Summary
What do they do? Old Irving Park Community Clinic provides free primary and behavioral health care to uninsured adults in Chicago. Volunteer clinicians and institutional partners support medication access, testing, counseling and specialist referrals. The clinic offers continuity of care for people facing financial and practical access barriers.
Why we’re interested in this organization:
Current medical and behavioral services establish an operating care mechanism.
Audits recognize much donated care and retain support costs.
Medication assistance and accessible care may protect health and household resources.
Our main reservations:
The undated patient panel is not a verified annual unique cohort.
Additional clinical response and actual otherwise-paid savings are unmeasured.
Volunteer capacity, alternative providers and marginal funding remain unresolved.
What do you get for your dollar? $356K 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. Conditional full annual recipient recognized-resource cost per DALY.
Additional completed symptom-relieving care, finite morbidity utility and signed actual otherwise-paid medical spending/work resources; no retail care value or survivor wages.
1. What do they do?
Old Irving Park Community Clinic, EIN 33-1164946, is the whole recipient at 5425 W. Addison Street, Chicago. It offers primary and behavioral care, donated medications, medication assistance, testing and referrals through volunteers and partners. Current intake requires uninsured adults aged at least 18, Illinois residence, proof of income and income at or below 250% of the federal poverty level. It is appointment-based, not urgent care. The official donation page identifies the recipient and links its donation form; no transaction or fulfillment was tested.
2. Monitoring and information sharing
The current page says more than 2,500 patients and over 150 volunteers, without a dated annual denominator. N=2,500 remains a rounded panel proxy and k=.5 a judged annual treated fraction, not an observed 1,250 annual cohort. One patient per distinct household is another explicit judgment, not verified household deduplication. Request annual unique patients, residence, completed treatments, symptoms/function, actual spending and alternative care. Historical visit counts and the $6 retail-service claim per donated dollar do not establish current health or cash productivity. The FY 2024 cost and current undated panel are unmatched in period.
3. Qualitative assessment
The randomized Oregon Medicaid experiment supports access and financial-protection mechanisms but found no significant changes in measured blood pressure, cholesterol or glycated hemoglobin over two years. Depression and financial strain improved. Insurance coverage is not this clinic's care package; those results do not calibrate OIPCC's response fraction, utility, avoided medical spending or mortality. The retained alpha .30 incremental responder share, .05 utility and half-year relief are explicitly unsupported local priors, not an empirically calibrated expected value. Behavioral and physical symptom relief form one bounded clinical area; referrals, prescriptions and mortality are not stacked. Current Illinois HBIA coverage for adults ended June 2025, but Cook County CareLink and other clinics remain alternatives. Need is not proof of full clinic attribution.
4. What do you get for your dollar?
Original FY 2024 audited whole-clinic expense is $1,060,786, including management and fundraising. Its $660,816 nonfinancial contribution is already matched by expense, not an addback. Note 3 says $660,815 and retains a mislabeled 2023 heading: a $1 discrepancy and drafting error, not silently corrected. The note excludes volunteer services failing recognition criteria. FY 2023 and FY 2022 audited expenses are $1,181,581 and $1,436,262; comparable recognized accrual mean $1,226,209.67. The latest current financial index lists 2024, not a verified 2025 audit. Recognized fair value is not demonstrated economic opportunity cost. Central factor 1 retains the recognized value as a conditional resource-cost reference; .5/1.5 donor-resource valuation and $50,000 extra unrecognized recipient-resource stresses are explicit judgments. They are not next-dollar cash budgets. Depreciation is retained; capital assets are not all recurring marginal expenses.
The full annual denominator is paired with 2,500 panel proxy × .5 annual activity × .4 additional annual funded-work response =500 exposed households. Clinical .30 additional responders gives 150 residents within that union; .05 utility × .5 year after a quarter-year delay at 3% gives 3.647943 Chicago clinical QALYs with judged residence share .98. b=.4 is the conditional fraction of annual work additional after replacement funding and binding capacity, not a second donor haircut on observed incremental outcomes. b=1 is separately shown. The ordinary gift response is unpriced.
A separate .30 resource-success hypothesis gives 150 households $300 of medical spending they would actually otherwise pay within one year, net of insurance/assistance, forgone care, replacement and taxes/benefits. It is not a $300 retail care value or an inference that all uninsured people buy treatment. Each positive component retains .5 for health overlap, then full $100 incremental time, travel, childcare and additional care burden versus alternative care is subtracted. These 150 households gain $50;350 other exposed households lose $100. Resource responders need not be clinical responders; overlap is handled at the positive resource component. One welfare-equivalent person per household, $20,000 annual resources and one joint log give −.671152 equivalents after residence and delay. Extra family welfare is unpriced. Central workGain 0 is unknown-neutral, not measured zero; a positive net-work hypothesis models nonfatal missed paid work avoided after taxes, benefit withdrawal and new costs, not ordinary survivor wages.
Clinical plus resource 2.976791 implies $356K per DALY, not ten clinical QALYs. The initial $289K health-only price is preserved. The increase reflects finite delay and explicit signed household burdens, not new demonstrated efficacy or forced favorable change. Clinical-null retains resource exposure and all costs; zero savings, full unknown, adverse and zero expansion are distinct controls. Full union clinical harm is not shrunk by resource success. Positive-only overlap never attenuates negative resource components. Payer/provider margin loss, outside care costs and unrecognized recipient costs are separate stresses. Central outside incidence is unknown-neutral and incomplete, not complete world benefit; nonlocal household resources and public opportunity costs remain unpriced.
Model, assumptions and sensitivity
Original FY 2024 audited whole-clinic expense is $1,060,786, including management and fundraising. Its $660,816 nonfinancial contribution is already matched by expense, not an addback. Note 3 says $660,815 and retains a mislabeled 2023 heading: a $1 discrepancy and drafting error, not silently corrected. The note excludes volunteer services failing recognition criteria. FY 2023 and FY 2022 audited expenses are $1,181,581 and $1,436,262; comparable recognized accrual mean $1,226,209.67. The latest current financial index lists 2024, not a verified 2025 audit. Recognized fair value is not demonstrated economic opportunity cost. Central factor 1 retains the recognized value as a conditional resource-cost reference; .5/1.5 donor-resource valuation and $50,000 extra unrecognized recipient-resource stresses are explicit judgments. They are not next-dollar cash budgets. Depreciation is retained; capital assets are not all recurring marginal expenses. The full annual denominator is paired with 2,500 panel proxy × .5 annual activity × .4 additional annual funded-work response =500 exposed households. Clinical .30 additional responders gives 150 residents within that union; .05 utility × .5 year after a quarter-year delay at 3% gives 3.647943 Chicago clinical QALYs with judged residence share .98. b=.4 is the conditional fraction of annual work additional after replacement funding and binding capacity, not a second donor haircut on observed incremental outcomes. b=1 is separately shown. The ordinary gift response is unpriced. A separate .30 resource-success hypothesis gives 150 households $300 of medical spending they would actually otherwise pay within one year, net of insurance/assistance, forgone care, replacement and taxes/benefits. It is not a $300 retail care value or an inference that all uninsured people buy treatment. Each positive component retains .5 for health overlap, then full $100 incremental time, travel, childcare and additional care burden versus alternative care is subtracted. These 150 households gain $50;350 other exposed households lose $100. Resource responders need not be clinical responders; overlap is handled at the positive resource component. One welfare-equivalent person per household, $20,000 annual resources and one joint log give −.671152 equivalents after residence and delay. Extra family welfare is unpriced. Central workGain 0 is unknown-neutral, not measured zero; a positive net-work hypothesis models nonfatal missed paid work avoided after taxes, benefit withdrawal and new costs, not ordinary survivor wages. Clinical plus resource 2.976791 implies $356K per DALY, not ten clinical QALYs. The initial $2.886493 million health-only price is preserved. The increase reflects finite delay and explicit signed household burdens, not new demonstrated efficacy or forced favorable change. Clinical-null retains resource exposure and all costs; zero savings, full unknown, adverse and zero expansion are distinct controls. Full union clinical harm is not shrunk by resource success. Positive-only overlap never attenuates negative resource components. Payer/provider margin loss, outside care costs and unrecognized recipient costs are separate stresses. Central outside incidence is unknown-neutral and incomplete, not complete world benefit; nonlocal household resources and public opportunity costs remain unpriced.
Patient g=.98 judged MSA residence applies to health and resources; local counterparty stress g=1. Nonlocal resources unpriced.
annual=N*k; exposed=annual*b; clinical=exposed*a; Q_all=clinical*u*discounted(T)−exposed*harm/discount(delay); Q_MSA=Q_all*g. Separate resourceSuccess partitions households; positive-only signed medical/work components jointly net full costs before .5*persons*discounted years*log(1+net/baseline). Effective C=C−donatedUSD+factor*donatedUSD+unrecognizedCostUSD. Price10=10*effective C/(clinical+resource equivalents).
- C
- 1060786 USD annual recognized expense (observed). Original audit amount; matching noncash resources already recognized. [audit24]
- donatedUSD
- 660816 USD recognized nonfinancial expense (observed). Original audit amount; matching noncash resources already recognized. [audit24]
- donatedOpportunityFactor
- 1 Economic opportunity-cost factor (judgment). Recognized-value reference, not measured economic opportunity cost. [audit24]
- unrecognizedCostUSD
- 0 USD annual extra recipient resources (unknown). Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero. [audit24]
- N
- 2500 Rounded undated patient panel proxy (judgment). Rounded >2,500 undated panel, not exact observed annual unique people. [panel]
- k
- 0.5 Judged annual treated fraction (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [panel]
- a
- 0.3 Incremental clinical responder fraction (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [oregon]
- u
- 0.05 Utility per responder-year (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [oregon]
- T
- 0.5 Finite clinical years (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- b
- 0.4 Additional annual funded-work fraction (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- g
- 0.98 Chicago metro resident share (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- delay
- 0.25 Years until benefit (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- discount
- 0.03 Annual discount rate (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- resourceSuccess
- 0.3 Additional actual spending-success fraction (judgment). Actual otherwise-paid savings beyond alternatives, distinct from clinical response. [services]
- medicalGain
- 300 USD net otherwise-paid spending per successful household-year (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- workGain
- 0 USD net incremental work resources per successful household-year (unknown). Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero. [services]
- cost
- 100 USD incremental burden per exposed household-year (judgment). Incremental burden versus alternative care, not all gross visit time. [services]
- baseline
- 20000 USD annual household resources (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- positiveOverlap
- 0.5 Retained positive resource fraction (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- payerLoss
- 0 USD lost payer/provider resources per resource-success household (unknown). Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero. [services]
- payerPeople
- 20 Distinct local counterparty households/one welfareperson each (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- payerBaseline
- 60000 USD counterparty annual household resources (judgment). Explicit conditional prior; source informs mechanism, not numerical local coefficient. [services]
- externalCost
- 0 USD outside own resources lost per exposed household (unknown). Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero. [services]
- harm
- 0.00 QALY harm per exposed household (unknown). Unknown-neutral conditional reference; explicit signed/cost stresses, not observed zero. [services]
central: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
clinical null: Cost: $1.1M; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
financial only: Cost: $1.1M; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
full unknown: Cost: $1.1M; Chicago health QALYs: unknown; all-population health QALYs: unknown. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
zero expansion: Cost: $1.1M; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
true zero: Cost: $1.1M; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
no economic savings: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -1.22. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
adverse: Cost: $1.1M; Chicago health QALYs: -0.73; all-population health QALYs: -0.74. Income-equivalent healthy years: -2.33. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
negative resources: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -2.33. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
negative no overlap: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -2.33. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
mixed sign: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -1.04. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
matched provider margin: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -1.05. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
outside provider cost: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -1.09. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
net work gain: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -0.13. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
annual full response: Cost: $1.1M; Chicago health QALYs: 9.12; all-population health QALYs: 9.31. Income-equivalent healthy years: -1.68. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
no clinical responders: Cost: $1.1M; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
low clinical response: Cost: $1.1M; Chicago health QALYs: 1.22; all-population health QALYs: 1.24. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
high participation burden: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -3.12. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
no resource success: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -1.22. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
half annual cohort: Cost: $1.1M; Chicago health QALYs: 1.82; all-population health QALYs: 1.86. Income-equivalent healthy years: -0.34. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
full panel annual: Cost: $1.1M; Chicago health QALYs: 7.30; all-population health QALYs: 7.44. Income-equivalent healthy years: -1.34. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
one year health: Cost: $1.1M; Chicago health QALYs: 7.30; all-population health QALYs: 7.44. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
full union harm: Cost: $1.1M; Chicago health QALYs: 3.16; all-population health QALYs: 3.23. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
negative health: Cost: $1.1M; Chicago health QALYs: -0.73; all-population health QALYs: -0.74. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
three year mean: Cost: $1.2M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
donated low opportunity: Cost: $730K; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
donated high opportunity: Cost: $1.4M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
unrecognized recipient resources: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -0.67. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
no delay: Cost: $1.1M; Chicago health QALYs: 3.67; all-population health QALYs: 3.75. Income-equivalent healthy years: -0.68. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
resource neutral: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: 0.00. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
lower baseline: Cost: $1.1M; Chicago health QALYs: 3.65; all-population health QALYs: 3.72. Income-equivalent healthy years: -1.35. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
all local: Cost: $1.1M; Chicago health QALYs: 3.72; all-population health QALYs: 3.72. Income-equivalent healthy years: -0.68. Conditional annual clinic channel; complete portfolio and marginal gift effects unknown.
Original initial estimate — health-only diagnostic: Cost: $1.1M; Chicago health QALYs: 3.67; all-population health QALYs: 3.75. N=2500; k=0.5; a=.30; u=.05; T=.5; b=.4; g=0.98. Judged benefit conversion, not measured EV. Frozen complete original report/model in initial-diagnostic.json.
Counterfactual: Cook County CareLink, insurance eligibility, other clinics, medication assistance and partner capacity continue; some patients otherwise forgo rather than buy care.
Attribution: Annual activity, incremental annual capacity, clinical response, resource success and residence are distinct judgments, not independent measured probabilities. Clinical/resource responder equality is not assumed.
Conditional reference, not calibrated expected value. Unmatched panel/year, causal utility, actual spending and marginal donation response unresolved.
Sensitivity
- clinical null: no finite positive estimate
- financial only: no finite positive estimate
- full unknown: no finite positive estimate
- zero expansion: no finite positive estimate
- true zero: no finite positive estimate
- no economic savings: no finite positive estimate
- adverse: no finite positive estimate
- negative resources: no finite positive estimate
- negative no overlap: no finite positive estimate
- mixed sign: no finite positive estimate
- matched provider margin: no finite positive estimate
- outside provider cost: no finite positive estimate
- net work gain: no finite positive estimate
- annual full response: no finite positive estimate
- no clinical responders: no finite positive estimate
- low clinical response: no finite positive estimate
- high participation burden: no finite positive estimate
- no resource success: no finite positive estimate
- half annual cohort: no finite positive estimate
- full panel annual: no finite positive estimate
- one year health: no finite positive estimate
- full union harm: no finite positive estimate
- negative health: no finite positive estimate
- three year mean: no finite positive estimate
- donated low opportunity: no finite positive estimate
- donated high opportunity: no finite positive estimate
- unrecognized recipient resources: no finite positive estimate
- no delay: no finite positive estimate
- resource neutral: no finite positive estimate
- lower baseline: no finite positive estimate
- all local: no finite positive estimate
Unresolved inputs
- Dated unique annual patients/households and residence
- Local causal morbidity, utility and duration versus alternative care
- Actual otherwise-paid spending, forgone care and incremental visit burdens
- Recognized versus unrecognized economic opportunity costs and outside incidence
- Priced unfunded expansion, partner capacity and funding replacement
Health and income breakdown
For the modeled $1.1M: 3.65 health QALYs + -0.67 income-equivalent healthy years in Chicago: $356K per DALY. Income equivalents are welfare comparisons, not observed QALYs or DALYs.
5. Funding and previous grants
FY 2024 audit revenue is $1,304,302, government grant $263,484 and net assets $1,107,740. The current donation-form statement of no government funding and older audited grant receipts concern different periods and need reconciliation; they do not establish current falsehood or misconduct. Note 3's matching donated expense shows why cash cost alone cannot rank economic efficiency. Institutional referrals and donated capacity are constraints, not costless infinite expansion. CareLink offers eligible uninsured Cook County residents discounted care at county facilities regardless of immigration status, with application and renewal requirements; its former presumptive HBIA eligibility window ended June 2026 and is not assumed currently automatic. Prescriptions and transport have separate limitations. Other free/sliding-fee clinics, insurance eligibility and medication assistance continue in the counterfactual. No priced unfunded expansion, staff bottleneck or funding replacement rate was verified. Complete annual portfolio and marginal donor EV 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 2022: $1.4M; Old Irving Park Community Clinic, 12-month period, US GAAP audited accrual expense. Source
- FY 2023: $1.2M; Old Irving Park Community Clinic, 12-month period, US GAAP audited accrual expense. Source
- FY 2024: $1.1M; Old Irving Park Community Clinic, 12-month period, US GAAP audited accrual expense. Source
6. Sources
- FY2024 original audited financial statements. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- FY2023 and FY2022 original audited statements. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- Current patient panel and volunteer description. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- Clinic location and care scope. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- Official giving route. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- Current clinical services and medication assistance. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- Current patient intake requirements. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- Current official financial index. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- Official donation form funding claim. Old Irving Park Community Clinic. Published: not stated; retrieved: 2026-10-05.
- Oregon randomized Medicaid clinical and financial outcomes. New England Journal of Medicine. Published: 2013-05-02; retrieved: 2026-10-05.
- Current Cook County CareLink assistance and alternatives. Cook County Health. Published: not stated; retrieved: 2026-10-05.
- Illinois HBIA closure and alternative care resources. Illinois HFS. Published: not stated; retrieved: 2026-10-05.