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
2025
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 — — 4.1% 35 Financially Distressed Decline Risk
2023 Hidden Hidden 5.8% 34 Critical Intervention Needed Decline Risk
2022 — — 3.3% 51 Fragile Recovery
2021 — — 6.9% 42 Financially Distressed Recovery
2020 — — 4.0% 37 Financially Distressed Decline Risk
2019 — — 4.2% 39 Financially Distressed Decline Risk
2018 — — 3.6% 51 Fragile Recovery
2017 — — 3.6% 45 Fragile Recovery
2016 — — 6.3% 42 Fragile Decline Risk
2015 — — 3.8% 45 Fragile Recovery
2014 — — 3.4% 43 Fragile Recovery
2013 — — 3.8% 39 Financially Distressed Decline Risk
2012 — — 4.0% 45 Fragile Recovery
2011 — — 8.5% 42 Fragile Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
SUSAN CAMINEZ Executive Director 4.1% of Rev
AMY MAHONE Board President —
CHRIS LYKINS Board Member —
HOLLY HAYNES Board President —
ED RUSK Treasurer —
SAM GOWIN Board Member —
DON MCDOWELL Board President —
KATIE BYRUM Board Member —
MITCH CARTER Board Member —
ALICE MARIE CLARK DANKS Board Member —
KATRINA FARMER Board Member —
LAUREN KAYWOOD Board Member —
NEIL THOMAS Board Member —
WARREN BARNETT Board Member —
JO COKE Board Member —
BRIDGET J GIBSON Board Member —
WILLIAM GREEN Board Member —
TODD MAYNOR Board Member —
HARRIETT WHITAKER Board Member —
ELIZABETH WILLIAMS Secretary —

Tax year 2023

Name Title Phone Email Compensation
SAMANTHA TETER Executive Director 4.2% of Rev
MITCH CARTER Board Member —
LES RODDY Board Member —
CHRISTIAN HORVATH Board Member —
BRIDGET J GIBSON Board Member —
ED RUSK Treasurer —
WILLIAM GREEN Board President —
HARRIETT WHITAKER Board President —
EVA JO JOHNSON Board Member —
BRYAN KELLY Board Member —
JO COKE EXECUTIVE COMMITTEE AT LARGE —
WARREN BARNETT EXECUTIVE COMMITTEE AT LARGE —
TODD MAYNOR Board Member —
AMY MAHONE Secretary —
DON MCDOWELL Board President —
ELIZABETH WILLIAMS Board President —
MARK SIEDLECKI Board Member —
KYLE WILSON Board Member —
HOLLY HAYNES Board Member —
LYNNE MACZIEWSKI Board Member —
JOHN KILKENNY Executive Director —

Tax year 2021

Name Title Phone Email Compensation
SAMANTHA TETER Executive Director 4.1% of Rev
MITCH CARTER Board Member —
LES RODDY Board Member —
CHRISTIAN HORVATH Board Member —
SPENCER MCCALLIE Board President —
BRIDGET J GIBSON Board Member —
MIKE COOPER Board Member —
ED RUSK Treasurer —
MARK A SMITH Board Member —
WILLIAM GREEN Board President —
HARRIETT WHITAKER Board President —
EVA JO JOHNSON Board Member —
BRYAN KELLY Board Member —
JO COKE EXECUTIVE COMMITTEE AT LAR —
PAT STARKE Board Member —
WARREN BARNETT EXECUTIVE COMMITTEE AT LAR —
TODD MAYNOR Board Member —
AMY MAHONE Secretary —
DON MCDOWELL Board President —
ELIZABETH WILLIAMS Board Member —
MARK SIEDLECKI Board Member —
DANNY WAXENBERG Board Member —
KYLE 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 129 other orgs in TN with NTEE prefix A6.

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.