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
Institutional Health Scores
5-yr trend: Structural Deficit ↓
Overall
35
Score
Governance
50
Score
Financial
0
Score
Program
60
Score
Title
-
Institutions
-
Avg Revenue
-
Risk Profile
Representative Institutions
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 | Hidden | Hidden | — | 35 | Financially Distressed | Recovery | |
| 2022 | — | — | — | 32 | Critical Intervention Needed | Decline Risk | |
| 2021 | — | — | — | 41 | Financially Distressed | Recovery | |
| 2020 | — | — | — | 32 | Critical Intervention Needed | Stable Watch | |
| 2019 | — | — | — | 35 | Financially Distressed | Recovery | |
| 2018 | — | — | — | 32 | Critical Intervention Needed | Stable Watch | |
| 2017 | — | — | — | 32 | Critical Intervention Needed | Stable Watch | |
| 2016 | — | — | — | 32 | Critical Intervention Needed | Stable Watch | |
| 2015 | — | — | — | 32 | Critical Intervention Needed | Stable Watch | |
| 2014 | — | — | — | 32 | Critical Intervention Needed | Stable Watch | |
| 2013 | — | — | — | 32 | Critical Intervention Needed | Stable Watch | |
| 2012 | — | — | — | 32 | Critical Intervention Needed | Stable Watch | |
| 2011 | — | — | — | 32 | Critical Intervention Needed | Stable Watch |
Officer compensation history
Tax year 2025
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| PATRICK J CASTAGNA | Board Member | — | ||
| LOIS BROMMER DUQUETTE | Secretary | — | ||
| JAMES G CASSELL III | Board Member | — | ||
| MARK A BONSALL FSA | Board Member | — | ||
| DAVID BRONSTEIN DO | Board Member | — | ||
| CALVIN FLURY | Board Member | — | ||
| ROBERT FUNK | VICE PRESIDE | — | ||
| CHRISTOPHER GEBHARD | Board Member | — | ||
| DOUGLASS C HENRY JR | Board Member | — | ||
| WENDIE DIMATTEO HOLSINGER | Board Member | — | ||
| FRANK TOMECEK JR | Board Member | — | ||
| MARCIA OSTFELD-SHIVODER | Board President | — | ||
| BRIAN FALCK | Board Member | — | ||
| HAROLD RHOADS | Board Member | — | ||
| BARBARA KAUFFMAN | Board Member | — | ||
| JODY FORNEY-COLE | Board Member | — |
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| PATRICK J CASTAGNA | Board President | — | ||
| LOIS BROMMER DUQUETTE | VICE PRESIDE | — | ||
| JAMES G CASSELL III | Treasurer | — | ||
| MARK A BONSALL FSA | Board Member | — | ||
| DAVID BRONSTEIN DO | Board Member | — | ||
| JERRY FLURY | Board Member | — | ||
| BOB FUNK | Board Member | — | ||
| CHRISTOPHER GEBHARD | Board Member | — | ||
| DOUGLASS C HENRY JR | Board Member | — | ||
| WENDIE DIMATTEO HOLSINGER | Board Member | — | ||
| MARCIA OSTFELD SHIVODER | Board Member | — | ||
| FRANK TOMECEK JR | Board Member | — |
Tax year 2022
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| PATRICK J CASTAGNA | Board President | — | ||
| LOIS BROMMER DUQUETTE | VICE PRESIDE | — | ||
| JAMES G CASSELL III | Treasurer | — | ||
| STEVE GIBBLE | Secretary | — | ||
| MARK A BONSALL FSA | Board Member | — | ||
| DAVID BRONSTEIN DO | Board Member | — | ||
| JERRY FLURY | Board Member | — | ||
| J THOMAS DUNLEVY | Board Member | — | ||
| BOB FUNK | Board Member | — | ||
| CHRISTOPHER GEBHARD | Board Member | — | ||
| DOUGLASS C HENRY JR | Board Member | — | ||
| WENDIE DIMATTEO HOLSINGER | Board Member | — | ||
| MARCIA OSTFELD SHIVODER | Board Member | — | ||
| FRANK TOMECEK JR | Board Member | — |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| PATRICK J CASTAGNA | Board President | — | ||
| DAVID BRONSTEIN DO | Board Member | — | ||
| J THOMAS DUNLEVY | Board Member | — | ||
| LOIS BROMMER DUQUETTE | VICE PRESIDE | — | ||
| MARK A BONSALL FSA | Board Member | — | ||
| JERRY FLURY | Board Member | — | ||
| BOB FUNK | Board Member | — | ||
| CHRIS GEBHARD | Board Member | — | ||
| STEVE GIBBLE | Secretary | — | ||
| DOUGLASS C HENRY | Board Member | — | ||
| HEATHER HOHENWARTER | Board Member | — | ||
| WENDIE DIMATTEO HOLSINGER | Board Member | — | ||
| JAMES G CASSELL III | Treasurer | — | ||
| LYNN PHILLIPS | Board Member | — | ||
| MARCIA OSTFELD SHIVODER | 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
50 / 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 296 other orgs in PA 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
- All-volunteer org with no paid officers — governance signal is neutral (default 50), not absent.
- Financial resilience score in the bottom quartile — reserves and liabilities ratios warrant review.
What would change this score
The two changes that would most improve this score:
- 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.