{"edition":"denver","organization":"Dental Lifeline Network","organizationId":"ein:84-6129064","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-10-06","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":3370144.2726859637,"canonicalPriceUSDPerTenEquivalentYears":33701442.72685964,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":3370144.2726859637,"canonicalPriceUSDPerTenEquivalentYears":33701442.72685964,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"dental-lifeline-network-denver-reused-usa-dln-health-resources-reconsidered-2026-10-02-initial-20261006","costScope":"Exact reused national donor10kframework; partial judged Denver attribution, not annual operating-cost ratio or local funding offer.","geographicAttribution":"Judged .04national incremental cohort/resource share inside ten-county DenverCBSA; .01/.08/0/1sensitivities; no residence/capacity measurement.","formula":"N=min(G*b/c,capacity), C=N*r; buyers=C*p, free=C*(1-p)*(1-s), A=C*(1-p)*s. Clinical=g*[A*(u*exp(-ln(1+d)*L)*integral_0^T exp(-(ln(1+d)+m+loss+catchup)*t)dt-h*exp(-ln(1+d)*L))-N*ha]. Resources sum signed per-household logarithmic receipt flows. Positive wages use independence; negative wages and direct cash burdens are charged fully. Combined=clinical+resources; donor price=10*G/combined only if positive and known. Denver g=.04 applied once to health and signed resources.","counterfactual":"No-new-gift includes committed public/private support, existing volunteer slots, insurance exhaustion, medically linked Medicare, other free providers and delayed private care. Otherwise purchasers and equivalent same-time free care have no incremental clinical benefit or matched treatment harm. Additional application burdens remain.","attribution":"Funding response, completion, otherwise purchasing, same-time alternatives and later catchup are separate judged pathways. Common-alive earnings are not survival-created pay. One candidate-equivalent is one representative household; no hidden household-size or patient-repeat multiplier. Denver share is new judgment, not re-estimated national efficacy.","uncertainty":"Local completed cohort, restricted capacity, matched state budget and residence unknown. Underlying national clinical/resource judgments reused, not empirical local effects.","nativeOutcomes":"Fresh local page links2021–22state report409served/144waitlist. Neither historical statecount nor current nationalDDS4367served is Denvercompleted patients.","inputs":[{"name":"G","value":10000,"unit":"model parameter","basis":"judgment","rationale":"Conventional national hypothetical gift10,000, not observed annual cost or verified offer.","sourceIds":["denver-services","dln-income-method"]},{"name":"maxGift","value":25000,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"c","value":1500,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"b","value":0.5,"unit":"model parameter","basis":"judgment","rationale":"Reused national funding response.5, distinct from eventual completion.","sourceIds":["denver-services","dln-income-method"]},{"name":"capacity","value":8,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"r","value":0.65,"unit":"model parameter","basis":"judgment","rationale":"Reused eventual equivalent completion.65; servedcounts not completed outcomes.","sourceIds":["denver-services","dln-income-method"]},{"name":"purchaseShare","value":0.05,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"s","value":0.75,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"u","value":0.025,"unit":"model parameter","basis":"judgment","rationale":"Reused accepted national .025oral utility annual judgment, not measured localQALY.","sourceIds":["denver-services","dln-income-method"]},{"name":"T","value":3,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"L","value":1,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"m","value":0.04,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"loss","value":0.0625,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"catchup","value":0.06,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; 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adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"earningsYears","value":2,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"earningsDelay","value":1.5,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"incomeIndependent","value":0.25,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"volunteerCash","value":0,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"volunteerBaseline","value":50000,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"volunteerTime","value":1,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"completedOpportunity","value":2000,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"unfinishedOpportunity","value":200,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"healthKnown","value":true,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"cashKnown","value":true,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"earningsKnown","value":true,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"fundingKnown","value":true,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]},{"name":"grossKnown","value":true,"unit":"model parameter","basis":"judgment","rationale":"Explicit conditional judgment, not a measured causal recipient coefficient; adverse and null scenarios test this assumption.","sourceIds":["denver-services","dln-income-method"]}],"scenarios":[{"id":"central","label":"central","overrides":{},"costUSD":10000,"clinicalExposed":3.3333333333333335,"resourceExposed":3.3333333333333335,"editionQalys":0.0032411765523305642,"allPopulationQalys":0.0810294138082641,"incomePathways":[{"id":"application","people":3.3333333333333335,"annualIncomeBeforeUSD":22000,"annualIncomeGainUSD":-20,"years":1,"editionShare":0.04,"independentShare":1,"delayYears":0.5,"discountRate":0.03,"rationale":"Reused accepted national net cash/resource flow; Denver attribution applied once. Positive earnings overlap only; all negative cash/pay losses retained.","counterfactual":"Paid dental purchase, other free/public dental care or delayed catch-up; no donated retail value or survivor wages.","sourceIds":["dln-income-method","dln-faq","dln-terms","dln-employment-abstract"]},{"id":"purchaser","people":0.10833333333333335,"annualIncomeBeforeUSD":22000,"annualIncomeGainUSD":280,"years":1,"editionShare":0.04,"independentShare":1,"delayYears":1,"discountRate":0.03,"rationale":"Reused accepted national net cash/resource flow; Denver attribution applied once. 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