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
35
Score
Governance
58
Score
Financial
0
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 4.1% 35 Financially Distressed Decline Risk
2022 — — 2.5% 55 Fragile Recovery
2021 — — 5.5% 48 Fragile Recovery
2020 — — 14.0% 32 Critical Intervention Needed Decline Risk
2019 — — 5.0% 37 Financially Distressed Decline Risk
2018 — — 4.8% 37 Financially Distressed Decline Risk
2017 — — 5.7% 40 Fragile Recovery
2016 — — 4.9% 35 Financially Distressed Stable Watch
2015 — — 5.1% 34 Critical Intervention Needed Stable Watch
2014 — — 5.7% 34 Critical Intervention Needed Decline Risk
2013 — — 6.0% 34 Critical Intervention Needed Decline Risk
2012 — — 5.4% 38 Fragile Stable Watch
2011 — — 5.9% 38 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
VANESSA COOKSEY Executive Director 1.7% of Rev
ANGELA PETERS Vice President 1.3% of Rev
ANTHONY CHANCE THRU 0424 Treasurer 0.6% of Rev
ROSALIND JOHNSON Board President —
JERRY GENNARIA Board President —
JOHN H RUSSELL Treasurer —
CONSTANTINO OCHOA Secretary —
ROBERT ARBUTHNOT Board Member —
RHONDA CARTER ADAMS Board Member —
HEATHER CORCORAN Board Member —
SAM FIORELLO Board Member —
BEVERLY ISOM Board Member —
MONT LEVY Board Member —
RUDOLPH NICKENS Board Member —
ANDREA PURNELL Board Member —
CHERYL DS WALKER Board Member —
ANGELA WILLIAMS Board Member —
DAVID CARL WILSON Board Member —

Tax year 2023

Name Title Phone Email Compensation
VANESSA COOKSEY Executive Director 1.5% of Rev
CHERYL DS WALKER CHAIRMAN —
ANDREA PURNELL VICE CHAIRMAN —
ROSALIND JOHNSON Secretary —
JOHN H RUSSELL Treasurer —
RHONDA CARTER ADAMS Board Member —
HEATHER CORCORAN Board Member —
SAM FIORELLO Board Member —
JERRY GENNARIA Board Member —
BEVERLY ISOM Board Member —
VIN KO Board Member —
LYAH LEFLORE Board Member —
MONT LEVY Board Member —
RUDOLPH NICKENS Board Member —
CONSTANTINO OCHOA Board Member —
ADEWALE SOLUADE Board Member —
KELLIE TRIVERS Board Member —
MARY WALSH Board Member —
DAVID WILSON Board Member —

Tax year 2022

Name Title Phone Email Compensation
VANESSA COOKSEY Executive Director 1.6% of Rev
SHERRY SISSAC Board Member 0.6% of Rev
CHERYL DS WALKER VICE CHAIRMAN —
ANDREA PURNELL Secretary —
JOHN H RUSSELL Treasurer —
RHONDA CARTER ADAMS Board Member —
HEATHER CORCORAN Board Member —
SAM FIORELLO Board Member —
JERRY GENNARIA Board Member —
ROSALIND JOHNSON Board Member —
VIN KO Board Member —
LYAH LEFLORE Board Member —
ADEWALE SOLUADE Board Member —
KELLIE TRIVERS Board Member —
MARY WALSH Board Member —
DAVID WILSON Board Member —
MONT LEVY CHAIRMAN —

Tax year 2021

Name Title Phone Email Compensation
CELIA HOSLER Board Member 1.4% of Rev
SHERRY SISSAC Board Member 1.2% of Rev
ERIKA FIOLA Board Member 0.9% of Rev
VANESSA COOKSEY Executive Director 0.2% of Rev
MONT LEVY CHAIRMAN —
CHERYL DS WALKER VICE CHAIRMAN —
ANDREA PURNELL Secretary —
JOHN H RUSSELL Treasurer —
DR EVA FRAZER Board Member —
JERRY GENNARIA Board Member —
ROSALIND JOHNSON Board Member —
VINFUNG KO Board Member —
CYNTHIA J KOHLBRY Board Member —
MICHAEL SCULLY Board Member —
ADEWALE SOLUADE Board Member —
KELLIE TRIVERS Board Member —
MARY WALSH Board Member —
DAVID CARL WILSON 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
0 / 100
weight 40%
Governance risk
58 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
35 / 100
Priority Review

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

Peer comparison

Compared to 93 other orgs in MO with NTEE prefix A2.

Most-divergent component: financial score sits 65 points below the peer median (0 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.