GiveBetter x Chicago

CommunityHealth

Free primary, specialty, dental, mental health and pharmacy care

Research time: ~1 min on GPT-6 Astra Light + ~3 min on GPT-6.1 Sol
  • Research — reviewed programs, finances and impact evidence.
  • Source audit — checked claims, assumptions and calculations.

Updated: 2026-10-07

Donate

Summary

What do they do? CommunityHealth provides volunteer-supported primary, specialty, medication and mental-health care for Chicago adults. Current eligibility generally requires no insurance or HBIS only, with household income at or below 300% of federal poverty guidelines. The annual illustration includes short health relief and signed household financial protection, not retail donated care or a priced marginal gift.

Why we’re interested in this organization:

  • Unique annual patients prevent adding visits and prescriptions as extra people.

  • Original audited expenses include recognized donated resources.

  • Free-care access offers a plausible financial-protection mechanism.

Our main reservations:

  • Clinical utility and net cash effects are hypotheses, not measured recipient effects.

  • Donated drug accounting is not economic opportunity cost.

  • Clinical capacity, patient residence and gift-created expansion remain unmeasured.

What do you get for your dollar? $696K per DALY in Chicago. 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.

4147annualpatients; visits24695/prescriptions23579/newregistrations1888 not additive. Clinical response and household financial protection are conditional judgments.

1. What do they do?

CommunityHealth provides medical, dental, medication and mental health care at Chicago sites. Its giving page identifies EIN 36-3831793. Dental waiting lists indicate unmet demand but do not establish whether money or volunteers constrain supply. Current eligibility includes HBIS-only patients, and services now explicitly accept no new dental referrals. Documentation and interpreting requirements may create access costs; no clinical outcomes are inferred from registration.

2. Monitoring and information sharing

The 2024 report counts 4,147 patients, 24,695 visits and 23,579 prescriptions. Only patients enter the model, preventing duplicate credit across services. Request baseline illness, deduplicated clinical response, sustained utility, alternative care and resident county. The Oregon randomized Medicaid study increased utilization and reduced depression but found no significant measured physical-health gains in two years; coverage is not a direct trial of this clinic, and supplies no numerical calibration here. Root freshly recovered the original annual page: 1,888 new registrations are not added to 4,147 annual patients. Original Oregon Medicaid financial results show reduced out-of-pocket spending, but insurance is not this clinic and its physical-health null does not calibrate these patients' utility.

3. Qualitative assessment

Primary and medication access can provide pain, mental-health and financial-strain relief. The original Oregon trial's $215.35 annual out-of-pocket difference is not a CommunityHealth effect or a disposable earnings estimate. A $200 otherwise-paid medical cash hypothesis and .3 financial-protection additionality are explicit transport judgments after alternative providers and benefit changes. Earnings are zero centrally as an uncertainty judgment, with positive and negative tests; unpaid time savings are not wages. Other health, education and resource channels remain unmeasured, not proven zero.

4. What do you get for your dollar?

Root freshly verified original 2024 full expense $21,453,697, including $12,728,899 consumed inventory, $3,995,847 donated services and $177,307 other in-kind expense. Those resources are not added again. Removing the separate .4 marginal gift multiplier makes the annual-work boundary coherent, not more empirically effective. Clinical patient count remains 4,147, while .8 grouping affects only household resources. Full .05 aggregate process harm is judged and independent of success. Whole annual cost against bounded selected effects is not calibrated portfolio expected value. Current health30.43145 and signed resources+.40210 give about $696K per DALY.

Model, assumptions and sensitivity

Full audited recipient costs including recognized donated resources; external hospital resources not included. Recognized pharmaceutical wholesale values and donated-provider billing rates are accounting amounts, not measured opportunity costs.

Current service sites are in Cook County. g=.98 is judged resident share, not observed; pinned 13-county MSA excludes Kenosha.

Health=g*(N*a*u*T-full aggregate process harm)/(1+r)^delay. Resources=.5*sum(people*discounted finite years*log(after/before)*geography), household joint changes and positive-only overlap; price10=10*C/(health+signed resources).

C
21453697 USD full audited annual expense (observed). Fresh original audit full expense includes consumed donated resources. [audit24]
N
4147 annual unique patients (observed). Original annual patients, not summed visits/prescriptions. [annual]
a
0.3 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
u
0.05 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
T
0.5 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
harm
0.05 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
g
0.98 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
unique
0.8 resource households per patient (judgment). Household grouping resources only; clinical patients unchanged. [services] [eligibility] [oregon-original] [cg-income]
resourceAdditional
0.3 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
cash
200 conditional parameter (judgment). 200otherwise-paid medical cash is transport judgment, not measured Oregon or recipient effect. [services] [eligibility] [oregon-original] [cg-income]
work
0 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
cost
25 conditional parameter (judgment). 25net incremental access/time cost relative alternative care, not charged patient fees. [services] [eligibility] [oregon-original] [cg-income]
baseline
20000 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
years
1 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
overlap
0.5 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
payerLoss
0 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
externalCost
0 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
payerPeople
10000 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
payerBaseline
50000 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
delay
0 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
r
0.03 conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]
unknown
false conditional parameter (judgment). Explicit conditional judgment; sources establish mechanism, not this coefficient. [services] [eligibility] [oregon-original] [cg-income]

central: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {}

clinical-null: Cost: $21.5M; Chicago health QALYs: -0.05; all-population health QALYs: -0.05. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":0}

financial-only: Cost: $21.5M; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":0,"harm":0}

unknown-resources: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"unknown":true}

no-clinical-additionality: Cost: $21.5M; Chicago health QALYs: -0.05; all-population health QALYs: -0.05. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0}

no-resource-additionality: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -2.03. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"resourceAdditional":0}

no-benefit-full-burdens: Cost: $21.5M; Chicago health QALYs: -0.05; all-population health QALYs: -0.05. Income-equivalent healthy years: -2.03. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0,"resourceAdditional":0}

no-exposure: Cost: $21.5M; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"N":0}

no-gift-no-exposure: Cost: $0; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"N":0,"C":0}

adverse: Cost: $21.5M; Chicago health QALYs: -6.15; all-population health QALYs: -6.27. Income-equivalent healthy years: -11.03. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":-0.01,"cash":-100,"work":-100,"cost":75}

zero-otherwise-paid-cash: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -2.03. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":0}

low-cash: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -1.42. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":50}

high-cash: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 2.83. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":400}

net-work-positive: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 2.83. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"work":200}

net-work-negative: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -2.03. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"work":-100}

negative-overlap-zero: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -6.94. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":-100,"work":-100,"overlap":0}

negative-overlap-one: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -6.94. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":-100,"work":-100,"overlap":1}

positive-overlap-zero: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 2.83. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"overlap":0}

positive-overlap-one: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -2.03. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"overlap":1}

full-cash-counterparty: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -1.55. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"payerLoss":200}

external-unrecognized-provider-cost: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -3.66. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"externalCost":100}

no-net-access-cost: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 2.43. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cost":0}

higher-net-access-cost: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: -3.67. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cost":75}

no-household-grouping: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.00. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"unique":0}

lower-household-baseline: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.80. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"baseline":10000}

higher-household-baseline: Cost: $21.5M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.20. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"baseline":40000}

no-local: Cost: $21.5M; Chicago health QALYs: 0.00; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.00. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"g":0}

all-local: Cost: $21.5M; Chicago health QALYs: 31.05; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.41. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"g":1}

delay-year: Cost: $21.5M; Chicago health QALYs: 29.55; all-population health QALYs: 30.15. Income-equivalent healthy years: 0.39. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"delay":1}

shorter-morbidity: Cost: $21.5M; Chicago health QALYs: 15.19; all-population health QALYs: 15.50. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"T":0.25}

longer-morbidity: Cost: $21.5M; Chicago health QALYs: 60.91; all-population health QALYs: 62.16. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"T":1}

cash-like-not-social-cost: Cost: $4.6M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":4551644}

three-percent-resource-opportunity-grossup: Cost: $22.1M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":22097307.91}

program-half-allocation-hypothesis: Cost: $10.7M; Chicago health QALYs: 30.43; all-population health QALYs: 31.05. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":10726848.5}

lower-patient-scale: Cost: $21.5M; Chicago health QALYs: 22.00; all-population health QALYs: 22.45. Income-equivalent healthy years: 0.29. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"N":3000}

resource-benefit-without-clinical-response: Cost: $21.5M; Chicago health QALYs: -0.05; all-population health QALYs: -0.05. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0,"cash":200}

Frozen original annual/gift mixed central: Cost: $21.5M; Chicago health QALYs: 12.19; all-population health QALYs: 12.44. {"C":21453697,"f":1,"N":4147,"a":0.3,"u":0.05,"T":0.5,"b":0.4,"g":0.98}

Counterfactual: Alternative clinic/public/HBIS care and ineffective treatment via clinical a; financial protection has independent resourceAdditional hypothesis, not clinical response gating. Annual cost receives no marginal financing multiplier.

Attribution: Patient clinical count distinct from resource household grouping; no measured utility or earnings coefficient. Full negative costs survive benefit failure. Donated retail/accounting values are not household resources.

Central illustrative scenario and favorable/poor bounds are judgments, not calibrated EV or confidence interval. Cross-recipient results cannot be summed without deduplication. These costs are whole-portfolio equivalents, not marginal gift purchase guarantees. Cost numerators use different accounting recognition of donated care; central prices must not be interpreted as a comparable economic-efficiency ranking. Favorable and poor scenarios are illustrative cases, not exhaustive bounds.

Sensitivity

  • clinical-null: $60.8M per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":0}
  • financial-only: $53.4M per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":0,"harm":0}
  • unknown-resources: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"unknown":true}
  • no-clinical-additionality: $60.8M per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0}
  • no-resource-additionality: $755K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"resourceAdditional":0}
  • no-benefit-full-burdens: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0,"resourceAdditional":0}
  • no-exposure: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"N":0}
  • no-gift-no-exposure: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"N":0,"C":0}
  • adverse: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":-0.01,"cash":-100,"work":-100,"cost":75}
  • zero-otherwise-paid-cash: $755K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":0}
  • low-cash: $740K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":50}
  • high-cash: $645K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":400}
  • net-work-positive: $645K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"work":200}
  • net-work-negative: $755K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"work":-100}
  • negative-overlap-zero: $913K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":-100,"work":-100,"overlap":0}
  • negative-overlap-one: $913K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":-100,"work":-100,"overlap":1}
  • positive-overlap-zero: $645K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"overlap":0}
  • positive-overlap-one: $755K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"overlap":1}
  • full-cash-counterparty: $743K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"payerLoss":200}
  • external-unrecognized-provider-cost: $801K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"externalCost":100}
  • no-net-access-cost: $653K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cost":0}
  • higher-net-access-cost: $802K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cost":75}
  • no-household-grouping: $705K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"unique":0}
  • lower-household-baseline: $687K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"baseline":10000}
  • higher-household-baseline: $700K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"baseline":40000}
  • no-local: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"g":0}
  • all-local: $682K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"g":1}
  • delay-year: $717K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"delay":1}
  • shorter-morbidity: $1.4M per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"T":0.25}
  • longer-morbidity: $350K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"T":1}
  • cash-like-not-social-cost: $148K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":4551644}
  • three-percent-resource-opportunity-grossup: $717K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":22097307.91}
  • program-half-allocation-hypothesis: $348K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":10726848.5}
  • lower-patient-scale: $962K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"N":3000}
  • resource-benefit-without-clinical-response: $60.8M per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0,"cash":200}
  • Frozen original annual/gift mixed central: $1.8M per DALY. {"C":21453697,"f":1,"N":4147,"a":0.3,"u":0.05,"T":0.5,"b":0.4,"g":0.98}

Unresolved inputs

  • Completed clinical conditions, causal utility and duration.
  • Actual otherwise-paid household spending, net work, access costs and outside payer incidence.
  • Current residence, volunteer/gift expansion capacity and calibrated cost allocation.

Health and income breakdown

For the modeled $21.5M: 30.43 health QALYs + 0.40 income-equivalent healthy years in Chicago: $696K per DALY. Income equivalents are welfare comparisons, not observed QALYs or DALYs.

Method and caveats.

5. Funding and previous grants

Fresh original audit revenue $21,052,293, net assets $6,621,698, donor restrictions $684,948 and government grants $1,000,893 remain relevant to gift uncertainty. Cash-like $4,551,644 expense excludes $16,902,053 recognized in-kind, not cash flow or full economic opportunity cost. Resource households with judged financial protection jointly receive positive net cash and any net work gain, reduced only for positive overlap, minus full $25 incremental travel/time/access burden relative to alternative care; other exposed households retain the full burden. Baseline $20,000 is judged consumption, not eligibility income or measured earnings. Distinct external provider/payer stresses retain full losses for local recipients, excluding recognized resources already in the numerator; zero central external loss is a donor-budget boundary convention, not proof of no incidence. Free public and charity care, HBIS and deferred treatment are alternatives. Actual other cash effects, earnings, volunteer opportunity costs beyond recognition and priced gift capacity remain unknown.

Annual expenses

Organization-level spending, including programs, administration and fundraising. The research list averages three comparable, consecutive full fiscal years when available.

  • FY 2024: $21.5M; CommunityHealth NFP, 12-month period, GAAP audited full expense including in-kind. Source
  • FY 2023: $20.9M; CommunityHealth NFP, 12-month period, GAAP audited full expense including in-kind. Source

6. Sources

  1. Original 2024/2023 audited financial statements. CommunityHealth (source host). Published: not stated; retrieved: 2026-10-07.
  2. 2024 annual report. CommunityHealth (source host). Published: not stated; retrieved: 2026-10-07.
  3. Current Chicago locations. CommunityHealth (source host). Published: not stated; retrieved: 2026-10-07.
  4. Services and dental wait list. CommunityHealth (source host). Published: not stated; retrieved: 2026-10-07.
  5. Recipient giving and EIN. CommunityHealth (source host). Published: not stated; retrieved: 2026-10-07.
  6. Oregon randomized Medicaid clinical outcomes. New England Journal of Medicine. Published: not stated; retrieved: 2026-09-29.
  7. Current eligibility requirements. CommunityHealth. Published: not stated; retrieved: 2026-10-07.
  8. Original Oregon Medicaid randomized clinical and financial outcomes. New England Journal of Medicine / MIT author-hosted manuscript. Published: 2013-05-02; retrieved: 2026-10-07.
  9. Cost-effectiveness framework. Coefficient Giving. Published: not stated; retrieved: 2026-10-07.