GiveBetter x Los Angeles

Lestonnac Free Clinic

Free medical, dental, vision and surgical care

Research time: ~7 min on GPT-6 Astra Light + ~11 min on GPT-6 Astra Medium + ~57 min on GPT-6.1 Sol
  • Research — reviewed programs, finances and impact evidence.
  • Modeling — estimated costs, QALYs and uncertainty.

Updated: 2026-10-02

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Summary

What do they do? Lestonnac Free Clinic provides medical, dental, vision and surgical care to low-income uninsured people across Southern California. Its clinics and mobile services connect patients with volunteer clinicians, glasses and treatment for painful or disabling conditions. This report models health and household-resource benefits reaching Los Angeles and Orange County residents.

Why we’re interested in this organization:

  • Free clinical care can relieve symptoms, improve vision and restore everyday function.

  • Volunteer clinicians and donated services help provide treatment alongside paid clinic operations.

  • Three consecutive original returns disclose operating expenses and donated services, supporting a transparent financial comparison.

Our main reservations:

  • Current unique patients, clinical mix and outcomes are not measured in the available records; the estimate relies on explicit planning judgments.

  • Patient prescriptions, travel and follow-up costs can offset savings and earnings benefits; household-level effects remain unmeasured.

  • Volunteer staffing, alternative care and already-funded partnerships may limit what additional ordinary donations accomplish.

What do you get for your dollar? $802K per DALY in Los Angeles. 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 LA/Orange health and signed household-resource comparison; donor narrower accrual normalization versus separate gross institutional resource envelope. No measured marginal cash return, empirical expected value or verified donation capacity..

Offered/completed/unmet/responder packages by branch, finite health, signed cash/pay equivalents and actual dollar flows.

1. What do they do?

The medical program includes primary care and many specialties; dental treatment, glasses and retinal care add distinct clinical pathways. The Orange surgery center opened in May 2025. Hoag’s July 2026 update describes support for equipment, supplies and operations, including cataract and selected general, urologic, gynecologic and orthopedic procedures. Opening, credentialing and a waiting list are not completed surgeries or incremental health outcomes. The official giving page names Lestonnac Free Clinic as check payee at its Orange address; the filed entity is St Jeanne De Lestonnac Free Clinic, EIN 95-3499011. No gift is assumed restricted to the highest-benefit procedure.

2. Monitoring and information sharing

The 2024 return reports over 10,000 patients and 20,000 visits; definitions and deduplication are not supplied. The model carries 10,000 forward as a judgment scale, not observed 2026 activity. Dental care reports 3,843 visits in 2024, mixing prevention and treatment. The vision page reports 2,374 glasses, 780 retinal exams and 629 ophthalmology visits in 2023. These overlapping and differently dated counts are not added together. The 2026 second-unit goal of 2,000 exams/glasses is prospective, not realized output. Before a stronger recommendation, obtain current distinct patients by residence and primary treatment, completed surgery types, pre/post symptoms or vision, complications, alternative-care wait times and an incremental budget tied to staffed appointments.

The October 2 source review rechecked the original 2022–24 return and donated-service bridges. Current eligibility identifies possible patient-paid labs, imaging and prescriptions, but does not quantify household costs or earnings. Clinical papers were retrieved as indexed primary abstracts only; the Oregon employment result is the investigators’ summary, not a full-paper review. Current outcome/capacity claims remain unverified.

3. Qualitative assessment

The historical clinical review replaced an opaque 0.02-QALY average with four explicit, mutually exclusive primary-benefit packages. Their weights and utilities are judgments, not a reconstruction of observed patient mix. Medical care can improve symptoms and access, but the Oregon randomized insurance study did not show short-term improvement in several physical biomarkers; insurance is also not a free-clinic treatment package. An expedited cataract trial in older UK women found a 0.056 one-year QALY difference versus routine waiting, supporting finite benefit from earlier treatment but not a transferable clinic-wide gain or lifetime cure. A glasses trial supports improved vision-related function over a two-month delay in nursing homes, not our generic utility value in community patients. A dental trial compares two active treatments, so it does not identify the effect versus no care. The model accordingly discounts alternative access separately, caps benefits at three years, allows decay and competing mortality, subtracts a burden for every added package and awards no separate avoided-death, cancer-detection or screening credit.

Current recalibration replaces the earlier four-package response assumptions with disjoint purchasers, equivalent-free alternatives and otherwise-unmet patients. Current health, signed money and finite recovery pay are independent judgments rather than an old welfare envelope minus cash. The original clinical narrative above describes the historical model; the cost section and current parameters govern the revised comparison.

4. What do you get for your dollar?

GiveBetter estimates about $802K per DALY from Lestonnac’s clinical portfolio in the LA metro area, including household-resource effects. Free treatment can improve symptoms and vision, while avoiding some otherwise-paid care. It can also create prescription, testing and access costs. The estimate combines those signed effects rather than assuming all medical care improves income.

For a hypothetical $10,000 donation, the model offers 3.90 medical, 1.15 dental, 1.28 vision and 0.064 surgery package-equivalents. Completion leaves 3.12, 0.86, 1.15 and 0.042 packages respectively. Half of completed packages represent otherwise-unmet care; 20% replace purchased care and 30% replace equivalent free care. These disjoint groups prevent adding clinical benefit when the same treatment would occur anyway. Modelled responders among the unmet group are 0.31 medical, 0.22 dental, 0.40 vision and 0.012 surgery cases. These are hypothetical planning units, not observed additional patients.

The four exclusive primary-benefit branches carry independently reconsidered utility, response, finite duration and decay judgments. Medical symptoms receive 0.03 utility for one year; dental symptoms 0.08 for three months; vision 0.025 for one year; surgery 0.06 for two years, before decay, response, survival and discounting. The cataract and glasses evidence concerns specific older populations, not this clinic-wide mix. It motivates plausible mechanisms without supplying transferable coefficients. No separate mortality, screening or lifetime-cure benefit is added. Treatment and attempt harms are retained even without a successful clinical response.

Health gains begin after a three-month delay and are survival-adjusted through that delay and the finite benefit course. The result is 0.0125191 local healthy years per $10,000. Earnings represent short recovery gains among workers alive under either counterfactual, not baseline wages created by saving a life. Each short earnings period receives common-alive survival exposure once.

Household resources are valued separately using signed changes in actual disposable resources. Otherwise-buyers can avoid assumed medical/dental/vision/surgery outlays of $150/$200/$60/$500. Unmet patients do not save a purchase they would never have made. Thirty percent of offered households face incremental acquisition costs of $50/$50/$20/$100, including unsuccessful access. Thirty percent of unmet completed cases face new maintenance costs of $150/$40/$20/$200, such as prescriptions or labs. These amounts and incidences are judgments, not measured bills. Each primary package represents one household-equivalent; neither family members nor overlapping program visits are multiplied.

Discrete purchaser/free/unmet, completion and cost states are evaluated before the log-income welfare conversion at a $25,000 annual household baseline. Cash comes first; recovery pay uses the cash-adjusted baseline. Positive earnings receive a 50% overlap allowance, while adverse earnings and induced costs remain fully debited. At the current center, local discounted cash is −$12.38 and recovery pay +$21.12 per $10,000; their welfare equivalents sum to −0.0000464462 years. Combined health and resources are 0.0124727 equivalent years, producing $802K per DALY. The Coefficient Giving crosswalk is a welfare comparison, not evidence that income is a measured clinical QALY.

The donor normalization uses $4,695,553 of narrower 2024 accrual expenses; gross institutional resources are $7,283,853 after separately disclosed donated services. Narrower accrual is not actual cashflow or a marginal appointment quote. Fixed patient scale of 10,000 and 30% funding response are independently stated assumptions, not extra patients manufactured by removing donated services. The matching gross envelope is $15,512 per $10,000, or $1.2M per DALY. Gross-only accounting stresses hold physical benefits fixed; stricter donor-support costs are a separate financing stress. External partner resources are incompletely valued.

LA-plus-Orange health and resource shares are each 65% judgments because services also reach Riverside and San Bernardino. Residence data—not clinic addresses—would be needed to validate attribution. Current output, household finances and staffed marginal capacity are still missing. Positive, negative, zero and unknown cases are unweighted diagnostics, not confidence intervals or empirical expected values.

Historical comparison and expense appendix. The prior clinical-only augmented-resource estimate was $437K per DALY. Its complete 18 scenarios remain frozen; the new center changes counterfactual groups, completion, benefit course and financing scope, rather than allocating income inside an inherited total. The following original cost analysis is historical; its accounting disclosures remain useful.

The best judgment is $437K per DALY. At the $7,283,853 annual resource normalization, 35% funding response gives 3,500 added patient-package equivalents; 35% effective additional care leaves 1,225 all-population packages, or 796.25 local packages. Full resources per added package are $2,081; per effective package $5,946; per local effective package $9,148. These are modeled marginal units, not observed treatment costs. Finite conditional health averages 0.02 QALY per effective package before a 0.0005-QALY burden per added package, yielding 25.646 all-population and 16.67 local QALYs. This resource-normalized price conservatively charges donated services as well as the recipient’s other expenses; it is not a literal claim about cash buying volunteer time. The gross-accounting diagnostic excluding separately disclosed donated services is approximately $282K per DALY, but omits those resources. Joint stress scenarios range widely and include zero and net harm, not statistical confidence bounds. No clinical package receives overlapping medical, dental, glasses and surgery credit.

Expense appendix. Three original calendar-year returns support a consistent resource bridge: 2022 Part IX $3,378,797 + separately netted events $50,553 + Schedule O donated-service expense $2,922,330 = $6,351,680; 2023 $4,165,218 + $35,118 + $3,369,000 = $7,569,336; 2024 $4,655,295 + $40,258 + $2,588,300 = $7,283,853. The three-year mean is $7,068,289.67. Each Schedule O discloses equal donated-service income and expense with zero net effect; a blank Schedule D is not evidence that services were absent. This is an original-return-derived resource bridge, not an independently audited GAAP series; the 2024 return answers no to audit/review questions. The previous gross-accounting series, excluding these services, remains $3,429,350 / $4,200,336 / $4,695,553, averaging $4,108,413. In 2024 Part IX allocates $3,698,845 to program and $956,450 to management; separately netted events add $40,258. Donated services are shown separately because their functional allocation is not supplied. Expense types include $2,364,715 compensation/benefits/payroll tax, $531,382 other contractor services, $486,771 medical supplies, $193,151 labs and $368,093 depreciation. Those components are already in Part IX and are not added again. Gross asset purchases are not stacked onto depreciation. The 2022 other-net-assets note mentioning $3,474,709 services/supplies and 2023 donated-inventory changes are not added without proof of annual consumption. Part III service revenue versus Part VIII and unusual payroll classification remain unresolved. Partner-paid resources outside the return and patient time/travel have no reliable dollar valuation, so the model is not a full societal cost estimate.

Independent accounting check: IRS Form 990 instructions exclude donated services from Parts VIII and IX. Each original Schedule O separately discloses the annual donated-service amount; the detailed 2024 Part IX rows sum to the filed total without a matching donated-service addition. Adding the disclosed value once is defensible as a filer-valued resource proxy, not independent proof of economic opportunity cost. Part IX already includes depreciation and potentially noncash goods, so its narrower series is not pure cash spending. Schedule O's contractor components sum to $531,381 versus the filed $531,382; we retain the filed total and do not turn the $1 discrepancy into another expense.

Model, assumptions and sensitivity

Donor narrower accrual normalization and separate gross institutional envelope; neither measured marginal cash productivity nor complete societal cost.

LA and Orange County residence shares: health .65 and household resources .65 independently declared judgments.

offers=D/cashCost*N*funding*branchWeight; completed=offers*completion; unmet=completed*(1-buyer-free); responders=unmet*response. Health uses finite utility/survival/decay integral and latency survival, less unmet treatment and all-offer attempt harms. Signed discrete cash states plus common-alive finite recovery earnings pass through the shared log-income welfare bridge; positive overlaps only discounted, negative fully debited. Price=10*gift/(local health+local resource equivalent) only for a positive known denominator.

gift
10000 USD (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
cashCost
4695553 USD (observed). Original-return-derived accrual/resource boundary; not cashflow or marginal quote. [lest24] [lest-o2024]
grossCost
7283853 USD (observed). Original-return-derived accrual/resource boundary; not cashflow or marginal quote. [lest24] [lest-o2024]
N
10000 annual planning package equivalents (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
funding
0.3 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
buyer
0.2 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
free
0.3 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
healthLocality
0.65 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
resourceLocality
0.65 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
baseline
25000 USD (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
acquisitionShare
0.3 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
maintenanceShare
0.3 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
workerShare
0.4 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
positiveCashIndependent
1 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
positivePayIndependent
0.5 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
attemptHarm
0.00002 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
mortality
0.02 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
discount
0.03 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
clinicalDelay
0.25 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
cashDelay
0.5 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
payDelay
0.75 Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
reachKnown
true Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
fundingKnown
true Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
responseKnown
true Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
cashKnown
true Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
payKnown
true Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]
branches
[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}] Units explicitly defined in report and calculator (judgment). Explicit conditional planning judgment; sources motivate mechanisms, not fitted magnitudes. [lest-eligibility] [lest-income-method] [lest-labor] [lest-vision] [lest-dental]

Conditional health and signed household resources: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

zero Gift: Cost: $0; Los Angeles health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. {"gift":0,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

zero Funding: Cost: $10K; Los Angeles health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

zero Capacity: Cost: $10K; Los Angeles health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":0,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

unknown Reach: Cost: $10K; Los Angeles health QALYs: unknown; all-population health QALYs: unknown. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":0,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":false,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

unknown Funding Zero: Cost: $10K; Los Angeles health QALYs: unknown; all-population health QALYs: unknown. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":false,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

buyer Only: Cost: $10K; Los Angeles health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.01. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":1,"free":0,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

free Only: Cost: $10K; Los Angeles health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0,"free":1,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

health Null: Cost: $10K; Los Angeles health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0,"utility":0.03,"years":1,"decay":0.5,"harm":0,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0,"utility":0.08,"years":0.25,"decay":1,"harm":0,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0,"utility":0.025,"years":1,"decay":0.25,"harm":0,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0,"utility":0.06,"years":2,"decay":0.1,"harm":0,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

harm: Cost: $10K; Los Angeles health QALYs: -0.02; all-population health QALYs: -0.03. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0,"utility":0.03,"years":1,"decay":0.5,"harm":0.01,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0,"utility":0.08,"years":0.25,"decay":1,"harm":0.01,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0,"utility":0.025,"years":1,"decay":0.25,"harm":0.01,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0,"utility":0.06,"years":2,"decay":0.1,"harm":0.01,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

pay Negative: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":-200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":-200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":-200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":-400,"payYears":0.5}]}

pay Zero: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":0,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":0,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":0,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":0,"payYears":0.5}]}

cash Unknown: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":false,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

pay Unknown: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":false,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

response Unknown: Cost: $10K; Los Angeles health QALYs: unknown; all-population health QALYs: unknown. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":false,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

unknown Pay Zero: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":false,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":0,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":0,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":0,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":0,"payYears":0.5}]}

unknown Response Zero: Cost: $10K; Los Angeles health QALYs: unknown; all-population health QALYs: unknown. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":false,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

known No Worker Unknown Reach: Cost: $10K; Los Angeles health QALYs: unknown; all-population health QALYs: unknown. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":false,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

known Absent Cash: Cost: $10K; Los Angeles health QALYs: unknown; all-population health QALYs: unknown. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0,"maintenanceShare":0,"workerShare":0,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":false,"fundingKnown":true,"responseKnown":true,"cashKnown":false,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

positive Pay Excluded: Cost: $10K; Los Angeles health QALYs: unknown; all-population health QALYs: unknown. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":false,"cashKnown":false,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

zero Local Unknown: Cost: $10K; Los Angeles health QALYs: 0.00; all-population health QALYs: unknown. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0,"resourceLocality":0,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":false,"fundingKnown":true,"responseKnown":false,"cashKnown":false,"payKnown":false,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

no Resource: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":0,"acquisition":0,"maintenance":0,"pay":0,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":0,"acquisition":0,"maintenance":0,"pay":0,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":0,"acquisition":0,"maintenance":0,"pay":0,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":0,"acquisition":0,"maintenance":0,"pay":0,"payYears":0.5}]}

positive Resource: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":300,"acquisition":0,"maintenance":0,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":400,"acquisition":0,"maintenance":0,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":120,"acquisition":0,"maintenance":0,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":1000,"acquisition":0,"maintenance":0,"pay":400,"payYears":0.5}]}

half Cash Overlap: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":0.5,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

half Unique: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.01. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":5000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

low: Cost: $10K; Los Angeles health QALYs: 0.00; all-population health QALYs: 0.00. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.1,"buyer":0.05,"free":0.65,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.1,"utility":0.015,"years":0.25,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.1,"utility":0.04,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.1,"utility":0.0125,"years":0.25,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.1,"utility":0.03,"years":0.25,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

high: Cost: $10K; Los Angeles health QALYs: 0.06; all-population health QALYs: 0.09. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.5,"buyer":0.2,"free":0.1,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.26,"utility":0.045,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.65,"utility":0.12,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.9099999999999999,"utility":0.037500000000000006,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.78,"utility":0.09,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

short Wait: Cost: $10K; Los Angeles health QALYs: 0.00; all-population health QALYs: 0.01. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":0.25,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":0.25,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":0.25,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

no Surgery: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

gross Only Accounting: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":10925779.5,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

cash Support Stress: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.01. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":7283853,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.02,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

survival Stress: Cost: $10K; Los Angeles health QALYs: 0.01; all-population health QALYs: 0.02. Income-equivalent healthy years: 0.00. {"gift":10000,"cashCost":4695553,"grossCost":7283853,"N":10000,"funding":0.3,"buyer":0.2,"free":0.3,"healthLocality":0.65,"resourceLocality":0.65,"baseline":25000,"acquisitionShare":0.3,"maintenanceShare":0.3,"workerShare":0.4,"positiveCashIndependent":1,"positivePayIndependent":0.5,"attemptHarm":0.00002,"mortality":0.1,"discount":0.03,"clinicalDelay":0.25,"cashDelay":0.5,"payDelay":0.75,"reachKnown":true,"fundingKnown":true,"responseKnown":true,"cashKnown":true,"payKnown":true,"branches":[{"name":"medical","weight":0.61,"completion":0.8,"response":0.2,"utility":0.03,"years":1,"decay":0.5,"harm":0.0005,"saving":150,"acquisition":50,"maintenance":150,"pay":200,"payYears":0.5},{"name":"dental","weight":0.18,"completion":0.75,"response":0.5,"utility":0.08,"years":0.25,"decay":1,"harm":0.001,"saving":200,"acquisition":50,"maintenance":40,"pay":200,"payYears":0.25},{"name":"vision","weight":0.2,"completion":0.9,"response":0.7,"utility":0.025,"years":1,"decay":0.25,"harm":0.0001,"saving":60,"acquisition":20,"maintenance":20,"pay":200,"payYears":0.5},{"name":"surgery","weight":0.01,"completion":0.65,"response":0.6,"utility":0.06,"years":2,"decay":0.1,"harm":0.003,"saving":500,"acquisition":100,"maintenance":200,"pay":400,"payYears":0.5}]}

Historical full-resource clinical-only central; not current donor estimate: Cost: $7.3M; Los Angeles health QALYs: 16.67; all-population health QALYs: 25.65. {"E":7283853,"N":10000,"e":0.35,"b":0.35,"g":0.65,"d":0.03,"m":0.02,"h":0.0005,"branches":[{"name":"medical","weight":0.65,"utility":0.02,"years":1,"decay":0.5},{"name":"dental","weight":0.18,"utility":0.1,"years":0.25,"decay":1},{"name":"vision","weight":0.15,"utility":0.035,"years":1,"decay":0.25},{"name":"surgery","weight":0.02,"utility":0.08,"years":3,"decay":0.1}]}

Counterfactual: Disjoint purchaser, equivalent-free and otherwise-unmet treatment; no clinical benefit for equivalent alternative care, no saved nonexistent purchases, signed induced household costs.

Attribution: Exclusive primary-package household equivalents and local shares once; no additive program visit, family-member, mortality wage or duplicate cash credit.

Unweighted conditional judgments, not identified donation return, posterior or verified capacity.

Sensitivity

  • Purchaser/free/unmet, clinical duration, patient-resource incidence, earnings, overlap and financing stresses are unweighted diagnostics.
  • Known structural no-op stays zero; unknown numeric placeholders stay unknown.
  • Gross-only accounting changes keep native patient outcomes fixed; higher required donor support is a separate production hypothesis.

Unresolved inputs

  • Unique patient geography and actual per-site/mobile throughput, especially LA/Orange versus Riverside/San Bernardino.
  • Marginal ordinary-donation budget and the specific clinician/equipment/supply bottleneck it would relax.
  • Current 2025–26 costs and completed procedures since surgery-center opening; independent clinical outcomes and complications.
  • Clinical treatment mix, completion/adherence, alternative care and sustained utility outcomes.
  • Reconciliation of Part III service revenue with Part VIII and explanation of functional accounting classifications.
  • Post-2024 original accounts and a reconciled donated-service valuation; explicit annual consumption versus inventory/net-asset adjustments.
  • Actual 2025–26 unique surgery types, completed cases, cost and complications; no current realized case count found in targeted primary searches.
  • Observed patient-level clinical mix and residence; finite symptom/utility trajectories and alternative-treatment delays.
  • Unique household resources, paid alternative care, actual incremental patient bills and common-alive recovery earnings.
  • Patient residence and paired treatment completion, sustained health and staff-constrained marginal capacity.

Health and income breakdown

For the modeled $10K: 0.01 health QALYs + 0.00 income-equivalent healthy years in Los Angeles: $802K per DALY. Income equivalents are welfare comparisons, not observed QALYs or DALYs.

Method and caveats.

5. Funding and previous grants

The 2024 return reports $6,388,245 revenue, $802,500 government grants, $6,452,219 cash and $9,587,829 unrestricted net assets. These are historical balance-sheet amounts, not a current spendable runway or a verified funding gap. Government grants also appear in 2022 and 2023; general fundraising language should not be read as absence of public funding. Hoag already supports the new center. The 2026 room campaign says 75% of a second vision unit is funded and directs campaign contributions toward the remainder, but does not establish its total price, unrestricted-gift deployment, a fourfold match or an achievable incremental treatment rate. Volunteer credentialing, clinician availability and patient follow-through may bind before cash. The historical 35% cash response was a discount, not measured leverage. The next donor-useful request is a current operating budget showing the last unfunded inputs and committed clinical hours, with additional completed treatment compared with the no-gift plan.

Public baseline. Other clinics, insurance, emergency care and existing public/partner support continue without the gift. DHCS reports an enrollment freeze affecting some adults from January 2026, not termination of every existing enrollee’s coverage. Its current dental notice delays the relevant adult dental change until July 1, 2027; emergency dental benefits continue and several groups are exempt. We do not infer patients’ immigration status or treat all dental care as newly uncovered. Increased need does not by itself establish cash-responsive capacity.

For the current conditional comparison, funding response is 30%, not measured leverage. The $25,000 calculator ceiling is a comparison-domain limit, not verified donation capacity. A gross accounting adjustment alone changes no physical patient outcome.

Annual expenses

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

  • FY 2022: $6.4M; St Jeanne De Lestonnac Free Clinic (EIN95-3499011), 12-month period, Original Form 990 resource bridge: Part IX plus separately netted events plus Schedule O donated-service expense; not independently audited GAAP expenses. Source
  • FY 2023: $7.6M; St Jeanne De Lestonnac Free Clinic (EIN95-3499011), 12-month period, Original Form 990 resource bridge: Part IX plus separately netted events plus Schedule O donated-service expense; not independently audited GAAP expenses. Source
  • FY 2024: $7.3M; St Jeanne De Lestonnac Free Clinic (EIN95-3499011), 12-month period, Original Form 990 resource bridge: Part IX plus separately netted events plus Schedule O donated-service expense; not independently audited GAAP expenses. Source

6. Sources

  1. 2024 Form990, original PartsI,III,VIII–X. St Jeanne De Lestonnac Free Clinic / IRS. Published: 2025-10-27; retrieved: 2026-10-02.
  2. 2023 Form 990, original Parts VIII and IX. St Jeanne De Lestonnac Free Clinic / IRS. Published: 2024-10-31; retrieved: 2026-10-02.
  3. Programs. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-09-14.
  4. Current locations and opening schedules. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-10-02.
  5. Vision programs. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-10-02.
  6. Dental programs. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-10-02.
  7. Surgery days and new surgery center. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-10-02.
  8. Surgery center volunteer onboarding. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-09-14.
  9. Adopt A Room2026: second mobile vision unit. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-09-14.
  10. How Hoag and Lestonnac Free Clinic are Expanding Free Surgical Care in Orange County. Hoag Hospital Foundation. Published: 2026-07-03; retrieved: 2026-10-02.
  11. The Value of Medicaid: Interpreting Results from the Oregon Health Insurance Experiment. Finkelstein, Hendren and Luttmer / Journal of Political Economy. Published: not stated; retrieved: 2026-09-14.
  12. The Oregon Experiment—Effects of Medicaid on Clinical Outcomes — current review: primary indexed abstract only. Baicker and colleagues / New England Journal of Medicine. Published: 2013-05-02; retrieved: 2026-10-02.
  13. Official donation page. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-09-14.
  14. 2022 Form 990, original Parts VIII and IX. St Jeanne De Lestonnac Free Clinic / IRS. Published: 2023-11-14; retrieved: 2026-10-02.
  15. 2022 original Schedule O: donated-service income and expense. Lestonnac / IRS. Published: not stated; retrieved: 2026-10-02.
  16. 2023 original Schedule O: donated-service income and expense. Lestonnac / IRS. Published: not stated; retrieved: 2026-10-02.
  17. 2024 original Schedule O: donated-service income and expense. Lestonnac / IRS. Published: not stated; retrieved: 2026-10-02.
  18. Medical program, including Riverside mobile hours. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-09-14.
  19. Cost effectiveness of expedited cataract surgery: randomized trial — current review: primary indexed abstract only. Sach and colleagues / British Journal of Ophthalmology. Published: not stated; retrieved: 2026-10-02.
  20. Effect of refractive error correction on health-related quality of life — current review: primary indexed abstract only. Owsley and colleagues / Archives of Ophthalmology. Published: not stated; retrieved: 2026-10-02.
  21. Pulpotomy versus root canal: randomized pain and quality-of-life outcomes. Clinical trial authors / PubMed. Published: not stated; retrieved: 2026-09-14.
  22. Medi-Cal dental benefit changes: delay to July 2027. California DHCS. Published: not stated; retrieved: 2026-10-02.
  23. Current Medi-Cal coverage changes. California DHCS. Published: not stated; retrieved: 2026-09-14.
  24. Form 990 instructions: donated services and facilities excluded from Parts VIII/IX. Internal Revenue Service. Published: not stated; retrieved: 2026-09-14.
  25. Current eligibility and patient costs. Lestonnac Free Clinic. Published: not stated; retrieved: 2026-10-02.
  26. Income and health welfare crosswalk (inherited reference, not freshly retrieved). Coefficient Giving. Published: not stated; retrieved: 2026-10-02.
  27. Oregon investigators employment/earnings result summary—not full paper. NBER investigators. Published: not stated; retrieved: 2026-10-02.
  28. Dental symptom recovery: primary indexed observational abstract only. Primary source. Published: not stated; retrieved: 2026-10-02.
  29. PROSPER: primary indexed abstract only; productivity not transferred to LA wages. Primary source. Published: not stated; retrieved: 2026-10-02.