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
34
Score
Governance
55
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
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 | — | — | 5.9% | 34 | Critical Intervention Needed | Decline Risk | |
| 2023 | — | — | 8.1% | 34 | Critical Intervention Needed | Decline Risk | |
| 2022 | — | — | 9.0% | 34 | Critical Intervention Needed | Stable Watch | |
| 2021 | — | — | 8.9% | 34 | Critical Intervention Needed | Stable Watch | |
| 2020 | — | — | 7.4% | 34 | Critical Intervention Needed | Stable Watch | |
| 2019 | — | — | 7.4% | 34 | Critical Intervention Needed | Recovery | |
| 2018 | — | — | 12.1% | 31 | Critical Intervention Needed | Stable Watch | |
| 2017 | — | — | 11.9% | 31 | Critical Intervention Needed | Recovery | |
| 2016 | — | — | 11.9% | 29 | Critical Intervention Needed | Stable Watch | |
| 2015 | — | — | 12.8% | 29 | Critical Intervention Needed | Stable Watch | |
| 2014 | — | — | 11.5% | 29 | Critical Intervention Needed | Recovery | |
| 2013 | — | — | 12.1% | 27 | Critical Intervention Needed | Decline Risk | |
| 2012 | — | — | 10.2% | 32 | Critical Intervention Needed | Stable Watch | |
| 2011 | — | — | 2.4% | 35 | Financially Distressed | Stable Watch |
Officer compensation history
Tax year 2025
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| BROOKE RABY | Executive Director | 5.9% of Rev | ||
| CAROL MCLEOD DVM | Board President | — | ||
| COLMON ELRIDGE III | Board President | — | ||
| PAUL BACHNER | Board Member | — | ||
| REBECCA BARTEE | Board Member | — | ||
| ELIZABETH DEENER | Board Member | — | ||
| WILLIAM LOGGINS | Board Member | — | ||
| JACKIE HAMILTON SAYKALY | Board Member | — | ||
| JOANNE HILLIARD | Board President | — | ||
| CAROLYN HOWARD | Board Member | — | ||
| LOU H JONES | Secretary | — | ||
| JOHN KIEBLER | Board Member | — | ||
| STEPHEN MALLORY | Treasurer | — | ||
| DONALD MASON | Board Member | — | ||
| JOHN WHARTON | Board President | — | ||
| JOSHUA SANTANA | Board Member | — | ||
| ANDREW SPARKS | Board Member | — | ||
| BRETT SCOTT | Board Member | — | ||
| JEAN SCOTT | Board Member | — | ||
| ADRIENNE THAKUR | Board Member | — |
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| ALLISON KAISER | Executive Director | 7.1% of Rev | ||
| ALLISON KAISER | Executive Director | 6.2% of Rev | ||
| CAROL MCLEOD DVM | Board President | — | ||
| COLMON ELRIDGE III | Board President | — | ||
| JASON AKHTAREKHAVARI | Board Member | — | ||
| JIM BALDRIDGE | Board Member | — | ||
| LARRY BEACH | Board Member | — | ||
| MARCIELLE DE BEER | Board Member | — | ||
| BRENDAN BURNETT | Board Member | — | ||
| ELIZABETH DEENER | Board Member | — | ||
| LEE EACHUS | Board Member | — | ||
| MARIN FISKE | Board Member | — | ||
| JACKIE HAMILTON SAYKALY | Board Member | — | ||
| JOANNE HILLIARD | Board Member | — | ||
| CAROLYN HOWARD | Board Member | — | ||
| LOU H JONES | Secretary | — | ||
| JOHN KIEBLER | Board Member | — | ||
| STEPHEN MALLORY | Treasurer | — | ||
| DONALD MASON | Board Member | — | ||
| JOHN WHARTON | Board President | — | ||
| JOSHUA SANTANA | Board Member | — | ||
| ANDREW SPARKS | Board Member | — | ||
| CAROL MCLEOD DVM | Board President | — | ||
| COLMON ELRIDGE III | Board President | — | ||
| PAUL BACHNER | Board Member | — | ||
| JIM BALDRIDGE | Board Member | — | ||
| BROOKE RABY | Board Member | — | ||
| MARCIELLE DE BEER | Board Member | — | ||
| BRENDAN BURNETT | Board Member | — | ||
| ELIZABETH DEENER | Board Member | — | ||
| MARIN FISKE | Board Member | — | ||
| JACKIE HAMILTON SAYKALY | Board Member | — | ||
| JOANNE HILLIARD | Board Member | — | ||
| CAROLYN HOWARD | Board Member | — | ||
| LOU H JONES | Secretary | — | ||
| JOHN KIEBLER | Board Member | — | ||
| STEPHEN MALLORY | Treasurer | — | ||
| DONALD MASON | Board Member | — | ||
| JOHN WHARTON | Board President | — | ||
| JOSHUA SANTANA | Board Member | — | ||
| ANDREW SPARKS | Board Member | — |
Tax year 2022
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| CAROL MCLEOD DVM | Board President | — | ||
| COLMON ELRIDGE III | Board President | — | ||
| JASON AKHTAREKHAVARI | Board Member | — | ||
| JIM BALDRIDGE | Board Member | — | ||
| LARRY BEACH | Board Member | — | ||
| MARCIELLE DE BEER | Board Member | — | ||
| BRENDAN BURNETT | Board Member | — | ||
| ELIZABETH DEENER | Board Member | — | ||
| LEE EACHUS | Board Member | — | ||
| MARIN FISKE | Board Member | — | ||
| JACKIE HAMILTON SAYKALY | Board Member | — | ||
| LYLE HILDENBRANDT | Board Member | — | ||
| JOANNE HILLIARD | Board Member | — | ||
| CAROLYN HOWARD | Board Member | — | ||
| LOU H JONES | Secretary | — | ||
| JOHN KIEBLER | Board Member | — | ||
| STEPHEN MALLORY | Treasurer | — | ||
| DONALD MASON | Board Member | — | ||
| STEVE MATHERLY | Board Member | — | ||
| DENISE MCCLELLAND | Board President | — | ||
| JOSHUA SANTANA | Board Member | — | ||
| ANDREW SPARKS | Board Member | — |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| ALLISON KAISER | Executive Director | 7.9% of Rev | ||
| COLMON ELDRIDGE III | Board President | — | ||
| CAROL MCLEOD DVM | Board President | — | ||
| JASON AKHTAREKHAVARI | Board Member | — | ||
| JIM BALDRIDGE | Board Member | — | ||
| BRENDAN BURNETT | Board Member | — | ||
| LARRY BEACH | Board Member | — | ||
| MARCIELLE DE BEER | Board Member | — | ||
| MARIN FISKE | Board Member | — | ||
| ELIZABETH DEENER | Board Member | — | ||
| JIM GAY MD | Board Member | — | ||
| JOHN GARDNER | Board Member | — | ||
| LYLE HILDENBRANDT | Board Member | — | ||
| LEE EACHUS | Board Member | — | ||
| STEPHEN MALLORY | Treasurer | — | ||
| JOANNE HILLIARD | Board Member | — | ||
| LOU H JONES | Secretary | — | ||
| DONALD MASON | Board Member | — | ||
| ANDREW SPARKS | Board Member | — | ||
| JACKIE HAMILTON SAYKALY | Board President | — | ||
| DENISE MCCLELLAND | Board President | — |
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 55 other orgs in KY with NTEE prefix A6.
Most-divergent component: financial score sits 39 points below the peer median (0 vs. 39).
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
- Comp-to-revenue ratio of 5.9% sits within the sector's healthy band (18–22%).
- 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.