{"edition":"usa","organization":"Help America Hear","organizationId":"org:help-america-hear","boundaryVersion":"USA-50-states-DC-v1","updated":"2026-10-02","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":306754.93671230983,"canonicalPriceUSDPerTenEquivalentYears":3067549.367123098,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":306754.93671230983,"canonicalPriceUSDPerTenEquivalentYears":3067549.367123098,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"hah-usa-paired-care-health-resources-judgment-20261002","costScope":"Full annual non-in-kind accounting proxy against a partial hearing-access pathway; donated-resource opportunity cost and actual marginal package unidentified.","geographicAttribution":"Domestic resident benefits centrally1; .98 diagnostic. Geography applied once to health and household cohorts.","formula":"Incremental completions=min(G/annualCost,capacity) × aids/2 × (completionWith−completionWithout). Newly accessed fraction receives finite cohort utility; otherwise equivalent care receives no central incremental health. Independently timed signed household log resource differences are added once.","counterfactual":"Direct completion contrast includes donor replacement and provider/manufacturer capacity. Separate patient split distinguishes newly accessed from otherwise-equivalent care; generic fitting burdens cancel in the latter.","attribution":"One household per recipient is a judgment. Clinical profile already incorporates use/transport; resource-use exposure is independent. No device book/retail value, mortality wages, dementia or unpaid shadow-time income.","uncertainty":"Completion lift, potential pairs, duration and net household costs/pay are declared planning priors. Complete portfolio and verified next-gift price remain unknown; sensitivity is unweighted, not a confidence interval.","nativeOutcomes":"Manufacturer100–150 aids/year; paired midpoint62.5 is potential opportunity, not observed completed new recipients. Repeated annual service claims are not a linked fitting ledger.","inputs":[{"name":"gift","value":10000,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"Explicit conditional planning assumption; source discussion does not establish the numeric parameter.","sourceIds":["hah-program","hah-faq","income-method"]},{"name":"annualCash","value":303522,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"303522 non-in-kind accounting proxy derived from prior original gross426522 less aid book123000; not verified cash flow or marginal quote.","sourceIds":["hah-99025","hah-noncash"]},{"name":"aids","value":125,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"125 midpoint of manufacturer100–150 aids, not actual new fittings.","sourceIds":["hah-resound"]},{"name":"aidsPerPerson","value":2,"unit":"Defined in the signed finite calculator; 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USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"Explicit conditional planning assumption; source discussion does not establish the numeric parameter.","sourceIds":["hah-program","hah-faq","income-method"]},{"name":"mortality","value":0.02,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"Explicit conditional planning assumption; source discussion does not establish the numeric parameter.","sourceIds":["hah-program","hah-faq","income-method"]},{"name":"discount","value":0.03,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"Explicit conditional planning assumption; source discussion does not establish the numeric parameter.","sourceIds":["hah-program","hah-faq","income-method"]},{"name":"fittingHarm","value":0.001,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"Explicit conditional planning assumption; 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source discussion does not establish the numeric parameter.","sourceIds":["hah-program","hah-faq","income-method"]},{"name":"geography","value":1,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"Explicit conditional planning assumption; source discussion does not establish the numeric parameter.","sourceIds":["hah-program","hah-faq","income-method"]},{"name":"overlap","value":0,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"Explicit conditional planning assumption; source discussion does not establish the numeric parameter.","sourceIds":["hah-program","hah-faq","income-method"]},{"name":"independentHealthHarm","value":0,"unit":"Defined in the signed finite calculator; USD, persons, years or dimensionless as appropriate","basis":"judgment","rationale":"Explicit conditional planning assumption; source discussion does not establish the numeric parameter.","sourceIds":["hah-program","hah-faq","income-method"]},{"name":"independentCashHarm","value":0,"unit":"Defined in the signed finite calculator; 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D=3.5375615940314136. Conditional diagnostic only. Device-derived people scenarios are hypothetical, not observed cohorts."}],"sensitivity":["Conditional center $3.07M; health-only $2.91M per ten health years. Historical alpha $689124 remains separate.","Generic clinical null retains new-care and independent burdens; zero capacity differs from unknown income or health.","One-year health, weak completion response, gross cost, no paid-work gain, higher patient costs and alternative care are explicit tests.","Direct completion probabilities stay convex and annual cohort capped; signed adverse contrasts and independent harms remain visible."],"missingInputs":["Annual completed new-fitting cohort linked to devices, inventory and scholarships.","Costed unrestricted gift tranche with confirmed additional manufacturer allocations, provider appointments, patients ready to complete care and baseline funding.","Next-gift allocation across programs/fundraising/reserves and remaining grant/match restrictions.","HAH sustained use, age/severity, alternative care, unified fee terms and patient costs.","Current legal payee and relevant registry status, disinterested lease approval and conflict-policy enforcement.","Outcome-weighted USA resident allocation and complete donated-resource opportunity cost."]},"sources":[{"id":"hah-99025","title":"Original return for fiscal year ended February28,2025","publisher":"Help America Hear / IRS via ProPublica","url":"https://projects.propublica.org/nonprofits/full_text/202620159349301802/IRS990","published":null,"retrieved":"2026-09-29","dateNote":"Original document date supplied by researcher: 2026-01-13; web publication date not independently established."},{"id":"hah-99024","title":"Original return for fiscal year ended February29,2024","publisher":"Help America Hear / IRS via ProPublica","url":"https://projects.propublica.org/nonprofits/full_text/202422629349300912/IRS990","published":null,"retrieved":"2026-09-29","dateNote":"Original document date supplied by researcher: 2024-08-27; web publication date not independently established."},{"id":"hah-99023","title":"Original return for fiscal year ended February28,2023","publisher":"Help 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