This paper summarizes an organizational development exercise conducted at Adhikar, an NGO in Jharkhand, India focused on human rights and advocacy for marginalized communities. The authors, a doctoral student and professor, conducted interviews, field visits, and reviewed reports to diagnose the organization. They found issues common to developmental non-profits, such as challenges that arise from an organization growing beyond its founder, and poor communication and coordination. The case provided insight into structural issues facing growing non-profits and how organizational diagnosis can address gaps that do not immediately impact performance but could threaten long-term health.