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 376 other orgs in IL with NTEE prefix A6.

Most-divergent component: financial score sits 57 points below the peer median (0 vs. 57).

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.