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
32
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
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 32 Critical Intervention Needed Decline Risk
2022 Hidden Hidden 34 Critical Intervention Needed Decline Risk
2021 38 Fragile Decline Risk
2020 44 Fragile Recovery
2019 38 Fragile Stable Watch
2018 38 Fragile Recovery
2017 32 Critical Intervention Needed Stable Watch
2016 32 Critical Intervention Needed Stable Watch
2015 32 Critical Intervention Needed Stable Watch
2014 32 Critical Intervention Needed Stable Watch
2013 32 Critical Intervention Needed Stable Watch
2012 32 Critical Intervention Needed Decline Risk
2011 36 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
DAVID KUEHN EXECUTIVE DI Hidden
KATHIE LYNCH NUTTING Board President
MARK WRIGHT VICE PRESIDE
ALAN HIDENFELTER Treasurer
GRAHAM SILLIMAN Secretary
CHRISTOPHER DOOLEY Board Member
DIANE GREER Board Member
SPENCER HALLETT Board Member
SHARON HAWKINS Board Member
ASHLEY LACROIX Board Member
ROBIN J MILLER Board Member
MICHAEL PRINCI Board Member
MICHELLE ST JOHN Board Member
LEE SMITH Board Member
JULIANE SOPRANO Board Member
JAMES T HOECK Board Member

Tax year 2021

Name Title Phone Email Compensation
KATHIE LYNCH NUTTING Board President
MARK WRIGHT VICE PRESIDE
GRAHAM SILLIMAN Secretary
ALAN HIDENFELTER Treasurer
KEN ALSMAN Board Member
SUSAN ANDERSEN Board Member
MICHAEL DUNFORD Board Member
MELINDA GALLANT Board Member
SPENCER HALLETT Board Member
SUSAN HAMILTON Board Member
ASHLEY LACROIX Board Member
CARL LOPES Board Member
DON MEGATHLIN Board Member
MICHAEL PRINCI Board Member
LEE SMITH Board Member
JULIANE SOPRANO Board Member
BOB WILLCUTTS Board Member
DAVID KUEHN EXECUTIVE DI
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
32 / 100
Priority Review

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

Peer comparison

Compared to 54 other orgs in MA with NTEE prefix A2.

Most-divergent component: financial score sits 35 points below the peer median (0 vs. 35).

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.