{"edition":"los-angeles","organization":"Illumination Health + Home","organizationId":"org:illumination-foundation","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-10-08","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":49374976.8827823,"canonicalPriceUSDPerTenEquivalentYears":493749768.82782304,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":49374976.8827823,"canonicalPriceUSDPerTenEquivalentYears":493749768.82782304,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"la-illumination-respite-v1","costScope":"Full recognized recipient annual cost; respite-health component only, not complete portfolio or social-resource return. The full annual budget is a ratio normalization, not a requested donation or verified funding tranche. Applying the ratio to an ordinary small gift assumes locally proportional capacity response and the stated component allocation.","geographicAttribution":"g=.8 subjective LA/Orange resident share, sensitivity .5–.95; Inland Empire excluded.","formula":"Qall=2329*a*b*q/1.03; QLA=Qall*g; price10=10*55822486/QLA. q is finite total health area, not annual recurring utility.","counterfactual":"Existing hospital discharge, public contracts, CalAIM, other respite providers and donor replacement continue. a adjusts service substitution; b adjusts capacity response to ordinary funds once.","attribution":"No additional coalition multiplier. No repeat respite or overlapping housing QALYs credited; verify unique clients.","uncertainty":"Explicit subjective central; trial is counterevidence to large health claims. Latest throughput and prior-year cost require updating.","nativeOutcomes":"Central 2329*.5*.25=291.125 expected additional respite episodes before geography, not observed marginal patients.","inputs":[{"name":"C","value":55822486,"unit":"USD annual recipient gross expense","basis":"observed","rationale":"Audit plus event costs.","sourceIds":["audit24"]},{"name":"N","value":2329,"unit":"reported respite clients/year","basis":"observed","rationale":"FY2024–25 output, not causal additionality.","sourceIds":["impact25"]},{"name":"a","value":0.5,"unit":"net service additionality","basis":"judgment","rationale":"Alternative publicly financed respite and discharge care; test .2–.9.","sourceIds":["health"]},{"name":"b","value":0.25,"unit":"funding responsiveness","basis":"judgment","rationale":"Ordinary donor capacity response; test .05–.75.","sourceIds":["audit24"]},{"name":"q","value":0.005,"unit":"finite QALY per additional episode","basis":"judgment","rationale":"No more than one year; test .0005–.03 plus zero/harm; not observed RCT coefficient. Treat this as expected net first-year health area, inclusive of competing mortality, intervention burden and benefit fade within the year; it is not a utility level maintained for every survivor.","sourceIds":["respite-rct"]},{"name":"g","value":0.8,"unit":"LA/Orange benefit share","basis":"judgment","rationale":"Resident mix unobserved; test .5–.95.","sourceIds":["geography"]}],"scenarios":[{"id":"central","label":"central","costUSD":55822486,"allPopulationQalys":1.4132281553398058,"editionQalys":1.1305825242718448,"assumptions":"N=2329; a=0.5; b=0.25; q=0.005 finite QALYs per otherwise additional respite episode; g=0.8; one year maximum, 3% discount. Subjective joint case, not confidence bounds."},{"id":"low","label":"low","costUSD":55822486,"allPopulationQalys":0.011305825242718446,"editionQalys":0.005652912621359223,"assumptions":"N=2329; a=0.2; b=0.05; q=0.0005 finite QALYs per otherwise additional respite episode; g=0.5; one year maximum, 3% discount. Subjective joint case, not confidence bounds."},{"id":"high","label":"high","costUSD":55822486,"allPopulationQalys":45.7885922330097,"editionQalys":43.49916262135921,"assumptions":"N=2329; a=0.9; b=0.75; q=0.03 finite QALYs per otherwise additional respite episode; g=0.95; one year maximum, 3% discount. Subjective joint case, not confidence bounds."},{"id":"zero","label":"zero","costUSD":55822486,"allPopulationQalys":0,"editionQalys":0,"assumptions":"No additional benefit or full substitution."},{"id":"adverse","label":"adverse","costUSD":55822486,"allPopulationQalys":-1,"editionQalys":-1,"assumptions":"Illustrative one LA QALY net harm, not observed. This direct one-year local-harm stress assumes g=1 for the harmed population; it is not derived using the central geography fraction."},{"id":"portfolio-unknown","label":"portfolio-unknown","costUSD":55822486,"allPopulationQalys":null,"editionQalys":null,"assumptions":"Other portfolio health remains unpriced."},{"id":"income-unknown","label":"Combined household resources unknown; clinical reference retained","costUSD":55822486,"allPopulationQalys":1.4132281553398058,"editionQalys":1.1305825242718448,"incomeUnknown":true,"assumptions":"Original partial clinical reference is unchanged. This null combined diagnostic does not infer zero income or withdraw clinical arithmetic."}],"sensitivity":["Halving q or b doubles price.","FY2025 audited gross cost and resident-weighted throughput could change the estimate.","Additional clinical and joint-venture resources belong in a separate social-resource denominator."],"missingInputs":["Current matched-year gross costs and respite throughput.","Unique client geography and repeated episodes.","Counterfactual discharge care and local measured utility area.","Ordinary funding gap versus contracts and replacement.","Non-overlapping housing and family health."],"incomeAssessment":{"status":"assessed-unknown","scope":"Targeted household payments, benefits and housing resources; original clinical estimate is a partial reference, not complete portfolio value.","sourceIds":["impact25","health"],"acceptance":"independently-reviewed","evidence":"docs/geography-discovery/la-illumination-alpha-income-20261008/root-acceptance.md","rationale":"Reported respite and housing clients establish activity, and the benefits vignette establishes a resource mechanism. Neither supplies a current unique household/payment cohort or retained dollar amount. Hospital savings are payer outcomes, not disposable client resources.","directions":["Additional retained SNAP/general relief or disability benefits may raise consumption; taxes and other benefits withdrawn must be netted.","Housing may replace actual rent or increase rent and food obligations relative to shelter or institutional alternatives.","Medical private payments, travel, time and opportunity costs require actual alternative coverage and discharge arrangements; full burdens are independent of clinical response.","Employment assistance and family supports remain unquantified; no gross wages or retail housing/care value is credited."]}},"sources":[{"id":"home","title":"Current identity and integrated services","publisher":"Illumination Health + Home","url":"https://illuminationhealthhome.org/","published":null,"retrieved":"2026-09-14"},{"id":"geography","title":"Older service-area overview","publisher":"Illumination Health + Home","url":"https://www.ifhomeless.org/","published":null,"retrieved":"2026-09-14"},{"id":"health","title":"Current healthcare services","publisher":"Illumination Health + Home","url":"https://illuminationhealthhome.org/service/healthcare-services/","published":null,"retrieved":"2026-10-08"},{"id":"impact25","title":"FY2024–25 impact report","publisher":"Illumination Health + Home","url":"https://illuminationhealthhome.org/wp-content/uploads/2026/01/Illumination_2024-25_Impact-Report.pdf","published":null,"retrieved":"2026-10-08"},{"id":"audit24","title":"FY2024 original audited statements","publisher":"Illumination Health + Home","url":"https://illuminationhealthhome.org/wp-content/uploads/2025/08/The-Illumination-Foundation-06.30.2024.pdf","published":null,"retrieved":"2026-09-14"},{"id":"99023","title":"FY2023 original Form 990","publisher":"Illumination / IRS","url":"https://www.ocnonprofitcentral.org/rails/active_storage/blobs/redirect/eyJfcmFpbHMiOnsibWVzc2FnZSI6IkJBaHBBcWNHIiwiZXhwIjpudWxsLCJwdXIiOiJibG9iX2lkIn19--8446d159ac0713f29b417f46ed7ac933812c3d7b/1724964343_22-23_990_year_ending_2023_minus_Schedule_B.pdf?disposition=attachment","published":null,"retrieved":"2026-09-14"},{"id":"99022","title":"FY2022 original Form 990","publisher":"Illumination / IRS","url":"https://www.ocnonprofitcentral.org/rails/active_storage/blobs/redirect/eyJfcmFpbHMiOnsibWVzc2FnZSI6IkJBaHBBcWdHIiwiZXhwIjpudWxsLCJwdXIiOiJibG9iX2lkIn19--b091ef7b19fb45804b46922ae436ca6c7d5be0f1/1692122057_IF_2022_Form_990_1.pdf?disposition=attachment","published":null,"retrieved":"2026-09-14"},{"id":"respite-rct","title":"Randomized medical respite cost-utility study","publisher":"Bring et al. / BMC Health Services Research","url":"https://link.springer.com/article/10.1186/s12913-020-05358-4","published":"2020-06-05","retrieved":"2026-09-14"}]}