San Francisco Community Clinic Consortium

Summary

What do they do? SFCCC’s Street Outreach Services describes mobile healthcare, including wound care. This does not establish a sustained venous-ulcer protocol. The model is for clinically assessed, eligible venous disease—not every wound or swollen leg. Federal health-center funding and other clinical providers must be reconciled. More

Why this approach interests us

• Sustained, appropriate venous-ulcer care may produce more time without an ulcer.

Our main reservations

• The treatment trial improved ulcer-free time but not generic health utility. Local protocol and course delivery are unverified.

What do you get for your dollar?

Our provisional best estimate is $2.5M per DALY:one modeled equivalent year. This is a narrow, highly uncertain health-only model, not the organization’s overall impact or a verified donation offer. Inspect the assumptions →

best guess

$2.5M — per DALY; conditional donor budget

positive scenarios

$55K–$520.0M — Joint scenarios, not confidence intervals

health evidence

Null is plausible — A positive best guess does not rule out no added health

funding room

Unverified — Public contracts are not marginal donation offers

1. What do they do?

SFCCC’s Street Outreach Services describes mobile healthcare, including wound care. This does not establish a sustained venous-ulcer protocol. The model is for clinically assessed, eligible venous disease—not every wound or swollen leg. Federal health-center funding and other clinical providers must be reconciled.

Scope of this review. Count each patient pathway once. Do not add mortality, housing, substance-use treatment or other overlapping benefits without separate causal models and reconciliation.

2. Monitoring and information sharing

3. Qualitative assessment

Sustained, appropriate venous-ulcer care may produce more time without an ulcer.

Key reservations

• Existing usual care may already deliver effective compression. Clinic location alone is not the active ingredient.
• A short twelve-contact pilot cannot inherit the complete one-year package effect without a separate model.
• No sepsis, amputation or mortality credit is inferred from generic wound-treatment encounters.

Benefits not included in our estimate

• Healthcare savings as donor cash
• Unmodeled mortality reduction
• Independent housing and substance-use benefits
• Unpriced public or volunteered resources

4. What do you get for your dollar?

$2.5M per DALY

Central gross donor cost isUSD3,500 for a full-year pathway.5.9 extra ulcer-free weeks /52 ×.05 assumed utility ×.5 transfer ×.5 financing gives 0.00 QALY. The utility bridge is judgmental; the trial did not demonstrate a generic utility advantage.

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

DOLLARS per DALY: course cost / {financing × [ulcer-free weeks /52 ×utility gap ×transfer −extra net harm]}
$2.5M per DALY

Hypothetical course budget—not a verified funding tranche

• Favorable full-course: $55K per DALY. 0.01817 conditional QALY per offered course.
• Central: $2.5M per DALY. 0.001418 conditional QALY per offered course.
• Pessimistic: $520.0M per DALY. 0.00001154 conditional QALY per offered course.

Uncertainty. Zero actual utility benefit, unchanged care or fully replaced financing gives no finite positive price. Net harms can make health negative; this is not a negative-price bargain.

5. Funding and previous grants

Need a named clinically eligible cohort, additional capacity, all payer contributions and measured health difference versus actual usual care.

Constructed course:32 planned contacts ×(.5 RN hour ×USD100 ×1.3 loading +USD30 supplies) +USD460 assessment/aftercare/travel/admin =3,500.32 is a planning proxy, not an observed visit count. The460 allowance needs itemization; volunteer/public resources and failed outreach require verification. No donor quote.

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. Street Outreach Services. SFCCC. Provider disclosure. Published: Undated; retrieved: 2026-09-07.
2. Provider statement on SOS services. SFCCC. Provider-authored release; not outcome evaluation. Published: 2024-12-03; retrieved: 2026-09-07.
3. Morrell1998 community leg-ulcer trial. BMJ. Primary randomized trial. Published: 1998; retrieved: 2026-09-07.
4. Wong2023 venous-ulcer health utility. Health Science Reports. Noncausal health-state comparison. Published: 2023; retrieved: 2026-09-07.
5. Federal programs. SFCCC. Public funding overlap. Published: Undated; retrieved: 2026-09-07.
6. Registered Nurse2320 pay scale. City and County of SF. Labor cost orientation, not SOS quote. Published: 2026; retrieved: 2026-09-07.

Annual expenses: years and sources

Average annual expenses (three consecutive fiscal years): $14,909,462. Organization size is separate from the modeled cost-effectiveness of a donation.

San Francisco Community Clinic Consortium

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

• FY2025: $14,155,011
• FY2024: $15,257,974
• FY2023: $15,315,402

Fiscal years ended June 30. Whole consortium filing expenses, including grants; not the combined budgets of member clinics or the Street Outreach Services program alone.