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.
Title
Representative Institutions
Institutional Epochs
Historical Performance
| Year | Revenue | Top Comp | Comp % Rev | Score | Phase Label | Outlook | Details |
|---|---|---|---|---|---|---|---|
| 2023 | — | — | 5.2% | 32 | Critical Intervention Needed | Decline Risk | |
| 2022 | — | — | 5.5% | 32 | Critical Intervention Needed | Recovery | |
| 2021 | — | — | 14.0% | 31 | Critical Intervention Needed | Stable Watch | |
| 2020 | — | — | 14.8% | 31 | Critical Intervention Needed | Recovery | |
| 2019 | — | — | 15.7% | 29 | Critical Intervention Needed | Decline Risk | |
| 2018 | — | — | 4.7% | 35 | Financially Distressed | Stable Watch | |
| 2017 | — | — | 5.2% | 34 | Critical Intervention Needed | Stable Watch | |
| 2016 | — | — | 6.1% | 34 | Critical Intervention Needed | Stable Watch | |
| 2015 | — | — | 5.5% | 34 | Critical Intervention Needed | Stable Watch | |
| 2014 | — | — | 4.5% | 35 | Financially Distressed | Stable Watch | |
| 2013 | — | — | 3.5% | 35 | Financially Distressed | Stable Watch | |
| 2012 | — | — | 5.0% | 35 | Financially Distressed | Stable Watch | |
| 2011 | — | — | 5.5% | 34 | Critical Intervention Needed | Stable Watch |
Officer compensation history
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| MARC HALTERMAN | Board President | 3.1% of Rev | ||
| Dennis Choi FMR 712019 | Board President | 2.2% of Rev | ||
| Louis Manganas | Board Member | 2.2% of Rev | ||
| Patricia Coyle FMR 9120 | Board President | 2.0% of Rev | ||
| Agnieszka Kowalska | Neurologist | 1.8% of Rev | ||
| Michael Guido | Treasurer | 1.6% of Rev | ||
| Jason Mathew | Neurologist | 1.6% of Rev | ||
| Jill Miller Horn | Neurologist | 1.6% of Rev | ||
| REBECCA SPIEGEL | Neurologist | 1.5% of Rev | ||
| LAUREN DENIRO | Neurologist | 1.5% of Rev |
Tax year 2022
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| Patricia Coyle | Board President | 2.4% of Rev | ||
| Dennis Choi | Board President | 2.3% of Rev | ||
| Louis Manganas | Board Member | 1.9% of Rev | ||
| Agnieszka Kowalska | Neurologist | 1.7% of Rev | ||
| Michael Guido | Treasurer | 1.5% of Rev | ||
| Jason Mathew | Neurologist | 1.5% of Rev | ||
| Jill Miller Horn | Neurologist | 1.5% of Rev | ||
| Rebecca Spiegel | Neurologist | 1.4% of Rev | ||
| Lauren Deniro | Neurologist | 1.3% of Rev | ||
| Marc Halterman | Board President | 0.8% of Rev |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| Dennis Choi FMR 63019 | Board President | 3.3% of Rev | ||
| Patricia Coyle | Board President | 2.2% of Rev | ||
| Louis Manganas | Board Member | 2.0% of Rev | ||
| Agnieszka Kowalska | Neurologist | 1.6% of Rev | ||
| Mary Andriola FMR 63019 | Secretary | 1.5% of Rev | ||
| Jason Mathew | Neurologist | 1.5% of Rev | ||
| Michael Guido | Treasurer | 1.5% of Rev | ||
| Jill Miller Horn | Neurologist | 1.5% of Rev | ||
| Adrian Marchidann | Neurologist | 1.4% of Rev | ||
| Guy Schwartz | Neurologist | 1.3% of Rev |
Score breakdown
The three components combine into a single 0–100 score weighted as shown. Full methodology →
Peer comparison
Fewer than 3 peers found in NY for this NTEE subcategory; peer comparison would not be statistically meaningful.
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.
Overall score has gone from 29 → 32 over 5 years (improving by 3 points).
What's driving this score
- Comp-to-revenue ratio of 5.2% 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.