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 29 other orgs in AK with NTEE prefix A6.

Most-divergent component: financial score sits 25 points below the peer median (10 vs. 35).

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.