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
40
Score
Governance
55
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 —
2023 — — 5.9% 40 Financially Distressed Recovery
2022 — — 3.8% 35 Financially Distressed Decline Risk
2021 — — 5.0% 43 Fragile Recovery
2020 — — 9.4% 34 Critical Intervention Needed Decline Risk
2019 — — 7.0% 44 Fragile Recovery
2018 — — 7.2% 40 Financially Distressed Recovery
2017 — — — 38 Financially Distressed Decline Risk
2016 — — 2.4% 45 Fragile Recovery
2015 — — 6.4% 40 Financially Distressed Decline Risk
2014 — — 6.2% 40 Financially Distressed Decline Risk
2013 — — 6.2% 44 Fragile Recovery
2012 — — 7.5% 40 Financially Distressed Recovery
2011 — — 10.8% 38 Financially Distressed Stable Watch

Officer compensation history

Tax year 2026

Name Title Phone Email Compensation
DANA KNAPP Executive Director 6.2% of Rev
SHIRLEY HELZBERG Board President —
MICHAEL GONZALES Board President —
JULIE ROBINSON Board President —
CHUCK MCCANN Treasurer —
JAMES JIM CHARLESWORTH Secretary —
MIGUEL RIVERA Board Member —
DERALD DAVIS Board Member —
MICHAEL TOOMBS Board Member —
TIM MARCHESI Board Member —
ANDREA YOUNG Board Member —
CHRIS MIGNERON Board Member —
SHARON FREESE Board Member —
DR J CAMILLE HALL Board Member —
PATTI NEUHOLD-RAVIKUMAR Board Member —
KATHERINE CARTTAR Board Member —
DAVID MOORE Board Member —
ASHOK MEKA Board Member —

Tax year 2023

Name Title Phone Email Compensation
DANA KNAPP Executive Director 5.2% of Rev
SHIRLEY BUSH HELZBERG Board President —
KANON COZAD Board President —
MARIA MAFFRY Board Member —
CHUCK MCCANN Treasurer —
TRACIE MCCLENDON-COLE Board Member —
JON STEPHENS Board President —
EILEEN WEIR Board Member —
AMY WINTERSCHEIDT Secretary —
DR DERALD DAVIS Board President —
MAUREEN MAHONEY Board Member —
MIGUEL RIVERA Board Member —
MICHAEL GONZALES Board Member —
JULIE ROBINSON Board Member —
MADELINE ROMIOUS Board President —
MICHEAL TOOMBS Board Member —
SUSAN WILSON Board Member —
KATHRYN M WALKER Board President —

Tax year 2022

Name Title Phone Email Compensation
Dana Knapp Executive Director 5.4% of Rev
Shirley Bush Helzberg Board President —
Kanon Cozad Board President —
Maria Maffry Board Member —
Chuck McCann Treasurer —
Tracie McClendon-Cole Board Member —
Jon Stephens Board Member —
Eileen Weir Board Member —
Amy Winterscheidt Secretary —
Dr Derald Davis Board President —
Maureen Mahoney Board Member —
Miguel Rivera Board Member —
Michael Gonzales Board Member —
Julie Robinson Board Member —
Madeline Romious Board Member —
Micheal Toombs Board Member —
Susan Wilson Board Member —

Tax year 2021

Name Title Phone Email Compensation
Dana Knapp Executive Director 5.7% of Rev
Shirley Bush Helzberg Board President —
Kanon Cozad Board President —
Maria Maffry Board Member —
Chuck McCann Treasurer —
Tracie McClendon-Cole Board Member —
Jon Stephens Board Member —
Eileen Weir Board Member —
Amy Winterscheidt Secretary —
Dr Derald Davis Board President —
Maureen Mahoney Board Member —
Miguel Rivera Board Member —
Michael Gonzales Board Member —
Julie Robinson Board Member —
Madeline Romious Board Member —
Micheal Tombs Board Member —
Officer contact details, exact compensation figures, and active litigation are available to verified members.
Request access
Score breakdown

Score breakdown

Financial resilience
15 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
40 / 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 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.