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
41
Score
Governance
58
Score
Financial
15
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
2025 Hidden Hidden — — Unknown —
2024 Hidden Hidden — — Unknown —
2023 Hidden Hidden 2.8% 41 Fragile Recovery
2022 — — 6.7% 34 Critical Intervention Needed Stable Watch
2021 — — 8.8% 34 Critical Intervention Needed Stable Watch
2020 — — 4.7% 35 Financially Distressed Decline Risk
2019 — — 4.7% 35 Financially Distressed Stable Watch
2018 — — 7.7% 34 Critical Intervention Needed Recovery
2017 — — 7.3% 32 Critical Intervention Needed Recovery
2016 — — 14.3% 29 Critical Intervention Needed Decline Risk
2015 — — 12.8% 29 Critical Intervention Needed Recovery
2014 — — 14.6% 27 Critical Intervention Needed Recovery
2013 — — 17.1% 28 Critical Intervention Needed Decline Risk
2012 — — 7.9% 36 Financially Distressed Stable Watch
2011 — — 4.5% 38 Financially Distressed Stable Watch

Officer compensation history

Tax year 2026

Name Title Phone Email Compensation
MICHAEL TODD MORGAN Board Member 2.8% of Rev
JAYSON CAMPBELL Board Member 1.7% of Rev
TONY MCALISTER Board President —
LYNNE MCALISTER Board President —
LARRY WESTBROOK Board President —
JIM MUNRO Treasurer —
TRISH MUNRO Treasurer —
SCOTT WAMPOLD Secretary —
PHILIP HALL CO-FOUNDER —
DANNY ANDERSON Board Member —
TERESA ANDERSON Board Member —
DUDLEY BERRY Board Member —
TARA BLUE Board Member —
KAY HELLER Board Member —
BETHNI HEMPHILL Board Member —
CASEY MILLER Board Member —
MARY BETH RICHARDS Board Member —
ADAM SANSIVERI Board Member —
MARIA SHEFFIELD Board Member —
DIANE STARK Board Member —
JIM STARK Board Member —
ETHAN WARD Board Member —
IRA SHIVITZ Board Member —
NEIL KRUGMAN Board Member —

Tax year 2025

Name Title Phone Email Compensation
TODD MORGAN Board Member 2.8% of Rev
TONY MCALISTER Board President —
LARRY WESTBROOK Board President —
JIM MUNRO Treasurer —
SCOTT WAMPOLD Secretary —
PHILIP HALL CO-FOUNDER —
DANNY ANDERSON Board Member —
TERESA ANDERSON Board Member —
DUDLEY BERRY Board Member —
TARA BLUE Board Member —
KAY HELLER Board Member —
BETHNI HEMPHILL Board Member —
NEIL KRUGMAN Board Member —
LYNNE MCALISTER Board Member —
CASEY MILLER Board Member —
TRISH MUNRO Board Member —
MARY BETH RICHARDS Board Member —
ADAM SANSIVERI Board Member —
MARIA SHEFFIELD Board Member —
IRA SHIVITZ Board Member —
DIANE STARK Board Member —
JIM STARK Board Member —
ETHAN WARD Board Member —

Tax year 2023

Name Title Phone Email Compensation
TODD MORGAN EXEC. DIRECT 2.5% of Rev
TERESA ANDERSON Board Member —
TARA BLUE Board Member —
PHILIP HALL CO FOUNDER —
KAY HELLER Board Member —
BETHNI HEMPHILL Board Member —
LYNNE MCCALISTER Board Member —
TONY MCCALISTER Board President —
ALYSSA MILLER Board Member —
JIM MUNRO Treasurer —
TRISH MUNRO Board Member —
MARY BETH RICHARDS Board Member —
ADAM SANSIVERI Board Member —
MARIA SHEFFIELD Board Member —
DIANE STARK Board Member —
JIM STARK Board Member —
SCOTT WAMPOLD Secretary —
ETHAN WARD Board Member —
LARRY WESTBROOK Board President —
DORENE WILLIAMS Board Member —

Tax year 2022

Name Title Phone Email Compensation
TODD MORGAN EXEC. DIRECT 2.0% of Rev
DANNY ANDERSON Board Member —
JONI COLE Board Member —
PHILIP HALL CO FOUNDER —
KAY HELLER Board Member —
LYNNE MCCALISTER Board Member —
TONY MCCALISTER Board President —
JIM MUNRO Treasurer —
TRISH MUNRO Board Member —
JENNIFER PARKER Board Member —
MARY BETH RICHARDS Board Member —
MARIA SHEFFIELD Board Member —
SCOTT WAMPOLD Secretary —
LARRY WESTBROOK Board President —

Tax year 2021

Name Title Phone Email Compensation
TODD MORGAN EXEC. DIRECT 2.1% of Rev
KEN CHIN Board Member —
PHILLIP HALL CO FOUNDER —
JIM LATTIMORE Board Member —
LYNNE MCCALISTER Board Member —
TONY MCCALISTER INTERIM DIRE —
JIM MUNRO Board Member —
TRISH MUNRO Board Member —
JENNIFER PARKER Board Member —
MARIA SHEFFIELD Board Member —
SCOTT WAMPOLD Board Member —
LARRY WESTBROOK 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
58 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
41 / 100
Priority Review

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

Peer comparison

Compared to 129 other orgs in TN with NTEE prefix A6.

Most-divergent component: financial score sits 50 points below the peer median (15 vs. 65).

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.