{"edition":"chicago","organization":"Old Irving Park Community Clinic","organizationId":"org:old-irving-park-community-clinic","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-10-05","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":356352.2284065705,"canonicalPriceUSDPerTenEquivalentYears":3563522.284065705,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":356352.2284065705,"canonicalPriceUSDPerTenEquivalentYears":3563522.284065705,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"chicago-oipcc-beta-20261005","costScope":"Original FY 2024 audited whole-clinic expense is $1,060,786, including management and fundraising. Its $660,816 nonfinancial contribution is already matched by expense, not an addback. Note 3 says $660,815 and retains a mislabeled 2023 heading: a $1 discrepancy and drafting error, not silently corrected. The note excludes volunteer services failing recognition criteria. FY 2023 and FY 2022 audited expenses are $1,181,581 and $1,436,262; comparable recognized accrual mean $1,226,209.67. The latest current financial index lists 2024, not a verified 2025 audit. Recognized fair value is not demonstrated economic opportunity cost. Central factor 1 retains the recognized value as a conditional resource-cost reference; .5/1.5 donor-resource valuation and $50,000 extra unrecognized recipient-resource stresses are explicit judgments. They are not next-dollar cash budgets. Depreciation is retained; capital assets are not all recurring marginal expenses.\n\nThe full annual denominator is paired with 2,500 panel proxy × .5 annual activity × .4 additional annual funded-work response =500 exposed households. Clinical .30 additional responders gives 150 residents within that union; .05 utility × .5 year after a quarter-year delay at 3% gives 3.647943 Chicago clinical QALYs with judged residence share .98. b=.4 is the conditional fraction of annual work additional after replacement funding and binding capacity, not a second donor haircut on observed incremental outcomes. b=1 is separately shown. The ordinary gift response is unpriced.\n\nA separate .30 resource-success hypothesis gives 150 households $300 of medical spending they would actually otherwise pay within one year, net of insurance/assistance, forgone care, replacement and taxes/benefits. It is not a $300 retail care value or an inference that all uninsured people buy treatment. Each positive component retains .5 for health overlap, then full $100 incremental time, travel, childcare and additional care burden versus alternative care is subtracted. These 150 households gain $50;350 other exposed households lose $100. Resource responders need not be clinical responders; overlap is handled at the positive resource component. One welfare-equivalent person per household, $20,000 annual resources and one joint log give −.671152 equivalents after residence and delay. Extra family welfare is unpriced. Central workGain 0 is unknown-neutral, not measured zero; a positive net-work hypothesis models nonfatal missed paid work avoided after taxes, benefit withdrawal and new costs, not ordinary survivor wages.\n\nClinical plus resource 2.976791 implies $3.563522 million per ten combined healthy-year welfare equivalents, not ten clinical QALYs. The initial $2.886493 million health-only price is preserved. The increase reflects finite delay and explicit signed household burdens, not new demonstrated efficacy or forced favorable change. Clinical-null retains resource exposure and all costs; zero savings, full unknown, adverse and zero expansion are distinct controls. Full union clinical harm is not shrunk by resource success. Positive-only overlap never attenuates negative resource components. Payer/provider margin loss, outside care costs and unrecognized recipient costs are separate stresses. Central outside incidence is unknown-neutral and incomplete, not complete world benefit; nonlocal household resources and public opportunity costs remain unpriced.","geographicAttribution":"Patient g=.98 judged MSA residence applies to health and resources; local counterparty stress g=1. Nonlocal resources unpriced.","formula":"annual=N*k; exposed=annual*b; clinical=exposed*a; Q_all=clinical*u*discounted(T)−exposed*harm/discount(delay); Q_MSA=Q_all*g. Separate resourceSuccess partitions households; positive-only signed medical/work components jointly net full costs before .5*persons*discounted years*log(1+net/baseline). Effective C=C−donatedUSD+factor*donatedUSD+unrecognizedCostUSD. Price10=10*effective C/(clinical+resource equivalents).","counterfactual":"Cook County CareLink, insurance eligibility, other clinics, medication assistance and partner capacity continue; some patients otherwise forgo rather than buy care.","attribution":"Annual activity, incremental annual capacity, clinical response, resource success and residence are distinct judgments, not independent measured probabilities. Clinical/resource responder equality is not assumed.","uncertainty":"Conditional reference, not calibrated expected value. Unmatched panel/year, causal utility, actual spending and marginal donation response unresolved.","nativeOutcomes":"Additional completed symptom-relieving care, finite morbidity utility and signed actual otherwise-paid medical spending/work resources; no retail care value or survivor wages.","historicalAlphaModel":{"formula":"Q_all=N*k*a*u*T*b; Q_MSA=Q_all*g; cost=C; price10=10*C/Q_MSA","counterfactual":"a is the share with meaningful morbidity relief beyond equivalent alternative care; b separately discounts replacement funding and constrained volunteer capacity. No mortality benefit is credited.","attribution":"One morbidity pathway only. Other health pathways are provisionally assigned zero net benefit, not demonstrated zero or a lower bound. Visits, prescriptions and retail care values are not added as QALYs. Cross-recipient benefits cannot be summed without person-level deduplication.","uncertainty":"All utility, causal response, duration, funding additionality and residence parameters are illustrative judgments, not measured causal effects, calibrated expected values, confidence intervals or marginal gift purchase prices. Different accounting treatment of donated care prevents comparative economic-efficiency rankings.","sensitivity":["Poor and favorable scenarios vary several uncalibrated assumptions together; they are not exhaustive bounds.","Zero additionality produces zero QALYs and no finite price.","Changing cost alone scales price proportionally; changing any multiplicative benefit factor inversely scales price.","At otherwise central assumptions, k=.25/.5/1 yields half/base/double benefit. Current panel and FY2024 expenses are unmatched in time."],"missingInputs":["Recipient causal morbidity and health-utility outcomes with follow-up and alternative-care comparison.","Additional unrestricted dollars, priced unfunded expansion and binding staff/volunteer constraints.","Patient residence, overlap across services and clinics, and incremental economic cost of donated resources.","Dated annual unique-patient count and matched cost/activity year."],"version":"chicago-old-irving-park-community-clinic-alpha-v1","costScope":"Full FY2024 audited recipient expense, including recognized nonfinancial resources and support costs. Unrecognized volunteer time and external partner costs remain outside accounting expense; accounting value is not opportunity cost.","geographicAttribution":"Clinic at 5425 W Addison Street, Chicago, anchors service in Cook County within the pinned 13-county Chicago MSA. g=.98 is judged residence share, not measured; Kenosha is excluded.","nativeOutcomes":"Current panel exceeds 2,500, but an annual denominator was not established; annual activity is modeled with k, not asserted observed.","inputs":[{"name":"C","value":1060786,"basis":"observed","rationale":"FY2024 audited whole-clinic expense is $1,060,786, retaining management and fundraising. Recognized nonfinancial contributions appear as $660,816 on the activity statement and $660,815 in note 3: a $1 discrepancy and a mislabeled table-year heading are retained as source caveats. They already have matching expenses and are not added again. The scenario uses 2,500 panel proxy × .5 annual treated fraction × .30 additional responder share × .05 utility × .5 year × .4 funding additionality × .98 MSA share.","sourceIds":["audit24"],"unit":"USD; observed financial amounts with stated boundary addback"},{"name":"N","value":2500,"basis":"observed","rationale":"Current panel exceeds 2,500, but an annual denominator was not established; annual activity is modeled with k, not asserted observed.","sourceIds":["panel"],"unit":"persons/panel proxy as stated"},{"name":"k","value":0.5,"basis":"judgment","rationale":"Assumed annual fraction of undated current panel; not observed annual activity","sourceIds":[],"unit":"fraction"},{"name":"a","value":0.3,"basis":"judgment","rationale":"Incremental responder fraction beyond equivalent alternative care","sourceIds":[],"unit":"fraction"},{"name":"u","value":0.05,"basis":"judgment","rationale":"Utility gain among incremental responders; no recipient measurement","sourceIds":[],"unit":"QALY/year"},{"name":"T","value":0.5,"basis":"judgment","rationale":"Duration of relief, no persistence beyond half-year","sourceIds":[],"unit":"years"},{"name":"b","value":0.4,"basis":"judgment","rationale":"Funding additionality after replacement finance and capacity constraints","sourceIds":[],"unit":"fraction"},{"name":"g","value":0.98,"basis":"judgment","rationale":"Clinic at 5425 W Addison Street, Chicago, anchors service in Cook County within the pinned 13-county Chicago MSA. g=.98 is judged residence share, not measured; Kenosha is excluded.","sourceIds":["geo"],"unit":"fraction"}],"scenarios":[{"id":"central","label":"Illustrative central","costUSD":1060786,"allPopulationQalys":3.75,"editionQalys":3.675,"assumptions":"N=2500; k=0.5; a=.30; u=.05; T=.5; b=.4; g=0.98. Judged benefit conversion, not measured EV."},{"id":"poor","label":"Illustrative poor case","costUSD":1060786,"allPopulationQalys":0.0625,"editionQalys":0.05625,"assumptions":"k=0.25; a=.1; u=.02; T=.25; b=.2; g=.9. No probability assigned."},{"id":"favorable","label":"Illustrative favorable case","costUSD":1060786,"allPopulationQalys":70,"editionQalys":70,"assumptions":"k=1; a=.5; u=.08; T=1; b=.7; g=1. Not an upper bound."},{"id":"zero","label":"No additional health benefit","costUSD":1060786,"allPopulationQalys":0,"editionQalys":0,"assumptions":"b=0: all care replaced or constrained; zero benefit, no finite price."}]},"inputs":[{"name":"C","value":1060786,"unit":"USD annual recognized expense","basis":"observed","rationale":"Original audit amount; matching noncash resources already recognized.","sourceIds":["audit24"]},{"name":"donatedUSD","value":660816,"unit":"USD recognized nonfinancial expense","basis":"observed","rationale":"Original audit amount; matching noncash resources already recognized.","sourceIds":["audit24"]},{"name":"donatedOpportunityFactor","value":1,"unit":"Economic opportunity-cost factor","basis":"judgment","rationale":"Recognized-value reference, not measured economic opportunity cost.","sourceIds":["audit24"]},{"name":"unrecognizedCostUSD","value":0,"unit":"USD annual extra recipient resources","basis":"unknown","rationale":"Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero.","sourceIds":["audit24"]},{"name":"N","value":2500,"unit":"Rounded undated patient panel proxy","basis":"judgment","rationale":"Rounded >2,500 undated panel, not exact observed annual unique people.","sourceIds":["panel"]},{"name":"k","value":0.5,"unit":"Judged annual treated fraction","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["panel"]},{"name":"a","value":0.3,"unit":"Incremental clinical responder fraction","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["oregon"]},{"name":"u","value":0.05,"unit":"Utility per responder-year","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["oregon"]},{"name":"T","value":0.5,"unit":"Finite clinical years","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"b","value":0.4,"unit":"Additional annual funded-work fraction","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"g","value":0.98,"unit":"Chicago metro resident share","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"delay","value":0.25,"unit":"Years until benefit","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"discount","value":0.03,"unit":"Annual discount rate","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"resourceSuccess","value":0.3,"unit":"Additional actual spending-success fraction","basis":"judgment","rationale":"Actual otherwise-paid savings beyond alternatives, distinct from clinical response.","sourceIds":["services"]},{"name":"medicalGain","value":300,"unit":"USD net otherwise-paid spending per successful household-year","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"workGain","value":0,"unit":"USD net incremental work resources per successful household-year","basis":"unknown","rationale":"Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero.","sourceIds":["services"]},{"name":"cost","value":100,"unit":"USD incremental burden per exposed household-year","basis":"judgment","rationale":"Incremental burden versus alternative care, not all gross visit time.","sourceIds":["services"]},{"name":"baseline","value":20000,"unit":"USD annual household resources","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"positiveOverlap","value":0.5,"unit":"Retained positive resource fraction","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"payerLoss","value":0,"unit":"USD lost payer/provider resources per resource-success household","basis":"unknown","rationale":"Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero.","sourceIds":["services"]},{"name":"payerPeople","value":20,"unit":"Distinct local counterparty households/one welfareperson each","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"payerBaseline","value":60000,"unit":"USD counterparty annual household resources","basis":"judgment","rationale":"Explicit conditional prior; source informs mechanism, not numerical local coefficient.","sourceIds":["services"]},{"name":"externalCost","value":0,"unit":"USD outside own resources lost per exposed household","basis":"unknown","rationale":"Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero.","sourceIds":["services"]},{"name":"harm","value":0,"unit":"QALY harm per exposed household","basis":"unknown","rationale":"Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero.","sourceIds":["services"]}],"scenarios":[{"id":"central","label":"central","overrides":{},"inputs":{"C":1060786,"donatedUSD":660816,"donatedOpportunityFactor":1,"unrecognizedCostUSD":0,"N":2500,"k":0.5,"a":0.3,"u":0.05,"T":0.5,"b":0.4,"g":0.98,"delay":0.25,"discount":0.03,"resourceSuccess":0.3,"medicalGain":300,"workGain":0,"cost":100,"baseline":20000,"positiveOverlap":0.5,"payerLoss":0,"payerPeople":20,"payerBaseline":60000,"externalCost":0,"harm":0},"costUSD":1060786,"annualPeople":1250,"exposed":500,"clinicalPeople":150,"union":500,"allPopulationQalys":3.7223907605442736,"editionQalys":3.647942945333388,"incomePathways":[{"id":"resource-changed","people":150,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":50,"years":1,"editionShare":0.98,"delayYears":0.25,"discountRate":0.03,"rationale":"One welfare-equivalent person per distinct household; clinical residents are a subset. Joint signed net once, full costs.","counterfactual":"Cook County CareLink, other clinics and existing assistance continue; only otherwise-paid spending and incremental work resources net of replacement count.","sourceIds":["services","carelink","audit24"]},{"id":"other-exposed","people":350,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":-100,"years":1,"editionShare":0.98,"delayYears":0.25,"discountRate":0.03,"rationale":"One welfare-equivalent person per distinct household; clinical residents are a subset. Joint signed net once, full costs.","counterfactual":"Cook County CareLink, other clinics and existing assistance continue; only otherwise-paid spending and incremental work resources net of replacement count.","sourceIds":["services","carelink","audit24"]}],"incomeEquivalent":-0.6711522437758134,"incomeUnknown":false,"totalEquivalent":2.9767907015575745,"price10":3563522.284065705,"costPer10Qalys":3563522.284065705,"incomeEquivalentYears":-0.6711522437758134,"combinedEquivalentYears":2.9767907015575745,"assumptions":"Conditional annual clinic channel; complete portfolio and marginal gift effects unknown."},{"id":"clinical-null","label":"clinical null","overrides":{"u":0},"inputs":{"C":1060786,"donatedUSD":660816,"donatedOpportunityFactor":1,"unrecognizedCostUSD":0,"N":2500,"k":0.5,"a":0.3,"u":0,"T":0.5,"b":0.4,"g":0.98,"delay":0.25,"discount":0.03,"resourceSuccess":0.3,"medicalGain":300,"workGain":0,"cost":100,"baseline":20000,"positiveOverlap":0.5,"payerLoss":0,"payerPeople":20,"payerBaseline":60000,"externalCost":0,"harm":0},"costUSD":1060786,"annualPeople":1250,"exposed":500,"clinicalPeople":150,"union":500,"allPopulationQalys":0,"editionQalys":0,"incomePathways":[{"id":"resource-changed","people":150,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":50,"years":1,"editionShare":0.98,"delayYears":0.25,"discountRate":0.03,"rationale":"One welfare-equivalent person per distinct household; clinical residents are a subset. 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