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
35
Score
Governance
50
Score
Financial
0
Score
Program
60
Score

Institutional Epochs

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
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 35 Financially Distressed Recovery
2023 36 Financially Distressed Stable Watch
2022 39 Financially Distressed Recovery
2021 40 Fragile Recovery
2020 22.4% 27 Critical Intervention Needed Recovery
2019 29.4% 24 Critical Intervention Needed Gov Risk
2018 20.6% 26 Critical Intervention Needed Stable Watch
2017 21.7% 26 Critical Intervention Needed Stable Watch
2016 22.8% 26 Critical Intervention Needed Stable Watch
2015 18.2% 26 Critical Intervention Needed Stable Watch
2014 19.9% 26 Critical Intervention Needed Decline Risk
2013 4.6% 35 Financially Distressed Stable Watch
2012 3.3% 35 Financially Distressed Stable Watch
2011 4.4% 35 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
Angel Alajaji Board Member
Stephen Baime Board Member
Kyle Dougan Board Member
Valerie Larson Board Member
Joseph Greco MD Board Member
Steven Alessandro Board Member
Stephanie Bryan Kangas Board Member
Megan Piazza Board Member
Gregory Sarlo Board Member
Joe Streeto Board Member
Martin Woods Board Member
Electra Kontalonis Board President
Pamela Pettibone Treasurer
Sasha Gerrison Board President
Catherine Westphal Board President
Christopher Riley Board Member

Tax year 2023

Name Title Phone Email Compensation
Kate Mattson Board Member
Joseph Greco MD Board Member
Valerie Larson Board Member
Sashs Gerrison Board President
Pamela Pettibone Board Member
Rachel Pethiyagado Board Member
Stephen Baime Board Member
Angel Alajaji Board Member
Jefferson Collins Board Member
Electra Kontalonis Board President
Kyle Dougan Board Member
Catherine Westphal Board President
Chris Chase Board Member
Christopher Riley Board Member

Tax year 2022

Name Title Phone Email Compensation
ANGEL ALAJAJI Board Member
STEPHEN G BAIME Board Member
JEFFERSON C COLLINS Board Member
TED C FISHMAN Board Member
ELECTRA KONTALONIS Board President
VALERIE ROMANO LARSON Board Member
JOSEPH GRECO MD Board Member
KATE MATTSON Board Member
RACHEL PETHIYAGODA Board Member
PAMELA T PETTIBONE Treasurer
MORRIS E ROBINSON Board Member
PAMELA POWELL ROSENBUSCH Secretary
CATHERINE WESTPHAL VICE PRESIDE
Kate Mattson Board Member
Joseph Greco MD Board Member
Valerie Larson Board Member
Morris Robinson Board Member
Pamela Pettibone Board Member
Rachel Pethiyagado Board Member
Stephen Baime Board Member
Angel Alajaji Board Member
Jefferson Collins Board Member
Electra Kontalonis Board President
Ted Fishman Board Member
Catherine Westphal Board President
Luther Goins 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
0 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
35 / 100
Priority Review

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

Peer comparison

Compared to 195 other orgs in IL with NTEE prefix A6.

Most-divergent component: financial score sits 36 points below the peer median (0 vs. 36).

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. 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.