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
55
Score
Financial
5
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
2024 Hidden Hidden Unknown
2023 Hidden Hidden 8.9% 36 Financially Distressed Recovery
2022 13.5% 34 Critical Intervention Needed Stable Watch
2021 6.6% 36 Financially Distressed Recovery
2020 16.6% 31 Critical Intervention Needed Stable Watch
2019 12.8% 32 Critical Intervention Needed Stable Watch
2018 11.5% 32 Critical Intervention Needed Recovery
2017 13.6% 31 Critical Intervention Needed Recovery
2016 19.4% 25 Critical Intervention Needed Decline Risk
2015 11.7% 31 Critical Intervention Needed Recovery
2014 14.7% 24 Critical Intervention Needed Decline Risk
2013 15.9% 20 Critical Intervention Needed Decline Risk
2012 13.5% 29 Critical Intervention Needed Decline Risk
2011 9.7% 36 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
LISA CADIGAN Executive Dir. 9.1% of Rev
ROBERT GILLIS Board Member
DONALD SANDERS Board Member
Scott Coyle Board Member
STUART S KRAVITS Board President
ANDREA SINGLEY Board Member
PAULINE LEVAN Board President
Kim Flickinger Board Member
Robert Phillips Secretary
Tammie Woolgar Treasurer
LOIS STARKEY Board Member
NICOLE BUCHER Board Member
Debra K Westmoreland Board Member

Tax year 2023

Name Title Phone Email Compensation
LISA CADIGAN Executive Dir. 8.0% of Rev
LEONA REGA Executive Director 3.9% of Rev
BRENDA MCCABE Board Member
PAULINE LEVAN 1st Vice Presid
Kim Flickinger Board Member
Robert Phillips Board Member
Tammie Woolgar Board Member
LOIS STARKEY Board Member
NICOLE BUCHER Board Member
CASSONDRA SELBY Board Member
Debra K Westmoreland Board Member
Jennie Dillon Secretary
DARLENE BROWN Executive Director
Scott Coyle Board Member
STUART S KRAVITS Treasurer
JILL RAKOWICZ Board Member

Tax year 2022

Name Title Phone Email Compensation
LEONA REGA Executive Dir. 7.7% of Rev
JUDIE BUTTERFIELD Board Member
DARLENE BROWN Executive Director
HOLLY PURDY Board Member
STUART S KRAVITS Treasurer
JILL RAKOWICZ Board Member
BRENDA MCCABE Secretary
PAULINE LEVAN 2nd Vice Presid
KIM BOND Board Member
TODD A KING Board Member
LOIS STARKEY Board Member
NICOLE BUCHER 1st Vice Presid
CASSONDRA SELBY Board Member
Montserrat Fonseca-Estrada Board Member
Debra K Westmoreland Board Member

Tax year 2021

Name Title Phone Email Compensation
CHRIS GLATFELTER Executive Dir. 9.7% of Rev
LEONA REGA Executive Dir. 1.0% of Rev
JUDIE BUTTERFIELD Board Member
DARLENE BROWN Board President
HOLLY PURDY Board Member
STUART S KRAVITS Treasurer
JILL RAKOWICZ Board Member
BRENDA MCCABE Secretary
PAULINE LEVAN 2nd Vice Presid
ROGER LUND Board President
DANNY SEBRIGHT Board Member
TODD A KING Board Member
LOIS STARKEY Board Member
NICOLE BUCHER 1st Vice Presid
CASSONDRA SELBY 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
5 / 100
weight 40%
Governance risk
55 / 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 42 other orgs in PA with NTEE prefix A2.

Most-divergent component: financial score sits 31 points below the peer median (5 vs. 36).

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.

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.