The Barna Group reports the average Protestant church size in America as 89 adults. 60% of protestant churches have less than 100 adults in attendance. Only 2% have over 1000 adults attending. As a result, the dreams of pastors of most small and even mid-sized churches go unrealized. Why? There are many reasons churches don’t break the 200 attendance mark, but Carey Nieuwhof wants to drill down deeper on one that kills almost every church and pastor: pastoral care.