Summary
What do they do? The current annual report documents counseling, educator consultation/coaching, SEL and outreach in Peninsula/South Bay schools. Form 990 specifically describes relationship-based, trauma-informed Beechwood counseling. An undated services page describes a broader high-school footprint; it does not override the current reported clinical denominator. More
Why this approach interests us
- On-site relationship-based therapy can help underserved youth who otherwise lack suitable sustained care.
Our main reservations
- The annual report identifies 24 clients and their families, not thousands of clinical courses. Educator support and SEL may matter, but their health effects are not quantified here.
What do you get for your dollar?
The research list uses the central scenario: $340,080,357 per 10 Bay QALYs. Signed mixture $188,291,084 per 10 Bay QALYs; central $340,080,357. This is full expense divided by partial quantified counseling health, not complete expected value. Inspect the model and assumptions.
- whole expense
- $1,599,738 — FY2025; all programs and overhead retained.
- bay mixture
- $188,291,084 — Per 10 Bay QALYs; partial counseling health.
- central
- $340,080,357 — Distinct from the signed mixture.
- favorable tail
- 96.76% — Contribution of the favorable 10% world to signed expected health.
1. What do they do?
The current annual report documents counseling, educator consultation/coaching, SEL and outreach in Peninsula/South Bay schools. Form 990 specifically describes relationship-based, trauma-informed Beechwood counseling. An undated services page describes a broader high-school footprint; it does not override the current reported clinical denominator.
Count clinical clients, not reach
Use 24 index youth, with 484 total sessions including 31 family sessions. Do not add family members or multiply 11,000 indirect students by a clinical effect.
Credit finite additional symptom health
Apply explicit completion, conditional utility, duration, clinical transfer and alternative-care assumptions; subtract a signed harm allowance.
Keep whole-gift boundaries
Retain all $1,599,738 of expense, existing funded baseline and uncertain ordinary-cash response. Other health pathways remain unknown, not zero.
Scope of this review. Counseling-only health numerator with whole-organization cost. No suicide survival awards from 23 interventions called life-saving by the organization. No teacher satisfaction-to-QALY conversion or training reach counted as completed care.
2. Monitoring and information sharing
Whole legal recipient EIN 77-0393676, formerly Cleo Eulau Center
Original FY2025 Form 990 and annual report. Both report $1,599,738 expense; IRS identifies $167,455 Beechwood counseling within broader spending.
Our assessment. Use whole expense; do not substitute program-only cost or infer funding room from deficit.
24 counseling clients and their families
FY2024–2025 annual report pp3 and7. 484 sessions, including 31 family sessions; 19 average sessions/student. Satisfaction and coping observations, no controlled utility effect.
Our assessment. Count 24 index clients once. Completion is a judgment; family benefits and educator/SEL health are unquantified. Older hours and undated high-school page cannot silently replace current data.
212 depressed adolescents declining/stopping antidepressants
Randomized CBT plus usual care versus usual care, economic analysis. 26.8 additional depression-free days and reported .067 QALYs at12 months. Simple .4×26.8/365 yields .02937; reconciliation unresolved.
Our assessment. No coefficient imported. Local younger/trauma-focused relationship-based care differs. Central conditional .06×.5×.5=.015 QALY per meaningful completed course is an analyst proxy before access adjustment.
101 adolescents13–17, nine Washington primary-care clinics
Randomized collaborative-care economic evaluation. Incremental .04 QALYs over12 months, CI .02–.09; substantial structured collaborative care.
Our assessment. Supports possibility of finite mental-health gains, not local effectiveness or mortality. ITT benefit is not divided by local completed sessions.
Adolescents with major depression assigned CBT, short-term psychoanalytic therapy or brief psychosocial intervention
IMPACT randomized active-comparator adolescent depression trial. No superiority of the specialized therapies over brief psychosocial intervention on the primary depression outcome.
Our assessment. Appropriate alternative care can sharply reduce added benefit; not evidence all therapy has zero effect. Supports explicit clinical-null and access uncertainty.
680 educators and 874 SEL students in annual report; broader indirect reach
Organization-reported educator/SEL outcomes. Consultations, coping/satisfaction and classroom skills are reported; no causal preference-based health effect.
Our assessment. Do not convert training or school reach directly to QALYs. Residual benefits are unknown, not zero.
3. Qualitative assessment
On-site relationship-based therapy can help underserved youth who otherwise lack suitable sustained care.
Key reservations
- Full-cost partial-health estimate is not complete organization value or directly comparable to complete multi-pathway models.
- Twenty-four clients are reported; completion, utility, causal transfer and marginal cash response are judgments.
- The favorable 10% world supplies nearly all signed expected health; removing it sharply worsens the price.
- Annual report and older web descriptions differ in scope and throughput; current annual data take priority.
- Existing program revenue and school/public resources may finance baseline capacity; no additional donor-ready offer is verified.
Benefits not included in our estimate
- Educator support, SEL, training and school climate—unquantified, not zero.
- Family spillovers without a deduplicated clinical denominator.
- Suicide deaths averted inferred from crisis-intervention descriptions.
- Academic achievement or subjective satisfaction counted as health utility.
4. What do you get for your dollar?
$188,291,084 per 10 Bay QALYs
Signed annual Bay health 0.0849609; all-beneficiary 0.08501700000000001. Central meaningful completed-course equivalents 19.200000000000003, a judgment rather than observed completion.
A better life is our comparison unit of 10 additional quality-adjusted life years (QALYs), potentially spread across people. These are uncertain estimates, not measured returns or verified donation offers.
How we calculate the estimate
Finite signed counseling component: gift / whole expense × cash response × Bay share × [24 index clients × completion × utility × duration × transfer × access increment − 24 × harm]
0.0005310925914118437 Bay QALYs per $10,000
Model inputs and assumptions
- Whole annual expense
- $1,599,738 (range: FY2025). Filed expense, including outreach, consultation, therapy, fundraising and administration. Not $167,455 Beechwood-only spending. External donated complements unpriced. Filed.
- Index counseling clients
- 24 (range: 24 in every base world). Annual report p7: 24 clients and their families, 484 sessions and 19 average sessions/student. Count youth once, not family members or sessions; group/other pathways unquantified. These are not necessarily completed courses. Reported, unaudited service count.
- Meaningful course fraction
- .8 (range: .5–.95). Nineteen average sessions supports sustained engagement but is not a completion or outcome rate. Higher than unknown-throughput Rainbow; judgment. Judgment.
- Conditional average utility improvement
- .06 (range: 0–.1 in base worlds; signed overrides allowed). No local preference-based utility. Same .03/.06/.1 positive family as Rainbow. Conditional average for a meaningful completed course, not imported trial ITT. Judgment.
- Finite health duration
- .5 years (range: .25–1). Same positive horizon family as Rainbow. Persistence and time until an alternative can deliver comparable benefit; no lifetime mental-health credit. Judgment.
- Clinical population/modality transfer
- .5 (range: .3–.8). Younger elementary-age/complex-trauma and relationship-based care differs from depressed adolescent CBT trials. Lower central transfer than Rainbow .65 is judgment, not measured relative quality. Judgment.
- Counterfactual care increment
- .5 (range: .3–.7). Probability/fraction of modeled clinical improvement not obtained through school counselors, public services or other care. Separate from duration among incremental cases. Judgment.
- Ordinary-cash response
- .4 (range: 0–.65). Conditional cash-created delivery relative to historical whole budget; existing school contracts/grants retained. Does not claim deficit equals funding gap. Judgment.
- Bay health share
- .98 (range: .98–1). San Mateo/Santa Clara service footprint; patient residences not observed. Applies equally to harms. Judgment.
- Burden per index client
- .001 QALY (range: 0–.005). Independent short-lived adverse/burden allowance across all clients, including noncompleters; not a documented local harm rate. Judgment.
- Signed scenario weights
- 20% funding-null; 15% clinical-null; 10% harm (range: 25% cautious; 20% central; 10% favorable). Pre-output subjective beliefs, not calibrated probabilities. Judgment.
$10,000 analytic illustration—not an available treatment package
- funding_null: No positive finite price per 10; weight 0.2. Annual Bay QALYs 0; completed equivalents 19.200000000000003.
- clinical_null: No positive finite price per 10; weight 0.15. Annual Bay QALYs 0; completed equivalents 19.200000000000003.
- harm: No positive finite price per 10; weight 0.1. Annual Bay QALYs -0.04704; completed equivalents 19.200000000000003.
- cautious: No positive finite price per 10; weight 0.25. Annual Bay QALYs -0.007820400000000002; completed equivalents 12.
- central: $340,080,357 per 10; weight 0.2. Annual Bay QALYs 0.04704000000000001; completed equivalents 19.200000000000003.
- favorable: $19,458,692 per 10; weight 0.1. Annual Bay QALYs 0.82212; completed equivalents 22.799999999999997.
- without_favorable: $5,237,601,222. Remaining worlds renormalized; no retuning.
- half_duration: $425,217,395. Named diagnostic with exact inputs/results saved separately.
- double_resources: $376,582,169. Named diagnostic with exact inputs/results saved separately.
- historic_hours_unverified: $7,830,436. UNVERIFIED scope diagnostic: treat old 10,965 hours as one-hour sessions and divide by current 19 sessions/student. Not current observed throughput and not a replacement estimate.
- central_clinical_all_worlds: $808,806,310. Named diagnostic with exact inputs/results saved separately.
Uncertainty. Favorable share 96.7645%. Subjective mass below $1M and $100k is zero in the declared worlds, not proof no such pathway exists. The partial numerator omits major educator and SEL work. Conditional utility-duration assumptions do not import an ITT effect and then penalize completion again. Annual report p7 is the current denominator; older 7,357/10,965 counseling hours refer to earlier periods and may have different service scope. No silent pooling. All-beneficiary price $188,166,837 is not the Bay price.
5. Funding and previous grants
HOLD giving recommendation. No verified priced marginal capacity, and even the favorable modeled clinical world is above $1M per 10 Bay QALYs.
FY2025 IRS expense $1,599,738; revenue $1,467,064; program revenue $1,116,502 and government contributions $55,000. Prior expense $2,490,164. Net assets $163,416 include $108,416 without donor restrictions and $55,000 restricted; liabilities $88,774. Annual report revenue $1,525,397 includes released restrictions and differs from IRS revenue; this model uses the common expense, not a claimed reconciled cash deficit. No proven funding gap, current patient slots or gift price. Public/school-funded contracts are baseline, not donor-created delivery. Intern supervision, in-kind assistance and school infrastructure are not fully priced economic resources; a double-resource diagnostic is not a valuation.
This review does not establish a verified marginal funding offer or a complete history of grants.
We have not verified a suitable donation route for this reviewed activity. Confirm the legal recipient and intended allocation before donating.
6. Sources
- Original FY2025 Form 990. IRS via ProPublica. Primary. Published: Submitted May 12, 2026; retrieved: 2026-09-11.
- FY2024–2025 annual report, especially pages 3–8. Acknowledge Alliance. Primary. Published: FY July 2024–June 2025; publication date not shown; retrieved: 2026-09-11.
- Executive director updates: current sessions versus historical hours. Acknowledge Alliance. Primary. Published: January 29, 2025; January 28 and July 28, 2026; retrieved: 2026-09-11.
- Services. Acknowledge Alliance. Primary. Published: Undated; retrieved: 2026-09-11.
- Cost-effectiveness of CBT for depressed adolescents. Dickerson et al., Pediatrics. Primary. Published: 2018; retrieved: 2026-09-11.
- Collaborative care for adolescent depression: economic evaluation. Wright et al., JAMA Pediatrics. Primary. Published: 2016; retrieved: 2026-09-11.
- IMPACT randomized adolescent depression trial. Goodyer et al., Lancet Psychiatry. Primary. Published: 2017; retrieved: 2026-09-11.
Annual expenses: years and sources
Average annual expenses (three consecutive fiscal years): $2,083,753. Organization size is separate from the modeled cost-effectiveness of a donation.
Acknowledge Alliance
Form 990/990-EZ reported whole-entity expenses; includes program, administration and fundraising costs, but excludes any costs netted against revenue.
Latest original return and prior-year comparative combined with earlier filing data.