The Outfit of today is pretty much the way Ivy described it which is based a lot on the Feds who know a lot more today than they did in 1973. it is also based upon personal observation. The Outfit really changed in the early 1990's. They went From 6 Crews down to 4. Out of those 4 Crews, you really have 2 that are operating like the old Outfit. They are the Southern crews.
As far as Sarno, believe it or not, he was not only a made guy running his franchise but he was also the 'Acting Front Boss'. That's how low the Outfit has sunk from 30 years ago.

Noone said Sarno was a big powerful Boss. All the feds said was that he was the acting Boss of Cicero which made him the 'Acting Front Boss' of the Street racket Outfit.
Noonee claimed he was more powerful than Jimmy Inendino.

As far as the city, There was a bust and investigation about the poker machines a couple of years ago involving 26th St. The bars were in the City, not in the suburbs. Not all of the current mob activity is in the suburbs.