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
34
Score
Governance
58
Score
Financial
5
Score
Program
45
Score

Institutional Epochs

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Financial Era
Governance Era
Trajectory Era
Structural Deficit

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2022 1.9% 34 Critical Intervention Needed Recovery
2021 10.6% 42 Fragile Recovery
2020 10.0% 38 Financially Distressed Decline Risk
2019 6.8% 40 Financially Distressed Recovery
2018 10.5% 33 Critical Intervention Needed Recovery
2017 9.7% 30 Critical Intervention Needed Recovery
2016 25 Critical Intervention Needed Decline Risk
2015 31 Critical Intervention Needed Stable Watch
2014 31 Critical Intervention Needed Recovery
2013 20.1% 24 Critical Intervention Needed Decline Risk
2012 16.5% 33 Critical Intervention Needed Stable Watch
2011 15.1% 33 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
Margo Saulnier Board Member
Timothy Mahoney Board Member
Janine Grinnell Board Member
John H Deknatel Board Member
Mark Medeiros Board Member
Marcelina Pina-Christian Board Member
Brandon Cabral Board Member
Howe Allen Board Member
Gig Lang Board Member
Nancy Cabral Board Member
Caroline Conzatti Board President
Peter Covill Treasurer
A Lawrence Jenkins Board President
Margaret Nash Secretary

Tax year 2021

Name Title Phone Email Compensation
HOWE ALLEN Board Member
NANCY CABRAL Board Member
CAROLINE CONZATTI Board President
PETER COVILL Treasurer
JOHN H DEKNATEL Board Member
JANE DUFF-GLEASON Board Member
JANINE GRINNELL Board Member
A LAWRENCE JENKINS Board Member
GIG LANG Board Member
TIMOTHY MAHONEY Board Member
MARK MEDEIROS Board Member
JONATHAN HOWLAND PHD MPH MPA VICE PRESIDE
MARGARET NASH Secretary
KRISTI OLIVER Board Member
MARGO SAULNIER Board Member
Officer contact details, exact compensation figures, and active litigation are available to verified members.
Request access
Score breakdown

Score breakdown

Financial resilience
5 / 100
weight 40%
Governance risk
58 / 100
weight 40%
Program scale
45 / 100
weight 20%
Overall
34 / 100
Priority Review

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

Peer comparison

Compared to 246 other orgs in MA with NTEE prefix A6.

Most-divergent component: financial score sits 37 points below the peer median (5 vs. 42).

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.

Overall score has gone from 33 → 34 over 5 years (improving by 1 points).

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.