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
2025
Financial Era
Governance Era
Trajectory Era
Structural Deficit

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2024 — — — 32 Critical Intervention Needed Stable Watch
2023 Hidden Hidden — 32 Critical Intervention Needed Decline Risk
2022 — — — 38 Fragile Stable Watch
2021 — — — 35 Critical Intervention Needed Recovery
2020 — — 0.6% 37 Financially Distressed Recovery
2019 — — 1.0% 32 Critical Intervention Needed Decline Risk
2018 — — 1.2% 32 Critical Intervention Needed Decline Risk
2017 — — 1.2% 32 Critical Intervention Needed Decline Risk
2016 — — 1.6% 32 Critical Intervention Needed Recovery
2015 — — 5.4% 29 Critical Intervention Needed Decline Risk
2014 — — 5.6% 37 Fragile Recovery
2013 — — 5.9% 29 Critical Intervention Needed Decline Risk
2012 — — 4.0% 38 Financially Distressed Decline Risk
2011 — — 2.7% 42 Fragile Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
Jeffrey Levenson Executive Director Hidden
General Manager Hidden
Jonathan McPhee Board Member Hidden
Deborah Jones Board President Hidden
Jan Lerbinger Board President Hidden
Jeffrey Leonard Board Member Hidden
Betty Blume Board Member —
Deborah Brown Board Member —
Alix Fox Board President —
William Frawley Board Member —
Anthony Galaitsis Board Member —
Barbara Hughey Treasurer —
Patricia Manhard Board Member —
Carol Marine Secretary —
David Rothstein Board Member —
Marlene Stone Board Member —
John Tarrh Board Member —
Anwell Tsai Board Member —
Jillian Tung Board Member —

Tax year 2022

Name Title Phone Email Compensation
Jeffrey Levenson Executive Director Hidden
Lauren Busa Operations Manager Hidden
Jonathan McPhee Board Member Hidden
Tammy Lynch General Manager Hidden
Deborah Brown Board Member —
Norman Cohen Board Member —
Alix Fox Board President —
William Frawley Board Member —
Barbara Hughey Treasurer —
Deborah Jones Board President —
Jeffrey Leonard Board Member —
Jan Lerbinger Board Member —
Patricia Manhard Board Member —
Carol Marine Secretary —
Susan McLeish Board President —
David Rothstein Board Member —
Jan Van Steenwijk Board Member —
Marlene Stone Board Member —
John Tarrh Board Member —
Anwell Tsai Board Member —
Jillian Tung Board Member —

Tax year 2021

Name Title Phone Email Compensation
Jeffrey Levenson Executive Director Hidden
Jonathan McPhee Board Member Hidden
Lauren Busa Operations Manager Hidden
Deborah Jones Board President Hidden
Jan Lerbinger Board Member Hidden
Alexandra Bartsch Board Member —
Deborah Brown Board Member —
Norman Cohen Board Member —
Alix Fox Board President —
William Frawley Board Member —
Barbara Hughey Treasurer —
Jeffrey Leonard Board Member —
Patricia Manhard Board Member —
Carol Marine Secretary —
Susan McLeish Board President —
Matt Passalacqua Board Member —
Jan Van Steenwijk Board Member —
Marlene Stone Board Member —
John Tarrh Board Member —
Jillian Tung Board Member —
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 377 other orgs in MA with NTEE prefix A6.

Most-divergent component: financial score sits 55 points below the peer median (0 vs. 55).

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 37 → 32 over 5 years (declining by 5 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.