{"brightline":{"schemaVersion":"research-model-1","modelId":"brightline-adult-sro-filtration-final-v2","reviewDate":"2026-09-08","organization":"Brightline Defense","program":"Proposed additional adult SRO-room filtration and maintenance episode","status":"exploratory-judgmental-not-verified-offer","roomForFundingUsd":null,"verifiedMarginalOffer":false,"legalDonationEinVerifiedInThisAsset":true,"currency":"USD","priceYear":2026,"priceYearStatus":"analyst planning allowances, not inflation-adjusted source costs","unit":"one enrolled adult SRO resident offered appropriately sized room filtration, installation, consumables and follow-up","coreCalendarMonths":6,"recipientScope":"One adult with respiratory symptoms; diagnosed moderate/severe COPD is not established. Do not multiply by household size.","actualVersusProposed":"Historical SF purifier distribution is verified. This complete episode, clinical cohort, device specification, next available place and restricted price are not verified current Brightline offers.","counterfactual":"Existing public and partner purifier provision, usual clinical care and alternative assistance without this gift; not permanently polluted air without any help.","sources":[{"id":"local-case-study","url":"https://www.brightlinedefense.org/news/em-magazine","publisher":"Brightline Defense","date":"2025; page heading and later photograph caption have mixed dates","access":"primary page inspected","supports":"150 purifiers supplied through Eastern SF community coalition, with SRO outreach to residents reporting respiratory issues.","limits":"Uncontrolled reported symptom improvement lacks usable response denominator; neither causal health effect nor current capacity. Do not add reach to later cumulative announcement."},{"id":"local-2025-announcement","url":"https://www.linkedin.com/pulse/you-made-improving-sfs-air-quality-possible-brightlinedefense-99gqc","publisher":"Brightline Defense","date":"2025-06-27","access":"provider-authored primary indexed text corroborated","supports":"200 homes, over 600 people, renewed 2025 James Cary Smith support.","limits":"Historical reach, not 2026 available places or 600 measured health outcomes."},{"id":"current-local-feed","url":"https://www.linkedin.com/company/brightlinedefense","publisher":"Brightline Defense","date":null,"retrieved":"2026-09-08","access":"provider feed indexed text corroborated; exact post date unverified","supports":"Recent purifier distribution to Bayview Hunters Point Adult Day Health Center.","limits":"Institutional shared setting, not the modeled SRO episode or proof of available units."},{"id":"air-district-public-baseline","url":"https://strategicplan.baaqmd.gov/Progress/Achieve-Impact","publisher":"Bay Area Air District","retrieved":"2026-09-08","access":"primary page inspected","supports":"Regional Bay Area Air District allocation of $4 million for filtration: $3 million for schools in Richmond-San Pablo and San Francisco, and $1 million for a residential pilot.","limits":"Allocation, not spent amount; not a City and County of San Francisco appropriation or a $4 million Brightline award. Does not establish Brightline inventory, restricted filtration budget, shortfall or SRO capacity.","date":"2026-06-03"},{"id":"general-donation","url":"https://www.brightlinedefense.org/donate","publisher":"Brightline Defense","retrieved":"2026-09-08","access":"Official page and public HTML independently re-inspected 2026-09-08","supports":"General giving with Givebutter widget jN1Kkp; script account XsFkV7kOjVj25ZXX matches the Brightline provider campaign account.","limits":"No verified restricted episode purchase or marginal capacity; identity does not establish earmarking."},{"id":"clean-air-rct","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8886948/","alternateUrl":"https://academic.oup.com/ajrccm/article/205/4/421/8492013","doi":"10.1164/rccm.202103-0604OC","publication":"AJRCCM 2022;205:421-430; online 2021","access":"primary trial text/table corroborated","design":"116 former smokers with moderate/severe COPD randomized to two active HEPA-plus-carbon units or sham, six months","primaryOutcome":{"name":"SGRQ total change","effect":-1.55,"ci95":[-5.75,2.65],"p":0.465,"interpretation":"nonsignificant disease-specific quality-of-life endpoint, not generic preference utility"},"secondaryOutcome":{"name":"moderate exacerbation incidence rate ratio","effect":0.32,"ci95":[0.12,0.91],"interpretation":"positive secondary finding; not converted directly to QALYs"},"limits":"No significant three-month outcome changes; selected high-use per-protocol effects are not assignment effects. Six-month secondary benefits do not make primary SGRQ significant. Population and two-unit dose differ from proposed SRO intervention."},{"id":"airweighs-rct","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13140095/","alternateUrl":"https://www.sciencedirect.com/science/article/pii/S2213219825006129","doi":"10.1016/j.jaip.2025.06.031","publication":"2025;13(10):2637-2646.e5","access":"indexed primary trial/publisher passages corroborated; direct full-page retrieval unreliable","design":"164 children with asthma randomized; 148 completed protocol; 12-week modified intention-to-treat analysis","primaryOutcome":{"name":"maximum symptom days rate ratio","effect":1.01,"ci95":[0.79,1.3],"interpretation":"no established improvement despite substantial particle reductions"},"utilityEvidence":"ASUI is a disease-specific preference-based asthma measure. No overall benefit established; significant BMI interaction did not produce significant treatment effects within either stratum.","limits":"Not an adult SRO utility coefficient. Do not say the trial measured no preference-based outcome."},{"id":"asui-definition","url":"https://journal.chestnet.org/article/S0012-3692%2816%2932997-X/fulltext","publication":"Integrating Patient Preferences Into Health Outcomes Assessment, 1998","access":"primary indexed abstract inspected","supports":"ASUI developed as a preference-based outcome for asthma trials and cost-effectiveness studies.","limits":"Does not establish generic cross-disease QALY transfer to symptomatic SRO adults."},{"id":"donation-provider-identity","url":"https://givebutter.com/brightlinedefense","publisher":"Brightline Defense on Givebutter","date":null,"retrieved":"2026-09-08","access":"Readable provider page and public HTML independently inspected","supports":"Organizer Brightline Defense; EIN 33-1131608; public accountId matches official-site embed account XsFkV7kOjVj25ZXX.","limits":"General organization campaign, not a priced SRO tranche. Provider verification label is not independent legal-status clearance."},{"id":"jcs-cycle2-award","url":"https://www.baaqmd.gov/News-and-Events/Page-Resources/2025-News/072825-JCS-Grants","alternateUrl":"https://www.baaqmd.gov/fil-ph/news-and-events/page-resources/2025-news/072825-jcs-grants","publisher":"Bay Area Air District","date":"2025-07-28","retrieved":"2026-09-08","access":"Primary announcement independently verified through indexed full text; direct URL retrieval intermittent","supports":"Cycle 2 announced $3.5 million across 12 organizations, up to $300,000 per organization over three years; names Brightline Defense Project's Our Community, Our Air Program in Eastern San Francisco.","limits":"Existing community-capacity award selection, not verified filtration-only budget, disbursement, expenditure, remaining grant balance or private funding gap. This asset does not assert a signed exact Brightline award amount."}],"namedInputs":{"paidDirectDeliveryCostUsd":{"type":"judgment","meaning":"Constructed complete direct episode budget assuming every input is purchased by the donor; includes failed outreach/delivery work and administration. Not an observed gift price.","excluded":"Participant time and broader opportunity costs; no medical cost savings credited."},"assumedPlateauUtilityGain":{"type":"judgment","meaning":"Signed average utility at established effect across offered recipients, already averaging severity, response and clinical transfer. No positive numerical value is empirically calibrated."},"onsetMonths":{"type":"judgment","meaning":"Linear ramp from zero to plateau; delayed secondary trial findings motivate caution but do not prove linear onset."},"plateauMonths":{"type":"judgment","meaning":"Further months at full plateau after ramp, only in separate persistence stress."},"realizedExposureFraction":{"type":"judgment","meaning":"Runtime and maintenance share of integrated benefit; do not add another adherence multiplier."},"fundingAdditionality":{"type":"judgment","meaning":"Share of episodes additional to existing funded or substitute provision, assuming equal-effect replacement. Not measured capacity or funding room."},"sharedHarmQalyPerAdditionalEpisode":{"type":"judgment","meaning":"Nonnegative harm inherent in an additional episode and also present in an identical baseline replacement episode."},"donorSpecificHarmQalyPerOffer":{"type":"judgment","meaning":"Nonnegative extra burden introduced by this donor intervention even if it creates no additional beneficial service; subtracted outside funding factor."}},"formulas":{"integratedBenefitYears":"((onsetMonths / 12) * 0.5 + plateauMonths / 12) * realizedExposureFraction","grossBenefitQaly":"assumedPlateauUtilityGain * integratedBenefitYears","incrementalQaly":"fundingAdditionality * (grossBenefitQaly - sharedHarmQalyPerAdditionalEpisode) - donorSpecificHarmQalyPerOffer","usdPer10Qaly":"incrementalQaly > 0 ? 10 * paidDirectDeliveryCostUsd / incrementalQaly : null","classification":"incrementalQaly > 0: positive exploratory; == 0: no finite positive estimate; < 0: health-worsening","thresholdCostUsd":"incrementalQaly > 0 ? 10000 * incrementalQaly : null"},"coreScenarios":{"central":{"calendarMonths":6,"paidDirectDeliveryCostUsd":450,"costBreakdown":{"device":200,"consumablesElectricity":100,"outreachInstallationFollowup":150},"assumedPlateauUtilityGain":0.01,"onsetMonths":6,"plateauMonths":0,"realizedExposureFraction":1,"fundingAdditionality":0.5,"sharedHarmQalyPerAdditionalEpisode":0,"donorSpecificHarmQalyPerOffer":0,"expected":{"integratedBenefitYears":0.25,"incrementalQaly":0.00125,"usdPer10Qaly":3600000,"thresholdCostUsd":12.5}},"favorable":{"calendarMonths":6,"paidDirectDeliveryCostUsd":150,"costBreakdown":{"device":75,"consumablesElectricity":50,"outreachInstallationFollowup":25},"assumedPlateauUtilityGain":0.03,"onsetMonths":6,"plateauMonths":0,"realizedExposureFraction":1,"fundingAdditionality":0.75,"sharedHarmQalyPerAdditionalEpisode":0,"donorSpecificHarmQalyPerOffer":0,"expected":{"integratedBenefitYears":0.25,"incrementalQaly":0.005625,"usdPer10Qaly":266666.6666666667,"thresholdCostUsd":56.25},"costNote":"Retains the original annual consumables allowance without refunding unused second-half resources; still unquoted and optimistic."},"pessimisticPositive":{"calendarMonths":6,"paidDirectDeliveryCostUsd":900,"costBreakdown":{"device":350,"consumablesElectricity":200,"outreachInstallationFollowup":350},"assumedPlateauUtilityGain":0.001,"onsetMonths":6,"plateauMonths":0,"realizedExposureFraction":0.25,"fundingAdditionality":0.25,"sharedHarmQalyPerAdditionalEpisode":0,"donorSpecificHarmQalyPerOffer":0,"expected":{"integratedBenefitYears":0.0625,"incrementalQaly":0.000015625,"usdPer10Qaly":576000000,"thresholdCostUsd":0.15625}},"null":{"calendarMonths":6,"paidDirectDeliveryCostUsd":450,"assumedPlateauUtilityGain":0,"onsetMonths":6,"plateauMonths":0,"realizedExposureFraction":1,"fundingAdditionality":0.5,"sharedHarmQalyPerAdditionalEpisode":0,"donorSpecificHarmQalyPerOffer":0,"expected":{"integratedBenefitYears":0.25,"incrementalQaly":0,"usdPer10Qaly":null,"thresholdCostUsd":null}}},"separateStressScenarios":{"favorableOneYearPersistence":{"notCoreRankingInput":true,"calendarMonths":12,"paidDirectDeliveryCostUsd":150,"assumedPlateauUtilityGain":0.03,"onsetMonths":6,"plateauMonths":6,"realizedExposureFraction":1,"fundingAdditionality":0.75,"sharedHarmQalyPerAdditionalEpisode":0,"donorSpecificHarmQalyPerOffer":0,"expected":{"integratedBenefitYears":0.75,"incrementalQaly":0.016875,"usdPer10Qaly":88888.8888888889,"thresholdCostUsd":168.75},"limits":"Unverified second six months at full effect, no added procurement/follow-up cost beyond150 total, annual electricity/filter allowance may be inadequate. No effect beyond12months; no discounting within year."},"sharedEpisodeHarm":{"calendarMonths":6,"paidDirectDeliveryCostUsd":450,"assumedPlateauUtilityGain":0.01,"onsetMonths":6,"plateauMonths":0,"realizedExposureFraction":1,"fundingAdditionality":0.5,"sharedHarmQalyPerAdditionalEpisode":0.005,"donorSpecificHarmQalyPerOffer":0,"expected":{"integratedBenefitYears":0.25,"incrementalQaly":-0.00125,"usdPer10Qaly":null,"thresholdCostUsd":null}},"nonadditionalDonorSpecificHarm":{"calendarMonths":6,"paidDirectDeliveryCostUsd":450,"assumedPlateauUtilityGain":0.01,"onsetMonths":6,"plateauMonths":0,"realizedExposureFraction":1,"fundingAdditionality":0,"sharedHarmQalyPerAdditionalEpisode":0,"donorSpecificHarmQalyPerOffer":0.001,"expected":{"integratedBenefitYears":0.25,"incrementalQaly":-0.001,"usdPer10Qaly":null,"thresholdCostUsd":null}}},"nonAdditivityAndExclusions":["No separate PM reduction, gas removal, exacerbation, mortality, housing or caregiver QALY bonus.","Do not sum Brightline and THC/other partner gains for the same resident/device.","If displaced public devices would have different effects elsewhere, model benefit here minus foregone benefit there; the scalar additionality assumption is insufficient. Do not apply both full displacement and a second equivalent attenuation.","If donor cash is reduced by public or donated inputs, show their full resource value separately; subsidy does not establish extra health.","A replacement-filter-only tranche needs its own no-gift runtime comparator and cannot borrow new-device episode effects.","Suitable non-ozone device, adequate clean-air delivery, tolerated fan speed, electrical safety and correct maintenance are required; ordinary HEPA does not remove gases or remediate mold sources.","None of the positive scenarios is a confidence interval or posterior estimate. Zero or negative utility is credible."],"acceptanceGates":["Recipient identity is verified through the official-provider account chain; confirm willingness to restrict the gift and current legal standing before transactional advice.","Identify an additional SRO cohort beyond funded commitments and actual capacity.","Quote appropriate devices, labor, annual electricity and filters with paid/in-kind costs separated.","Confirm room performance, use and maintenance; measure repeated preference utility against a concurrent realistic comparator.","Deduplicate recipients and account for alternative public provision and displaced benefit."],"displayRecommendation":"Core six-month scenarios: central $3.6M, favorable $267K, pessimistic-positive $576M per10QALYs; null/harm possible. Separate unverified one-year favorable stress: $89K. No verified restricted offer.","supersedes":"brightline-adult-sro-filtration-reviewed-v1","donationIdentity":{"operationalName":"Brightline Defense","recipientNameAsDisplayed":"Brightline Defense","publicGrantRecordAlias":"Brightline Defense Project","donationEin":"331131608","officialDonationUrl":"https://www.brightlinedefense.org/donate","provider":"Givebutter","providerCampaignUrl":"https://givebutter.com/brightlinedefense","relationship":"Organization-level recipient; no fiscal sponsor identified in current giving flow","verifiedAt":"2026-09-08","verificationMethod":"Official HTML widget script account XsFkV7kOjVj25ZXX matches provider campaign HTML accountId XsFkV7kOjVj25ZXX; provider page and data-ein give 33-1131608.","officialWidgetId":"jN1Kkp","providerCampaignId":"KOLDQQ","sourceIds":["general-donation","donation-provider-identity"],"restrictedEpisodeOfferVerified":false,"limits":"Account identity chain verified, not an executed checkout, current IRS revocation screening, formal corporate-name determination or verified restriction acceptance. Widget-to-campaign configuration endpoint was unavailable; exact account match supports recipient identification."},"existingFundingContext":{"checkedAt":"2026-09-08","regionalFiltrationAllocation":{"funder":"Bay Area Air District","announcedAllocationUsd":4000000,"schoolsAllocationUsd":3000000,"residentialPilotAllocationUsd":1000000,"sourceId":"air-district-public-baseline","brightlineAwardUsd":null,"spentUsd":null,"remainingUsd":null},"brightlineJcsCycle2":{"program":"Our Community, Our Air Program","geography":"Eastern San Francisco","selectionAnnounced":"2025-07-28","grantPeriodYears":3,"perOrganizationMaximumUsd":300000,"exactExecutedBrightlineAwardUsd":null,"filtrationOnlyBudgetUsd":null,"disbursedUsd":null,"spentUsd":null,"remainingUsd":null,"sourceId":"jcs-cycle2-award"},"interpretation":"Existing regional allocation and Brightline community-capacity grant selection strengthen the no-gift public/partner baseline, not a numerical additionality estimate. Do not add allocations and awards as independent Brightline resources or infer a donor gap from them.","marginalOfferSearchResult":"No current publicly documented priced additional SRO filtration tranche found in bounded primary-source search; not proof none exists.","unknowns":["Executed grant scope and payment schedule","Current purifier and filter stock","Additional unfunded eligible cohort","Installation, electricity and maintenance payer","Restricted-gift acceptance","Current priced full episode and capacity"],"roomForFundingUsd":null},"evaluatedCore":[{"name":"central","integratedBenefitYears":0.25,"grossBenefitQaly":0.0025,"netQalys":0.00125,"costPerTenQalys":3600000},{"name":"favorable","integratedBenefitYears":0.25,"grossBenefitQaly":0.0075,"netQalys":0.005625,"costPerTenQalys":266666.6666666667},{"name":"pessimisticPositive","integratedBenefitYears":0.0625,"grossBenefitQaly":0.0000625,"netQalys":0.000015625,"costPerTenQalys":576000000},{"name":"null","integratedBenefitYears":0.25,"grossBenefitQaly":0,"netQalys":0,"costPerTenQalys":null}],"evaluatedStress":[{"name":"favorableOneYearPersistence","integratedBenefitYears":0.75,"grossBenefitQaly":0.0225,"netQalys":0.016875,"costPerTenQalys":88888.88888888888},{"name":"sharedEpisodeHarm","integratedBenefitYears":0.25,"grossBenefitQaly":0.0025,"netQalys":-0.00125,"costPerTenQalys":null},{"name":"nonadditionalDonorSpecificHarm","integratedBenefitYears":0.25,"grossBenefitQaly":0.0025,"netQalys":-0.001,"costPerTenQalys":null}]},"rtsf":{"schemaVersion":"1.0.0","id":"rtsf-falls-reviewed-research-v1","reviewedAt":"2026-09-08","status":"conditional-research-model-not-verified-offer","organization":{"name":"Rebuilding Together San Francisco","scope":"San Francisco; local affiliate, not national Rebuilding Together","program":"Proposed skilled fall-hazard modification expansion within actual home-repair services","verifiedHarpDelivery":false,"ein":"943107808"},"provenance":{"sourceCheckedAt":"2026-09-08"},"unit":{"costDenominator":"one eligible enrolled household allocated a complete intended course, including failed visits and noncompletion costs","healthDenominator":"one high-risk community-dwelling adult age 65+ per enrolled household","population":"Prior fall or concern about falling plus actionable hazards; severe cognitive impairment requires separate evidence","intervention":"Skilled OT-equivalent assessment, tailored installation/removal and behavior training, six-month booster","comparator":"Existing funded repairs, usual care, landlord obligations and substitute fall prevention without the gift"},"currency":{"code":"USD","priceYear":2026,"basis":"Illustrative analyst budgets, not inflation-adjusted trial costs or provider quotes"},"sources":{"harp":{"url":"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2783628","published":"2021-08-31","doi":"10.1001/jamanetworkopen.2021.22044","type":"primary-randomized-trial","facts":{"randomized":310,"followupMonths":12,"controlFallsPerPersonYear":2.3,"interventionFallsPerPersonYear":1.5,"adjustedRateRatio":0.62,"adjustedRateRatioCiTable2":[0.41,0.95],"primaryFirstFallHazardRatio":0.9,"primaryFirstFallHazardRatioCi":[0.66,1.27],"historicalMeanDeliveryUsd":765.83,"historicalDeliverySdUsd":298.27,"initialDeliveryMeanWeeks":3.9,"boosterMonth":6},"limits":"Rounded crude rate difference is secondary all-falls, not adjusted absolute effect, serious injuries or fall-free probability. Primary first-fall and HRQoL outcomes were null. HRQoL score is not preference utility. No reported adverse events does not prove zero local harm. Historical St Louis delivery cost is orientation only."},"otisClinical":{"url":"https://www.ncbi.nlm.nih.gov/books/NBK571962/","published":"2021-07","doi":"10.3310/hta25460","type":"primary-randomized-trial-summary","facts":{"randomized":1331,"fallRateRatio":1.17,"fallRateRatioCi":[0.99,1.38]},"limits":"Assessment with recommended/provided modifications differs from HARP; substantial contrary evidence, not merely a leaflet comparator."},"otisEconomic":{"url":"https://www.ncbi.nlm.nih.gov/books/NBK571973/","published":"2021-07","type":"primary-trial-economic-analysis","facts":{"incrementalQaly":-0.0042,"incrementalPayerCostGbp":18.78,"priceYear":"2017-18","horizonMonths":12},"limits":"EQ-5D-derived integrated utility, UK NHS/PSS perspective. Net payer cost is not delivery price. Not a measured RTSF effect or a coefficient to add to HARP."},"rtsfServices":{"url":"https://rebuildingtogethersf.org/what-we-do/","published":null,"type":"primary-provider-page","facts":"Year-round modifications, mobility/safety and MOHCD-supported fall-prevention installations; page also says Senior Home Repair intake closed."},"rtsfApplications":{"url":"https://rebuildingtogethersf.org/apply/","published":null,"type":"primary-provider-page","facts":"Rolling applications; existing funding to serve 100 people before December 31, 2026; income and tenure/landlord documentation.","limits":"100 is funded baseline, not verified unfunded places or confirmed remaining slots."},"recipient":{"url":"https://rebuildingtogethersf.org/get-involved/our-partners/","published":null,"retrieved":"2026-09-08","type":"primary-provider-giving-instructions","facts":"Names Rebuilding Together San Francisco, EIN 94-3107808; general recipient, not a priced restricted offer."}},"namedInputs":{"fallRateDifferencePerPersonYear":{"unit":"all-falls/person-year","value":0.8,"evidenceClass":"derived-from-rounded-trial-rates","sourceIds":["harp"],"derivation":"2.3 - 1.5"},"clinicalTransfer":{"unit":"dimensionless retained effect fraction","evidenceClass":"analyst-judgment","meaning":"Protocol/population/local engagement transport and conflicting trial evidence; not funding"},"effectiveYears":{"unit":"effective person-years","evidenceClass":"analyst-judgment","meaning":"Integrated retained exposure within core one-year horizon; pessimistic 0.5 is attenuation, not a six-month measurement"},"expectedQalyLossPerFall":{"unit":"QALY/all-fall event","evidenceClass":"analyst-judgment-no-validated-mapping","meaning":"Averages harmless and injurious prevented events and consequences within episode, including late-fall timing/truncation; no lifetime tail. Repeat-event overlap may overstate linear benefit"},"fundingAdditionality":{"unit":"dimensionless net-delivery additionality","evidenceClass":"analyst-judgment","meaning":"Share of net health created beyond already-funded delivery/substitutes; not public revenue share"},"incrementalHarmQaly":{"unit":"QALY/enrolled household before funding attribution","evidenceClass":"analyst-scenario","meaning":"Subtract before multiplying funding. OTIS magnitude in isolated harm stress is external illustration only"},"directDeliveryResourceCostUsd":{"unit":"USD/enrolled household","evidenceClass":"analyst-budget","meaning":"Complete direct resources including paid or replacement-valued donated labor/materials; not verified cash price"},"participantTimeCostUsd":{"unit":"USD/enrolled household","value":100,"evidenceClass":"analyst-judgment","derivation":"4 participant/caregiver hours * $25 per hour"},"conditionalDonorCashCostUsd":{"unit":"USD/enrolled household","evidenceClass":"analyst-no-subsidy-counterfactual","meaning":"Equal to direct resources only in core assumption that donor finances all inputs. Actual marginal gift cash price remains unknown"}},"costs":{"centralDecompositionUsd":{"skilledAssessmentBoosterTravelRecordsTraining":300,"installationLabor":400,"materials":200,"coordinationOverhead":100},"decompositionEvidence":"All judgments; $300 skilled allowance is lean and may be inadequate","scenarioEndpoints":"Independent whole-course budgets, not products of source cost confidence bounds","cashVersusDonatedResources":{"actualMarginalDonorCashCostUsd":null,"actualDonatedResourceValueUsd":null,"coreAssumedNonDonorContributionUsd":0,"coreAssumedDonorFinancesAllDirectInputs":true,"accounting":"For a verified expansion, donor cash = full direct resource cost - incremental non-donor paid financing - incremental in-kind replacement value, if categories are disjoint. Keep full resources in the resource view. Do not subtract already-funded baseline as though it were induced cofunding.","warning":"Volunteer input is not free. Core donor-cash numbers are conditional paid-equivalent illustrations, not observed gifts. Funding additionality adjusts health, not resource valuation."},"excludedUnpriced":["Unusual temporary relocation/replacement care","Structural repairs beyond targeted modifications","Incremental downstream health-service costs","Longer-term maintenance"],"societalCostComplete":false,"payerSavingsSubtracted":false},"formulas":{"grossHealthQaly":"fallRateDifferencePerPersonYear * clinicalTransfer * effectiveYears * expectedQalyLossPerFall","netAttributedQaly":"fundingAdditionality === 0 ? 0 : fundingAdditionality * (grossHealthQaly - incrementalHarmQaly)","conditionalDonorUsdPer10Qaly":"netAttributedQaly > 0 ? 10 * conditionalDonorCashCostUsd / netAttributedQaly : null","directResourceUsdPer10AttributedQaly":"netAttributedQaly > 0 ? 10 * directDeliveryResourceCostUsd / netAttributedQaly : null","expandedResourceUsdPer10AttributedQaly":"netAttributedQaly > 0 ? 10 * (directDeliveryResourceCostUsd + participantTimeCostUsd) / netAttributedQaly : null"},"scenarioInterpretation":"Joint planning scenarios, not confidence bounds or posterior probabilities. Positive central is judgmental despite null primary/utility results.","coreHorizonYears":1,"scenarios":[{"id":"central","inputs":{"fallRateDifferencePerPersonYear":0.8,"directDeliveryResourceCostUsd":1000,"conditionalDonorCashCostUsd":1000,"participantTimeCostUsd":100,"clinicalTransfer":0.5,"effectiveYears":1,"expectedQalyLossPerFall":0.01,"fundingAdditionality":0.5,"incrementalHarmQaly":0},"outputs":{"grossHealthQaly":0.004,"netAttributedQaly":0.002,"conditionalDonorUsdPer10Qaly":5000000,"directResourceUsdPer10AttributedQaly":5000000,"expandedResourceCostUsd":1100,"expandedResourceUsdPer10AttributedQaly":5500000,"status":"positive-conditional"}},{"id":"favorable_one_year","inputs":{"fallRateDifferencePerPersonYear":0.8,"directDeliveryResourceCostUsd":800,"conditionalDonorCashCostUsd":800,"participantTimeCostUsd":100,"clinicalTransfer":1,"effectiveYears":1,"expectedQalyLossPerFall":0.05,"fundingAdditionality":0.75,"incrementalHarmQaly":0},"outputs":{"grossHealthQaly":0.04000000000000001,"netAttributedQaly":0.030000000000000006,"conditionalDonorUsdPer10Qaly":266666.6666666666,"directResourceUsdPer10AttributedQaly":266666.6666666666,"expandedResourceCostUsd":900,"expandedResourceUsdPer10AttributedQaly":299999.99999999994,"status":"positive-conditional"}},{"id":"pessimistic_within_one_year","inputs":{"fallRateDifferencePerPersonYear":0.8,"directDeliveryResourceCostUsd":3000,"conditionalDonorCashCostUsd":3000,"participantTimeCostUsd":100,"clinicalTransfer":0.1,"effectiveYears":0.5,"expectedQalyLossPerFall":0.002,"fundingAdditionality":0.25,"incrementalHarmQaly":0},"outputs":{"grossHealthQaly":0.00008000000000000002,"netAttributedQaly":0.000020000000000000005,"conditionalDonorUsdPer10Qaly":1499999999.9999995,"directResourceUsdPer10AttributedQaly":1499999999.9999995,"expandedResourceCostUsd":3100,"expandedResourceUsdPer10AttributedQaly":1549999999.9999995,"status":"positive-conditional"}},{"id":"null_clinical","inputs":{"fallRateDifferencePerPersonYear":0.8,"directDeliveryResourceCostUsd":1000,"conditionalDonorCashCostUsd":1000,"participantTimeCostUsd":100,"clinicalTransfer":0,"effectiveYears":1,"expectedQalyLossPerFall":0.01,"fundingAdditionality":0.5,"incrementalHarmQaly":0},"outputs":{"grossHealthQaly":0,"netAttributedQaly":0,"conditionalDonorUsdPer10Qaly":null,"directResourceUsdPer10AttributedQaly":null,"expandedResourceCostUsd":1100,"expandedResourceUsdPer10AttributedQaly":null,"status":"zero-incremental-health"}},{"id":"null_funding","inputs":{"fallRateDifferencePerPersonYear":0.8,"directDeliveryResourceCostUsd":1000,"conditionalDonorCashCostUsd":1000,"participantTimeCostUsd":100,"clinicalTransfer":0.5,"effectiveYears":1,"expectedQalyLossPerFall":0.01,"fundingAdditionality":0,"incrementalHarmQaly":0},"outputs":{"grossHealthQaly":0.004,"netAttributedQaly":0,"conditionalDonorUsdPer10Qaly":null,"directResourceUsdPer10AttributedQaly":null,"expandedResourceCostUsd":1100,"expandedResourceUsdPer10AttributedQaly":null,"status":"zero-incremental-health"}}],"stressTests":[{"id":"harm_otis_magnitude_only","inputs":{"fallRateDifferencePerPersonYear":0.8,"directDeliveryResourceCostUsd":1000,"conditionalDonorCashCostUsd":1000,"participantTimeCostUsd":100,"clinicalTransfer":0,"effectiveYears":1,"expectedQalyLossPerFall":0.01,"fundingAdditionality":0.5,"incrementalHarmQaly":0.0042},"outputs":{"grossHealthQaly":0,"netAttributedQaly":-0.0021,"conditionalDonorUsdPer10Qaly":null,"directResourceUsdPer10AttributedQaly":null,"expandedResourceCostUsd":1100,"expandedResourceUsdPer10AttributedQaly":null,"status":"costly-health-loss"},"sourceIds":["otisEconomic"],"interpretation":"Replaces positive bridge; not additive trial effects, not observed RTSF harm"},{"id":"two_year_optimistic_persistence","inputs":{"fallRateDifferencePerPersonYear":0.8,"directDeliveryResourceCostUsd":800,"conditionalDonorCashCostUsd":800,"participantTimeCostUsd":100,"clinicalTransfer":1,"effectiveYears":2,"expectedQalyLossPerFall":0.05,"fundingAdditionality":0.75,"incrementalHarmQaly":0},"outputs":{"grossHealthQaly":0.08000000000000002,"netAttributedQaly":0.06000000000000001,"conditionalDonorUsdPer10Qaly":133333.3333333333,"directResourceUsdPer10AttributedQaly":133333.3333333333,"expandedResourceCostUsd":900,"expandedResourceUsdPer10AttributedQaly":149999.99999999997,"status":"positive-conditional"},"interpretation":"Unobserved second year, no added maintenance or discounting. Not ranking input; requires separate persistence/survival/maintenance evidence."},{"id":"null_funding_even_with_harm","inputs":{"fallRateDifferencePerPersonYear":0.8,"directDeliveryResourceCostUsd":1000,"conditionalDonorCashCostUsd":1000,"participantTimeCostUsd":100,"clinicalTransfer":0,"effectiveYears":1,"expectedQalyLossPerFall":0.01,"fundingAdditionality":0,"incrementalHarmQaly":0.0042},"outputs":{"grossHealthQaly":0,"netAttributedQaly":0,"conditionalDonorUsdPer10Qaly":null,"directResourceUsdPer10AttributedQaly":null,"expandedResourceCostUsd":1100,"expandedResourceUsdPer10AttributedQaly":null,"status":"zero-incremental-health"},"interpretation":"Funding multiplies both intervention benefit and harm"}],"fundingRoom":{"verifiedRestrictedOffer":false,"verifiedUnfundedOffer":false,"availableMarginalFundingUsd":null,"additionalUnfundedHouseholds":null,"currentPublicBaseline":"Funding already announced for 100 people by 2026-12-31, not a donor opportunity count","programPageDiscrepancy":"Service page closure versus application page rolling intake; no universal closure inferred","constraints":["OT-equivalent fidelity not verified","Permission and contractor capacity","Public/sponsor substitution","Exact marginal course price and cohort"]},"ranking":{"scenarioId":"central","conditionalOnly":true,"pricePerspective":"Conditional all-direct-input donor cash / attributed health, equal to direct resources under no-subsidy assumption","excludeStressTests":true},"safeguards":["Count one adult per household; no automatic household multiplier","No extra mortality, fear, fracture, housing, caregiver or institutionalization bonus","Do not infer health durability from physical fixture lifespan","No extra adherence multiplier without redefining relative engagement","Do not assign fracture QALYs to every fall","Identical replacement makes both benefit and intervention harm zero","Nonpositive QALYs have no attractive negative price","No double counting shared household modifications or overlapping exercise effects"],"supersedes":{"originalFavorableUsdPer10Qaly":66666.66666666667,"reason":"Below historical trial cost plus unverified two-year persistence","previousRevisedFavorableUsdPer10Qaly":133333.33333333334,"newTreatment":"Two-year stress only; one-year favorable core is 266666.6666666667"},"evaluatedCore":[{"name":"central","grossHealthQaly":0.004,"netQalys":0.002,"costPerTenQalys":5000000,"directResourcePrice":5000000,"expandedResourcePrice":5500000},{"name":"favorable_one_year","grossHealthQaly":0.04000000000000001,"netQalys":0.030000000000000006,"costPerTenQalys":266666.6666666666,"directResourcePrice":266666.6666666666,"expandedResourcePrice":299999.99999999994},{"name":"pessimistic_within_one_year","grossHealthQaly":0.00008000000000000002,"netQalys":0.000020000000000000005,"costPerTenQalys":1499999999.9999995,"directResourcePrice":1499999999.9999995,"expandedResourcePrice":1549999999.9999995},{"name":"null_clinical","grossHealthQaly":0,"netQalys":0,"costPerTenQalys":null,"directResourcePrice":null,"expandedResourcePrice":null},{"name":"null_funding","grossHealthQaly":0.004,"netQalys":0,"costPerTenQalys":null,"directResourcePrice":null,"expandedResourcePrice":null}],"evaluatedStress":[{"name":"harm_otis_magnitude_only","grossHealthQaly":0,"netQalys":-0.0021,"costPerTenQalys":null,"directResourcePrice":null,"expandedResourcePrice":null},{"name":"two_year_optimistic_persistence","grossHealthQaly":0.08000000000000002,"netQalys":0.06000000000000001,"costPerTenQalys":133333.3333333333,"directResourcePrice":133333.3333333333,"expandedResourcePrice":149999.99999999997},{"name":"null_funding_even_with_harm","grossHealthQaly":0,"netQalys":0,"costPerTenQalys":null,"directResourcePrice":null,"expandedResourcePrice":null}]}}