{"edition":"new-york-city","organization":"Parker Family Health Center","organizationId":"ein:22-3619518","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-09-14","model":{"version":"nyc-parker-comprehensive-clinical-v1","costScope":"Entire recipient gross annual operations plus central allowances for external medication-assistance and unrecognized nursing resources. Actual annualExpenses remain reported gross accounting totals, distinct from the resource-adjusted model numerator.","geographicAttribution":"g=1 for the medical cohort because current eligibility requires Monmouth residence; 95% leakage scenario retained. New dental and statewide policy effects are not assigned a speculative local yield.","formula":"C=C0+M*w+H*s*k; N=(D/share)*f; v=rho+ln(1+d); A=(1-exp(-v*T))/v; Qall=N*a*b*(p*u*A-h); QMSA=g*Qall; price10=10*C/QMSA if positive.","counterfactual":"Other safety-net clinics, public insurance eligibility, charity care, pharmacy assistance and existing donors continue. a represents care substitution and b the additional scale supported by ordinary funds; both applied only once.","attribution":"One provisional clinical cohort avoids double counting women, children, diabetic patients and screening visits. Conditional response is net clinical improvement, not service completion. No separately added future mortality or policy effect.","uncertainty":"Broad first-year clinical-health scenario with explicit inferred cohort and clinical priors. External-resource valuations are not observed acquisition costs. Major longer-term and new-program pathways remain incomplete, so this is not total portfolio return.","nativeOutcomes":"Comprehensive clinical access and sustained care -> meaningful symptom/function improvement across unique patients -> finite discounted QALYs. The central inferred 1,368-person cohort becomes 171 additional clinical-access equivalents after a and b; 42.75 are modeled utility responders. Full resource cost is $14,063.95 per additional patient equivalent and $56,255.81 per responder before utility integration. These are not observed unique cohorts or measured treatment successes.","inputs":[{"name":"C0","value":1954936,"unit":"USD reported recipient gross annual expense","basis":"observed","rationale":"Original current gross cost, including event addback.","sourceIds":["return2024","schedule2024"]},{"name":"M","value":1300000,"unit":"USD reported medication-assistance value","basis":"observed","rationale":"Reported $1.3m assistance value, not acquisition cost; w explicitly adjusts.","sourceIds":["return2024","schedule2024"]},{"name":"w","value":0.25,"unit":"resource-value fraction of reported medication value","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"H","value":10000,"unit":"reported annual clinical-volunteer hours, rounded lower reference","basis":"observed","rationale":"Narrative says more than 10,000 annual volunteer hours; 10,000 used as a rounded reference, not verified payroll.","sourceIds":["return2024","schedule2024"]},{"name":"s","value":0.25,"unit":"unrecognized nursing fraction of volunteer hours","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"k","value":50,"unit":"USD resource value per nursing hour","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"D","value":342,"unit":"reported diabetic patients","basis":"observed","rationale":"342 patients in FY2024 narrative; no additional cohorts summed.","sourceIds":["return2024","schedule2024"]},{"name":"share","value":0.25,"unit":"approximate diabetes share of patients","basis":"judgment","rationale":"Approximately one quarter in original narrative; inferred total is approximate, not a measured unique count.","sourceIds":["return2024","schedule2024"]},{"name":"f","value":1,"unit":"current cohort transfer fraction","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"p","value":0.25,"unit":"meaningful clinical response fraction","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"u","value":0.1,"unit":"utility gain among responders","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"rho","value":0.5,"unit":"annual effect waning rate","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"T","value":1,"unit":"maximum benefit years","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"a","value":0.5,"unit":"care additionality fraction","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"b","value":0.25,"unit":"funding-response fraction","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"h","value":0.001,"unit":"QALY treatment burden per attributable patient","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"g","value":1,"unit":"MSA benefit fraction","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]},{"name":"d","value":0.03,"unit":"annual discount rate","basis":"judgment","rationale":"Explicit judgment; not source-calibrated local causal estimate.","sourceIds":["patients","audit","clinical"]}],"scenarios":[{"id":"central","label":"Broad direct-clinical health scenario","costUSD":2404936,"allPopulationQalys":3.1479955910350492,"editionQalys":3.1479955910350492,"pricePer10Qalys":7639578.679362972,"assumptions":"{\"C0\":1954936,\"M\":1300000,\"w\":0.25,\"H\":10000,\"s\":0.25,\"k\":50,\"D\":342,\"share\":0.25,\"f\":1,\"p\":0.25,\"u\":0.1,\"rho\":0.5,\"T\":1,\"a\":0.5,\"b\":0.25,\"h\":0.001,\"g\":1,\"d\":0.03}"},{"id":"low","label":"Small response and substantial alternative care","costUSD":2404936,"allPopulationQalys":0.014984017479336044,"editionQalys":0.01423481660536924,"pricePer10Qalys":1689474523.3970072,"assumptions":"{\"C0\":1954936,\"M\":1300000,\"w\":0.25,\"H\":10000,\"s\":0.25,\"k\":50,\"D\":342,\"share\":0.35,\"f\":0.75,\"p\":0.1,\"u\":0.03,\"rho\":0.5,\"T\":0.5,\"a\":0.25,\"b\":0.1,\"h\":0.0005,\"g\":0.95,\"d\":0.03}"},{"id":"high","label":"Larger clinical response and sustained benefit","costUSD":2404936,"allPopulationQalys":69.96336879631968,"editionQalys":69.96336879631968,"pricePer10Qalys":343742.16699046484,"assumptions":"{\"C0\":1954936,\"M\":1300000,\"w\":0.25,\"H\":10000,\"s\":0.25,\"k\":50,\"D\":342,\"share\":0.2,\"f\":1.2,\"p\":0.4,\"u\":0.15,\"rho\":0.25,\"T\":2,\"a\":0.75,\"b\":0.5,\"h\":0.001,\"g\":1,\"d\":0.03}"},{"id":"zero","label":"Complete funding substitution","costUSD":2404936,"allPopulationQalys":0,"editionQalys":0,"pricePer10Qalys":null,"assumptions":"{\"C0\":1954936,\"M\":1300000,\"w\":0.25,\"H\":10000,\"s\":0.25,\"k\":50,\"D\":342,\"share\":0.25,\"f\":1,\"p\":0.25,\"u\":0.1,\"rho\":0.5,\"T\":1,\"a\":0.5,\"b\":0,\"h\":0.001,\"g\":1,\"d\":0.03}"},{"id":"adverse","label":"No clinical benefit with treatment burden","costUSD":2404936,"allPopulationQalys":-0.855,"editionQalys":-0.855,"pricePer10Qalys":null,"assumptions":"{\"C0\":1954936,\"M\":1300000,\"w\":0.25,\"H\":10000,\"s\":0.25,\"k\":50,\"D\":342,\"share\":0.25,\"f\":1,\"p\":0,\"u\":0.1,\"rho\":0.5,\"T\":1,\"a\":0.5,\"b\":0.25,\"h\":0.005,\"g\":1,\"d\":0.03}"},{"id":"external-cost","label":"Full reported medication value and larger nursing resources","costUSD":3629936,"allPopulationQalys":3.1479955910350492,"editionQalys":3.1479955910350492,"pricePer10Qalys":11530943.722848387,"assumptions":"{\"C0\":1954936,\"M\":1300000,\"w\":1,\"H\":10000,\"s\":0.5,\"k\":75,\"D\":342,\"share\":0.25,\"f\":1,\"p\":0.25,\"u\":0.1,\"rho\":0.5,\"T\":1,\"a\":0.5,\"b\":0.25,\"h\":0.001,\"g\":1,\"d\":0.03}"},{"id":"growth-cost","label":"Higher operating cost with unchanged outcomes","costUSD":2893670,"allPopulationQalys":3.1479955910350492,"editionQalys":3.1479955910350492,"pricePer10Qalys":9192103.090108115,"assumptions":"{\"C0\":2443670,\"M\":1300000,\"w\":0.25,\"H\":10000,\"s\":0.25,\"k\":50,\"D\":342,\"share\":0.25,\"f\":1,\"p\":0.25,\"u\":0.1,\"rho\":0.5,\"T\":1,\"a\":0.5,\"b\":0.25,\"h\":0.001,\"g\":1,\"d\":0.03}"},{"id":"recipient-only","label":"Reported recipient cost only; external resources excluded","costUSD":1954936,"allPopulationQalys":3.1479955910350492,"editionQalys":3.1479955910350492,"pricePer10Qalys":6210097.642980575,"assumptions":"{\"C0\":1954936,\"M\":1300000,\"w\":0,\"H\":10000,\"s\":0,\"k\":50,\"D\":342,\"share\":0.25,\"f\":1,\"p\":0.25,\"u\":0.1,\"rho\":0.5,\"T\":1,\"a\":0.5,\"b\":0.25,\"h\":0.001,\"g\":1,\"d\":0.03}"}],"missingInputs":["Current unique medical and dental patient cohorts, overlap and address verification.","Comparative clinical outcomes, persistence and longer-term vascular/cancer prevention.","Current unrestricted capacity response despite reserves and partner resources.","Full FY2024 audit detail reconciling donated services and actual resource value of external medications and nursing.","New dental-program cost, volume and incremental benefit relative to alternative care."],"sensitivity":["Small response and substantial alternative care: 1689474523 USD per 10 MSA QALYs.","Larger clinical response and sustained benefit: 343742 USD per 10 MSA QALYs.","Complete funding substitution: no finite positive-benefit price.","No clinical benefit with treatment burden: no finite positive-benefit price.","Full reported medication value and larger nursing resources: 11530944 USD per 10 MSA QALYs.","Higher operating cost with unchanged outcomes: 9192103 USD per 10 MSA QALYs.","Reported recipient cost only; external resources excluded: 6210098 USD per 10 MSA QALYs."]},"sources":[{"id":"return2022","title":"FY2022 original IRS990","publisher":"Parker Family Health Center / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202343039349301894/IRS990","published":null,"retrieved":"2026-09-14"},{"id":"schedule2022","title":"FY2022 original IRS990ScheduleD","publisher":"Parker Family Health Center / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202343039349301894/IRS990ScheduleD","published":null,"retrieved":"2026-09-14"},{"id":"return2023","title":"FY2023 original IRS990","publisher":"Parker Family Health Center / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202413169349306661/IRS990","published":null,"retrieved":"2026-09-14"},{"id":"schedule2023","title":"FY2023 original IRS990ScheduleD","publisher":"Parker Family Health Center / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202413169349306661/IRS990ScheduleD","published":null,"retrieved":"2026-09-14"},{"id":"return2024","title":"FY2024 original IRS990","publisher":"Parker Family Health Center / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202543149349302304/IRS990","published":null,"retrieved":"2026-09-14"},{"id":"schedule2024","title":"FY2024 original IRS990ScheduleD","publisher":"Parker Family Health Center / IRS","url":"https://projects.propublica.org/nonprofits/full_text/202543149349302304/IRS990ScheduleD","published":null,"retrieved":"2026-09-14"},{"id":"audit","title":"Original FY2023–2022 financial audit and donated-resource notes","url":"https://www.parkerfamilyhealthcenter.org/s/20240924-FINAL-FS-AUDIT-12-31-23-PARKER-FAMILY-HEALTH-CTR-2-1.pdf","publisher":"Parker Family Health Center / independent auditor","published":null,"retrieved":"2026-09-14"},{"id":"noncash","title":"FY2024 original noncash schedule","url":"https://projects.propublica.org/nonprofits/full_text/202543149349302304/IRS990ScheduleM","publisher":"Parker Family Health Center / IRS","published":null,"retrieved":"2026-09-14"},{"id":"patients","title":"Current patient scope and 2026 eligibility","url":"https://www.parkerfamilyhealthcenter.org/patients","publisher":"Parker Family Health Center","published":null,"retrieved":"2026-09-14"},{"id":"current","title":"Current dental expansion and health-access work","url":"https://www.parkerfamilyhealthcenter.org/","publisher":"Parker Family Health Center","published":null,"retrieved":"2026-09-14"},{"id":"news","title":"2025–2026 service and community updates","url":"https://www.parkerfamilyhealthcenter.org/news-events","publisher":"Parker Family Health Center","published":null,"retrieved":"2026-09-14"},{"id":"clinical","title":"Oregon randomized Medicaid experiment: clinical outcomes","url":"https://pubmed.ncbi.nlm.nih.gov/23635051/","publisher":"Baicker et al. / NEJM","published":"2013-05-02","retrieved":"2026-09-14"},{"id":"donate","title":"Ordinary donation route","url":"https://app.etapestry.com/hosted/ParkerFamilyHealthCenter/OnlineDonation.html","publisher":"Parker Family Health Center","published":null,"retrieved":"2026-09-14"},{"id":"familycare-current","title":"September 2026 non-citizen eligibility changes and exceptions","publisher":"NJ DMAHS","url":"https://nj.gov/humanservices/dmahs/obbba/non-citizen/","published":null,"retrieved":"2026-09-14"},{"id":"cover-all-kids","title":"Current income-eligible child coverage","publisher":"New Jersey","url":"https://www.nj.gov/coverallkids/faqs/","published":null,"retrieved":"2026-09-14"}]}