{"edition":"new-york-city","organization":"New Jersey Harm Reduction Coalition","organizationId":"ein:85-4099652","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-09-14","model":{"version":"nyc-njhrc-unique-person-v1","costScope":"Full annual gross recognized recipient cost, including $396,000 in-kind supplies. Only community overdose-prevention health is priced; infection, care-linkage and policy benefits are not a complete portfolio estimate.","geographicAttribution":"g=.65 is an explicit weak-confidence prior for the modeled statewide beneficiaries' MSA residence. Middlesex is included; Atlantic, Camden, Mercer and other non-MSA counties are excluded. Neither headquarters nor all New Jersey is counted as MSA.","formula":"U=C*f/k; delta=e*t*l; dlog=ln(1+d); F(v,t)=(1-exp(-v*t))/v; H=U*u*[F(m-delta+dlog,1)-F(m+dlog,1)+(exp(-(m-delta))-exp(-m))*exp(-dlog)*F(m+dlog,T-1)]; Qall=b*H-h; QMSA=g*Qall. Cost sensitivities change numerator only. The encounter-level mortality input l is mapped linearly into a hazard decrement delta=e*t*l as an approximation, not an exact probability-to-hazard identity.","counterfactual":"State naloxone procurement, pharmacy access, other community distributors and emergency response continue. t credits only additional timely rescue beyond those alternatives. An ordinary gift does not buy all donated stock anew.","attribution":"f allocates an assumed capacity share, k turns that share into unique risk-person years, e*t*l gives a one-year mortality hazard difference, and b applies funding response once. No separately multiplied repeat-rescue lifetime or national affiliate credit.","uncertainty":"All delivery reach and causal factors are explicit uncalibrated judgments. Finite survival, recurrence after year one, wide alternatives, zero and adverse cases are included. Partial health price must not be represented as full portfolio ranking.","nativeOutcomes":"Whole-recipient resources -> unique high-risk person-years reached through community delivery -> additional timely opioid rescue -> one-year mortality hazard difference -> finite survival-adjusted QALYs.","inputs":[{"name":"C","value":2125515,"unit":"USD annual gross expense","basis":"observed","rationale":"FY2024 Part IX including in-kind supplies; no separately netted event/rental/inventory expense.","sourceIds":["return2024","noncash2024"]},{"name":"f","value":0.5,"unit":"assumed overdose-delivery capacity fraction","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"k","value":1000,"unit":"USD allocated resources per unique risk-person year","basis":"judgment","rationale":"No verified annual unique NJHRC count; $1,000 is an explicit capacity prior, not a measured per-client cost or drug price.","sourceIds":["work","state","walley","heal"]},{"name":"e","value":0.1,"unit":"potential rescue encounters per risk-person year","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"t","value":0.3,"unit":"incremental timely rescue fraction versus alternatives","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"l","value":0.1,"unit":"mortality hazard reduction per incremental rescue encounter","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"b","value":0.25,"unit":"ordinary funding response","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"m","value":0.08,"unit":"annual baseline all-cause mortality hazard","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"u","value":0.7,"unit":"health utility","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"T","value":10,"unit":"maximum survival horizon years","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"g","value":0.65,"unit":"MSA beneficiary fraction","basis":"judgment","rationale":"Statewide delivery and Middlesex operations observed, but residence distribution unknown; .65 is not a measured population allocation.","sourceIds":["work","state","walley","heal"]},{"name":"h","value":0,"unit":"net adverse QALYs","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]},{"name":"d","value":0.03,"unit":"annual discount","basis":"judgment","rationale":"Scenario assumption, not an NJHRC or external study estimate.","sourceIds":["work","state","walley","heal"]}],"scenarios":[{"id":"central","label":"Conditional overdose-prevention component","costUSD":2125515,"allPopulationQalys":3.125471837777779,"editionQalys":2.0315566945555563,"pricePer10Qalys":10462494.134159515,"assumptions":"{\"C\":2125515,\"f\":0.5,\"k\":1000,\"e\":0.1,\"t\":0.3,\"l\":0.1,\"b\":0.25,\"m\":0.08,\"u\":0.7,\"T\":10,\"g\":0.65,\"h\":0,\"d\":0.03,\"numeratorCostUSD\":2125515}"},{"id":"low","label":"Sparse additional reach and extensive substitution","costUSD":2125515,"allPopulationQalys":0.015032359615612126,"editionQalys":0.006012943846244851,"pricePer10Qalys":3534899134.8512383,"assumptions":"{\"C\":2125515,\"f\":0.5,\"k\":2500,\"e\":0.03,\"t\":0.1,\"l\":0.05,\"b\":0.1,\"m\":0.08,\"u\":0.7,\"T\":5,\"g\":0.4,\"h\":0,\"d\":0.03,\"numeratorCostUSD\":2125515}"},{"id":"high","label":"Efficient targeted delivery and meaningful rescue gap","costUSD":2125515,"allPopulationQalys":77.346973771482,"editionQalys":61.8775790171856,"pricePer10Qalys":343503.25816878985,"assumptions":"{\"C\":2125515,\"f\":0.5,\"k\":500,\"e\":0.2,\"t\":0.5,\"l\":0.15,\"b\":0.5,\"m\":0.08,\"u\":0.7,\"T\":15,\"g\":0.8,\"h\":0,\"d\":0.03,\"numeratorCostUSD\":2125515}"},{"id":"zero","label":"Complete ordinary-gift replacement","costUSD":2125515,"allPopulationQalys":0,"editionQalys":0,"pricePer10Qalys":null,"assumptions":"{\"C\":2125515,\"f\":0.5,\"k\":1000,\"e\":0.1,\"t\":0.3,\"l\":0.1,\"b\":0,\"m\":0.08,\"u\":0.7,\"T\":10,\"g\":0.65,\"h\":0,\"d\":0.03,\"numeratorCostUSD\":2125515}"},{"id":"adverse","label":"No incremental rescue with service-related burden","costUSD":2125515,"allPopulationQalys":-0.1,"editionQalys":-0.065,"pricePer10Qalys":null,"assumptions":"{\"C\":2125515,\"f\":0.5,\"k\":1000,\"e\":0.1,\"t\":0,\"l\":0.1,\"b\":0.25,\"m\":0.08,\"u\":0.7,\"T\":10,\"g\":0.65,\"h\":0.1,\"d\":0.03,\"numeratorCostUSD\":2125515}"},{"id":"resources","label":"Added partner and volunteer resources","costUSD":2656893.75,"allPopulationQalys":3.125471837777779,"editionQalys":2.0315566945555563,"pricePer10Qalys":13078117.667699393,"assumptions":"{\"C\":2125515,\"f\":0.5,\"k\":1000,\"e\":0.1,\"t\":0.3,\"l\":0.1,\"b\":0.25,\"m\":0.08,\"u\":0.7,\"T\":10,\"g\":0.65,\"h\":0,\"d\":0.03,\"numeratorCostUSD\":2656893.75}"}],"missingInputs":["Verified annual unique NJHRC risk-person reach and resource allocation.","Residence of rescued beneficiaries, not only package destinations.","Current donated-stock/public funding replacement and effective rescue counterfactual.","FY2023 comparative and FY2022 noncash reconciliation; audit total-resource reconciliation."],"sensitivity":["Sparse additional reach and extensive substitution: 3,534,899,135 USD per 10 MSA QALYs. Scenario assumptions are judgments, not statistical confidence limits.","Efficient targeted delivery and meaningful rescue gap: 343,503 USD per 10 MSA QALYs. Scenario assumptions are judgments, not statistical confidence limits.","Complete ordinary-gift replacement: no finite positive-benefit price. Scenario assumptions are judgments, not statistical confidence limits.","No incremental rescue with service-related burden: no finite positive-benefit price. Scenario assumptions are judgments, not statistical confidence limits.","Added partner and volunteer resources: 13,078,118 USD per 10 MSA QALYs. Scenario assumptions are judgments, not statistical confidence limits."],"nativeCosts":"Central assumed U = 2,125,515*0.5/1000 = 1,062.7575 unique risk-person years. Whole-recipient expense / assumed risk-person year is $2,000, not the branch allocation cost of $1,000. Additional timely-rescue equivalents = U*0.1*0.3*0.25 = 7.97068125 before residency, giving $410,256.41 per modeled MSA rescue equivalent. A rescue is not a death averted; finite unique-person survival is calculated separately."},"sources":[{"id":"return2022","title":"FY2022 original Form 990","publisher":"NJHRC / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202333199349327823/IRS990","published":null,"retrieved":"2026-09-14"},{"id":"noncash2022","title":"FY2022 original noncash disclosure","publisher":"NJHRC / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202333199349327823/IRS990ScheduleM","published":null,"retrieved":"2026-09-14"},{"id":"return2023","title":"FY2023 original Form 990","publisher":"NJHRC / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202401809349300715/IRS990","published":null,"retrieved":"2026-09-14"},{"id":"noncash2023","title":"FY2023 original noncash disclosure","publisher":"NJHRC / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202401809349300715/IRS990ScheduleM","published":null,"retrieved":"2026-09-14"},{"id":"return2024","title":"FY2024 original Form 990","publisher":"NJHRC / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202523219349324447/IRS990","published":null,"retrieved":"2026-09-14"},{"id":"noncash2024","title":"FY2024 original noncash disclosure","publisher":"NJHRC / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202523219349324447/IRS990ScheduleM","published":null,"retrieved":"2026-09-14"},{"id":"work","title":"Current delivery and advocacy portfolio","publisher":"NJHRC","url":"https://njharmreduction.org/our-work/","published":null,"retrieved":"2026-09-14"},{"id":"access","title":"Current naloxone access and prioritization","publisher":"NJHRC","url":"https://njharmreduction.org/get-naloxone/","published":null,"retrieved":"2026-09-14"},{"id":"current","title":"Current drug-supply response","publisher":"NJHRC","url":"https://njharmreduction.org/medetomidine/","published":"2026-04-28","retrieved":"2026-09-14"},{"id":"state","title":"Original 2022–2024 state harm-reduction report","publisher":"New Jersey Department of Health","url":"https://nj.gov/health/hivstdtb/documents/nj-harm-reduction-centers-biennial-report-2022-2024.pdf","published":null,"retrieved":"2026-09-14"},{"id":"publicsupply","title":"Free public naloxone distribution baseline","publisher":"New Jersey Department of Human Services","url":"https://www.nj.gov/humanservices/news/pressreleases/2024/approved/20240913.shtml","published":"2024-09-13","retrieved":"2026-09-14"},{"id":"walley","title":"Community naloxone interrupted time-series evaluation","publisher":"Walley et al., BMJ","url":"https://pubmed.ncbi.nlm.nih.gov/23372174/","published":"2013-01-30","retrieved":"2026-09-14"},{"id":"heal","title":"Randomized contemporary community scale-up trial","publisher":"HEALing Communities Study Consortium, NEJM","url":"https://www.nejm.org/doi/full/10.1056/NEJMoa2401177","published":"2024-06-16","retrieved":"2026-09-14"},{"id":"donate","title":"Official ordinary-gift destination","publisher":"NJHRC","url":"https://actionnetwork.org/fundraising/donate-to-njhrc","published":null,"retrieved":"2026-09-14"}]}