Steady State
Steady State
Steady State Market Archetype Mechanical Natural
Tier
Priority Review
Trajectory Thumbprint

Steady State

What does this mean?

No extreme longitudinal divergence detected. The organization is maintaining its current operational philosophy.

The Path Forward

The Stewardship

Focuses on long-term sustainability and gentle cultivation of existing resources rather than forced expansion. It honors the organization's established role as a reliable anchor.

The Stewardship
The Stewardship
Institutional Health Scores
5-yr trend: Steady State
Overall
40
Score
Governance
55
Score
Financial
15
Score
Program
60
Score

Institutional Epochs

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Financial Era
Governance Era
Trajectory Era
Steady State

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2024 Hidden Hidden 5.5% 40 Financially Distressed Decline Risk
2023 3.7% 51 Fragile Stable Watch
2022 4.3% 51 Fragile Recovery
2021 11.9% 52 Fragile Recovery
2020 5.3% 44 Fragile Recovery
2019 5.3% 34 Critical Intervention Needed Decline Risk
2018 5.0% 37 Financially Distressed Decline Risk
2017 5.1% 38 Financially Distressed Decline Risk
2016 5.5% 38 Financially Distressed Decline Risk
2015 5.6% 44 Fragile Recovery
2014 5.5% 42 Fragile Recovery
2013 7.6% 41 Fragile Recovery
2012 6.5% 38 Financially Distressed Decline Risk
2011 4.0% 43 Fragile Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
CAROLINE NICKEL Executive Director 5.6% of Rev
CAROLINE NICKEL Executive Director 5.5% of Rev
JOHN WALLACE Board Member
ROBERT HAWKS Board Member
KENT JOHNSON Treasurer
SHEILA CARROLL Board Member
RICHARD DEWAR MD Board Member
DR PHILLIP BECK Board President
STEVE PALLIOS Board President
MICHAEL HERRERO Board Member
MAREE HAWKINS Board Member
RON HOFFMAN Board Member
KATHRYN BOYD Board Member
RICHARD KENDRICK MD Board Member
MEREDITH BRANDSMA Board Member
CAROLE BOYETT Board Member
H DIETER RENNING Board Member
GREG HELBIG MD Board Member
DENI ROYER Secretary
AVI NIJJAR MD Board Member
BETTY USTACH Board Member
LAURA BREAM Board Member
AMY COLLIER CARROLL Board Member
ROBERT FALZONE Board Member
LYN RAIBLE MD Board Member
JOHN WALLACE Board Member
JOE SWAIN Board Member
ROBERT HAWKS Board Member
LAURA WHARFF Board Member
KENT JOHNSON Treasurer
SHEILA CARROLL Board Member
RICHARD DEWAR MD Board Member
DR PHILLIP BECK Board President
STEVE PALLIOS Board President
MICHAEL HERRERO Board Member
MAREE HAWKINS Board Member
RON HOFFMANN Board Member
KATHRYN BOYD Board Member
RICHARD KENDRICK MD Board Member
MEREDITH BRANDSMA Board Member
CAROLE BOYETT Board Member
H DIETER RENNING Board Member
GREG HELBIG MD Board Member
DENI ROYER Secretary
AVI NIJJAR MD Board Member
BETTY USTACH Board Member
LAURA BREAM Board Member
AMY COLLIER CARROLL Board Member
ROBERT FALZONE Board Member
LYN RAIBLE MD Board Member
JOE SWAIN Board Member
LAURA WHARFF Board Member

Tax year 2022

Name Title Phone Email Compensation
CAROLINE NICKEL Executive Director 5.3% of Rev
JOHN WALLACE Board Member
ROBERT HAWKS Board Member
KENT JOHNSON Treasurer
SHEILA CARROLL Board Member
RICHARD DEWAR MD Board Member
DR PHILLIP BECK Chairman
STEVE PALLIOS VICE CHAIRMAN
MICHAEL HERRARO Board Member
MAREE HAWKINS Board Member
RON HOFFMANN Board Member
KATHRYN BOYD Board Member
RICHARD KENDRICK MD Board Member
ROBERT FALZONE Board Member
CAROLE BOYETT Board Member
H DIETER RENNING Board Member
GREG HELBIG MD Board Member
DENI ROYER Secretary
AVI NIJJAR MD Board Member
BETTY USTACH Board Member
LAURA WHARFF Board Member
MEREDITH BRANDSMA Board Member
LAURA BEAM Board Member
LYN RAIBLE MD Board Member
AMY COLLIER CARROLL Board Member
JOE SWAIN Board Member

Tax year 2021

Name Title Phone Email Compensation
CAROLINE NICKEL Executive Director 5.5% of Rev
JOHN WALLACE Treasurer
ROBERT HAWKS Board President
KENT JOHNSON Board President
SHEILA CARROLL Board Member
RICHARD DEWAR MD Board Member
DR PHILLIP BECK Board President
STEVE PALLIOS Board Member
MICHAEL HERRARO Board Member
MAREE HAWKINS Board Member
RON HOFFMANN Board Member
KATHRYN BOYD Board Member
RICHARD KENDRICK MD Board Member
DALLAS MARSH Board Member
CAROLE BOYETT Board Member
H DIETER RENNING Board Member
GREG HELBIG MD Board Member
DENI ROYER Secretary
AVI NIJJAR MD Board Member
BETTY USTACH Board Member
DONNA RILEY Board Member
DIANNE GAGOS Board Member
Officer contact details, exact compensation figures, and active litigation are available to verified members.
Request access
Score breakdown

Score breakdown

Financial resilience
15 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
40 / 100
Priority Review

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

Peer comparison

Compared to 829 other orgs in CA with NTEE prefix A6.

Most-divergent component: program score sits 29 points above the peer median (60 vs. 31).

5-year trend: Steady State

No extreme longitudinal divergence detected. The organization is maintaining its current operational philosophy.

Overall score has gone from 44 → 40 over 5 years (declining by 4 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.