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
37
Score
Governance
58
Score
Financial
5
Score
Program
60
Score

Institutional Epochs

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
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 Unknown
2022 3.0% 37 Financially Distressed Decline Risk
2021 3.0% 53 Fragile Recovery
2020 2.4% 35 Financially Distressed Stable Watch
2019 7.9% 34 Critical Intervention Needed Stable Watch
2018 7.0% 34 Critical Intervention Needed Stable Watch
2017 7.8% 34 Critical Intervention Needed Decline Risk
2016 7.6% 34 Critical Intervention Needed Decline Risk
2015 6.3% 34 Critical Intervention Needed Decline Risk
2014 8.5% 34 Critical Intervention Needed Decline Risk
2013 9.6% 34 Critical Intervention Needed Decline Risk
2012 7.5% 36 Financially Distressed Recovery
2011 7.3% 34 Critical Intervention Needed Stable Watch
2010 9.9% 34 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
PATRICK WARD EXECUTIVE DI 3.0% of Rev
JOLENE BUFFMAN Board Member
STEVE BYRNE Board Member
MICHAEL VAN HORN Board Member
ADRIENNE IRVING Board Member
DAVID KRULL Board President
KEVIN MADDEN Treasurer
ROBERT MCMAHON Board Member
BRYAN MESSICK Secretary
ERIN NEWTON Board Member
SARA PAINTER Board Member
DARRYL RIDGEWAY Board Member
JEFFREY ROCCIA Board Member
TIMOTHY SULLIVAN Board President
PATRICK WARD EXECUTIVE DI
JOSEPH LESNIAK BOARD CHAIRM
JOLENE BUFFMAN Board Member
STEVE BYRNE Board Member
MICHAEL VAN HORN Board Member
ADRIENNE IRVING Board Member
DAVID KRULL Board President
KEVIN MADDEN Treasurer
ROBERT MCMAHON Board Member
BRYAN MESSICK Secretary
ERIN NEWTON Board Member
SARA PAINTER Board Member
DARRYL RIDGEWAY Board Member
JEFFREY ROCCIA Board Member
TIMOTHY SULLIVAN Board President
JOSEPH LESNIAK BOARD CHAIRM

Tax year 2023

Name Title Phone Email Compensation
PATRICK WARD EXECUTIVE DI 1.9% of Rev
STEVE BRYNE Board Member
JOLENE BUFFMAN Board Member
MICHAEL VAN HORN Board Member
ADRIENNE IRVING Board Member
DAVID KRULL Board President
JOSEPH LESNIAK Board President
KEVIN MADDEN Treasurer
ROBERT MCMAHON Board Member
BRIAN MESSICK Secretary
ERIN NEWTON Board Member
SARA PAINTER Board Member
DARRYL RIDGEWAY Board Member
MARY BETH RIM Board Member
JEFFREY ROCCIA Board Member
TIMOTHY SULLIVAN Board President

Tax year 2022

Name Title Phone Email Compensation
JESSIE CLINE Board Member 1.2% of Rev
PATRICK WARD EXECUTIVE DI 0.7% of Rev
STACY BARISH Board Member
STEVE BRYNE Board Member
JOLENE BUFFMAN Board Member
GREG CARROCCIO Board Member
TRISH COFIELL Board Member
TOM COZZA Board Member
MARIE DUNPHY Board President
ANNE MARIE GREEN Board Member
MIKE VAN HORN Board Member
ADRIENNE IRVING Board Member
DAVID KRULL Board President
KEVIN MADDEN Board Member
ROBERT MCMAHON Board Member
BRIAN MESSICK Board Member
JEFFREY ROCCIA Board Member
CHRISSY WOODS Board Member

Tax year 2021

Name Title Phone Email Compensation
JESSIE CLINE Board Member 3.7% of Rev
PATRICK WARD EXECUTIVE DI 2.7% of Rev
STACY BARISH Board Member
STEVE BRYNE Board Member
JOLENE BUFFMAN Board Member
PATRICIA COFIELL Secretary
TOM COZZA Board Member
MARIE DUNPHY Board President
JACK HOLEFELDER Board Member
MIKE VAN HORN Board Member
ADRIENNE IRVING Board Member
DAVID KRULL Board President
JOSEPH LESNIAK Board Member
KEVIN MADDEN Treasurer
ROBERT MCMAHON Board Member
BRYAN MESSICK Board Member
JEFFREY ROCCIA 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
5 / 100
weight 40%
Governance risk
58 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
37 / 100
Priority Review

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

Peer comparison

Compared to 295 other orgs in PA with NTEE prefix A6.

Most-divergent component: financial score sits 33 points below the peer median (5 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

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.