{"edition":"los-angeles","organization":"Downtown Women's Center","organizationId":"org:downtown-women-s-center","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-09-14","model":{"version":"la-dwc-housing-health-component-v1","costScope":"Full consolidated recipient recognized gross cost plus disclosed unrecognized volunteer resource; health component limited to housing and associated support.","geographicAttribution":"g=.98 is a judgment about LA/Orange resident benefit from LA-focused housing, not a verified address-weighted share.","formula":"C=30249107+281365+405000=30935472. Q=N*f*a*b*q*g/1.03, with N=700,f=.75,a=.30,b=.25,q=.05,g=.98. Q=1.8731796116504853 LA QALYs. Price10=10*C/Q. Qportfolio=Q+Qother-H, with Qother unidentified.","counterfactual":"Other housing providers, public contracts and health services continue. a reduces gross exposure for housing and support that would occur without DWC; b separately adjusts how much proportional capacity responds to an ordinary marginal gift.","attribution":"Annual residents are converted to person-years before assigning a finite incremental health trajectory. Retention, contacts, CAPABLE functioning and future units are not counted again. No lifetime survival term.","uncertainty":"Conditional subjective component best estimate, not a complete portfolio return. Causal health utility and funding elasticity are especially weakly identified. Positive stress cases are not probability bounds; zero and harm remain possible.","nativeOutcomes":"700 reported housed residents become 525 assumed exposure person-years. Multiplying by .30 incremental exposure and .25 funding response gives 39.375 additional person-years before geography. A .05 survival-adjusted utility gain is applied for that year only.","inputs":[{"name":"C","value":30935472,"unit":"USD annual consolidated resource cost","basis":"observed","rationale":"Recognized gross $30,530,472 plus audit-estimated $405,000 unrecognized volunteer value; valuation is approximate.","sourceIds":["audit25"]},{"name":"N","value":700,"unit":"reported housed residents in 2025","basis":"observed","rationale":"163 supportive-housing and 537 community-based residents; not verified person-years.","sourceIds":["impact"]},{"name":"f","value":0.75,"unit":"average exposure years per annual resident","basis":"judgment","rationale":"No resident entry/exit person-time supplied; test .5–1.","sourceIds":["impact"]},{"name":"a","value":0.3,"unit":"incremental exposure fraction versus alternative","basis":"judgment","rationale":"Canadian randomized housing effect supports mechanism, not local rate; test .1–.6 and zero.","sourceIds":["hf"]},{"name":"b","value":0.25,"unit":"proportional marginal funding response","basis":"judgment","rationale":"Contracts, restricted capital and reserves permit substitution; test .05–.75.","sourceIds":["audit25","impact"]},{"name":"q","value":0.05,"unit":"survival-adjusted utility gain per additional housed person-year","basis":"judgment","rationale":"Mental/functional health once, not hypothetical preference loss or lifetime microsimulation result; test 0–.15.","sourceIds":["hf","confounding","utility","lifetime"]},{"name":"g","value":0.98,"unit":"LA/Orange beneficiary fraction","basis":"judgment","rationale":"LA-focused housing, with unmeasured moves and boundary leakage; test .9–1.","sourceIds":["impact","audit25"]},{"name":"d","value":0.03,"unit":"one-year discount","basis":"judgment","rationale":"One finite year only; no post-year persistence credit.","sourceIds":[]},{"name":"Qother","value":null,"unit":"non-overlapping portfolio LA QALYs","basis":"unknown","rationale":"Other clinical, employment, advocacy and development pathways remain unpriced.","sourceIds":["impact"]}],"scenarios":[{"id":"central","costUSD":30935472,"allPopulationQalys":1.9114077669902911,"editionQalys":1.8731796116504853,"assumptions":"N=700; f=0.75; a=0.3; b=0.25; q=0.05; g=0.98; one year discounted 3%. Subjective joint stress case, not confidence bounds.","label":"Conditional housing-and-support health component"},{"id":"low","costUSD":30935472,"allPopulationQalys":0.008495145631067963,"editionQalys":0.007645631067961166,"assumptions":"N=700; f=0.5; a=0.1; b=0.05; q=0.005; g=0.9; one year discounted 3%. Subjective joint stress case, not confidence bounds.","label":"Weak housing and health increment"},{"id":"high","costUSD":30935472,"allPopulationQalys":45.87378640776699,"editionQalys":45.87378640776699,"assumptions":"N=700; f=1; a=0.6; b=0.75; q=0.15; g=1; one year discounted 3%. Subjective joint stress case, not confidence bounds.","label":"Favorable housing and health increment"},{"id":"zero","label":"No additional health","costUSD":30935472,"allPopulationQalys":0,"editionQalys":0,"assumptions":"a, b or q equals zero."},{"id":"adverse","label":"Illustrative net harm","costUSD":30935472,"allPopulationQalys":-1,"editionQalys":-1,"assumptions":"One LA QALY of net loss from disruption or other harms; not observed."},{"id":"portfolio-unknown","label":"Whole-portfolio return unestimated","costUSD":30935472,"allPopulationQalys":null,"editionQalys":null,"assumptions":"Omitted pathways cannot be assumed zero for ranking."}],"sensitivity":["Central price $165,149,523.34 per 10 LA QALYs; favorable $6,743,605.54; weak $40,461,633,219.05.","Removing the $405,000 unrecognized volunteer valuation changes cost only, retaining $30,530,472 recognized gross expense.","Halving funding responsiveness or incremental health utility doubles the positive component price.","Annual person-year exposure is capped at one; no lifetime benefit is bought with one operating year.","Outside landlord/public health resources and future capital costs are not fully identified; adding induced resource costs worsens the resource-inclusive price."],"missingInputs":["Resident-level person-time, address and alternative-housing counterfactual.","Representative causal health utilities and outcomes after housing exit.","Marginal unrestricted budget and placement response to private funding.","Capital cohort cost and future operating commitments.","Non-overlapping clinical, employment and advocacy outcomes."]},"sources":[{"id":"audit25","title":"2025 consolidated audited statements; auditor date April 28, 2026","url":"https://projects.propublica.org/nonprofits/display_audit/2025-12-GSAFAC-0000419329","publisher":"DWC / independent auditor","published":null,"retrieved":"2026-09-14"},{"id":"audit24","title":"2024 consolidated audited statements","url":"https://projects.propublica.org/nonprofits/display_audit/2024-12-GSAFAC-0000381204","publisher":"DWC / independent auditor","published":null,"retrieved":"2026-09-14"},{"id":"audit23","title":"2023 consolidated audited statements","url":"https://projects.propublica.org/nonprofits/display_audit/2023-12-GSAFAC-0000057330","publisher":"DWC / independent auditor","published":null,"retrieved":"2026-09-14"},{"id":"impact","title":"2025 impact report on Annual Report 2026 webpage","url":"https://downtownwomenscenter.org/2025annualreport/","publisher":"DWC","published":null,"retrieved":"2026-09-14"},{"id":"finance","title":"Current financials index","url":"https://downtownwomenscenter.org/financials/","publisher":"DWC","published":null,"retrieved":"2026-09-14"},{"id":"donate","title":"Ordinary recipient donation page","url":"https://downtownwomenscenter.org/donate/","publisher":"DWC","published":null,"retrieved":"2026-09-14"},{"id":"hf","title":"Multicity Housing First randomized trial","url":"https://pubmed.ncbi.nlm.nih.gov/26620289/","publisher":"Aubry and colleagues / Psychiatric Services","published":"2015-12-01","retrieved":"2026-09-14"},{"id":"confounding","title":"Homelessness and health-related quality of life: adjusted observational analysis","url":"https://pubmed.ncbi.nlm.nih.gov/41758416/","publisher":"Lo and colleagues / Psychiatric Quarterly","published":"2026-02-27","retrieved":"2026-09-14"},{"id":"utility","title":"Hypothetical homelessness utility survey","url":"https://pubmed.ncbi.nlm.nih.gov/34629422/","publisher":"Rajan and Tsai / Medical Care","published":"2021-12-01","retrieved":"2026-09-14"},{"id":"lifetime","title":"Stable housing health and economic microsimulation for older adults","url":"https://jamanetwork.com/journals/jama-health-forum/fullarticle/2847326","publisher":"Gande and colleagues / JAMA Health Forum","published":"2026-04-10","retrieved":"2026-09-14"}]}