BAY AREA · PROGRAM COST-EFFECTIVENESS

Are these five large Bay nonprofits cost-effective?

Specific programs, not entire organizations. Lower dollars per 10 incremental QALYs is better.

None clears $100,000 in the central estimate.

YMCA diabetes prevention comes closest at about $2.10 million per better life. Its favorable scenario falls below $100,000, but requires low costs and persistent effects together; it is not the central finding or a verified offer.

These uncertain health-only models omit some economic and dignity benefits. All five lack a verified marginal donation tranche. Bay-only programs remain separate from SF-city recommendations. Positive ranges are joint assumptions, not confidence intervals; null or harm remains possible.

1 · Conditional San Francisco resident cohort; adult program, not children

YMCA of Greater San Francisco

Additional SF diabetes-prevention offers

No leading health-only opportunity under the central model. The report explains the mechanism, contrary evidence and assumptions that could change this conclusion.

Read the research report →

2 · Solano County; not San Francisco city

Food Bank of Contra Costa and Solano

Additional Mobile Food Pharmacy course

No leading health-only opportunity under the central model. The report explains the mechanism, contrary evidence and assumptions that could change this conclusion.

Read the research report →

3 · San Francisco and Marin

San Francisco–Marin Food Bank

Community Markets

No leading health-only opportunity under the central model. The report explains the mechanism, contrary evidence and assumptions that could change this conclusion.

Read the research report →

4 · Santa Clara and San Mateo; not San Francisco city

Second Harvest of Silicon Valley

Additional community grocery access

No leading health-only opportunity under the central model. The report explains the mechanism, contrary evidence and assumptions that could change this conclusion.

Read the research report →

5 · Alameda County; not San Francisco city

Alameda County Community Food Bank

Additional CalFresh application assistance

No leading health-only opportunity under the central model. The report explains the mechanism, contrary evidence and assumptions that could change this conclusion.

Read the research report →

Size and accounting context

Five selected large Bay-serving direct-service nonprofits; not an exhaustive largest-five ranking and not an impact ranking. This is not an exhaustive largest-five ranking. Goodwill and other large organizations require separate program reviews.

FY2025 whole-entity expenses are not cash budgets, funding gaps or SF-only expenditure. Donated food is substantial; transfers between food banks can be counted twice, so do not sum these totals.

Second Harvest of Silicon Valley: $261,211,852 audited expenses

$179,510,457 in donated food/supplies; remaining expenses still include noncash items. Primary audit · printed pages 5–6

San Francisco–Marin Food Bank: $170,982,609 audited expenses

$115,551,129 in donated food/supplies; remaining expenses still include noncash items. Primary audit · printed pages 5–6

Food Bank of Contra Costa and Solano: $157,389,300 audited expenses

$128,642,363 in donated food/supplies; remaining expenses still include noncash items. Primary audit · printed pages 5, 9–12

Alameda County Community Food Bank: $136,772,481 audited expenses

$90,760,157 in donated food/supplies; remaining expenses still include noncash items. Primary audit · printed pages 6, 8, 12

YMCA of Greater San Francisco: $117,874,257 audited expenses

No comparable donated-food expense identified. Primary audit · printed pages 6–7, 15