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
37
Score
Governance
58
Score
Financial
5
Score
Program
60
Score

Institutional Epochs

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 — — 1.3% 37 Financially Distressed Decline Risk
2022 — — 0.4% 41 Fragile Decline Risk
2021 — — 1.3% 45 Financially Distressed Recovery
2020 — — 1.5% 35 Financially Distressed Stable Watch
2019 — — 0.6% 35 Financially Distressed Stable Watch
2018 — — 1.0% 35 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
AMY HAMM Executive Director 0.9% of Rev
AMY HAMM Executive Director 0.7% of Rev
BETHANY NESBIT Vice President 0.4% of Rev
BELINDA TUDOR Treasurer 0.3% of Rev
BETHANY NESBIT Vice President 0.3% of Rev
DAVID WHITNACK Vice President 0.3% of Rev
MATTHEW SPANGLER Board Member 0.3% of Rev
ELAINE STOLZE Vice President 0.3% of Rev
MATTHEW SPANGLER Board Member 0.2% of Rev
BRETT COONROD Board President —
COURTNEY MCSHANNON Treasurer —
AMBER CROSBY Secretary —
CHRIS AUSTIN Board Member —
CHRISTA DANNER Board Member —
KEVAN MYERS Board Member —
JODY PRICE Board Member —
AMY SEGURA Board Member —
BRETT COONROD Board President —
COURTNEY MCSHANNON Treasurer —
AMBER CROSBY Secretary —
CHRIS AUSTIN Board Member —
MICHAEL CARGNEL Board Member —
CHRISTA DANNER Board Member —
MARCIE ELLIS Board Member —
KEVAN MYERS Board Member —
JODY PRICE Board Member —
TARA SCHREINER Board Member —
AMY SEGURA Board Member —

Tax year 2023

Name Title Phone Email Compensation
MICHAEL CARGNEL Board Member —
AMBER CROSBY Board Member —
TARA SCHREINER Board Member —
BRETT COONROD Board President —
MARCIE ELLIS Secretary —
JONATHAN AKRIDGE Treasurer —
AMY HAMM Executive Director —
ROBERT HAMM Board Member —

Tax year 2021

Name Title Phone Email Compensation
AMY HAMM Board President 0.3% of Rev
BRETT COONROD Board President —
MARCIE ELLIS Secretary —
JONATHAN AKRIDGE Treasurer —
KATIE BANKS Board Member —
MICHAEL CARGNEL Board Member —
ROBERT HAMM Board Member —
TARA SCHREINER 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
5 / 100
weight 40%
Governance risk
58 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
37 / 100
Priority Review

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

Peer comparison

Compared to 160 other orgs in MO with NTEE prefix A6.

Most-divergent component: financial score sits 48 points below the peer median (5 vs. 53).

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.