{"edition":"los-angeles","organization":"Neighborhood Legal Services of Los Angeles County","organizationId":"org:neighborhood-legal-services-los-angeles-county","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-09-14","model":{"version":"la-nlsla-health-component-v1","costScope":"Entire recipient audited annual expenses including in-kind legal services, overhead and subgrants; not a restricted health or housing gift. Numerical return is only a health component; unpriced portfolio outcomes remain unknown.","geographicAttribution":"g=1 for modeled direct LA County resident cases, a subset of LA+Orange MSA. No Orange activity needed for eligibility. Statewide litigation benefits are not assigned g=1 and are unpriced.","formula":"Q_LA(D)=(D/C)*b*k*g*[Nh*deltaCredit*rH*pH*uH + Nm*pM*uM + Np*pP*uP]/(1+d). C=41529139; b=.25; k=.8; g=1; Nh=2483; deltaCredit=.28; rH=.5; pH=.25; uH=.02; Nm=1893; pM=.2; uM=.02; Np=1162; pP=.15; uP=.01; d=.03. All benefits limited to one year. Partial price=10*D/Q. Whole-portfolio Q=Q_component+Q_other-H, with latter terms unestimated.","counterfactual":"Public contracts, approved LSC carryover, existing legal aid/self-help, non-Shriver counsel, public appeals, partners and reserves continue. b reflects how ordinary funds change total case capacity versus those alternatives; legal probabilities then reflect substantive resolution beyond no additional NLSLA case.","attribution":"Housing external comparison already incorporates alternative self-help; rH reduces transfer to mixed case intensity and post-randomization selection. pH is subsequent health-relevant improvement, not an additional legal success rate. k handles cross-case health overlap. No multiplicative household, coalition, debt or partner grant credit.","uncertainty":"Explicit subjective central for priced component. Not a full-portfolio ranking estimate. No posterior confidence claim: public finance, service mix, marginal capacity and health bridge could move return greatly; zero and unquantified downside retained.","nativeOutcomes":"Additional health-relevant stable-housing years, effective health-access years and benefit-receipt years among LA clients; legal closures and favorable credit orders are intermediate outputs.","inputs":[{"name":"C","value":41529139,"unit":"USD annual all-resource recipient expense","basis":"observed","rationale":"Includes professional in-kind resources; current 2025 audited expense.","sourceIds":["audit25"]},{"name":"Nh","value":2483,"unit":"2024 closed housing cases","basis":"observed","rationale":"Not additional evictions prevented.","sourceIds":["99024"]},{"name":"Nm","value":1893,"unit":"2024 closed health cases","basis":"observed","rationale":"Mix includes access, debt and other help.","sourceIds":["99024"]},{"name":"Np","value":1162,"unit":"2024 closed public-benefit cases","basis":"observed","rationale":"Not successful receipt.","sourceIds":["99024"]},{"name":"deltaCredit","value":0.28,"unit":"difference in positive credit-related legal outcome fraction","basis":"observed","rationale":"45% minus 17% external analyzed groups; post-randomization exclusions prevent pure ITT interpretation.","sourceIds":["shriver"]},{"name":"rH","value":0.5,"unit":"external legal effect retained","basis":"judgment","rationale":"Mixed housing-case intensity, modern usual care and analytic selection.","sourceIds":["shriver"]},{"name":"pH","value":0.25,"unit":"health-relevant improvement per extra favorable credit result","basis":"judgment","rationale":"Not observed health effect; most tenants still moved.","sourceIds":["shriver"]},{"name":"uH","value":0.02,"unit":"one-year QALYs per meaningful housing improvement","basis":"judgment","rationale":"Finite morbidity/stress bridge, no lifetime or household multiplier.","sourceIds":[]},{"name":"pM","value":0.2,"unit":"additional meaningful health access per health case","basis":"judgment","rationale":"Allows debt-only and unsuccessful cases, public appeals and existing coverage.","sourceIds":["health"]},{"name":"uM","value":0.02,"unit":"one-year QALYs per additional health-access improvement","basis":"judgment","rationale":"Modest morbidity hypothesis; not a direct Oregon utility estimate.","sourceIds":["oregon"]},{"name":"pP","value":0.15,"unit":"additional meaningful benefit receipt per case","basis":"judgment","rationale":"No empirical success fraction claimed.","sourceIds":[]},{"name":"uP","value":0.01,"unit":"one-year QALYs per additional benefit-receipt improvement","basis":"judgment","rationale":"Finite stress/material deprivation health component only; no cash-to-QALY face-value conversion.","sourceIds":[]},{"name":"b","value":0.25,"unit":"ordinary-funding responsiveness","basis":"judgment","rationale":"Marginal capacity after public, partner and reserve substitution; no verified shortfall.","sourceIds":["audit25"]},{"name":"k","value":0.8,"unit":"nonoverlapping health benefit retained","basis":"judgment","rationale":"Cross-category unique clients unknown.","sourceIds":[]},{"name":"g","value":1,"unit":"modeled direct-client LA MSA benefit fraction","basis":"judgment","rationale":"LA County resident service scope; does not apply to systemic effects.","sourceIds":["home"]},{"name":"d","value":0.03,"unit":"one-year discount rate","basis":"judgment","rationale":"All effects terminate after one year.","sourceIds":[]},{"name":"Q_other","value":null,"unit":"LA QALYs from unpriced portfolio","basis":"unknown","rationale":"Domestic violence, disaster, education, self-help and policy not assigned zero.","sourceIds":["priorities"]}],"scenarios":[{"id":"central","label":"Subjective central health component — not whole portfolio","costUSD":41529139,"allPopulationQalys":2.1462330097087383,"editionQalys":2.1462330097087383,"assumptions":"Central inputs; full recipient costs, one year, LA direct-client scope; broader portfolio unpriced."},{"id":"conservative","label":"Weak marginal capacity and health conversion; not confidence bound","costUSD":41529139,"allPopulationQalys":0.044461747572815534,"editionQalys":0.044461747572815534,"assumptions":"b = 0.1; k = 0.6; rH = 0.25; pH = 0.1; uH = 0.01; pM = 0.05; uM = 0.005; pP = 0.05; uP = 0.002. Benefits last one year."},{"id":"favorable","label":"Strong additionality and meaningful outcomes; not confidence bound","costUSD":41529139,"allPopulationQalys":57.26941747572816,"editionQalys":57.26941747572816,"assumptions":"b = 0.75; k = 1; rH = 1; pH = 0.5; uH = 0.05; pM = 0.5; uM = 0.05; pP = 0.4; uP = 0.03. Benefits last one year."},{"id":"zero","label":"Full replacement or no health change","costUSD":41529139,"allPopulationQalys":0,"editionQalys":0,"assumptions":"No additional health."},{"id":"downside","label":"Unquantified adverse net effect","costUSD":41529139,"allPopulationQalys":null,"editionQalys":null,"assumptions":"Stress, delay, adverse legal resolution or harmful policy trade-offs can outweigh health gains; no fabricated negative bound."}],"sensitivity":["At central component Q=2.1462330097087383, using cash-resource proxy C=32854242 yields $153078635.22450712/10 QALYs, conditional on continued donated professional capacity.","At $1 million/10 QALYs the full $41,529,139 cost requires 415.29139 incremental LA QALYs, versus 2.14623 in the component scenario; $100 thousand requires 4,152.9139. These thresholds do not establish likely marginal yield.","Health-case access probability and utility supply most of the central priced component; request actual additional covered/treatment months before increasing them.","2025 current cost / 2024 case volume is conservative but not a matched-year productivity observation.","Do not add unpriced systemic effects as an arbitrary multiplier merely to improve ranking."],"missingInputs":["2025/26 unique case volumes and unrestricted-funded marginal completed cases after public reimbursement and substitute counsel.","Net health-access months and preference-based utility for successful cases, not debt face value.","Current housing case intensity, unique-client overlap and actual stable-housing duration after resolution.","Costed ordinary-gift allocation and hiring queue, reserve policy and grant restrictions.","Finite causal attribution and LA share for systemic litigation; domestic violence, disaster, education and self-help outcomes."]},"sources":[{"id":"home","title":"Current services and LA County beneficiary scope","url":"https://nlsla.org/","publisher":"NLSLA","published":null,"retrieved":"2026-09-14"},{"id":"financials","title":"Original financial documents index","url":"https://nlsla.org/who/financials/","publisher":"NLSLA","published":null,"retrieved":"2026-09-14"},{"id":"audit25","title":"2025 audited statements with 2024 comparatives","url":"https://nlsla.org/wp-content/uploads/2026/06/NLSLA-25-FS.pdf","publisher":"NLSLA / Harrington Group","published":null,"retrieved":"2026-09-14"},{"id":"audit23","title":"2023 audited statements","url":"https://nlsla.org/wp-content/uploads/2024/05/NLSLA-2023-Audited-Financial-Statements.pdf","publisher":"NLSLA / Harrington Group","published":null,"retrieved":"2026-09-14"},{"id":"99024","title":"Original 2024 Form 990; case categories","url":"https://projects.propublica.org/nonprofits/organizations/952408642/202533179349306253/full","publisher":"NLSLA / IRS via ProPublica","published":"2025-11-13","retrieved":"2026-09-14"},{"id":"priorities","title":"December 2025 review of 2026 priorities","url":"https://nlsla.org/wp-content/uploads/2025/12/December-2025-Review-of-Priorities.pdf","publisher":"NLSLA","published":null,"retrieved":"2026-09-14"},{"id":"health","title":"Health Consumer Center services","url":"https://nlsla.org/services/healthcare/","publisher":"NLSLA","published":null,"retrieved":"2026-09-14"},{"id":"mlp","title":"Medical-legal partnerships","url":"https://nlsla.org/services/medical-legal-partnerships/","publisher":"NLSLA","published":null,"retrieved":"2026-09-14"},{"id":"housing","title":"Tenant services","url":"https://nlsla.org/services/housing/tenant-services/","publisher":"NLSLA","published":null,"retrieved":"2026-09-14"},{"id":"shriver","title":"July 2017 Sargent Shriver Civil Counsel Act evaluation","url":"https://courts.ca.gov/sites/default/files/courts/default/2024-12/lr-2017-jc-shriver-civil-right-to-counsel.pdf","publisher":"Judicial Council of California / NPC Research","published":null,"retrieved":"2026-09-14"},{"id":"oregon","title":"Oregon randomized Medicaid experiment","url":"https://www.nejm.org/doi/full/10.1056/NEJMsa1212321","publisher":"Baicker et al., NEJM","published":"2013-05-02","retrieved":"2026-09-14"},{"id":"donate","title":"Organization-linked ordinary donation route","url":"https://nlsla.org/get-involved/","publisher":"NLSLA","published":null,"retrieved":"2026-09-14"}]}