedule-o25","title":"FY2025 Form 990 Schedule O","publisher":"Center for Independent Living / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202641359349312384/IRS990ScheduleO","published":null,"retrieved":"2026-09-13"}]}