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.
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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 1,424 other orgs in CA with NTEE prefix A6.

Most-divergent component: financial score sits 38 points below the peer median (15 vs. 53).

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.