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
42
Score
Governance
50
Score
Financial
25
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
2023 — — 11.1% 42 Financially Distressed Recovery
2022 — — 6.7% 38 Financially Distressed Recovery
2021 — — 17.1% 29 Critical Intervention Needed Recovery
2020 — — 17.2% 27 Critical Intervention Needed Decline Risk
2019 — — 13.2% 38 Financially Distressed Recovery
2018 — — 22.1% 27 Critical Intervention Needed Decline Risk
2017 — — 14.7% 34 Critical Intervention Needed Decline Risk
2016 — — 13.0% 38 Financially Distressed Recovery
2015 — — 13.9% 31 Critical Intervention Needed Decline Risk
2014 — — 11.6% 38 Financially Distressed Stable Watch
2013 — — 14.1% 35 Critical Intervention Needed Stable Watch
2012 — — 14.3% 35 Critical Intervention Needed Recovery
2011 — — 13.6% 33 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
DAVID A KEARY Executive Director 9.7% of Rev
CAROLYN ERWIN Board President —
LYNN WENTWORTH Board President —
MARY HELEN BOWEN Secretary —
MARGARET TAYLOR Treasurer —
MEGAN WEST ALLEN Board Member —
SHAILEE SALAT-BHATT Board Member —
KERI COSMITCH Board Member —
ALEXANDRIA ESPY Board Member —
LARRY GREGORY Board Member —
PATRICE GUILFOYLE Board Member —
KAREN HOLMES Board President —
SHERWIN JOHNSON Board Member —
JOANNA ROBERTS Board Member —
LIBBA WILKES Board Member —
DORIS BRICKELL Board Member —

Tax year 2022

Name Title Phone Email Compensation
DAVID A KEARY Executive Director 12.0% of Rev
KAREN HOLMES Board President —
HOLLY CRAWFORD Board President —
SUE LOBRANO WOMBLE Secretary —
MARGARET TAYLOR Treasurer —
MARY HELEN BOWEN Board President —
NICOLE BRADSHAW Board Member —
DORIS BRICKELL Board Member —
LARRY GREGORY Board Member —
PATRICE GUILFOYLE Board Member —
SHERRY STRYKER JOHNSON Board Member —
ROBERT LORELLI Board Member —
CORA JEANNE MILLER Board Member —
CHARLES E SAMPSON Board Member —
KEISHUNNA R WEBSTER Board Member —
SHAILEE SALAT-BHATT Board Member —

Tax year 2021

Name Title Phone Email Compensation
DAVID A KEARY Executive Director 10.7% of Rev
KAREN HOLMES Board President —
HOLLY CRAWFORD Board President —
SUE LOBRANO WOMBLE Secretary —
MARGARET TAYLOR Treasurer —
MARY HELEN BOWEN Board President —
NICOLE BRADSHAW Board Member —
DORIS BRICKELL Board Member —
LARRY GREGORY Board Member —
PATRICE GUILFOYLE Board Member —
SHERRY STRYKER JOHNSON Board Member —
ROBERT LORELLI Board Member —
CORA JEANNE MILLER Board Member —
CHARLES E SAMPSON Board Member —
KEISHUNNA R WEBSTER Board Member —
LYNN WENTWORTH Board Member —
CAROLYN ERWIN Board President —
CHERRI BARNETT EX-OFFICIO —
JANA BENNETT EX-OFFICIO —
Officer contact details, exact compensation figures, and active litigation are available to verified members.
Request access
Score breakdown

Score breakdown

Financial resilience
25 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
42 / 100
Priority Review

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

Peer comparison

Compared to 42 other orgs in MS with NTEE prefix A6.

Most-divergent component: program score sits 36 points above the peer median (60 vs. 24).

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 38 → 42 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).
  2. Stabilize program expenses or grow earned-income revenue to break the consecutive-deficit pattern (~8 points to financial score).

Improving governance is a board decision. These are the levers.