This book makes some good, commonsense observations and points. But I don't think it is a good book, or a book that will ultimately be helpful to most pastors or church members. There are several problems with it: 1) Lack of a clear definition of what a healthy church is. The author seems to be using the usual metrics: numerical growth, budget, outreach to community, etc. But there is no clear definition of what a healthy church is, and still worse, very little interaction with the Scriptural teaching on the nature, governance, priorities, and doctrine of the church. 2) Flawed research methodology: from what I can tell, the observations in this book are based on research on a relatively brief sampling of churches that shut their doors. Sure, there were some common factors present in all of these churches, such as the loss of an outward focus, but the number of churches surveyed was so limited and there were so many factors not even mentioned (such as: other sociological conditions in the communities of the churches that were surveyed, or even more importantly, declining doctrinal convictions and fidelity to the gospel) that I find it hard to take this research seriously. 3) Inadequate interaction with biblical texts and flawed exegesis: The use of Scripture is very anecdotal. In the one passage where the author does attempt to do a little bit of exegetical work, he gets the exegesis wrong. But more seriously, there is no clear biblical definition of a healthy church and no serious interaction with the New Testament letters that were addressed to churches in various states of health. All in all, this is a fairly shallow book that at best will have only very limited value to churches in decline. Reading this book and then forming conclusions about one's particular church problems would be like someone going to the doctor, complaining of shortness of breath and chest pain, and then the doctor, with no further conversation or testing, informing the patient that he or she has heart disease, simply because the doctor knows of 10 patients who displayed these symptoms and then died of a heart attack.