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
58
Score
Financial
5
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
2025 Hidden Hidden — — Unknown —
2024 Hidden Hidden — — Unknown —
2023 Hidden Hidden 2.9% 32 Critical Intervention Needed Decline Risk
2022 — — — 34 Critical Intervention Needed Decline Risk
2021 — — — 42 Fragile Decline Risk
2020 — — — 48 Fragile Recovery
2019 — — — 35 Critical Intervention Needed Stable Watch
2018 — — — 35 Critical Intervention Needed Stable Watch
2017 — — — 35 Critical Intervention Needed Decline Risk
2016 — — — 51 Fragile Recovery
2015 — — — 47 Fragile Recovery
2014 — — — 31 Critical Intervention Needed Decline Risk
2013 — — — 33 Critical Intervention Needed Stable Watch
2012 — — — 37 Financially Distressed Decline Risk
2011 — — — 37 Financially Distressed Stable Watch

Officer compensation history

Tax year 2026

Name Title Phone Email Compensation
JULIE MAYKOWSKI Executive Director 17.9% of Rev
SUSAN KIRKPATRICK Board President —
RICK DOWDEN Board Member —
HILARY GINTHER Board Member —
SOLVEIG OLSEN Board Member —
JON RINGBOM Board Member —
SPENCER TAMBLYN Board Member —
RICHARD SPIRES Board Member —

Tax year 2025

Name Title Phone Email Compensation
JULIE MAYKOWSKI Executive Director 32.0% of Rev
JULIE MAYKOWSKI Executive Director 2.9% of Rev
SUSAN KIRKPATRICK Board President —
GARY NELSON Board President —
JACK DYSART Treasurer —
DAGNY MCKINLEY Secretary —
RICK DOWDEN Board Member —
SARAH HOPFENBECK MD Board Member —
JON RINGBOM Board Member —
SPENCER TAMBLYN Board Member —
RICHARD SPIRES Board Member —
SUSAN KIRKPATRICK Board President —
GARY NELSON Board President —
JACK DYSART Treasurer —
DAGNY MCKINLEY Secretary —
RICK DOWDEN Board Member —
SARAH HOPFENBECK MD Board Member —
JON RINGBOM Board Member —

Tax year 2023

Name Title Phone Email Compensation
SUSAN KIRKPATRICK Board President —
MELISSA HAMPTON Board President —
JACK DYSART Treasurer —
SARAH HOPFENBECK MD Secretary —
ROBERT BOYD Board Member —
CHARLOTTE CANNON Board Member —
PERRY NINGER Treasurer —
JENNY MAXWELL Board President —
DALE LIPSCHULTZ Board Member —
SAMANTHA PEARSON Treasurer —
DAGNY MCKINLEY Secretary —
MICHAEL KRAFT Board Member —

Tax year 2022

Name Title Phone Email Compensation
JENNY MAXWELL Board President —
MELISSA HAMPTON Board President —
JACK DYSART Treasurer —
KATHY KISER-MILLER Secretary —
ROBERT BOYD Board Member —
CHARLOTTE CANNON Board Member —
SARAH HOPFENBECK Board Member —
MICHAEL KRAFT Board Member —
DALE LIPSCHULTZ Board Member —
SAMANTHA PEARSON Board Member —

Tax year 2021

Name Title Phone Email Compensation
Jenny Maxwell Board President —
Melissa Hampton Board President —
Kathy Kiser-Miller Secretary —
Jack Dysart Treasurer —
Robert Boyd Board Member —
Charlotte Cannon Board Member —
Sarah Hopfenbeck Board Member —
Michael Kraft Board Member —
Carole Milligan Board Member —
Dale Lipschultz 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
5 / 100
weight 40%
Governance risk
58 / 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 87 other orgs in CO with NTEE prefix A5.

Most-divergent component: financial score sits 70 points below the peer median (5 vs. 75).

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.