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
Institutional Health Scores
5-yr trend: Structural Deficit ↑
Overall
32
Score
Governance
42
Score
Financial
15
Score
Program
45
Score
Title
-
Institutions
-
Avg Revenue
-
Risk Profile
Representative Institutions
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 | — | — | Unknown | — | |
| 2022 | — | — | 55.2% | 34 | Critical Intervention Needed | Gov Risk | |
| 2021 | — | — | 42.9% | 36 | Fragile | Recovery | |
| 2020 | — | — | 46.5% | 28 | Critical Intervention Needed | Decline Risk | |
| 2019 | — | — | 35.2% | 30 | Critical Intervention Needed | Recovery | |
| 2018 | — | — | 54.9% | 30 | Critical Intervention Needed | Gov Risk | |
| 2017 | — | — | 49.0% | 38 | Critical Intervention Needed | Gov Risk | |
| 2016 | — | — | 18.4% | 51 | Fragile | Recovery | |
| 2015 | — | — | 55.0% | 36 | Critical Intervention Needed | Gov Risk | |
| 2014 | — | — | 29.0% | 46 | Governance-Stressed | Recovery | |
| 2013 | — | — | 54.5% | 31 | Critical Intervention Needed | Gov Risk | |
| 2012 | — | — | 35.5% | 46 | Governance-Stressed | Recovery | |
| 2011 | — | — | 45.3% | 42 | Governance-Stressed | Gov Risk |
Officer compensation history
Tax year 2026
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| Dr Cole Woodcox | Executive Director | 43.9% of Rev | ||
| Jeanine Went | Executive Director | — | ||
| Dr Tuajuanda Jordan | Board President | — | ||
| Dr Melinda Treadwell | Board Member | — | ||
| Dr James Birge | Board President | — | ||
| Dr Jeffrey McClurken | Board Member | — | ||
| Janet Schrunk Ericksen | Board Member | — | ||
| Amir Mohammadi | Treasurer | — | ||
| Nolan Atkins | Board Member | — | ||
| Denise Battles | Board Member | — | ||
| Courtney Bentley | Board Member | — | ||
| John Carmichael | Board Member | — | ||
| Cathy Cox | Board Member | — | ||
| Tierra Freeman | Board Member | — | ||
| Janet Gooch | Board Member | — | ||
| Kayla Hale | Board Member | — | ||
| Stacia Haynie | Board Member | — | ||
| Daniel Heimmermann | Board Member | — | ||
| Karim Ismaili | Board Member | — | ||
| Scott Jones | Board Member | — | ||
| Mario Martinez | Board Member | — | ||
| Joseph McDonnell | Board Member | — | ||
| Michael Middleton | Board Member | — | ||
| Karen Moranski | Board Member | — | ||
| John Parkins | Board Member | — | ||
| Jesse Peters | Board Member | — | ||
| Donna Price Henry | Board Member | — | ||
| Nora Roberts Miller | Board Member | — | ||
| Gretchen Sechrist | Board Member | — | ||
| Sue Thomas | Board Member | — | ||
| Renee Wachter | Board Member | — | ||
| Mike Wanous | Board Member | — |
Tax year 2025
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| Dr Cole Woodcox | Executive Director | 42.4% of Rev | ||
| Dr Tuajuanda Jordan | Board President | — | ||
| Dr Melinda Treadwell | Board Member | — | ||
| Dr James Birge | Board Member | — | ||
| Dr Jeffrey McClurkin | Board Member | — | ||
| Janet Ericksen | Board Member | — | ||
| Amir Mohammadi | Treasurer | — | ||
| Dr Sue Thomas | Board President | — | ||
| Dr Elsa Nunez | Board Member | — | ||
| Dr John Carmichael | Board Member | — | ||
| Dr Nora Miller | Board Member | — | ||
| Dr Diana Rogers-Adkinson | Board Member | — | ||
| Dr Cathy Cox | Board Member | — | ||
| Dr Tierra Freeman | Board Member | — | ||
| Dr Denise Battles | Board Member | — | ||
| Dr Nolan Atkins | Board Member | — | ||
| Dr Cindy Jebb | Board Member | — | ||
| Dr Mike Wanous | Board Member | — | ||
| Dr Karen Moranski | Board Member | — | ||
| Dr Demetres Tryphonopoulos | Board Member | — | ||
| Dr Janet Gooch | Board Member | — | ||
| Dr Daniel Heimmermann | Board Member | — | ||
| Dr John Stewart | Board Member | — | ||
| Dr John Feaver | Board Member | — | ||
| Dr Katherine Yardley | Board Member | — | ||
| Dr Donna Price Henry | Board Member | — | ||
| Dr Renee Wachter | Board Member | — | ||
| Scott Jones | Board Member | — | ||
| Jesse Peters | Board Member | — | ||
| Mario Martinex | Board Member | — | ||
| Stacia Haynie | Board Member | — |
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| Dr Cole Woodcox | Executive Director | 36.8% of Rev | ||
| Dr Sue Thomas | Board President | — | ||
| Dr Melinda Treadwell | Officer | — | ||
| Dr Tuajuanda Jordan | Board President | — | ||
| Dr Denise Battles | Officer | — | ||
| Dr Nancy J Cable | Officer | — | ||
| Dr Chuck Ambrose | Board Member | — | ||
| Dr Kat Novak | Board Member | — | ||
| Dr Cathy Cox | Board Member | — | ||
| Dr Janet Schrunk Ericksen | Board Member | — | ||
| Dr John Stewart | Board Member | — | ||
| Dr John Carmichael | Board Member | — | ||
| Dr Jeffrey McClurken | Board Member | — | ||
| Dr Patricia Okker | Board Member | — | ||
| Dr Cheryl Nixon | Board Member | — | ||
| Dr Demetres Tryphonopoulos | Board Member | — | ||
| Dr Edward Serna | Board Member | — | ||
| Dr Cindy Jebb | Board Member | — | ||
| Dr Donna Price Henry | Board Member | — | ||
| Dr James Birge | Board Member | — | ||
| Dr Elsa Nunez | Board Member | — | ||
| Dr Daniel Heimmermann | Board Member | — | ||
| Dr Renee Wachter | Board Member | — | ||
| Dr JuliAnn Mazachek | Board Member | — | ||
| Dr John Feaver | Board Member | — | ||
| Dr Nolan Atkins | Board Member | — | ||
| Dr Rob Tudor | Board Member | — | ||
| Dr John Ulrich | Board Member | — | ||
| Dr Judy Sakaki | Board Member | — |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| Dr Cole Woodcox | Executive Director | 39.4% of Rev | ||
| Dr Cole Woodcox | Executive Director | 38.6% of Rev | ||
| Dr Steve Dorman | Board President | — | ||
| Susan Allen | Treasurer | — | ||
| Dr Karen Moranski | Officer | — | ||
| Dr Sue Thomas | Board President | — | ||
| Dr Denise Battles | Officer | — | ||
| Dr Nancy J Cable | Officer | — | ||
| Dr Jim Borsig | Board Member | — | ||
| Dr Melissa Treadwell | Board Member | — | ||
| Dr Michelle Behr | Board Member | — | ||
| Dr George Bridges | Board Member | — | ||
| Dr John Stewart | Board Member | — | ||
| Dr Donal O'Shea | Board Member | — | ||
| Dr Tuajuanda Jordan | Board Member | — | ||
| Dr Tom Stritikus | Board Member | — | ||
| Dr Peter Mercer | Board Member | — | ||
| Dr Demetres Tryphonopoulos | Board Member | — | ||
| Dr Edward Serna | Board Member | — | ||
| Dr Sandra J Jordan | Board Member | — | ||
| Dr Donna Price Henry | Board Member | — | ||
| Dr James Birge | Board Member | — | ||
| Dr Elsa Nunez | Board Member | — | ||
| Dr Jeffrey McClurkin | Board Member | — | ||
| Dr Renee Wachter | Board Member | — | ||
| Dr Suzanne Shipley | Board Member | — | ||
| Dr John Feaver | Board Member | — | ||
| Dr Elaine Collins | Board Member | — | ||
| Dr Mary Hendrix | Board Member | — | ||
| Dr Charles E Patterson | Board Member | — | ||
| Dr Judy Sakaki | Board Member | — | ||
| Dr Denise Battles | Board President | — | ||
| Julie Buehler | Treasurer | — | ||
| Dr Karen Moranski | Officer | — | ||
| Dr Steve Dorman | Board President | — | ||
| Dr Susan Koch | Officer | — | ||
| Dr Sue Thomas | Officer | — | ||
| Dr Nancy J Cable | Officer | — | ||
| Dr Elaine Kneebone | Board Member | — | ||
| Dr Melinda Treadwell | Board Member | — | ||
| Dr Michelle Behr | Board Member | — | ||
| Dr George Bridges | Board Member | — | ||
| Dr John Stewart | Board Member | — | ||
| Dr Donal O'Shea | Board Member | — | ||
| Dr Tuajuanda Jordan | Board Member | — | ||
| Dr Tom Stritikus | Board Member | — | ||
| Dr Peter Mercer | Board Member | — | ||
| Dr Demetres Tryphonopoulos | Board Member | — | ||
| Dr Edward Serna | Board Member | — | ||
| Dr Sandra J Jordan | Board Member | — | ||
| Dr Donna Price Henry | Board Member | — | ||
| Dr James Birge | Board Member | — | ||
| Dr Elsa Nunez | Board Member | — | ||
| Dr Jeffrey McClurkin | Board Member | — | ||
| Dr Renee Wachter | Board Member | — | ||
| Dr Suzanne Shipley | Board Member | — | ||
| Dr John Feaver | Board Member | — | ||
| Dr Elaine Collins | Board Member | — | ||
| Dr Mary Hendrix | Board Member | — | ||
| Dr Charles E Patterson | Board Member | — | ||
| Dr Judy Sakaki | 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
42 / 100
weight 40%
Program scale
45 / 100
weight 20%
Overall
32 / 100
Priority Review
The three components combine into a single 0–100 score weighted as shown. Full methodology →
Peer comparison
Fewer than 3 peers found in NC for this NTEE subcategory; peer comparison would not be statistically meaningful.
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
- Comp-to-revenue ratio of 41.8% is well above the sector's 90th percentile (healthy band: 18–22%).
- Financial resilience score in the bottom quartile — reserves and liabilities ratios warrant review.
What would change this score
The two changes that would most improve this score:
- Reduce top-officer compensation from 41.8% to under 22% of revenue — would move governance score by ~40 points.
- Separate signing authority from fundraising authority when both are held by one person — removes the concentration penalty (~12 points).
Improving governance is a board decision. These are the levers.