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 — — 5.5% 34 Critical Intervention Needed Decline Risk
2022 — — 5.5% 44 Fragile Stable Watch
2021 — — 6.5% 44 Fragile Recovery
2020 — — 7.7% 40 Financially Distressed Recovery
2019 — — 8.4% 38 Financially Distressed Recovery
2018 — — 9.6% 30 Critical Intervention Needed Decline Risk
2017 — — 9.6% 32 Critical Intervention Needed Decline Risk
2016 — — 7.4% 40 Financially Distressed Recovery
2015 — — 9.8% 30 Critical Intervention Needed Recovery
2014 — — 12.7% 29 Critical Intervention Needed Decline Risk
2013 — — 6.8% 32 Critical Intervention Needed Recovery
2012 — — 8.9% 30 Critical Intervention Needed Recovery
2011 — — 11.8% 29 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
TERESA REGINA NIXON Executive Director 5.1% of Rev
MITCH TURBENSON Board Member —
JONATHAN B FITZGERALD Board Member —
RYAN KOHLMAN Board Member —
KEN REINSTENI Board Member —
KAREN BRYSON Board Member —
CHARI DELA CRUZ Board Member —
KARINA FELIX Board Member —
RUSTY FOLEY Board Member —
NEAL BOOKSPAN Board President —
LORI MCCALLIAN Board President —
DAVID CLOWER Treasurer —
ZAIRA GRIJALVA Board Member —
JAMES DORE HENDERSON Board Member —
A'LIRA UNDERWOOD Board Member —

Tax year 2022

Name Title Phone Email Compensation
TERESA REGINA NIXON Executive Director 4.6% of Rev
JASON D FARRELL Board Member —
JONATHAN B FITZGERALD Board Member —
KEN REINSTEIN Board Member —
MITCH TURBENSON Board Member —
LEE HOLTRY Board Member —
RYAN KOHLMAN Board Member —
DEBRA DAVENPORT Board Member —
CLARISSA BURT Board Member —
NEAL BOOKSPAN Board President —
LORI MCCALLIAN Board President —
KEN SCHLEMMEL Treasurer —
JESUS LOVE Board President —

Tax year 2021

Name Title Phone Email Compensation
TERESA REGINA NIXON Executive Director 4.4% of Rev
TROY LYSCIO Board Member —
EILEEN SULLIVAN Board Member —
JASON D FARRELL Board Member —
JONATHAN B FITZGERALD Board Member —
KEN REINSTEIN Board Member —
MITCH TURBENSON Board Member —
MARK SCHWARTZ Board Member —
JESUS LOVE Board President —
NEAL BOOKSPAN Board President —
KEN SCHLEMMEL Treasurer —
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 147 other orgs in AZ with NTEE prefix A6.

Most-divergent component: financial score sits 41 points below the peer median (0 vs. 41).

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 → 34 over 5 years (declining 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.