SCHENECTADY — Hometown Health Centers CEO John Silva has resigned from the financially struggling health care facility on State Street, officials said. He left the facility Wednesday.

The facility’s Board of Directors appointed Angella Timothy Wednesday as interim CEO. Timothy, who is a registered nurse, has served as the health center’s chief operating officer for nearly four years. A search committee is in place and is actively recruiting candidates to fill the positions, said Hometown Health spokesman Joseph Gambino.

Board President Rev. Michael Hogan said Silva made the decision to leave after discussing the proposal with the board for “some time.” Silva was not available for comment. He came to Hometown Health, then called Schenectady Family Health Services, in 2000 as a federal consultant to help salvage operations at the center. The center at the time was losing money and was about three weeks from closing. Silva became executive director within a year of his arrival in 2001.

Hogan said the board retained confidence in Silva’s leadership even after a preliminary audit last year by the federal Bureau of Primary Health Care found Hometown close to financial collapse. A federal consultant has been working with Hometown since then to improve its financial health, Gambino said. “The federal representatives have made it very clear that the health center is in no danger of closing and that its federal grant funding is secure,” he said.

The government provides $1 million annual toward Hometown’s annual budget of approximately $5 million.

Hogan said the board regrets Silva’s departure. “He has been a rather dynamic leader,” he said.