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
36
Score
Governance
50
Score
Financial
10
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
2024 Hidden Hidden — — Unknown —
2023 — — 11.7% 36 Financially Distressed Decline Risk
2022 — — 4.8% 47 Financially Distressed Stable Watch
2021 — — 8.7% 46 Financially Distressed Recovery
2020 — — 6.2% 36 Financially Distressed Recovery
2019 — — 4.7% 35 Financially Distressed Decline Risk
2018 — — 5.4% 34 Critical Intervention Needed Decline Risk
2017 — — 5.1% 34 Critical Intervention Needed Decline Risk
2016 — — 5.1% 40 Fragile Stable Watch
2015 — — 4.4% 41 Fragile Recovery
2014 — — — 34 Critical Intervention Needed Recovery
2013 — — — 32 Critical Intervention Needed Stable Watch
2012 — — 5.1% 34 Critical Intervention Needed Stable Watch
2011 — — 5.4% 34 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
CAROLYN WRIGHT EXECUTIVE DI 11.7% of Rev
DR VIRGINIA CANTORNA Board President —
MICHAEL TIBBOTT VICE PRESIDE —
MASON WILLIAMS Treasurer —
MARION HALLER Secretary —
KATHY COLLINS Board Member —
KEVIN MCCORD Board Member —
LISA MOSBARGER Board Member —
KRISTINA SHUGARS Board Member —
DAVID SPEE Board Member —
FLO WIGER Board Member —

Tax year 2023

Name Title Phone Email Compensation
CAROLYN WRIGHT EXECUTIVE DI 13.4% of Rev
DR VIRGINIA CANTORNA Board President —
MICHAEL TIBBOTT VICE PRESIDE —
MASON WILLIAMS Treasurer —
MARION HALLER Secretary —
KATHY COLLINS Board Member —
KEVIN MCCORD Board Member —
LISA MOSBARGER Board Member —
KRISTINA SHUGARS Board Member —
DAVID SPEE Board Member —
FLO WIGER Board Member —

Tax year 2022

Name Title Phone Email Compensation
DAVID C JOHNSTON EXECUTIVE DI 10.4% of Rev
DR VIRGINIA CANTORNA Board President —
MARION HALLER VICE PRESIDE —
MASON WILLIAMS Treasurer —
LINDA HOWLETT Secretary —
KATHY COLLINS Board Member —
DICK DORAN Board Member —
BARRY KAWAKAMI Board Member —
KEVIN MCCORD Board Member —
LISA MOSBARGER Board Member —
KRISTINA SHUGARS Board Member —
DAVID SPEE Board Member —
MICHAEL TIBBOTT Board Member —
FLO WIGER Board Member —

Tax year 2021

Name Title Phone Email Compensation
DAVID C JOHNSTON EXECUTIVE DI 10.2% of Rev
DR VIRGINIA CANTORNA Board President —
MARION HALLER VICE PRESIDE —
MASON WILLIAMS Treasurer —
LINDA HOWLETT Secretary —
LOU YOUNG Board Member —
HERMAN ANDAYA JR Board Member —
KATHY COLLINS Board Member —
ROBERT DEVINCK Board Member —
LISA MOSBARGER Board Member —
SARA PATTON Board Member —
KRISTINA SHUGARS Board Member —
SATISHA SMITH Board Member —
DAVID SPEE Board Member —
FLO WIGER 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
10 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
36 / 100
Priority Review

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

Peer comparison

Compared to 47 other orgs in HI with NTEE prefix A6.

Most-divergent component: financial score sits 33 points below the peer median (10 vs. 43).

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.