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
32
Score
Governance
50
Score
Financial
0
Score
Program
45
Score

Institutional Epochs

2010
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
2024 Hidden Hidden Unknown
2023 32 Critical Intervention Needed Recovery
2022 29 Critical Intervention Needed Stable Watch
2021 32 Critical Intervention Needed Recovery
2020 24 Critical Intervention Needed Decline Risk
2019 32 Critical Intervention Needed Recovery
2018 29 Critical Intervention Needed Stable Watch
2017 29 Critical Intervention Needed Stable Watch
2016 29 Critical Intervention Needed Decline Risk
2015 37 Financially Distressed Decline Risk
2014 41 Financially Distressed Stable Watch
2013 41 Financially Distressed Recovery
2012 37 Financially Distressed Stable Watch
2011 37 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
BRIAN ROXANNE BALDWIN Secretary
JEAN BUIKEMA Board Member
HANNAH GETTES Board Member
ANITA HAYES Board Member
AMY JOHNSON Board Member
NEAL LUKER Board Member
BRENT NOREM Board Member
THERESA JUDGE OSF Board Member
AMY JO PETERS Board Member
JEANETTE PETERSEN Board Member
JOHN CYNTHIA REYNOLDS Board Member
DANIELLE SAMPSON Board Member
RYAN STEINES Treasurer
CHRIS STREETS Board President
AMY STRUBLE Board Member
KARI WHITE Board Member

Tax year 2023

Name Title Phone Email Compensation
AMANDA ASAY Board Member
BRIAN ROXANNE BALDWIN Board Member
JUDY CARSTENSEN Board Member
HANNAH GETTES Board Member
ANITA HAYES Board Member
AMY JOHNSON Board Member
JOHN LINDA JORGENSEN Board Member
NEAL LUKER Board President
TOM MCELENEY Board Member
THERESA JUDGE OSF Secretary
JEANETTE PETERSEN Board Member
JOHN CYNTHIA REYNOLDS Board Member
DANIELLE SAMPSON Board Member
KIP SIMPSON Board Member
RYAN STEINES Treasurer
CHRIS STREETS VICE PRESIDE
AMY STRUBLE Board Member

Tax year 2022

Name Title Phone Email Compensation
AMANDA ASAY Board Member
BRIAN ROXANNE BALDWIN Board Member
JUDY CARSTENSEN Board Member
MICHAEL GLORIA CLEMENCE Board Member
LINDA DUTCHESS Board Member
HANNAH GETTES Board Member
ANITA HAYES Board Member
AMY JOHNSON Board Member
JOHN LINDA JORGENSEN Board Member
NEAL LUKER Board President
TOM MCELENEY Board Member
HILARY MULLANY OSF Board Member
THERESA JUDGE OSF Secretary
JEANETTE PETERSEN Board Member
KIP SIMPSON Board Member
DAVID SIVRIGHT Board Member
RYAN STEINES Treasurer
CHRIS STREETS VICE PRESIDE
AMY STRUBLE Board Member
SIBYLLE WOLFE Board Member

Tax year 2021

Name Title Phone Email Compensation
AMANDA ASAY Board Member
BRIAN ROXANNE BALDWIN Board Member
JUDY CARSTENSEN Board Member
MICHAEL GLORIA CLEMENCE Board Member
HANNAH GETTES Board Member
ANITA HAYES Board Member
AMY JOHNSON VICE PRESIDE
JOHN LINDA JORGENSEN Board Member
NEAL LUKER Board President
TOM MCELENEY Board Member
HILARY MULLANY OSF Board Member
THERESA JUDGE OSF Secretary
JEANETTE PETERSEN Board Member
KIP SIMPSON Board Member
DAVID SIVRIGHT Board Member
RYAN STEINES Treasurer
CHRIS STREETS Board Member
AMY STRUBLE Board Member
SIBYLLE WOLFE 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
0 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
45 / 100
weight 20%
Overall
32 / 100
Priority Review

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

Peer comparison

Compared to 85 other orgs in IA with NTEE prefix A6.

Most-divergent component: financial score sits 39 points below the peer median (0 vs. 39).

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.