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 45 other orgs in TN with NTEE prefix A6.

Most-divergent component: program score sits 25 points above the peer median (60 vs. 35).

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.