GiveBetter x SF

Clinic by the Bay

Free primary care, dental treatment, counseling and prescription support

Research time: ~16 min on GPT-5.6 Sol Medium + ~14 min on GPT-6.1 Sol
  • v1: ~16 min on GPT-5.6 Sol Medium; estimated before tracking.
  • Research — reviewed programs, finances and impact evidence.
  • Modeling — estimated costs, QALYs and uncertainty.
  • Source audit — checked claims, assumptions and calculations.

Updated: 2026-10-03.

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Summary

What do they do? Clinic by the Bay provides free medical and dental care to uninsured adults in San Francisco and San Mateo County. Its services include primary care, counseling, prescription assistance and referrals, alongside help accessing food. Dental care includes cleaning, fillings and simple extractions, rather than root canals, dentures or implants. More

Why this approach interests us

  • Free primary care, dental treatment and counseling can relieve symptoms and improve functioning for uninsured adults.
  • Volunteer clinical work and donated services may make additional care possible without buying every input at market prices.
  • A range of services can address several practical barriers to care, including prescriptions, referrals and food access.

Our main reservations

  • The additional care an unrestricted donation would enable is not measured; course costs, completion and patient alternatives are planning assumptions.
  • Most clinical utilities and the transfer of older hypertension evidence to current patients are uncertain. The survival tail is particularly influential.
  • Travel, medicines and lost paid time can offset household benefits. Patient residence, linked outcomes and outside resource costs need better evidence.

What do you get for your dollar?

Our conditional estimate is $1.7M per DALY for Bay Area recipients and $25.0M for SF recipients. A donation can support clinical courses and household access, not just abstract health units: in the illustrative $10,000 comparison, the model offers 3.03 courses across seven predominant needs, with 1.88 completed courses before distinguishing otherwise-purchased, equivalent-free and genuinely additional care. These are modeled courses, not verified purchasable slots. Signed household-resource effects are negative centrally, while clinical effects are positive. Inspect current formulas, scenarios and historical estimates.

bay area
$1.7M — Conditional cost per ten combined health and household-resource equivalents.
san francisco
$25.0M — Separate 70% SF attribution prior; not added to the Bay total.
health only — sf
$21.2M — Household costs make the combined comparison less favorable.

1. What do they do?

Clinic by the Bay provides free medical and dental care to uninsured adults in San Francisco and San Mateo County. Its services include primary care, counseling, prescription assistance and referrals, alongside help accessing food. Dental care includes cleaning, fillings and simple extractions, rather than root canals, dentures or implants.

Fund the full portfolio

Retain all $100K:20%dental,15%mental,55%medical,10%food/other, including allocated support. BP courses use30% of medical spending centrally. Remaining budget after selected dental/counseling/BP course shares enters the residual model; no second spending allocation is added.

Count distinct annual patient courses

One patient-period ledger assigns dental, counseling, BP then residual. Unique fractions explicitly remove overlap and repeats. These are priors; downstream effects must be reconciled before combining other organizations.

Model finite clinical effects and residual uncertainty

BP survival differs only during funded effective care after latency; equal hazards afterward to10year horizon. Six named residual service groups each have distinct course cost, target/response, signed utility and finite catchup/horizon: acute/rheumatology, non-BP medication care, completed referrals, other dental, other mental, and food support.

Scope of this review. This comparison keeps the complete illustrative gift in the denominator and allocates it once across seven predominant needs. It does not value every organizational activity or presume the clinic can accept a large gift at constant cost.

2. Monitoring and information sharing

Paired extraction respondents, 18 at 12 months

Primary prospective nonrandomized Swedish cohort. Extraction EQ5D mean .77 to .81 was nonsignificant (p=.297); the study lacks untreated access controls.

Our assessment. The .04 signed utility is a judgment, not a causal coefficient. Selected painful clinically indicated extraction only; no root-canal benefit transferred to an unavailable procedure.

197 patients randomized among three arms; 464 total includes preference and therapy-only allocation

Primary pragmatic randomized comparison with preference arms. Brief counseling/CBT improved depression symptoms at four months, but groups converged by twelve months. GP psychological referral was held for four months.

Our assessment. A direction and short-duration anchor, not a QALY estimate. Utility is an independent prior, with a one-year fade, local fidelity attenuation and extra alternative-care catchup. No trial fidelity is assumed from generic short-term counseling availability.

Entire legal recipient

Primary FY2025 IRS return, not audited accounts. Bundles service costs and confirms a broader medical home rather than a dental-only organization.

Our assessment. No specialty cash split or verified next-gift treatment plan. Annual report is linked but unreadable through available access; index counts are not used as a dated throughput denominator.

Eligible uninsured SF residents

Official local access-program disclosure. Healthy SF covers primary and mental-health care; routine dental is outside its covered service list.

Our assessment. Uninsured is not equivalent to no care. Funding replacement is separate from patient alternative-care catchup; eligibility, availability and waits still vary.

HDFP:10,940 hypertensive adults ages30–69, DBP≥90

Community-based randomized treatment-access trial. Systematic stepped care versus referral to community therapy: five-year all-cause mortality6.4% versus7.7%.

Our assessment. Current-care risk, modern gap, finite funded exposure/latency and relative implementation are explicit priors. Derived constant-hazard ratio is not an observed early effect. Trial assignment already incorporates adherence. No mortality double counting.

Six disjoint named service groups, not generic remaining visits

Explicit bounded health-state prior, not causal clinic evidence. Service-specific illness fractions, successful response, signed utility and catchup/horizon are separately exposed in99inputs. Clinical/referral completion and low food-related utility are not assumed uniform.

Our assessment. All numerical residual parameters remain weak priors; official menus support existence, not causal magnitude. No life-long disease-prevention award, generic starvation counterfactual or average visits×QALY. Measure mix and patient health, and retain null/adverse group stresses.

3. Qualitative assessment

Free primary care, dental treatment and counseling can relieve symptoms and improve functioning for uninsured adults.

Key reservations

  • The additional care an unrestricted donation would enable is not measured; course costs, completion and patient alternatives are planning assumptions.
  • Most clinical utilities and the transfer of older hypertension evidence to current patients are uncertain. The survival tail is particularly influential.
  • Travel, medicines and lost paid time can offset household benefits. Patient residence, linked outcomes and outside resource costs need better evidence.

Benefits not included in our estimate

  • Indirect/spillover health and lifetime earnings
  • Additional fatal MI/stroke credit beyond BP all-cause survival
  • Unspecified perpetual prevention benefit from visits or education attendance
  • Net public savings and exhaustive downstream costs
  • Ordinary earnings of additional survivors; unverified secondary activities and complete outside resource costs.

4. What do you get for your dollar?

A donation supports offered care; completion, patient alternatives and lasting benefit determine its impact.

GiveBetter sees a plausible benefit from care that relieves untreated symptoms and reduces clinical risks. We estimate $1.7M per DALY in the Bay Area under the current conditional assumptions. The model first buys fully loaded offered courses, then allows for noncompletion, repeat people and care recipients would obtain elsewhere. Dental, mental-health, acute, chronic-medication, blood-pressure, referral and food courses have separate effects and costs. Short-lived symptom benefits fade as comparison patients obtain care or recover. For blood-pressure treatment, one paid active year changes survival hazards after a three-month latency; hazards then return to the same baseline, and the surviving difference is followed over a finite twenty-year comparison. This is not twenty years of funded treatment.

DALY is our one-year comparison unit. QALY-based health gains and income-welfare equivalents retain their original assumptions; they are not measured clinical DALYs. These are uncertain estimates, not measured returns or verified donation offers.

How we calculate the estimate

Current conditional estimate: donor dollars ÷ (local clinical health years + signed local household-resource equivalents)
Per $10,000: Bay health 0.0067478 + resources −0.0010305 = 0.0057173; $1.7M per DALY.

Model inputs and assumptions
Gift-to-additional-course response
35% (range: 15%–70% stresses). No published marginal funding ledger establishes additional courses per dollar. All gift costs remain in the numerator. Judgment.
Fully loaded offered-course costs
$800–$2,500 (range: Half/double-cost tests). dental: $800; mental: $1500; acute: $900; chronic: $1800; bp: $2000; referral: $2500; food: $900. Costs precede completion and include support/failure rather than dividing annual expense by visits. Judgment.
Completed-care alternatives
10% purchaser; 25% equivalent free; 65% unmet (range: All purchaser/free tests). Only unmet care earns incremental clinical benefits; actual otherwise-paid expenditure can create purchaser savings. Judgment.
Household resources and access burden
$25,000 baseline; $20 travel; 40% lose $20 net pay (range: Higher burdens and ±$300 recovery-pay tests). Actual incremental spending and after-tax/benefit-adjusted pay, not leisure-time valuations or baseline wages of saved lives. Judgment.
Recipient residence
Bay 100%; SF 70% (range: SF 50% test). The service footprint does not identify residence; health and resource attribution can be varied independently. Judgment.
Blood-pressure survival transfer
25% transfer; one active year; 20-year comparison (range: Null/adverse effect, three active years, five-year tail). Older stepped-care evidence is not a directly measured modern free-clinic contrast; no separate saved-life wages or repeated mortality benefit. Judgment.

Assumption tests, not confidence limits

  • central: $1.7M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • lowFunding: $4.1M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • higherBurden: $3.2M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • doubleSupportCost: $3.5M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • positiveWork: $1.7M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • negativeWork: $3.6M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • shortBPtail: $1.8M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • mortalityNull: $1.8M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • mortalityAdverse: $2.0M Bay. Change only the explicitly named inputs; inspect the full calculator for signed components.
  • unknownUniqueZero: No finite positive price Bay. Unavailable reach does not become an observed zero; the combined value is unknown.

Uncertainty. The revised coefficients are independently reconsidered planning judgments, not a locally estimated posterior or a confirmed donation quote. Native courses, preferences, catchup, funding and survival assumptions can materially change the price.

Health and income effects

We include household resources using the Coefficient Giving health/income crosswalk: 0.5 times the log change in annual disposable resources, with the modeled people, timing and duration. These are welfare equivalents, not measured clinical QALYs. Buyer savings count actual payments avoided; unmet patients are not credited with bills they would never have paid.

Travel and actual lost pay attach to offered households, including unsuccessful care. Medicines add net first-year costs after assistance. Food support counts incremental restricted consumption once, not donated retail value plus a second freed household budget. Positive monetary flows retain 50% to allow for possible overlap with clinical/financial-stress value; negative flows are fully debited.

Recovery earnings are zero centrally as an explicit uncertain-sign planning judgment, with positive and negative tests. Positive restored pay is confined to common-alive functional responders and their clinical horizon/catchup. It does not count ordinary wages of additional survivors. Negative work burdens remain independently signed rather than being reduced by positive treatment response.

Per $10,000 the Bay household-resource term is −0.0010305 equivalents, separate from 0.0067478 clinical years. Acquisition costs and medicine expenses can outweigh otherwise-paid savings and food support. Unknown assumptions propagate as unknown, while genuinely absent funding or exposure can establish a zero.

    Historical estimate — retained for comparison, not the current ranking

    The previous report gave a subjective weighted clinical price of $200K Bay/$286K SF. Its unweighted clinical center was $798K Bay/$1.1M SF. These are different quantities: a favorable scenario with 15% weight supplied 82.6% of expected health. The new estimate does not reuse those weights or allocate income inside the old total. It independently changes course costs, need mix, completion, alternatives, finite clinical effects and signed household resources.

    EXPECTED FULL-GIFT PRICE: Q=Q_dental+Q_counseling+Q_BP+Σ_g N_g[target_g×response_g×signed utility_g×discount(delay)×F(catchup_g+m+r,H_g)−harm]−independent harm; N_g is unique additional patient-courses from its partitioned whole-gift budget, capped jointly; E[Q]=Σscenario w_i×signed Q_i; donor price=10G/E[Q_SF], only if positive.
    $2,860,825

    QALY conversion assumptions
    gift usd
    100000 (range: 100000 / 1000000). Hypothetical ordinary unrestricted gift; not a quoted tranche. Analyst prior unless stated otherwise.
    funding additionality
    0.5 (range: 0.5 / 0.75 / 0.25 / 0). Fraction expanding or preserving otherwise-lost care after replacement of existing donors; distinct from alternative care after treatment starts. Analyst prior unless stated otherwise.
    dental allocation
    0.2 (range: 0.2 / 0.1 / 0.3). Fully loaded ordinary-gift share for all dental work, not just painful teeth; judgment from new two-day dental service within broader medical clinic. Analyst prior unless stated otherwise.
    mental allocation
    0.15 (range: 0.15 / 0.05 / 0.25). Fully loaded ordinary-gift share for counseling and psychiatry; specialty spending not disclosed. Analyst prior unless stated otherwise.
    medical allocation
    0.55 (range: 0.55 / 0.75 / 0.35). General medical, chronic care, prescriptions and referral support; health left unquantified. Analyst prior unless stated otherwise.
    food other allocation
    0.1 (range: 0.1). Food pharmacy and remaining services; health left unquantified. All four shares sum to one. Analyst prior unless stated otherwise.
    dental episode cost
    600 (range: 600 / 350 / 1000). Average fully loaded cost per nominal all-dental course, not only selected extraction. Target and non-target shares partition that activity; non-target budget feeds residual model without adding donor cost. Salary-oriented prior, not measured throughput. Analyst prior unless stated otherwise.
    mental course cost
    1200 (range: 1200 / 700 / 2200). All-in mental-health course budget, independent prior: roughly eight funded/coordinated contacts at $150, including overhead and unsuccessful attempts; not clinic quote. Analyst prior unless stated otherwise.
    dental target
    0.4 (range: 0.4 / 0.65 / 0.2). Share of dental courses with severe pain and clinically indicated simple extraction; no credit to cleanings/exams/fillings here. Analyst prior unless stated otherwise.
    mental target
    0.6 (range: 0.6 / 0.8 / 0.3). Share of mental-health courses suitable for short-term counseling of depressive symptoms; exclude psychiatry-only and unsupported diagnoses. Analyst prior unless stated otherwise.
    dental completion
    0.8 (range: 0.8 / 0.95 / 0.6). Completed definitive care conditional on initiated target course; no credit to emergency exam alone. Analyst prior unless stated otherwise.
    mental completion
    0.7 (range: 0.7 / 0.9 / 0.5). Fraction reaching an adequate local counseling dose; full attempt costs retained. Analyst prior unless stated otherwise.
    dental unique
    0.9 (range: 0.9 / 1). Unique patient-period fraction; repeat teeth and repeat episodes excluded from additional utility summation. Analyst prior unless stated otherwise.
    mental disjoint
    0.8 (range: 0.8 / 0.95 / 0). Unique counseling patient-period fraction after excluding every dental-credited person and repeat courses; unknown linked-data prior. Analyst prior unless stated otherwise.
    dental capacity
    30 (range: 30 / 0). Maximum additional completed unique target patients in gift cohort; unverified capacity prior. Analyst prior unless stated otherwise.
    mental capacity
    20 (range: 20 / 0). Maximum additional completed disjoint counseling patients; unverified capacity prior. Analyst prior unless stated otherwise.
    dental utility
    0.04 (range: 0.04 / 0.12 / 0.01 / 0 / -0.02). Signed relief utility prior, loosely oriented by nonsignificant Swedish extraction before/after EQ5D .77 to .81; not a causal estimate. Analyst prior unless stated otherwise.
    dental resolution
    0.8 (range: 0.8 / 0.95). Successful pain resolution conditional on completed extraction, separate from course completion. Analyst prior unless stated otherwise.
    dental catchup
    4 (range: 4 / 1 / 12 / 20 / 0). Annual no-gift alternative-treatment/spontaneous symptom-resolution hazard, conditional on successful early treatment; central mean .25 years before hard cap. Analyst prior unless stated otherwise.
    dental horizon
    1 (range: 1 / 0.04). Hard maximum years of earlier relief after care begins, never lifetime. Analyst prior unless stated otherwise.
    dental delay
    0.15 (range: 0.15 / 0). Years until care starts; cohorts conditioned alive at start, delay discounts only. Analyst prior unless stated otherwise.
    dental harm
    0.0005 (range: 0.0005 / 0.0002 / 0.001 / 0). Gift-date PV incremental procedural/tooth-function QALY loss per additional completed unique patient; net of eventual alternative-care harm. Analyst prior unless stated otherwise.
    mental utility
    0.03 (range: 0.03 / 0.07 / 0.005 / 0 / -0.02). Signed initial counseling utility advantage: independent prior, NOT Beck-score to EQ5D conversion. Analyst prior unless stated otherwise.
    mental fidelity
    0.6 (range: 0.6 / 0.9 / 0.3 / 0). Local effect-size transfer prior among adequate-dose completers; no claim clinic replicates trained trial therapists. Analyst prior unless stated otherwise.
    mental catchup
    1.5 (range: 1.5 / 0.5 / 4 / 10 / 0). Additional local alternative-care attenuation beyond imposed one-year fading; accounts for accessible public/free mental care. Analyst prior unless stated otherwise.
    mental horizon
    1 (range: 1). Counseling utility fades linearly to zero by one year after start; no residual lifetime mental-health benefit. Analyst prior unless stated otherwise.
    mental delay
    0.15 (range: 0.15 / 0). Care start delay, discounts only for an alive-at-start cohort. Analyst prior unless stated otherwise.
    mental harm
    0.001 (range: 0.001 / 0.0002 / 0.002 / 0). Gift-date PV incremental burden/adverse effects per additional completed unique counseling patient; clinical deterioration already in signed utility excluded. Analyst prior unless stated otherwise.
    mortality
    0.01 (range: 0.01 / 0). Annual competing all-cause hazard during finite benefit, not a mortality reduction claim. Analyst prior unless stated otherwise.
    discount
    0.03 (range: 0.03 / 0). Continuous annual health discount rate. Analyst prior unless stated otherwise.
    bay share
    1 (range: 1 / 0). Direct Bay Area fraction; intended clinic catchment; no measured marginal residency split. Analyst prior unless stated otherwise.
    sf share
    0.7 (range: 0.7 / 0.3 / 0). Direct SF subset of Bay Area; weak prior from SF and San Mateo mission, not proof clinic location equals resident location. Analyst prior unless stated otherwise.
    volunteer resource per donor
    0.6 (range: 0.6 / 2). Additional gross associated volunteer opportunity-cost allowance per donor dollar, not a clinic valuation or incremental net cost. Analyst prior unless stated otherwise.
    external resource per donor
    0.15 (range: 0.15 / 1). Outside support for original dental/mental branches and common patient support only; BP/residual per-course allowances exclude these costs. Analyst prior unless stated otherwise.
    independent harm q
    0 (range: 0 / 0.1). Gift-date PV QALY loss independent of expanded care; separate from per-patient harms. Analyst prior unless stated otherwise.
    bp medical fraction
    0.3 (range: 0.3 / 0.4 / 0.15 / 0). General-medical budget fraction for HDFP-like hypertensive adults ages30–69/DBP≥90; unknown local case mix, not all visits. Explicit analyst prior.
    bp course cost
    1500 (range: 1500 / 1000 / 2500). Fully loaded annual systematic-care cost: six contacts at$200 plus$300 drugs/labs; multiply by max(1,funded years), so longer care never costs only one year. Explicit analyst prior.
    bp unique
    0.8 (range: 0.8). Unique annual patients after excluding dental/counseling patient-periods and repeats. Explicit analyst prior.
    bp capacity
    30 (range: 30 / 0). Unverified additional unique annual-course capacity. Explicit analyst prior.
    bp baseline hazard
    0.016 (range: 0.016). Current-care all-cause annual mortality prior near annualized HDFP referral arm, not untreated mortality. Explicit analyst prior.
    bp relative hazard
    0.8254469933511347 (range: 0.8254469933511347 / 1 / 1.2). Constant-hazard approximation from HDFP5y risks6.4%stepped versus7.7%community referral; not observed first-year HR. Primary-trial-derived approximation.
    bp modern gap
    0.5 (range: 0.5 / 0.8 / 0.1 / 0). Remaining opportunity relative to historical referral comparator after modern public/free access, not fraction never treated. Explicit analyst prior.
    bp delivery transfer
    0.75 (range: 0.75 / 1 / 0.3). Implementation relative to trial assignment effect; no second multiplication by absolute trial adherence. Explicit analyst prior.
    bp active years
    1 (range: 1 / 5). Funded exposure; hazards equal comparator after this period. Explicit analyst prior.
    bp latency
    0.25 (range: 0.25 / 0 / 0.75 / 1). Initial delay before any hazard effect within the funded exposure. Explicit analyst prior.
    bp horizon
    10 (range: 10 / 3). Finite survival followup after care start; no permanent risk reduction. Explicit analyst prior.
    bp delay
    0.15 (range: 0.15). Discount-only start delay, cohort alive at service start. Explicit analyst prior.
    bp utility
    0.75 (range: 0.75). Utility among living high-risk cohort, independent prior. Explicit analyst prior.
    bp harm
    0.0005 (range: 0.0005 / 0). Gift-date PV nonfatal incremental treatment harm; fatal effects already inside signed mortality contrast. Explicit analyst prior.
    bp external per course
    300 (range: 300). Annual outside BP clinical/patient-time cost, multiplied by max(1,funded years); donor-paid and common original-branch support excluded. Explicit analyst prior.
    residual unique
    0.65 (range: 0.65). Unique residual patient-periods after excluding all credited cohorts/repeats; full costs retained. Explicit analyst prior.
    residual capacity
    100 (range: 100 / 0). Unknown additional unique annual-course capacity prior. Explicit analyst prior.
    residual delay
    0.15 (range: 0.15). Discount-only delay; cohort alive at start. Explicit analyst prior.
    residual harm
    0.0005 (range: 0.0005 / 0.001 / 0). Gift-date PV incremental harm outside signed utility, per additional unique course. Explicit analyst prior.
    acute cost
    1000 (range: 1000 / 750 / 1500). Fully loaded nominal patient-course cost. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    acute target
    0.5 (range: 0.5 / 0.75 / 0.25). Share with completed/actionable burden-bearing care. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    acute utility
    0.06 (range: 0.06 / 0.09 / 0.015 / 0 / -0.02 / 0.12). Signed utility change conditional on response. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    acute response
    0.7 (range: 0.7 / 0.84 / 0.35). Meaningful symptom/function response. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    acute catchup
    4 (range: 4 / 2 / 8). Annual alternative-care/spontaneous catchup. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    acute horizon
    0.5 (range: 0.5 / 1). Hard post-care benefit horizon. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    acute external
    100 (range: 100). Outside clinical/patient-time cost beyond donor/volunteer/common support. 40% of non-BP medical budget; short symptomatic courses, mixed acute/rheumatology need; no automatic disease cure. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    chronic cost
    1500 (range: 1500 / 1125 / 2250). Fully loaded nominal patient-course cost. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    chronic target
    0.4 (range: 0.4 / 0.6000000000000001 / 0.2). Share with completed/actionable burden-bearing care. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    chronic utility
    0.03 (range: 0.03 / 0.045 / 0.0075 / 0 / -0.02 / 0.06). Signed utility change conditional on response. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    chronic response
    0.65 (range: 0.65 / 0.78 / 0.325). Meaningful symptom/function response. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    chronic catchup
    1.5 (range: 1.5 / 0.75 / 3). Annual alternative-care/spontaneous catchup. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    chronic horizon
    1 (range: 1 / 2). Hard post-care benefit horizon. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    chronic external
    300 (range: 300). Outside clinical/patient-time cost beyond donor/volunteer/common support. 40% of non-BP medical budget; sustained symptom control in selected chronic illness, not diabetes education→mortality or broad preventive event credit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    referral cost
    3000 (range: 3000 / 2250 / 4500). Fully loaded nominal patient-course cost. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    referral target
    0.3 (range: 0.3 / 0.44999999999999996 / 0.15). Share with completed/actionable burden-bearing care. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    referral utility
    0.1 (range: 0.1 / 0.15000000000000002 / 0.025 / 0 / -0.02 / 0.2). Signed utility change conditional on response. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    referral response
    0.7 (range: 0.7 / 0.84 / 0.35). Meaningful symptom/function response. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    referral catchup
    1 (range: 1 / 0.5 / 2). Annual alternative-care/spontaneous catchup. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    referral horizon
    2 (range: 2 / 3). Hard post-care benefit horizon. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    referral external
    3000 (range: 3000). Outside clinical/patient-time cost beyond donor/volunteer/common support. 20% of non-BP medical budget; target fraction requires completed actionable specialty care, not a referral alone. External actual treatment resources modeled separately. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/services Weak explicit service-specific prior.
    dental other cost
    600 (range: 600 / 450 / 900). Fully loaded nominal patient-course cost. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental Weak explicit service-specific prior.
    dental other target
    0.25 (range: 0.25 / 0.375 / 0.125). Share with completed/actionable burden-bearing care. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental Weak explicit service-specific prior.
    dental other utility
    0.04 (range: 0.04 / 0.06 / 0.01 / 0 / -0.02 / 0.08). Signed utility change conditional on response. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental Weak explicit service-specific prior.
    dental other response
    0.8 (range: 0.8 / 0.96 / 0.4). Meaningful symptom/function response. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental Weak explicit service-specific prior.
    dental other catchup
    4 (range: 4 / 2 / 8). Annual alternative-care/spontaneous catchup. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental Weak explicit service-specific prior.
    dental other horizon
    1 (range: 1 / 2). Hard post-care benefit horizon. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental Weak explicit service-specific prior.
    dental other external
    150 (range: 150). Outside clinical/patient-time cost beyond donor/volunteer/common support. All nonselected dental budget; only a minority have responsive symptomatic disease. Cleanings/prevention not assigned lifelong benefit. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental Weak explicit service-specific prior.
    mental other cost
    1000 (range: 1000 / 750 / 1500). Fully loaded nominal patient-course cost. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1 Weak explicit service-specific prior.
    mental other target
    0.5 (range: 0.5 / 0.75 / 0.25). Share with completed/actionable burden-bearing care. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1 Weak explicit service-specific prior.
    mental other utility
    0.04 (range: 0.04 / 0.06 / 0.01 / 0 / -0.02 / 0.08). Signed utility change conditional on response. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1 Weak explicit service-specific prior.
    mental other response
    0.6 (range: 0.6 / 0.72 / 0.3). Meaningful symptom/function response. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1 Weak explicit service-specific prior.
    mental other catchup
    2 (range: 2 / 1 / 4). Annual alternative-care/spontaneous catchup. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1 Weak explicit service-specific prior.
    mental other horizon
    0.75 (range: 0.75 / 1.5). Hard post-care benefit horizon. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1 Weak explicit service-specific prior.
    mental other external
    200 (range: 200). Outside clinical/patient-time cost beyond donor/volunteer/common support. All nonselected mental budget; symptomatic anxiety/other psychiatry supported monthly, not depressive counseling credited twice. No suicide mortality claim. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/dental-1 Weak explicit service-specific prior.
    food cost
    800 (range: 800 / 600 / 1200). Fully loaded nominal patient-course cost. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy Weak explicit service-specific prior.
    food target
    0.4 (range: 0.4 / 0.6000000000000001 / 0.2). Share with completed/actionable burden-bearing care. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy Weak explicit service-specific prior.
    food utility
    0.01 (range: 0.01 / 0.015 / 0.0025 / 0 / -0.02 / 0.02). Signed utility change conditional on response. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy Weak explicit service-specific prior.
    food response
    0.4 (range: 0.4 / 0.48 / 0.2). Meaningful symptom/function response. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy Weak explicit service-specific prior.
    food catchup
    2 (range: 2 / 1 / 4). Annual alternative-care/spontaneous catchup. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy Weak explicit service-specific prior.
    food horizon
    1 (range: 1 / 2). Hard post-care benefit horizon. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy Weak explicit service-specific prior.
    food external
    250 (range: 250). Outside clinical/patient-time cost beyond donor/volunteer/common support. Food/other budget, financial strain plus metabolic conditions; food substitution and public CalFresh/EatSF support in baseline. Small transient morbidity prior, not starvation prevention. Source confirms service, not this numerical prior: https://www.clinicbythebay.org/food-pharmacy Weak explicit service-specific prior.
    acute medical share
    0.4 (range: 0.4). Shares of non-BP medical budget sum to1. Symptom care and chronic medication support each40%, completed specialty-care branch20%; not observed clinic spending. Unobserved non-BP medical case-mix allocation prior.
    chronic medical share
    0.4 (range: 0.4). Shares of non-BP medical budget sum to1. Symptom care and chronic medication support each40%, completed specialty-care branch20%; not observed clinic spending. Unobserved non-BP medical case-mix allocation prior.
    referral medical share
    0.2 (range: 0.2). Shares of non-BP medical budget sum to1. Symptom care and chronic medication support each40%, completed specialty-care branch20%; not observed clinic spending. Unobserved non-BP medical case-mix allocation prior.
    • Central: $1.1M per DALY. all: Q 0.1253611103, donor $7,976,956, gross resource $15,789,985; bay: Q 0.1253611103, donor $7,976,956, gross resource $15,789,985; sf: Q 0.08775277722, donor $11,395,651, gross resource $22,557,121; gross associated resource budget $197,945.
    • Favorable: $52K per DALY. all: Q 2.749846199, donor $363,657, gross resource $738,150; bay: Q 2.749846199, donor $363,657, gross resource $738,150; sf: Q 1.924892340, donor $519,510, gross resource $1,054,501; gross associated resource budget $202,980.
    • Cautious: No finite positive ratio per DALY. all: Q -0.008732534295, donor No finite positive ratio, gross resource No finite positive ratio; bay: Q -0.008732534295, donor No finite positive ratio, gross resource No finite positive ratio; sf: Q -0.006112774007, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $192,113.
    • No additional funding: No finite positive ratio per DALY. all: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; bay: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; sf: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $197,945.
    • No gift capacity: No finite positive ratio per DALY. all: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; bay: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; sf: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $197,945.
    • Zero net effect: No finite positive ratio per DALY. all: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; bay: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; sf: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $197,945.
    • Harm only: No finite positive ratio per DALY. all: Q -0.01754416667, donor No finite positive ratio, gross resource No finite positive ratio; bay: Q -0.01754416667, donor No finite positive ratio, gross resource No finite positive ratio; sf: Q -0.01228091667, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $197,945.
    • Signed adverse utility: No finite positive ratio per DALY. all: Q -0.1015070905, donor No finite positive ratio, gross resource No finite positive ratio; bay: Q -0.1015070905, donor No finite positive ratio, gross resource No finite positive ratio; sf: Q -0.07105496338, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $197,945.
    • Independent harm despite replacement: No finite positive ratio per DALY. all: Q -0.1000000000, donor No finite positive ratio, gross resource No finite positive ratio; bay: Q -0.1000000000, donor No finite positive ratio, gross resource No finite positive ratio; sf: Q -0.07000000000, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $197,945.
    • Counseling benefit removed: $1.2M per DALY. all: Q 0.1154913120, donor $8,658,660, gross resource $17,139,384; bay: Q 0.1154913120, donor $8,658,660, gross resource $17,139,384; sf: Q 0.08084391839, donor $12,369,514, gross resource $24,484,835; gross associated resource budget $197,945.
    • Dental benefit removed: $1.6M per DALY. all: Q 0.09057806151, donor $11,040,201, gross resource $21,853,526; bay: Q 0.09057806151, donor $11,040,201, gross resource $21,853,526; sf: Q 0.06340464306, donor $15,771,716, gross resource $31,219,323; gross associated resource budget $197,945.
    • All counseling patients overlap: $1.2M per DALY. all: Q 0.1154913120, donor $8,658,660, gross resource $17,139,384; bay: Q 0.1154913120, donor $8,658,660, gross resource $17,139,384; sf: Q 0.08084391839, donor $12,369,514, gross resource $24,484,835; gross associated resource budget $197,945.
    • Lower target portfolio: $1.3M per DALY. all: Q 0.1141957015, donor $8,756,897, gross resource $17,629,823; bay: Q 0.1141957015, donor $8,756,897, gross resource $17,629,823; sf: Q 0.07993699108, donor $12,509,853, gross resource $25,185,461; gross associated resource budget $201,325.
    • Higher target portfolio: $1.0M per DALY. all: Q 0.1365265191, donor $7,324,584, gross resource $14,251,077; bay: Q 0.1365265191, donor $7,324,584, gross resource $14,251,077; sf: Q 0.09556856336, donor $10,463,692, gross resource $20,358,682; gross associated resource budget $194,565.
    • Fast usual-care catchup: $1.6M per DALY. all: Q 0.08721326229, donor $11,466,146, gross resource $22,696,663; bay: Q 0.08721326229, donor $11,466,146, gross resource $22,696,663; sf: Q 0.06104928361, donor $16,380,209, gross resource $32,423,804; gross associated resource budget $197,945.
    • No local counseling transfer: $1.3M per DALY. all: Q 0.1133913120, donor $8,819,018, gross resource $17,456,805; bay: Q 0.1133913120, donor $8,819,018, gross resource $17,456,805; sf: Q 0.07937391839, donor $12,598,597, gross resource $24,938,293; gross associated resource budget $197,945.
    • Short dental advantage: $1.5M per DALY. all: Q 0.09382584896, donor $10,658,044, gross resource $21,097,065; bay: Q 0.09382584896, donor $10,658,044, gross resource $21,097,065; sf: Q 0.06567809427, donor $15,225,777, gross resource $30,138,664; gross associated resource budget $197,945.
    • Low SF share: $2.7M per DALY. all: Q 0.1253611103, donor $7,976,956, gross resource $15,789,985; bay: Q 0.1253611103, donor $7,976,956, gross resource $15,789,985; sf: Q 0.03760833309, donor $26,589,852, gross resource $52,633,282; gross associated resource budget $197,945.
    • No SF beneficiaries: No finite positive ratio per DALY. all: Q 0.1253611103, donor $7,976,956, gross resource $15,789,985; bay: Q 0.1253611103, donor $7,976,956, gross resource $15,789,985; sf: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $197,945.
    • No Bay beneficiaries: No finite positive ratio per DALY. all: Q 0.1253611103, donor $7,976,956, gross resource $15,789,985; bay: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; sf: Q 0.000000000, donor No finite positive ratio, gross resource No finite positive ratio; gross associated resource budget $197,945.
    • Larger gift capped: $2.0M per DALY. all: Q 0.7208342058, donor $13,872,816, gross resource $27,460,545; bay: Q 0.7208342058, donor $13,872,816, gross resource $27,460,545; sf: Q 0.5045839441, donor $19,818,308, gross resource $39,229,350; gross associated resource budget $1,979,450.
    • High gross resources: $1.1M per DALY. all: Q 0.1253611103, donor $7,976,956, gross resource $33,738,134; bay: Q 0.1253611103, donor $7,976,956, gross resource $33,738,134; sf: Q 0.08775277722, donor $11,395,651, gross resource $48,197,335; gross associated resource budget $422,945.
    • Zero dental and counseling discount/hazards: $564K per DALY. all: Q 0.2533147470, donor $3,947,658, gross resource $7,814,192; bay: Q 0.2533147470, donor $3,947,658, gross resource $7,814,192; sf: Q 0.1773203229, donor $5,639,511, gross resource $11,163,131; gross associated resource budget $197,945.
    • Immediate care: $1.1M per DALY. all: Q 0.1255827965, donor $7,962,874, gross resource $15,762,111; bay: Q 0.1255827965, donor $7,962,874, gross resource $15,762,111; sf: Q 0.08790795758, donor $11,375,534, gross resource $22,517,302; gross associated resource budget $197,945.
    • BP null despite medical activity: $1.3M per DALY. all: Q 0.1062568845, donor $9,411,155, gross resource $18,628,911; bay: Q 0.1062568845, donor $9,411,155, gross resource $18,628,911; sf: Q 0.07437981917, donor $13,444,507, gross resource $26,612,729; gross associated resource budget $197,945.
    • BP full usual-care replacement: $1.3M per DALY. all: Q 0.1062568845, donor $9,411,155, gross resource $18,628,911; bay: Q 0.1062568845, donor $9,411,155, gross resource $18,628,911; sf: Q 0.07437981917, donor $13,444,507, gross resource $26,612,729; gross associated resource budget $197,945.
    • BP no latency: $1.1M per DALY. all: Q 0.1321545470, donor $7,566,898, gross resource $14,978,297; bay: Q 0.1321545470, donor $7,566,898, gross resource $14,978,297; sf: Q 0.09250818292, donor $10,809,855, gross resource $21,397,567; gross associated resource budget $197,945.
    • BP no active effect window: $1.3M per DALY. all: Q 0.1062568845, donor $9,411,155, gross resource $18,628,911; bay: Q 0.1062568845, donor $9,411,155, gross resource $18,628,911; sf: Q 0.07437981917, donor $13,444,507, gross resource $26,612,729; gross associated resource budget $197,945.
    • BP five-year funded course: $1.1M per DALY. all: Q 0.1262993722, donor $7,917,696, gross resource $15,672,683; bay: Q 0.1262993722, donor $7,917,696, gross resource $15,672,683; sf: Q 0.08840956054, donor $11,310,994, gross resource $22,389,547; gross associated resource budget $197,945.
    • BP short survival followup: $1.3M per DALY. all: Q 0.1119028589, donor $8,936,322, gross resource $17,689,003; bay: Q 0.1119028589, donor $8,936,322, gross resource $17,689,003; sf: Q 0.07833200125, donor $12,766,175, gross resource $25,270,004; gross associated resource budget $197,945.
    • Residual null: $2.3M per DALY. all: Q 0.06155707290, donor $16,245,087, gross resource $32,156,337; bay: Q 0.06155707290, donor $16,245,087, gross resource $32,156,337; sf: Q 0.04308995103, donor $23,207,267, gross resource $45,937,625; gross associated resource budget $197,945.
    • Residual signed harm: $9.4M per DALY. all: Q 0.01519254729, donor $65,821,747, gross resource $130,290,857; bay: Q 0.01519254729, donor $65,821,747, gross resource $130,290,857; sf: Q 0.01063478310, donor $94,031,067, gross resource $186,129,795; gross associated resource budget $197,945.
    • Residual wider prior: $651K per DALY. all: Q 0.2193801945, donor $4,558,297, gross resource $9,022,920; bay: Q 0.2193801945, donor $4,558,297, gross resource $9,022,920; sf: Q 0.1535661362, donor $6,511,852, gross resource $12,889,886; gross associated resource budget $197,945.
    • No new pathways diagnostic: $3.2M per DALY. all: Q 0.04465284712, donor $22,394,989, gross resource $44,773,181; bay: Q 0.04465284712, donor $22,394,989, gross resource $44,773,181; sf: Q 0.03125699298, donor $31,992,841, gross resource $63,961,687; gross associated resource budget $199,925.

    All 34 original scenarios and three weight stresses remain unchanged in the historical calculator and API. The old report and evidence are preserved; neither old publication nor numerical consistency proves current empirical impact.

    5. Funding and previous grants

    Confirm what additional courses donations can fund, their fully loaded costs and unique patient outcomes. Current operations and financial statements establish an organization, not a verified marginal funding opportunity.

    Annual accrual costs, volunteer complements and an illustrative 1.75× gross-resource envelope are distinct from marginal donor costs. Comprehensive external resources and unmodeled portfolio value remain unknown.

    This review does not establish a verified marginal funding offer or a complete history of grants.

    Donate

    Opens the organization’s giving page. A general donation may not fund the specific activity modeled here; confirm allocation with the recipient.

    6. Sources

    1. Medical services. Clinic by the Bay. Primary service disclosure. Published: Undated; retrieved: 2026-09-09 UTC.
    2. Dental services. Clinic by the Bay. Primary service and patient-selection disclosure. Published: Undated; retrieved: 2026-09-09 UTC.
    3. Mental health services. Clinic by the Bay. Primary short-term counseling/psychiatry disclosure. Published: Undated; retrieved: 2026-09-09 UTC.
    4. Patient eligibility. Clinic by the Bay. Primary uninsured eligibility. Published: Undated; retrieved: 2026-09-09 UTC.
    5. Dental director recruitment. Clinic by the Bay. Local salary anchor, not funded capacity. Published: Undated; retrieved: 2026-09-09 UTC.
    6. FY2025 Form 990. Volunteers in Medicine - San Francisco / IRS. Primary unaudited return. Published: Year ended 30 June 2025; retrieved: 2026-09-09 UTC.
    7. FY2025 Schedule M. Volunteers in Medicine - San Francisco / IRS. Primary noncash contribution disclosure. Published: Year ended 30 June 2025; retrieved: 2026-09-09 UTC.
    8. Annual reports index. Clinic by the Bay. Primary index only; linked Canva contents unavailable. Published: Undated; links 2025 report; retrieved: 2026-09-09 UTC.
    9. Cost-effectiveness of root canal treatment compared with tooth extraction. Wigsten et al.. Primary nonrandomized Swedish cohort. Published: 2023; retrieved: 2026-09-09 UTC.
    10. Brief psychological therapies versus usual GP care. King, Ward et al.. Primary randomized trial report. Published: 2000; retrieved: 2026-09-09 UTC.
    11. Covered medical services. Healthy San Francisco. Primary local public alternative-care baseline. Published: Undated; retrieved: 2026-09-09 UTC.
    12. Five-year findings: stepped care versus community referral. HDFP Cooperative Group. Primary randomized assignment mortality evidence. Published: 1979; retrieved: 2026-09-09 UTC.
    13. HDFP study record. NHLBI. Primary study design. Published: Study1970s; retrieved: 2026-09-09 UTC.
    14. Oregon Experiment: Medicaid and clinical outcomes. Baicker et al.. Randomized access counterweight: generic care is not assured BP control. Published: 2013; retrieved: 2026-09-09 UTC.
    15. Food pharmacy and CalFresh/EatSF support. Clinic by the Bay. Primary service disclosure; no direct QALY effect measured. Published: Undated; retrieved: 2026-09-09 UTC.
    16. Cost-effectiveness and health/income comparison. Coefficient Giving. Welfare crosswalk; not local outcome evidence. Published: Current framework; retrieved: 2026-10-02.

    Annual expenses: years and sources

    Average annual expenses (three consecutive fiscal years): $1,336,186. Organization size is separate from the modeled cost-effectiveness of a donation.

    Volunteers in Medicine - San Francisco dba Clinic by the Bay

    Form 990 reported whole-entity expenses; includes program, administration and fundraising costs, but excludes costs netted against revenue.

    Fiscal years ended June 30. Current-year total expenses verified in each original return.