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
55
Score
Financial
5
Score
Program
60
Score

Institutional Epochs

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Financial Era
Governance Era
Trajectory Era
Structural Deficit

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2024 Hidden Hidden 9.1% 36 Financially Distressed Recovery
2023 — — 10.6% 32 Critical Intervention Needed Decline Risk
2022 — — 10.0% 38 Financially Distressed Recovery
2021 — — 10.2% 34 Critical Intervention Needed Recovery
2020 — — 10.7% 32 Critical Intervention Needed Stable Watch
2019 — — 12.2% 32 Critical Intervention Needed Decline Risk
2018 — — 12.6% 34 Critical Intervention Needed Recovery
2017 — — 13.9% 32 Critical Intervention Needed Decline Risk
2016 — — 12.8% 32 Critical Intervention Needed Decline Risk
2015 — — 11.8% 32 Critical Intervention Needed Decline Risk
2014 — — 12.5% 34 Critical Intervention Needed Stable Watch
2013 — — 12.7% 34 Critical Intervention Needed Recovery
2012 — — 12.8% 32 Critical Intervention Needed Stable Watch
2011 — — — 32 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
LINDA S SULLIVAN Executive Director 7.9% of Rev
SCOTT CRYER CHAIRMAN —
AMY GINN Treasurer —
JULIE D CARTER Board President —
UPEN PATEL Secretary —
JOSE BANZON Board Member —
SUZANNE H BISSELL Board Member —
SKIP CHAPLES Board Member —
BILL DUBOSE Board Member —
EILEEN FILLER-CORN Board Member —
PEGGY FOX Board Member —
LEILA GORDON Board Member —
MICHELE HAZEL Board Member —
SUNG BIN IM Board Member —
DEIRDRE M JOHNSON Board Member —
MICHAEL S LIBERMAN Board Member —
PAT MACINTYRE Board Member —
TIM SARGEANT Board Member —
SEAN SHARIFI Board Member —
CATHERINE SMITTY SMITH Board Member —
DR MAURICE MO B SPRINGER Board Member —
LYNN TADLOCK Board Member —
DOUGLAS J SANDERSON LEGAL COUNSEL —

Tax year 2021

Name Title Phone Email Compensation
LINDA S SULLIVAN Executive Director 7.7% of Rev
SHELLY HAZEL CHAIRWOMAN —
PAT MCINTYRE Treasurer —
JENNIFER C OWEN Treasurer —
TIM SARGEANT Board President —
JOSE BANZON Board Member —
SUZANNE BISSELL Board Member —
MICHAEL P COOGAN Board Member —
SCOTT CRYER Board Member —
BILL DUBOSE Board Member —
EILEEN FILLER-CORN Board Member —
LEILA GORDON Board Member —
F RUSSELL HINES Board Member —
MICHAEL S LIEBERMAN Board Member —
MICHAEL FOREHAND Board Member —
CATHERINE SMITH Board Member —
DANDRE WILLIS Board Member —
DEIRDRE M JOHNSON Board Member —
DR MAURICE MO B SPRINGER 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
55 / 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 243 other orgs in VA 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.

Overall score has gone from 32 → 36 over 5 years (improving by 4 points).

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.