Summary
What do they do? Tri City provides free medical, dental and prescription assistance for eligible people who live or work in Central Kane County. Its volunteer clinicians and hospital referrals support chronic, acute and preventive care. The annual illustration assesses medical health and signed household resources, not a retail service value or priced marginal donation.
Why we’re interested in this organization:
Original annual unique medical patients avoid visit-based double counting.
Original reconciliation identifies donated services omitted from tax expenses.
Current services and local eligibility are documented.
Our main reservations:
Utility, net cash and residence shares remain judgments.
Complete audit and donated-resource opportunity costs remain uninspected.
Gift-created capacity and other portfolio effects remain unquantified.
What do you get for your dollar? $330K 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 whole annual accounting cost for selected clinical and signed household-resource channels; not empirical portfolio EV or marginal donation price..
FY2024: 580 unique medical patients, 3,390 medical visits and 607 dental visits; only the first is modeled as persons.
1. What do they do?
Tri City provides free medical and dental services to uninsured Central Kane residents. Original 2024 Form 990 identifies EIN 36-4475369, resolving the malformed number previously displayed on its site without inventing a digit. Current eligibility excludes Medicaid, Medicare, VA, disability or employer coverage and allows people who live or work locally. Work location does not establish patient residence. The current site still has a malformed EIN; original tax identity controls.
2. Monitoring and information sharing
Original FY2024 return reports 580 unique medical patients, 3,390 medical visits, 3,546 medications and 607 dental visits. Only the unique medical patient count enters the benefit model; dental, tests and prescriptions are not added as separate people. No causal change in patient health utility is reported. No job placements, after-tax earnings or otherwise-paid household savings are reported. Prescriptions and dental contacts are not added as distinct medical patients. Free care may replace spending or deferred care, with different health/resource counterfactuals.
3. Qualitative assessment
Short morbidity relief remains a conditional .3 additional response, .05 utility and half-year hypothesis, not a measured effect. Medical financial protection is separately judged, so clinical-null cases can still have cash effects. A $100 otherwise-paid cash hypothesis is after alternate charity/public/hospital assistance and benefit changes; Oregon insurance evidence supports the mechanism, not this clinic coefficient. Net earnings are zero centrally as an explicit uncertainty judgment, with positive and negative stresses. Dental, nutrition and other welfare remain unquantified, not zero.
4. What do you get for your dollar?
Schedule D reconciles audited expense $1,379,104 to Form 990 expense $938,094 through $441,010 of donated services/use of facilities. Central gross cost restores $6,552 direct event expense netted from revenue: $1,385,656. This addback is a modeling boundary choice; no-addback sensitivity uses $1,379,104. Noncash goods already recognized in the return are not added again. The annual-work revision removes a separate .4 marginal finance factor; this is scope correction, not proof of improved efficacy. Full .01 aggregate process harm and all-exposed access burdens are judged. Current clinical health4.3183 and signed resources−.11560 give approximately$330K per DALY. Whole-recipient cost against selected effects is not complete portfolio EV. Clinical580patients are not cut by the .8resource household grouping.
Model, assumptions and sensitivity
Whole recipient gross accounting cost: audited expense including recognized donated services plus netted direct event expense. Not medical-program expense alone. Unrecognized resources and true opportunity costs are unresolved.
Primary mission limits care to Central Kane County; St Charles clinic is within Kane and the pinned 13-county Chicago MSA. g=.995 is a judged residence share allowing exceptions, not a patient-level measurement.
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 net flows with positive-only overlap; price10=10*C/(health+signed resources).
- C
- 1385656 USD whole-recipient accounting expense (observed). Original audit reconciliation plus stated event addback boundary, not full economic opportunity cost. [scheduleD] [return24]
- N
- 580 annual unique medical patients (observed). 580nativeunique medical patients; visits and dental contacts notadded. [return24]
- a
- 0.3 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- u
- 0.05 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- T
- 0.5 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- harm
- 0.01 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- g
- 0.995 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- unique
- 0.8 resource households per patient (judgment). Household grouping only resources, not clinical count. [services] [giving] [oregon-original] [cg-income]
- resourceAdditional
- 0.3 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- cash
- 100 conditional parameter (judgment). 100otherwise-paid cash judgment, not retail service value or measured trial coefficient. [services] [giving] [oregon-original] [cg-income]
- work
- 0 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- cost
- 25 conditional parameter (judgment). 25net incremental travel/time access relativealternatives, not free clinic fee. [services] [giving] [oregon-original] [cg-income]
- baseline
- 20000 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- years
- 1 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- overlap
- 0.5 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- payerLoss
- 0 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- externalCost
- 0 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- payerPeople
- 10000 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- payerBaseline
- 50000 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- delay
- 0 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- r
- 0.03 conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
- unknown
- false conditional parameter (judgment). Explicit conditional judgment; mechanism sources do not measure this coefficient. [services] [giving] [oregon-original] [cg-income]
central: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {}
clinical-null: Cost: $1.4M; Chicago health QALYs: -0.01; all-population health QALYs: -0.01. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":0}
financial-only: Cost: $1.4M; Chicago health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":0,"harm":0}
unknown-resources: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"unknown":true}
no-clinical-additionality: Cost: $1.4M; Chicago health QALYs: -0.01; all-population health QALYs: -0.01. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0}
no-resource-additionality: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.29. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"resourceAdditional":0}
no-benefit-full-burdens: Cost: $1.4M; Chicago health QALYs: -0.01; all-population health QALYs: -0.01. Income-equivalent healthy years: -0.29. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0,"resourceAdditional":0}
no-exposure: Cost: $1.4M; 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: $1.4M; Chicago health QALYs: -0.88; all-population health QALYs: -0.88. Income-equivalent healthy years: -1.57. 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: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.29. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":0}
low-cash: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.20. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":50}
high-cash: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: 0.40. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":400}
net-work-positive: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: 0.23. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"work":200}
net-work-negative: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.46. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"work":-100}
negative-overlap-zero: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.99. 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: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.99. 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: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: 0.06. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"overlap":0}
positive-overlap-one: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.29. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"overlap":1}
full-cash-counterparty: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.25. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"payerLoss":100}
external-unrecognized-provider-cost: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.69. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"externalCost":100}
no-net-access-cost: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: 0.17. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cost":0}
higher-net-access-cost: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.69. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cost":75}
no-household-grouping: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. 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: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.23. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"baseline":10000}
higher-household-baseline: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.06. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"baseline":40000}
no-local: Cost: $1.4M; Chicago health QALYs: 0.00; all-population health QALYs: 4.34. 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: $1.4M; Chicago health QALYs: 4.34; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"g":1}
delay-year: Cost: $1.4M; Chicago health QALYs: 4.19; all-population health QALYs: 4.21. Income-equivalent healthy years: -0.11. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"delay":1}
shorter-morbidity: Cost: $1.4M; Chicago health QALYs: 2.15; all-population health QALYs: 2.17. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"T":0.25}
longer-morbidity: Cost: $1.4M; Chicago health QALYs: 8.65; all-population health QALYs: 8.69. Income-equivalent healthy years: -0.12. 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: $945K; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":944646}
three-percent-resource-opportunity-grossup: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":1427225.68}
program-half-allocation-hypothesis: Cost: $693K; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":692828}
no-event-addback: Cost: $1.4M; Chicago health QALYs: 4.32; all-population health QALYs: 4.34. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":1379104}
resource-benefit-without-clinical-response: Cost: $1.4M; Chicago health QALYs: -0.01; all-population health QALYs: -0.01. Income-equivalent healthy years: -0.12. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0,"cash":100}
Frozen original annual/gift mixed central: Cost: $1.4M; Chicago health QALYs: 1.73; all-population health QALYs: 1.74. N=580; k=1; a=.30; u=.05; T=.5; b=.4; g=0.995. Judged benefit conversion, not measured EV.
Counterfactual: Other charity/public/hospital care or deferred treatment; clinical additionality independent household financial protection; annual work has no extra gift-financing multiplier.
Attribution: Patient clinical units distinct from resource household grouping. No measured utility, cash or earnings; full negative harms and access costs survive benefit failure. Other portfolio channels unknown, not zero.
All utility, causal response, duration, funding additionality and residence parameters are illustrative judgments, not measured causal effects, calibrated expected values, confidence intervals or marginal gift purchase prices. Different accounting treatment of donated care prevents comparative economic-efficiency rankings.
Sensitivity
- clinical-null: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"u":0}
- financial-only: no finite positive estimate. 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: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0}
- no-resource-additionality: $344K 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: $344K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":0}
- low-cash: $337K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":50}
- high-cash: $294K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cash":400}
- net-work-positive: $305K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"work":200}
- net-work-negative: $359K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"work":-100}
- negative-overlap-zero: $416K 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: $416K 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: $317K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"overlap":0}
- positive-overlap-one: $344K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"overlap":1}
- full-cash-counterparty: $341K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"payerLoss":100}
- external-unrecognized-provider-cost: $382K 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: $309K 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: $382K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"cost":75}
- no-household-grouping: $321K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"unique":0}
- lower-household-baseline: $339K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"baseline":10000}
- higher-household-baseline: $325K 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: $328K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"g":1}
- delay-year: $340K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"delay":1}
- shorter-morbidity: $680K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"T":0.25}
- longer-morbidity: $162K 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: $225K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":944646}
- three-percent-resource-opportunity-grossup: $340K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":1427225.68}
- program-half-allocation-hypothesis: $165K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":692828}
- no-event-addback: $328K per DALY. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"C":1379104}
- resource-benefit-without-clinical-response: no finite positive estimate. Conditional annual recipient clinical and signed financial-protection hypothesis, not empirical portfolio EV or priced gift capacity. {"a":0,"cash":100}
- Frozen original annual/gift mixed central: $800K per DALY. N=580; k=1; a=.30; u=.05; T=.5; b=.4; g=0.995. Judged benefit conversion, not measured EV.
Unresolved inputs
- Actual clinical utility/causal response and duration.
- Otherwise-paid household cash, net earnings and costs after alternatives.
- Current marginal capacity and distinct outside provider incidence.
- Complete audit and true donated-resource opportunity costs.
Health and income breakdown
For the modeled $1.4M: 4.32 health QALYs + -0.12 income-equivalent healthy years in Chicago: $330K per DALY. Income equivalents are welfare comparisons, not observed QALYs or DALYs.
5. Funding and previous grants
Original FY2024 return reports revenue $1,128,821 and net assets $1,317,382. Schedule D audited revenue is $1,589,022. An audit-expense reconciliation is available, but the complete audit and resource valuation methods were not inspected. No priced marginal expansion plan establishes what another gift buys. Patient services are free and the current site says no state/federal funding or insurance payments. This does not make donated resources or outside hospital care costless. Central resource464households include .3financial-protection share with joint netcash and work minus full$25incremental time/accesscost relativealternative care. Positive-only .5overlap reduces gains, not losses. Baseline$20,000 is judged consumption, not income eligibility or measured wages. Recognized donated services are already C; distinct unrecognized/provider counterparty stresses are separate, zero external-loss central is a donor-budget convention not proof of no incidence. Priced current gift capacity remains unknown.
Annual expenses
Annual size figure used in comparisons
$1.4M — FY2024 audited expenses. FY2024.
ScheduleD reports audited expenses/losses including $441,010 of donated services and facilities excluded from the Form990 expense total. Only one comparable year is available; not a three-year average.
Original FY2024 Schedule D audited-expense reconciliation · Reviewed 2026-10-18.
Organization-level spending, including programs, administration and fundraising. The research list averages three comparable, consecutive full fiscal years when available.
- FY 2024: $1.4M; Tri City Health Partnership, 12-month period, US GAAP audited accrual expense. Source
6. Sources
- Original FY2024 Form 990, EIN and program accomplishments. Tri City Health Partnership / IRS via ProPublica. Published: not stated; retrieved: 2026-10-07.
- Original FY2024 Schedule D audited-expense reconciliation. Tri City Health Partnership / IRS via ProPublica. Published: not stated; retrieved: 2026-10-07.
- Official mission and location. Tri City Health Partnership. Published: not stated; retrieved: 2026-10-07.
- Official giving information. Tri City Health Partnership. Published: not stated; retrieved: 2026-10-07.
- Current patient eligibility and services. Tri City Health Partnership. Published: not stated; retrieved: 2026-10-07.
- Original Oregon Medicaid clinical and financial outcomes. New England Journal of Medicine / MIT author-hosted paper. Published: 2013-05-02; retrieved: 2026-10-07.
- Cost-effectiveness framework. Coefficient Giving. Published: not stated; retrieved: 2026-10-07.