{"edition":"los-angeles","organization":"Illumination Health + Home","organizationId":"org:illumination-foundation","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-09-14","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."}],"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."]},"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":"2026-09-14"},{"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":"2026-09-14"},{"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"}]}