Mission Drift
What does this mean?
Highly volatile revenue swings year over year paired with fluctuating Program Scores. The organization is constantly pivoting to chase restricted grant funding rather than building a sustainable core.
The Path Forward
The Lodestar
A radical recommitment to the core mission. It requires the organization to gain the strength to say 'no' to restricted funding that pulls them away from their true purpose.
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 | — | 47 | Fragile | Recovery | |
| 2022 | — | — | — | 44 | Financially Distressed | Recovery | |
| 2021 | — | — | — | 65 | Stable | Stable Watch | |
| 2020 | — | — | — | 48 | Fragile | Recovery | |
| 2019 | — | — | — | 47 | Fragile | Recovery | |
| 2018 | — | — | — | 41 | Fragile | Decline Risk | |
| 2017 | — | — | — | 47 | Fragile | Recovery | |
| 2016 | — | — | — | 43 | Financially Distressed | Stable Watch | |
| 2015 | — | — | — | 43 | Financially Distressed | Decline Risk | |
| 2014 | — | — | — | 55 | Fragile | Recovery | |
| 2013 | — | — | — | 51 | Fragile | Stable Watch | |
| 2012 | — | — | — | 49 | Fragile | Stable Watch | |
| 2011 | — | — | — | 51 | Fragile | Stable Watch |
Officer compensation history
Tax year 2025
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| KAREN MONACO | Treasurer | — | ||
| Michael E Monaco MD | Board President | — | ||
| KIM SHRADER | Board President | — | ||
| amber voss | Board Member | — |
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| KAREN MONACO | Treasurer | — | ||
| Michael E Monaco MD | Board President | — | ||
| KIM SHRADER | Board President | — | ||
| amber voss | Board Member | — |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| KAREN MONACO | Treasurer | — | ||
| Michael E Monaco MD | Board President | — | ||
| KIM SHRADER | Board President | — | ||
| amber voss | Board Member | — |
Score breakdown
The three components combine into a single 0–100 score weighted as shown. Full methodology →
Peer comparison
Compared to 104 other orgs in MO with NTEE prefix A6.
Most-divergent component: financial score sits 27 points above the peer median (65 vs. 38).
5-year trend: Mission Drift
Highly volatile revenue swings year over year paired with fluctuating Program Scores. The organization is constantly pivoting to chase restricted grant funding rather than building a sustainable core.
What's driving this score
- All-volunteer org with no paid officers — governance signal is neutral (default 50), not absent.
What would change this score
No specific high-impact levers identified — this org's score is balanced across components.
Improving governance is a board decision. These are the levers.