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 45 other orgs in TN with NTEE prefix A6.

Most-divergent component: financial score sits 38 points below the peer median (0 vs. 38).

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.