Structural Deficit
Structural Deficit
Structural Deficit Market Archetype Mechanical Natural
Tier
Priority Review
Trajectory Thumbprint

Structural Deficit

What does this mean?

Persistently low financial health over 5 years despite strong programmatic output. They are borrowing from their future (or bleeding an endowment) to pay for today's programs.

The Path Forward

The Truth-Teller

Forces necessary, painful cuts to preserve the core. It demands that the organization stop borrowing from its future and align its current programmatic output with actual sustainable revenue.

The Truth-Teller
The Truth-Teller
Institutional Health Scores
5-yr trend: Structural Deficit ↑
Overall
40
Score
Governance
55
Score
Financial
15
Score
Program
60
Score

Institutional Epochs

2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Financial Era
Governance Era
Trajectory Era
Structural Deficit

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2025 Hidden Hidden — — Unknown —
2024 Hidden Hidden — — Unknown —
2023 Hidden Hidden 9.1% 40 Fragile Stable Watch
2022 — — 9.4% 40 Fragile Recovery
2021 — — 12.8% 32 Critical Intervention Needed Decline Risk
2019 — — 9.7% 34 Critical Intervention Needed Decline Risk
2018 — — 8.2% 34 Critical Intervention Needed Decline Risk
2017 — — 8.6% 38 Financially Distressed Stable Watch
2016 — — 7.8% 38 Financially Distressed Recovery
2015 — — 9.8% 32 Critical Intervention Needed Decline Risk
2014 — — 9.8% 32 Critical Intervention Needed Decline Risk
2013 — — 7.4% 40 Financially Distressed Recovery
2012 — — 8.4% 36 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
ELYSA VOSHELL EXECUTIVE DI 10.1% of Rev
ELYSA VOSHELL EXECUTIVE DI 9.1% of Rev
CORY ZANIN Board President —
KC FOLEY IMMEDIATE PA —
DEB WEISS Treasurer —
SHERRI GEBERT FULLER Secretary —
HEIDI BING Board Member —
RONNIE BROOKS Board Member —
JENNIFER HENNINGSEN Board Member —
LYNDEL KING PHD Board Member —
MARY PAT LADNER Board Member —
PETER LANCASTER Board Member —
DIANE MERRIFIELD Board Member —
VIRGINIA MEYER Board Member —
ABRAHAM RYBECK Board Member —
WILBER SCHILLING Board Member —
CATHERINE SQUIRES Board Member —
HEMA VISWANATHAN Board Member —
JENNIFER HENNINGSEN Board President —
CORY ZANIN IMMEDIATE PA —
DEBORAH WEISS Treasurer —
SHERRI GEBERT FULLER Secretary —
HEIDI BING Board Member —
RONNIE BROOKS Board Member —
KC FOLEY Board Member —
LYNDEL KING Board Member —
MARY PAT LADNER Board Member —
PETER LANCASTER Board Member —
DIANE MERRIFIELD Board Member —
VIRGINIA MEYER Board Member —
ABRAHAM RYBECK Board Member —
CATHERINE SQUIRES Board Member —
HEMA VISWANATHAN Board Member —

Tax year 2021

Name Title Phone Email Compensation
ELYSA VOSHELL EXECUTIVE DI 7.2% of Rev
KC FOLEY Board President —
MARY PAT LADNER Board President —
JIM KNAPP Secretary —
RONNIE BROOKS Board Member —
RAPHAEL COBURN Board Member —
BRANDI ERNST Board Member —
HEATHER FLETCHER Board Member —
SHERRI GEBERT FULLER Board Member —
LYNDEL KING Board Member —
SHAWN MCCANN Board Member —
DIANE MERRIFIELD Board Member —
JANE MESSENGER Board Member —
WILBER SCHILLING Board Member —
ELIZABETH SCHOTT Board Member —
ZAYLORE STOUT Board Member —
HEMA VISWANATHAN Board Member —
CORY ZANIN Board Member —
LAURIE ZENNER Board Member —
Officer contact details, exact compensation figures, and active litigation are available to verified members.
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Score breakdown

Score breakdown

Financial resilience
15 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
40 / 100
Priority Review

The three components combine into a single 0–100 score weighted as shown. Full methodology →

Peer comparison

Compared to 12 other orgs in MN with NTEE prefix A7.

Most-divergent component: financial score sits 65 points below the peer median (15 vs. 80).

5-year trend: Structural Deficit

Persistently low financial health over 5 years despite strong programmatic output. They are borrowing from their future (or bleeding an endowment) to pay for today's programs.

What's driving this score

What would change this score

The two changes that would most improve this score:

  1. Build cash reserves to at least 3 months of operating expenses — moves financial resilience score meaningfully (~10 points).

Improving governance is a board decision. These are the levers.