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
50
Score
Financial
10
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 36 Financially Distressed Stable Watch
2022 39 Financially Distressed Stable Watch
2021 39 Financially Distressed Recovery
2020 34 Critical Intervention Needed Recovery
2019 34 Critical Intervention Needed Recovery
2018 29 Critical Intervention Needed Decline Risk
2017 35 Critical Intervention Needed Stable Watch
2016 35 Critical Intervention Needed Stable Watch
2015 35 Critical Intervention Needed Recovery
2014 31 Critical Intervention Needed Decline Risk
2013 35 Critical Intervention Needed Decline Risk
2012 33 Critical Intervention Needed Recovery
2011 29 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
CYNTHA BATES Board Member
PAUL CLAYTON JR Board Member
CAROLYN DEVOE Board Member
JOSEFINA DEWAN Board Member
SCOTT GILCHRIST Board Member
PAUL HELFT MD Board Member
DAVID HERZOG Board Member
MICHAEL HUBER Board Member
CHRIS HUTSON Board Member
DAVID INGRAM MD Board Member
ROSEMARY JAMES Board Member
CLARK JOHNSON Board Member
ANGEL MADISON LCSW Board Member
KATHERINE NAGY Board Member
HOPE OAKS Board Member
WINFIELD ONG Board Member
PAVEL POLANCO-SAFADIT Board Member
JOHN SCOFIELD Board Member
MARK SHELDON Board Member
ADRIENNE SIMS Board Member
MARC SCISCOE Board President
DAVID WESTENBERGER Board President
BRIAN WEIR-HARDEN Secretary
JASON HOUDEK Treasurer
STAN HILLIS Board Member
CHRIS SCANLON Board Member
JUDITH THOMAS Board Member
MINJU CHOI WITTE DMA Board Member

Tax year 2023

Name Title Phone Email Compensation
CYNTHIA BATES Board Member
LYNN DEVOE Board Member
SCOTT GILCHRIST Board Member
DAVID HERZOG Board Member
STAN HILLIS Board Member
MICHAEL HUBER Board Member
CHRIS HUTSON Board Member
ROSEMARY JAMES Board Member
CLARK JOHNSON Board Member
PAUL CLAYTON JR Board Member
ANGELA MADISON Board Member
PAUL HELFT MD Board Member
HOPE OAKS Board Member
PAVEL PALANCO-SAFADIT Board Member
MARK SHELDON Board Member
JUDITH THOMAS Board Member
BRIAN WEIR-HARDEN Board Member
JASON HOUDEK Secretary
CHRIS SCANLON PAST PRESIDE
MARC SCISCOE Board President
JOHN SCOFIELD VICE PRESIDE
DAVID WESTENBERGER Treasurer

Tax year 2022

Name Title Phone Email Compensation
CYNTHIA BATES Board Member
LYNN DEVOE Board Member
SCOTT GILCHRIST Board Member
DAVID HERZOG Board Member
STAN HILLIS Board Member
MICHAEL HUBER Board Member
CHRIS HUTSON Board Member
ROSEMARY JAMES Board Member
PAUL CLAYTON JR Board Member
PAUL HELFT MD Board Member
PAVEL PALANCO-SAFADIT Board Member
JOHN SCOFIELD Board Member
MARK SHELDON Board Member
JUDITH THOMAS Board Member
BRIAN WEIR-HARDEN Board Member
JASON HOUDEK Secretary
CHRIS SCANLON Board President
MARC SCISCOE VICE PRESIDE
DAVID WESTENBERGER Treasurer

Tax year 2021

Name Title Phone Email Compensation
DAVID ALLEE Board Member
CYNTHIA BATES Board Member
LYNN DEVOE Board Member
ROB DIXON Board Member
LIN FRAUENHOFF Board Member
STAN HILLIS Board Member
MICHAEL HUBER Board Member
CHRIS HUTSON Board Member
PAUL CLAYTON JR Board Member
PAVEL PALANCO-SAFADIT Board Member
MARC SCISCOE Board Member
JOHN SCOFIELD Board Member
MARK SHELDON Board Member
DAVID HERZOG VICE PRESIDE
JASON HOUDEK Secretary
CHRIS SCANLON Board President
DAVID WESTENBERGER Treasurer
Officer contact details, exact compensation figures, and active litigation are available to verified members.
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Score breakdown

Score breakdown

Financial resilience
10 / 100
weight 40%
Governance risk
50 / 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 120 other orgs in IN with NTEE prefix A6.

Most-divergent component: financial score sits 30 points below the peer median (10 vs. 40).

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.