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.
Title
Representative Institutions
Institutional Epochs
Historical Performance
| Year | Revenue | Top Comp | Comp % Rev | Score | Phase Label | Outlook | Details |
|---|---|---|---|---|---|---|---|
| 2024 | Hidden | Hidden | — | — | Unknown | — | |
| 2023 | Hidden | Hidden | 11.5% | 29 | Critical Intervention Needed | Decline Risk | |
| 2022 | — | — | 0.1% | 37 | Financially Distressed | Decline Risk | |
| 2021 | — | — | 0.1% | 39 | Financially Distressed | Recovery | |
| 2020 | — | — | 0.2% | 37 | Financially Distressed | Stable Watch | |
| 2019 | — | — | 0.2% | 37 | Financially Distressed | Decline Risk | |
| 2018 | — | — | 0.3% | 41 | Financially Distressed | Recovery | |
| 2017 | — | — | — | 32 | Critical Intervention Needed | Decline Risk | |
| 2016 | — | — | — | 34 | Critical Intervention Needed | Decline Risk | |
| 2015 | — | — | — | 35 | Critical Intervention Needed | Recovery | |
| 2014 | — | — | — | 29 | Critical Intervention Needed | Stable Watch | |
| 2013 | — | — | — | 29 | Critical Intervention Needed | Decline Risk | |
| 2012 | — | — | — | 33 | Critical Intervention Needed | Decline Risk | |
| 2011 | — | — | — | 38 | Financially Distressed | Stable Watch |
Officer compensation history
Tax year 2025
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| IGOR SHAKHMNA | Executive Director | 11.2% of Rev | ||
| MICHAEL LIU MD | Board Member | 0.3% of Rev | ||
| CAROL VAN NATTA | CHAIRMAN | — | ||
| ANN BARDACKE | Board Member | — | ||
| DAVID BLOOM MD | Board Member | — | ||
| TAMMY BLOOM MD | Board Member | — | ||
| PAUL CHRISTENSEN | Board Member | — | ||
| RUSS GOCHNEAUR | Board Member | — | ||
| CHARLENE HISS | Board Member | — | ||
| KEN KIRN | Board Member | — | ||
| TIM KRAFT | Board Member | — | ||
| STEVEN MCCARTHY | Board Member | — | ||
| DAVID SMITH MD | Board Member | — | ||
| VICTORIA TULLETT | Board Member | — | ||
| CRAIG BREESE | Board Member | — |
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| MICHAEL LIU MD | Board Member | 0.1% of Rev | ||
| VICTORIA TULLETT | CHAIRMAN | — | ||
| ANN BARDACKE | Board Member | — | ||
| CAROL VAN NATTA | Board Member | — | ||
| DAVID BLOOM MD | Board Member | — | ||
| DAVID SMITH MD | Board Member | — | ||
| PAUL CHRISTENSEN | Board Member | — | ||
| STEVEN MCCARTHY | Board Member | — | ||
| TAMMY BLOOM MD | Board Member | — | ||
| TIM KRAFT | Board Member | — | ||
| CHARLENE HISS | Board Member | — | ||
| KEN KIRN | Board Member | — |
Tax year 2022
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| MICHAEL LIU MD | Board Member | 0.1% of Rev | ||
| VICTORIA TULLETT | CHAIRMAN | — | ||
| AMEY LAUD | Board Member | — | ||
| ANN BARDACKE | Board Member | — | ||
| BARBARA COMAN | Board Member | — | ||
| CAROL VAN NATTA | Board Member | — | ||
| DAVID BLOOM MD | Board Member | — | ||
| DAVID SMITH MD | Board Member | — | ||
| PAUL CHRISTENSEN | Board Member | — | ||
| STEVEN MCCARTHY | Board Member | — | ||
| TAMMY BLOOM MD | Board Member | — | ||
| TIM KRAFT | Board Member | — | ||
| WILL KITCHEN | Board Member | — |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| DR MICHAEL LIU MD | Board Member | 0.1% of Rev | ||
| KATHRYN L MCDONALD | CHAIRMAN | — | ||
| VICTORIA TULLETT | VICE-CHAIRMAN | — | ||
| PAUL CHRISTENSEN | Board Member | — | ||
| WILL KITCHEN | Board Member | — | ||
| AMEY LAUD | Board Member | — | ||
| DIMITRI ZGHENTI | Board Member | — | ||
| DAVID BLOOM | Board Member | — | ||
| TAMMY BLOOM | Board Member | — | ||
| JAKE GAMBLE | Board Member | — | ||
| CAROL VAN ATTA | Board Member | — | ||
| JUSTIN JENKS | Board Member | — | ||
| TAYLOR ANDERSON | Board Member | — | ||
| STEVEN MCCARTHY | Board Member | — | ||
| JAN KENNEDY | Board Member | — | ||
| TIM KRAFT | Board Member | — |
Score breakdown
The three components combine into a single 0–100 score weighted as shown. Full methodology →
Peer comparison
Compared to 333 other orgs in WA with NTEE prefix A6.
Most-divergent component: financial score sits 52 points below the peer median (0 vs. 52).
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
- Comp-to-revenue ratio of 11.5% sits within the sector's healthy band (18–22%).
- Financial resilience score in the bottom quartile — reserves and liabilities ratios warrant review.
What would change this score
The two changes that would most improve this score:
- 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.