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
32
Score
Governance
50
Score
Financial
0
Score
Program
45
Score

Institutional Epochs

2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Financial Era
Governance Era
Trajectory Era
Structural Deficit

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2025 Hidden Hidden Unknown
2024 Hidden Hidden 32 Critical Intervention Needed Recovery
2023 Hidden Hidden 34 Critical Intervention Needed Decline Risk
2022 42 Fragile Recovery
2021 39 Financially Distressed Recovery
2020 35 Financially Distressed Stable Watch
2019 35 Financially Distressed Recovery
2018 34 Critical Intervention Needed Recovery
2017 32 Critical Intervention Needed Stable Watch
2016 32 Critical Intervention Needed Stable Watch
2015 32 Critical Intervention Needed Stable Watch
2014 29 Critical Intervention Needed Stable Watch
2013 29 Critical Intervention Needed Decline Risk
2012 36 Financially Distressed Stable Watch

Officer compensation history

Tax year 2026

Name Title Phone Email Compensation
SHAUNE FREELAND Secretary
MICHAEL LANDSBERG Board President
DONNA PETERMAN Board Member
ELAINE RICE Treasurer

Tax year 2023

Name Title Phone Email Compensation
MICHAEL LANDSBERG Board President
STEVEN SHELL DO Treasurer
CATHERINE REICHE Secretary
CHRISTOPHER CONSTANCE MD Board Member
LISA HALL Board Member
VAN LUPO Board Member
MIKKO NISSINEN Board Member
DONNA PETERMAN Board Member

Tax year 2022

Name Title Phone Email Compensation
LISA HALL Board Member
MICHAEL LANDSBERG Board President
VAN LUPO Board Member
CHRISTOPHER CONSTANCE MD Board Member
M LEE MCGRAW Secretary
MIKKO NISSINEN Board Member
DONNA PETERMAN Board Member
BARBARA L REES PHD Board Member
CATHERINE REICHE Board Member
STEVEN SHELL DO Treasurer

Tax year 2021

Name Title Phone Email Compensation
MICHAEL LANDSBERG CHAIRMAN
STEPHEN SHELL VICE CHAIRMA
M LEE MCGRAW SECTERARY
MICHAEL GRANT Board Member
CHRISTOPHER CONSTANCE MD Board Member
DOUGLAS JOYCE DO Board Member
JAMIE LANDSBERG Board Member
VAN LUPO Board Member
BARBARA L REES PHD 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
45 / 100
weight 20%
Overall
32 / 100
Priority Review

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

Peer comparison

Compared to 244 other orgs in FL with NTEE prefix A6.

Most-divergent component: financial score sits 30 points below the peer median (0 vs. 30).

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.