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
38
Score
Governance
55
Score
Financial
10
Score
Program
60
Score

Institutional Epochs

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 9.2% 38 Financially Distressed Decline Risk
2023 6.2% 46 Fragile Recovery
2022 7.1% 40 Fragile Recovery
2021 13.7% 41 Fragile Recovery
2020 6.9% 38 Financially Distressed Recovery
2019 7.8% 34 Critical Intervention Needed Stable Watch
2018 7.7% 34 Critical Intervention Needed Stable Watch
2017 9.1% 30 Critical Intervention Needed Recovery
2016 12.0% 29 Critical Intervention Needed Stable Watch
2015 13.4% 29 Critical Intervention Needed Stable Watch
2014 14.1% 29 Critical Intervention Needed Stable Watch
2013 29 Critical Intervention Needed Stable Watch
2012 29 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
Chris Serface Executive Director 9.2% of Rev
Jeanette Sanchez-Izenman Board President
Russell Campbell Board Member
Maria-Tania Bandes B Weingard Secretary
Sam Izenman Board Member
Brenda Ballinger Treasurer
Kay Meier Board Member
Martin Goldsmith MD Board Member
Pamela Roza Hayes Board Member
Maria Valenzuela Board President
Blake Kremer Board Member
Trevor Owens Treasurer
Jalen Penn Board Member
Chandler Thomas Board Member
Ashley Young Board Member
Em Piro Board Member

Tax year 2023

Name Title Phone Email Compensation
Chris Serface Executive Director 7.7% of Rev
Jenny Hubbard Board President
Eric Clausell PhD Board Member
Martin Goldsmith MD Treasurer
Brenda Ballinger Board Member
Aya Clark Secretary
Stacia Russell Board Member
Maria-Tania Bandes B Weingard Board Member
Pamela Roza Hayes Board Member
Jeanette Sanchez-Izenman Board President
Blake Kremer Board Member
Maria Valenzuela Board Member
Micheal O'Hara Board Member

Tax year 2022

Name Title Phone Email Compensation
Chris Serface Executive Director 6.5% of Rev
Jenny Hubbard Board President
Eric Clausell PhD Board Member
Martin Goldsmith MD Board Member
C Ellen Peters Board Member
Aya Clark Secretary
Annie Green Board Member
Maria-Tania Bandes B Weingard Board Member
Pamela Roza Hayes Board Member
Jeanette Sanchez-Izenman Board President
Blake Kremer Board Member
Maria Valenzuela Board Member
Micheal O'Hara Treasurer

Tax year 2021

Name Title Phone Email Compensation
Chris Serface Executive Director 5.7% of Rev
Annie Green Board President
George McClure MD Board Member
Martin Goldsmith MD Board Member
C Ellen Peters Board Member
Heidi Walworth-Horn Secretary
Aya Clark Secretary
Maria-Tania Bandes B Weingard Board Member
Donna Knudson Board Member
Jeanette Sanchez-Izenman Board Member
Jenny Hubbard Board President
Micheal O'Hara Treasurer
Officer contact details, exact compensation figures, and active litigation are available to verified members.
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Score breakdown

Score breakdown

Financial resilience
10 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
38 / 100
Priority Review

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

Peer comparison

Compared to 235 other orgs in WA with NTEE prefix A6.

Most-divergent component: financial score sits 31 points below the peer median (10 vs. 41).

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.