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
35
Score
Governance
50
Score
Financial
15
Score
Program
45
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 Hidden Hidden — 35 Critical Intervention Needed Stable Watch
2022 — — — 35 Critical Intervention Needed Recovery
2021 — — — 21 Critical Intervention Needed Decline Risk
2020 — — — 33 Critical Intervention Needed Recovery
2019 — — — 29 Critical Intervention Needed Decline Risk
2018 — — — 31 Critical Intervention Needed Recovery
2017 — — — 29 Critical Intervention Needed Stable Watch
2016 — — — 29 Critical Intervention Needed Stable Watch
2015 — — — 29 Critical Intervention Needed Stable Watch
2014 — — — 29 Critical Intervention Needed Stable Watch
2013 — — — 29 Critical Intervention Needed Decline Risk
2012 — — — 37 Financially Distressed Decline Risk
2011 — — — 45 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
MADELINE CULPO Board Member —
ALISON LAROCCA Board Member —
JANINE MASCHINO Treasurer —
MARY GIANNONE TALMI Board Member —
PAUL CUPLO Board Member —
LAURA FLOWERS Executive Dir. —
SUSAN GILBERT Board Member —
KERRY PIAGGIONE Board Member —
NANCY KING Board Member —
CARL SPRAGUE Board President —
DEIRDRE SWINDLEHURST Secretary —
CHRISTOPHER NAGLE Board President —

Tax year 2023

Name Title Phone Email Compensation
MADELINE CULPO Board Member —
ANDREW CLINTON Board President —
ALISON LAROCCA Board Member —
JANINE MASCHINO Treasurer —
MARY GIANNONE TALMI Board Member —
SUSAN GILBERT Board President —
JASON GOLDMAN Board Member —
RICHARD HIAM Board Member —
NANCY KING Board Member —
CARL SPRAGUE Board President —
DEIRDRE SWINDLEHURST Secretary —

Tax year 2022

Name Title Phone Email Compensation
MADELINE CULPO Board Member —
ANDREW CLINTON Board Member —
ALISON LOROCCA Board President —
JANINE MASCHINO Treasurer —
SUSAN GILBERT Board Member —
JASON GOLDMAN Board Member —
RICHARD HIAM Board Member —
NANCY KING Board Member —
CARL SPRAGUE Board Member —
DEIRDRE SWINDLEHURST Secretary —

Tax year 2021

Name Title Phone Email Compensation
MADELINE CULPO Board Member —
ANDREW CLINTON Board President —
JANINE MASCHINO Treasurer —
SUSAN GILBERT Board President —
JASON GOLDMAN Board Member —
RICHARD HIAM Board Member —
NANCY ROPELEWSKI-KING Board Member —
CARL SPRAGUE Executive Director —
DEIRDRE DUFFIN-SWINDLEHURST Secretary —
Officer contact details, exact compensation figures, and active litigation are available to verified members.
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Score breakdown

Score breakdown

Financial resilience
15 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
45 / 100
weight 20%
Overall
35 / 100
Priority Review

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

Peer comparison

Compared to 376 other orgs in MA with NTEE prefix A6.

Most-divergent component: financial score sits 40 points below the peer median (15 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.

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.