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
36
Score
Governance
50
Score
Financial
10
Score
Program
60
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
2023 — — — 36 Financially Distressed Decline Risk
2022 — — — 42 Fragile Recovery
2021 — — — 43 Fragile Recovery
2020 — — — 35 Financially Distressed Decline Risk
2019 — — — 37 Financially Distressed Recovery
2018 — — — 36 Financially Distressed Recovery
2017 — — — 32 Critical Intervention Needed Decline Risk
2016 — — — 36 Financially Distressed Stable Watch
2015 — — — 36 Financially Distressed Stable Watch
2014 — — — 36 Financially Distressed Recovery
2013 — — 6.5% 34 Critical Intervention Needed Decline Risk
2012 — — 6.6% 34 Critical Intervention Needed Decline Risk
2011 — — 6.8% 36 Financially Distressed Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
BILL BERNIER PAST PRESIDE —
CAROLINE BLAIR Secretary —
JAN CAWVEY PAST PRESIDE —
JESSICA CEDERBERG Board Member —
JOHN CLEVELAND ASOPA REPRES —
MARCIE ERRICO Board Member —
WALTER FEATHERLY PAST PRESIDE —
ALEXANDER GJOANNIDES Board Member —
APRIL GUNTHER Board Member —
STEPHANIE HAYDN Board Member —
LISA HERRINGTON Board Member —
ELIZABETH HUNT Board Member —
CORDELIA QIGNAAQ KELLIE Board Member —
ARON S WOLF MD PAST PRESIDE —
CAREN MATHIS PAST-PRESIDE —
SUZANNE MCLAUGHLIN Board Member —
PATRICIA MEINHARDT PAST PRESIDE —
COLLIN MIDDLETON LEGAL COUNSE —
FRED MILLER Treasurer —
ROBERT MISULICH PAST PRESIDE —
DOUG SHAFFER Board President —
TIMOTHY SMITH Board Member —
SCOTT STEWART Board Member —
ZAN WALSH Board Member —
MARIA WILLIAMS Board Member —

Tax year 2022

Name Title Phone Email Compensation
BILL BERNIER PAST PRESIDE —
CAROLINE BLAIR Board Member —
JAN CAWVEY PAST PRESIDE —
JOHN CLEVELAND ASOPA REPRES —
MARCIE ERRICO Board Member —
WALTER FEATHERLY PAST PRESIDE —
ALEXANDER GJOANNIDES Board Member —
JOY ZIMMERMAN GOLDEN Board Member —
APRIL GUNTHER Board Member —
STEPHANIE HAYDN Board Member —
LISA HERRINGTON Board Member —
ELIZABETH HUNT Board Member —
CORDELIA QIGNAAQ KELLIE Board Member —
ARON S WOLF MD PAST PRESIDE —
RANDALL MAES Board President —
MICHAEL MARTIN Board Member —
CAREN MATHIS PAST-PRESIDE —
SUZANNE MCLAUGHLIN Board Member —
PATRICIA MEINHARDT PAST PRESIDE —
COLLIN MIDDLETON LEGAL COUNSE —
FRED MILLER Treasurer —
ROBERT MISULICH Board President —
DOUG SHAFFER Secretary —
TIMOTHY SMITH Board Member —
SCOTT STEWART Board Member —
ZAN WALSH Board Member —
MARIA WILLIAMS Board Member —

Tax year 2021

Name Title Phone Email Compensation
BILL BERNIER PAST PRESIDE —
CATHERINE BINFORD Board Member —
CAROLINE BLAIR Board Member —
JAN CAWVEY PAST PRESIDE —
JOHN CLEVELAND ASOPA REPRES —
MARCIE ERRICO Board Member —
WALTER FEATHERLY PAST PRESIDE —
ALEXANDER GJOANNIDES Board Member —
JOY ZIMMERMAN GOLDEN Board Member —
APRIL GUNTHER Board Member —
STEPHANIE HAYDN Board Member —
LISA HERRINGTON Board Member —
ELIZABETH HUNT Board Member —
ARON S WOLF MD PAST PRESIDE —
CARLETTE S MACK Board Member —
RANDALL MAES Board President —
CAREN MATHIS PAST-PRESIDE —
SUZANNE MCLAUGHLIN Board Member —
PATRICIA MEINHARDT PAST PRESIDE —
COLLIN MIDDLETON LEGAL COUNSE —
FRED MILLER Treasurer —
ROBERT MISULICH Board President —
LAURIE ORELL Board Member —
DOUG SHAFFER Secretary —
TIMOTHY SMITH Board Member —
SCOTT STEWART Board Member —
ZAN WALSH 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
10 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
36 / 100
Priority Review

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

Peer comparison

Compared to 37 other orgs in AK with NTEE prefix A6.

Most-divergent component: financial score sits 34 points below the peer median (10 vs. 44).

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.

Overall score has gone from 37 → 36 over 5 years (declining by 1 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).

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