Structural Deficit
Structural Deficit
Structural Deficit Market Archetype Mechanical Natural
Tier
Priority Review
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
37
Score
Governance
45
Score
Financial
15
Score
Program
60
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
2025 Hidden Hidden — — Unknown —
2024 Hidden Hidden — — Unknown —
2023 — — 21.3% 37 Fragile Gov Risk
2022 — — 13.2% 42 Fragile Stable Watch
2021 — — 9.4% 44 Fragile Recovery
2020 — — 14.8% 32 Critical Intervention Needed Stable Watch
2019 — — 14.7% 32 Critical Intervention Needed Stable Watch
2018 — — 13.1% 32 Critical Intervention Needed Stable Watch
2017 — — 12.3% 32 Critical Intervention Needed Stable Watch
2016 — — 12.2% 32 Critical Intervention Needed Stable Watch
2015 — — 13.8% 32 Critical Intervention Needed Recovery
2014 — — 16.1% 31 Critical Intervention Needed Recovery
2013 — — 18.1% 31 Critical Intervention Needed Stable Watch
2012 — — 18.2% 33 Critical Intervention Needed Recovery
2011 — — 16.5% 31 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
LOUIS SCAGLIONE Executive Director 17.1% of Rev
LOUIS SCAGLIONE Executive Director 15.3% of Rev
COLLEEN HOOD Vice President 7.0% of Rev
RICHARD CLARK DIR. OF DEVE 6.3% of Rev
COLLEEN HOOD Vice President 6.0% of Rev
PAUL SMITH TUNE UP PHIL 5.5% of Rev
ROBERT E PICK CHAIRMAN —
CHRISTOPHER RINALDI VICE CHAIRMA —
FRANK H DILENSCHNEIDER Treasurer —
LEE PAYNTER Secretary —
LANA BELOTSERKOVSKY Board Member —
ROBERT DAY MD Board Member —
CHRISTINA DEAVER Board Member —
FRANK GIORDANO Board Member —
ZACHARY M JOHNS ESQ Board Member —
KATE R LAW Board Member —
JESSICA LEE Board Member —
JAMES MATOUR ESQ Board Member —
DAVID J MICHIE Board Member —
MARK R NICOLETTI SR Board Member —
TOSIN OMOLE MD MBA Board Member —
CARL PRIMAVERA ESQ Board Member —
WAYNE M SCHUH Board Member —
W MATTHEW SKILTON Board Member —
RICK TOUHILL Board Member —
WALTER M STRINE JR ESQ Board Member —
MARIA G VOGLATZI MD Board Member —
ROBERT E PICK CHAIRMAN —
LEE PAYNTER VICE CHAIRMA —
FRANK H DILENSCHNEIDER Treasurer —
ROBERT E DAY MD Secretary —
SVETLANA BELOTSERKOVSKIY Board Member —
JUDITH M HARTZELL MD Board Member —
CHRISTINA DEAVER Board Member —
ZACHARY M JOHNS ESQ Board Member —
JESSICA LEE Board Member —
JAMES MATOUR ESQ Board Member —
DAVID J MICHIE Board Member —
CHRISTINE WEISER Board Member —
OLUWATOSIN OMOLE MD MBA Board Member —
CARL PRIMAVERA ESQ Board Member —
WAYNE M SCHUH Board Member —
W MATTHEW SKILTON Board Member —
RICHARD J TOUHILL JR Board Member —
WALTER M STRINE JR ESQ Board Member —
MARIA G VOGIATZI MD Board Member —

Tax year 2023

Name Title Phone Email Compensation
LOUIS SCAGLIONE Executive Director 13.6% of Rev
ROBERT PICK CHAIRMAN —
CHRISTOPHER RINALDI VICE CHAIRMAN —
FRANK H DILENSCHNEIDER Treasurer —
DENISE VALME-LUNDY ESQ Secretary —
KENNETH BLANK PhD Board Member —
ROBERT DAY Board Member —
FRANK GIORDANO Board Member —
ZACHARY M JOHNS ESQ Board Member —
KATIE R LAW Board Member —
JAMES MATOUR ESQ Board Member —
CHRISTINA DEAVER Board Member —
DAVID MICHIE Board Member —
LEE PAYNTER Board Member —
CARL PRIMAVERA ESQ Board Member —
W MATTHEW SKILTON Board Member —
WALTER M STRINE JR ESQ Board Member —
RICK TOUHILL Board Member —
JESSICA LEE Board Member —
TOSIN OMOLE MD MBA Board Member —
WAYNE M SCHUH Board Member —

Tax year 2021

Name Title Phone Email Compensation
LOUIS SCAGLIONE Executive Director 11.6% of Rev
LOUIS SCAGLIONE Executive Director 11.3% of Rev
LYDIA OGDEN PhD CHAIRMAN —
ROBERT PICK VICE CHAIRMAN —
CHRISTOPHER RINALDI Treasurer —
DENISE VALME-LUNDY ESQ Secretary —
KENNETH BLANK PhD Board Member —
FRANK H DILENSCHNEIDER Board Member —
FRANK GIORDANO Board Member —
ZACHARY M JOHNS ESQ Board Member —
KATIE R LAW Board Member —
JAMES MATOUR ESQ Board Member —
DAVID R MCSHANE Board Member —
DAVID MICHIE Board Member —
LEE PAYNTER Board Member —
CARL PRIMAVERA ESQ Board Member —
W MATTHEW SKILTON Board Member —
WALTER M STRINE JR ESQ Board Member —
RICK TOUHILL Board Member —
ROBERT DAY MD Board Member —
WAYNE M SCHUH Board Member —
JAMES MATOUR ESQ CHAIRMAN —
ZACHARY M JOHNS ESQ VICE CHAIRMAN —
CHRISTOPHER RINALDI Treasurer —
LYDIA OGDEN PhD Secretary —
KENNETH BLANK PhD Board Member —
FRANK H DILENSCHNEIDER Board Member —
FRANK GIORDANO Board Member —
KEVIN GREENWALD Board Member —
TRUDE HAECKER MD Board Member —
SHARON MCGINLEY Board Member —
DAVID R MCSHANE Board Member —
DAVID MICHIE Board Member —
ROBERT PICK Board Member —
CARL PRIMAVERA ESQ Board Member —
W MATTHEW SKILTON Board Member —
WALTER M STRINE JR ESQ Board Member —
RICK TOUHILL Board Member —
DENISE VALME-LUNDY ESQ Board Member —
LEE PAYNTER 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
15 / 100
weight 40%
Governance risk
45 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
37 / 100
Priority Review

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

Peer comparison

Compared to 462 other orgs in PA with NTEE prefix A6.

Most-divergent component: financial score sits 38 points below the peer median (15 vs. 53).

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.

What's driving this score

What would change this score

The two changes that would most improve this score:

  1. Separate signing authority from fundraising authority when both are held by one person — removes the concentration penalty (~12 points).
  2. 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.