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
58
Score
Financial
0
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
2024 Hidden Hidden — — Unknown —
2023 Hidden Hidden 1.6% 35 Financially Distressed Decline Risk
2022 — — 0.5% 35 Financially Distressed Stable Watch
2021 — — — 35 Financially Distressed Stable Watch
2020 — — — 35 Financially Distressed Stable Watch
2019 — — — 35 Financially Distressed Recovery
2018 — — — 32 Critical Intervention Needed Stable Watch
2017 — — — 32 Critical Intervention Needed Stable Watch
2016 — — — 32 Critical Intervention Needed Stable Watch
2015 — — 1.1% 35 Financially Distressed Recovery
2014 — — — 32 Critical Intervention Needed Stable Watch
2013 — — — 32 Critical Intervention Needed Decline Risk
2012 — — — 34 Critical Intervention Needed Recovery
2011 — — — 29 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
DR ANA JIMENEZ-HAMI Executive Director 1.6% of Rev
DR ANA JIMENEZ-HAMI Executive Director 0.4% of Rev
SAM CHARI Board President —
KIM M KASTON Board Member —
JOHN TRAN Board Member —
ROSSINA GALLEGOS Board Member —
LAKSHMI NAMBURI Board Member —
NADINE LEVIN Board Member —
CLAUDE GOLDENBERG Board Member —
STUART NICHOLS Board Member —
MELODY WINTER HEAD Board President —
SAM CHARI Board President —
KIM M KASTON Board Member —
JOHN TRAN Treasurer —
ROSSINA GALLEGOS Board Member —
LAKSHMI NAMBURI Board Member —
NADINE LEVIN Board Member —
CLAUDE GOLDENBERG Secretary —
STUART NICHOLS Board Member —
MELODY WINTER HEAD Board President —

Tax year 2023

Name Title Phone Email Compensation
SAM CHARI Board President —
KIM M KASTON Board Member —
SUSAN ECHARTE Board Member —
JOHN TRAN Board Member —
ROSSINA GALLEGOS Board Member —
CLAUDE GOLDENBERG Board Member —
STUART NICHOLS Board Member —
MELODY WINTER HEAD Board President —
DR ANA JIMENEZ-HAMI Board Member —

Tax year 2022

Name Title Phone Email Compensation
SAM CHARI Board President —
SUSAN ECHARTE Board Member —
KR SUBRAMANYAM Treasurer —
ROSSINA GALLEGOS Board Member —
DR ANOOSHIRAVAN HAMI Board Member —
CLAUDE GOLDENBERG Board Member —
STUART NICHOLS Board Member —
NILO E LIPIZ Board Member —
MELODY WINTER HEAD Board Member —
DR ANA JIMENEZ-HAMI Board Member —

Tax year 2021

Name Title Phone Email Compensation
SAM CHARI Board President —
DR ERIC OLSON Board President —
SUSAN ECHARTE Board Member —
KR SUBRAMANYAM Treasurer —
ROSSINA GALLEGOS Board Member —
TERRI VILLA MCDOWELL Secretary —
DR ANOOSHIRAVAN HAMI Board Member —
FELIPE HERAS Board Member —
FRANCISCO BARRAGAN Board Member —
NILO E LIPIZ Board Member —
MELODY WINTER HEAD Board Member —
ZYDA S MARTINEZ Board Member —
DR ANA JIMENEZ-HAMI 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
58 / 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 1,023 other orgs in CA with NTEE prefix A2.

Most-divergent component: financial score sits 72 points below the peer median (0 vs. 72).

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.