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
35
Score
Governance
50
Score
Financial
0
Score
Program
60
Score

Institutional Epochs

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
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 Hidden Hidden — — Unknown —
2022 — — — 35 Financially Distressed Recovery
2021 — — — 31 Critical Intervention Needed Stable Watch
2020 — — 15.0% 31 Critical Intervention Needed Recovery
2019 — — 27.4% 26 Critical Intervention Needed Stable Watch
2018 — — — 29 Critical Intervention Needed Recovery
2017 — — 24.0% 27 Critical Intervention Needed Stable Watch
2016 — — 17.6% 29 Critical Intervention Needed Decline Risk
2015 — — 12.2% 29 Critical Intervention Needed Recovery
2014 — — 21.1% 24 Critical Intervention Needed Decline Risk
2013 — — 22.2% 30 Critical Intervention Needed Decline Risk
2012 — — 9.8% 34 Critical Intervention Needed Stable Watch
2011 — — 9.2% 34 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
CYNTHIA R BENKELMAN EXECUTIVE DI 5.4% of Rev
TRACY MCDOWELL Board Member 0.6% of Rev
ELIZABETH BERGERON Board President —
JERRY BOKSICH Secretary —
JOEL WELLE Board Member —
TRACY MCDOWELL Board Member —
SHARON MORRISON Board Member —
JERRIE BOKSICH Board Member —
MARCUS WHEELER Board Member —
JOEL WELLE Board President —
JERRY BOKSICH Secretary —
SHARON MORRISON Treasurer —
ELIZABETH BERGERON Board Member —
MARCUS WHEELER Board Member —

Tax year 2023

Name Title Phone Email Compensation
MISSY CARLOSS Board President —
LISA CALAWAY VICE PRESIDE —
SHARON MORRISON Secretary —
Treasurer —
BONNIE BILLUNI Board Member —
JERRY BOKSICH Board Member —
DR BRENT BUCHELE Board Member —
DR GEOFFREY CALAWAY Board Member —
JOEL WELLE Board Member —
NANCY GORDLEY EX OFFICIO —

Tax year 2021

Name Title Phone Email Compensation
ALLISON O'BRIANT Board President —
MISSY CARLOSS VICE PRESIDE —
SHARON MORRISON Secretary —
Treasurer —
JERRIE BOKSICH Board Member —
NANCY GORDLEY Board Member —
JENNIFER GREEN 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
60 / 100
weight 20%
Overall
35 / 100
Priority Review

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

Peer comparison

Compared to 36 other orgs in MT with NTEE prefix A6.

Most-divergent component: financial score sits 61 points below the peer median (0 vs. 61).

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.