Structural Deficit
Structural Deficit
Structural Deficit Market Archetype Mechanical Natural
Tier
Stable
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
The Truth-Teller
Institutional Health Scores
5-yr trend: Structural Deficit
Overall
85
Score
Governance
85
Score
Financial
80
Score
Program
Score

Institutional Epochs

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Financial Era
Governance Era
Trajectory Era
Structural Deficit

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2023 42 Fragile Stable Watch
2022 42 Fragile Recovery
2021 3.0% 35 Financially Distressed Stable Watch
2020 1.6% 35 Financially Distressed Stable Watch
2019 1.7% 35 Financially Distressed Stable Watch
2018 0.8% 35 Financially Distressed Stable Watch
2017 1.9% 35 Financially Distressed Stable Watch
2016 1.5% 35 Financially Distressed Stable Watch
2015 1.4% 35 Financially Distressed Stable Watch
2014 1.4% 35 Financially Distressed Decline Risk
2013 1.4% 35 Financially Distressed Decline Risk
2012 1.2% 37 Financially Distressed Stable Watch
2011 1.3% 37 Financially Distressed Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
Ryan D Smith Board Member 4.7% of Rev
Jeffrey Giovino Vice President 3.0% of Rev
Dr Vincent J LaSorsa Board President 1.3% of Rev
John H Deppeler IV Board Member 1.0% of Rev
Kristin DeForest Vice President 0.6% of Rev
Thomas H Bogovich Vice President 0.5% of Rev
Jennifer P Gassen Secretary 0.5% of Rev
W Lee Prussman Board President
Robert J Cagliola Treasurer
Dr Louis D Mancano Board President
Bruce D Kraft Board Member
Keesha Moore Board Member
Cindy Pachuta Board Member
Gary Twardowski Board Member
Dr Christopher F Valente Board Member
Mia Woods Board Member

Tax year 2022

Name Title Phone Email Compensation
RYAN SMITH Board Member 3.3% of Rev
JOHN H DEPPELER IV Board Member 2.8% of Rev
VINCENT LASORSA PHD Board Member 1.3% of Rev
JENNIFER GASSEN Secretary 0.4% of Rev
W LEE PRUSSMAN Board President
ROBERT J CAGLIOLA Treasurer
LOUIS D MANCANO Board President
DR CHRISTOPER F VALENTE Board Member
BRUCE D KRAFT Board Member

Tax year 2021

Name Title Phone Email Compensation
JOHN H DEPPELER IV Board Member 2.6% of Rev
VINCENT LASORSA PHD Board President 1.1% of Rev
W LEE PRUSSMAN Board President
ROBERT J CAGLIOLA Treasurer
LOUIS D MANCANO Board President
JANIS L ANDRZJEWSKI Secretary
DR CHRISTOPER F VALENTE Board Member
BRUCE D KRAFT Board Member
Officer contact details, exact compensation figures, and active litigation are available to verified members.
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Score breakdown

Score breakdown

Financial resilience
80 / 100
weight 40%
Governance risk
85 / 100
weight 40%
Program scale
0 / 100
weight 20%
Overall
85 / 100
Stable

The three components combine into a single 0–100 score weighted as shown. Full methodology →

Peer comparison

Compared to 3,202 other orgs in US with NTEE prefix P4.

Most-divergent component: governance score sits 0 points above the peer median (85 vs. 85).

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 35 → 42 over 5 years (improving by 7 points).

What's driving this score

What would change this score

No specific high-impact levers identified — this org's score is balanced across components.

Improving governance is a board decision. These are the levers.