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 111 other orgs in IA with NTEE prefix A6.

Most-divergent component: financial score sits 49 points below the peer median (0 vs. 49).

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.