The document outlines the Marshall Model for realizing stakeholder value over time, cost, quality, and scope. It discusses five debts (financial, physical, knowledge, social, environmental) and five flows (cash, trade, knowledge, community spirit, natural resources) that must be balanced. The model shows how organizations can progress from unconscious incompetence to conscious competence by taking a whole organization approach to leading entrepreneurially, organizing responsibly, problem-solving evidence-based, and engineering with set-based design. It prompts readers to assess where their own organization falls on this "rightshifting scale".