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
29
Score
Governance
50
Score
Financial
0
Score
Program
45
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 — 29 Critical Intervention Needed Decline Risk
2022 — — — 32 Critical Intervention Needed Decline Risk
2021 — — — 36 Financially Distressed Recovery
2020 — — — 28 Critical Intervention Needed Recovery
2019 — — 18.1% 27 Critical Intervention Needed Decline Risk
2018 — — 17.4% 33 Critical Intervention Needed Stable Watch
2017 — — 21.1% 33 Critical Intervention Needed Recovery
2016 — — 24.7% 25 Critical Intervention Needed Decline Risk
2015 — — 24.3% 29 Critical Intervention Needed Decline Risk
2014 — — — 51 Fragile Stable Watch
2013 — — — 51 Fragile Stable Watch
2012 — — — 51 Fragile Stable Watch
2011 — — — 51 Fragile Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
DAVE CROWNER Board Member —
TROY DEAN Board Member —
SCOTT HARTWIG Board President —
IAN MILLER Treasurer —
DR SMITHA NAIR Board Member —
JANE PATRONO Board Member —
LINDSEY RINGQUIST Board Member —
CAROLYN JAMY SPANGLER Board Member —
LINDA TOKI Secretary —

Tax year 2023

Name Title Phone Email Compensation
DAVE CROWNER Board Member —
TROY DEAN Board Member —
SCOTT HARTWIG Board President —
DIONNE JONES-GRIM Board Member —
SHELLEY KNOUSE Treasurer —
IAN MILLER Board Member —
DR SMITHA NAIR Board Member —
JANE PATRONO Board Member —
ANDREA SINGLEY Board Member —
LINDA TOKI Secretary —

Tax year 2022

Name Title Phone Email Compensation
DAVE CROWNER Board Member —
SCOTT HARTWIG Board Member —
SHELLEY KNOUSE Secretary —
DONNA KNOX Board Member —
IAN MILLER Board Member —
JANE PATRONO Board Member —
ANDREA SINGLEY Board President —
LINDA TOKI Board Member —
KRISTINE WITHEROW VICE-PRESIDE —
DAVE CROWNER Board Member —
SCOTT HARTWIG Board Member —
SHELLEY KNOUSE Secretary —
DONNA KNOX Board Member —
IAN MILLER Board Member —
JANE PATRONO Board Member —
ANDREA SINGLEY Board President —
LINDA TOKI Board Member —
KRISTINE WITHEROW VICE-PRESIDE —

Tax year 2021

Name Title Phone Email Compensation
DAVE CROWNER Board Member —
SUE FEHRINGER Board Member —
SCOTT HARTWIG Board Member —
SHELLEY KNOUSE Treasurer —
DONNA KNOX Board Member —
IAN MILLER Board Member —
JANE PATRONO Board Member —
ANDREA SINGLEY Board President —
KRISTINE WITHEROW VICE-PRESIDE —
Officer contact details, exact compensation figures, and active litigation are available to verified members.
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Score breakdown

Score breakdown

Financial resilience
0 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
45 / 100
weight 20%
Overall
29 / 100
Priority Review

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

Peer comparison

Compared to 461 other orgs in PA with NTEE prefix A6.

Most-divergent component: financial score sits 53 points below the peer median (0 vs. 53).

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.