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
34
Score
Governance
55
Score
Financial
0
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 7.5% 34 Critical Intervention Needed Decline Risk
2022 9.3% 38 Financially Distressed Recovery
2021 10.9% 40 Fragile Recovery
2020 9.6% 36 Financially Distressed Recovery
2019 32 Critical Intervention Needed Stable Watch
2018 13.2% 32 Critical Intervention Needed Stable Watch
2017 8.7% 34 Critical Intervention Needed Recovery
2016 11.9% 32 Critical Intervention Needed Stable Watch
2015 9.1% 30 Critical Intervention Needed Recovery
2014 11.7% 29 Critical Intervention Needed Stable Watch
2013 29 Critical Intervention Needed Stable Watch
2012 29 Critical Intervention Needed Stable Watch
2011 29 Critical Intervention Needed Stable Watch
2010 29 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
TATJANA BEYLOTTE EXECUTIVE DI 7.4% of Rev
ALVA ANDERSON Board President
RONALD D MCCRAY VICE PRESIDE
CLAY GRAYSON Secretary
J ANTON COLLINS Treasurer
JOE CLARK Board Member
DEMETRIUS DOCTOR Board Member
MADELEINE FRUME Board Member
DONALD R JOHNSON II MD Board Member
JILL JONES Board Member
CLAIRE LOUDER Board Member
BILL MCSWEENEY - TERM ENDED Board Member
ED MEYER Board Member
JOHN W OLSON Board Member
MATT D PARDIECK Board Member
STEVE SIMON - TERM ENDED Board Member
HILTON C SMITH JR Board Member
HARRY STALEY Board Member
VICTOR WEINSTEIN MD Board Member
RON WILTROUT Board Member

Tax year 2022

Name Title Phone Email Compensation
TATJANA BEYLOTTE EXECUTIVE DI 8.0% of Rev
ALVA ANDERSON Board President
RONALD D MCCRAY VICE PRESIDE
CLAY GRAYSON Secretary
J ANTON COLLINS Treasurer
JOE CLARK Board Member
DEMETRIUS DOCTOR Board Member
MADELEINE FRUME Board Member
DONALD R JOHNSON II MD Board Member
JILL JONES Board Member
CLAIRE LOUDER Board Member
ED MEYER Board Member
JOHN OLSON Board Member
MATT D PARDIECK Board Member
STEVE SIMON Board Member
HILTON C SMITH JR Board Member
HARRY STALEY Board Member
VICTOR WEINSTEIN MD Board Member
RON WILTROUT Board Member

Tax year 2021

Name Title Phone Email Compensation
TATJANA BEYLOTTE EXECUTIVE DI 6.0% of Rev
ALVA ANDERSON Board President
RONALD D MCCRAY VICE PRESIDE
CLAY GRAYSON Secretary
MATT PARDIECK Treasurer
STEVE SIMON Board Member
CRAIG ASCUE Board Member
J ANTON COLLINS Board Member
DEMETRIUS DOCTOR Board Member
DONALD R JOHNSON II MD Board Member
BILL MCSWEENEY Board Member
JON W OLSON Board Member
VICTOR WEINSTEIN Board Member
RON WILTROUT Board Member
ED MEYER Board Member
MADELEINE FRUME Board Member
JILL JONES Board Member
BASIL KERR Board Member
HARRY STALEY Board Member
HILTON C SMITH JR Board Member
DEAN SMITH 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
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
34 / 100
Priority Review

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

Peer comparison

Compared to 97 other orgs in SC with NTEE prefix A6.

Most-divergent component: financial score sits 33 points below the peer median (0 vs. 33).

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 → 34 over 5 years (improving by 2 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.