Acute Stabilization
Acute Stabilization
Acute Stabilization Market Archetype Mechanical Natural
Tier
Priority Review
Trajectory Thumbprint

Acute Stabilization

What does this mean?

A successful crisis intervention. After hitting the Priority Review risk tier, the organization demonstrates consecutive years of Financial Score recovery paired with Governance Score improvement.

The Path Forward

The Dawn

Institutionalizes the emergency protocols that saved the organization. It locks in new, rigorous governance policies to prevent a relapse into crisis.

The Dawn
The Dawn
Institutional Health Scores
5-yr trend: Acute Stabilization
Overall
30
Score
Governance
50
Score
Financial
25
Score
Program
30
Score

Institutional Epochs

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Financial Era
Governance Era
Trajectory Era
Acute Stabilization

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2023 Hidden Hidden 30 Critical Intervention Needed Stable Watch
2022 26 Critical Intervention Needed Recovery
2021 39.2% 13 Critical Intervention Needed Decline Risk
2020 48.3% 17 Critical Intervention Needed Decline Risk
2019 25.5% 32 Critical Intervention Needed Stable Watch
2018 35 Financially Distressed Recovery
2017 16.2% 27 Critical Intervention Needed Decline Risk
2016 41 Fragile Recovery
2015 35 Financially Distressed Decline Risk
2014 37 Financially Distressed Decline Risk
2013 41 Fragile Decline Risk
2012 45 Fragile Decline Risk
2011 51 Fragile Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
Michael Franzoni Executive Director 23.8% of Rev
Harry Hawkins Board President
Kevin Kilker Secretary
Elizabeth Grimm-Howell Board President
Trisha Zalenski Treasurer
Darren Chapman Board Member
Tatiana Clader Board Member
Alison Hillman Board Member
Russell Orf Board Member

Tax year 2022

Name Title Phone Email Compensation
Michael Franzoni Executive Director 23.8% of Rev
Esther Spinner Board President
Kevin Kilker Secretary
Harry Hawkins Board President
Darren Chapman Treasurer
Trisha Zalenski Board Member
Ryan Garner Board Member
Elizabeth Grimm-Howell Board President
Alison Hillman Board Member
Micah Lambert Board Member
Nathan Neal Board Member
Russell Orf Board Member

Tax year 2021

Name Title Phone Email Compensation
Michael Franzoni Board Member 23.6% of Rev
Esther Spinner Board President
Kevin Kilker Secretary
Harry Hawkins Board President
Darren Chapman Treasurer
Kevin Gardner Board Member
Ryan Garner Board Member
Elizabeth Grimm-Howell Board President
Alison Hillman Board Member
Micah Lambert Board Member
Nathan Neal Board Member
Russell Orf 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
25 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
30 / 100
weight 20%
Overall
30 / 100
Priority Review

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

Peer comparison

Compared to 105 other orgs in MO with NTEE prefix A6.

Most-divergent component: financial score sits 13 points below the peer median (25 vs. 38).

5-year trend: Acute Stabilization

A successful crisis intervention. After hitting the Priority Review risk tier, the organization demonstrates consecutive years of Financial Score recovery paired with Governance Score improvement.

Overall score has gone from 32 → 30 over 5 years (declining by 2 points).

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).
  2. Stabilize program expenses or grow earned-income revenue to break the consecutive-deficit pattern (~8 points to financial score).

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