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 Hidden Hidden 32 Critical Intervention Needed Decline Risk
2022 38 Fragile Stable Watch
2021 38 Fragile Recovery
2020 32 Critical Intervention Needed Stable Watch
2019 32 Critical Intervention Needed Decline Risk
2018 4.6% 35 Financially Distressed Stable Watch
2017 4.4% 35 Financially Distressed Stable Watch
2016 5.1% 34 Critical Intervention Needed Stable Watch
2015 3.9% 35 Financially Distressed Stable Watch
2014 4.3% 35 Financially Distressed Decline Risk
2013 4.9% 35 Financially Distressed Decline Risk
2012 5.2% 34 Critical Intervention Needed Stable Watch
2011 7.4% 34 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
KATHLEEN BREEN COMBES EXECUTIVE DIR/NONVOTING DI Hidden
LAURINE RYAN-PERRY Board President
BIANCA BATOR Board Member
JANET GOFF Board Member
STEPHEN HOURAHAN Board Member
BETSY KEADY Board Member
COUNCILMAN JOHN GONCALVES Board Member
DON WINEBERG Board Member
PHILLIP KYDD Board Member
JOE NAUMAN Board Member
RICHARD SALTZMAN Treasurer
MARIA MONTANARO Secretary
DANA ALEXANDER NOLFE Board Member
STEFAN PETRELLA Board Member
RANDY ROSENBAUM Board Member
EVA ROUNDS Board President
ANA CORONEL Board President

Tax year 2023

Name Title Phone Email Compensation
KATHLEEN BREEN COMBES EXECUTIVE DIR/NONVOTING DI Hidden
ALAN WEISS Board President
LAURINE RYAN-PERRY Board President
ERICA GUATIERI Treasurer
LINDA MCGOLDRICK Secretary
JOAN ABRAMS Board Member
JUDY BARRETT LITOFF Board Member
GAIL HIGGINS FOGARTY Board Member
COLLEEN CAVANAUGH Board Member
ANA CORONEL Board Member
COUNCILMAN JOHN GONCALVES Board Member
MARIE WEISS Board Member
DON WINEBERG Board Member
PHILLIP KYDD Board Member
JOE NAUMAN Board Member
RICHARD SALTZMAN Board Member

Tax year 2022

Name Title Phone Email Compensation
KATHLEEN BREEN COMBES EXECUTIVE DIR/NONVOTING DI Hidden
ALAN WEISS Board President
LAURINE RYAN-PERRY Board President
ERICA GUATIERI Treasurer
LINDA MCGOLDRICK Secretary
JOAN ABRAMS Board Member
JUDY BARRETT LITOFF Board Member
GAIL HIGGINS FOGARTY Board Member
COLLEEN CAVANAUGH Board Member
ANA CORONEL Board Member
COUNCILMAN JOHN GONCALVES Board Member
MARIE WEISS Board Member
DON WINEBERG Board Member
PHILLIP KYDD Board Member
JOE NAUMAN Board Member
RICHARD SALTZMAN Board Member

Tax year 2021

Name Title Phone Email Compensation
MIHAILO DJURIC Board Member Hidden
KATHLEEN BREEN COMBES Board Member Hidden
ALAN WEISS Board President
KIMBERLY WINSLOW Board President
ERICA GUATIERI Treasurer
LAURINE RYAN-PERRY Secretary
JOAN ABRAMS Board Member
JUDY BARRETT LITOFF Board Member
GAIL HIGGINS FOGARTY Board Member
LINDA MCGOLDRICK Board Member
EVE ROUNDS Board Member
MARY TSANGARAKIS Board Member
MARIE WEISS Board Member
DON WINEBERG Board Member
TOOTS ZINSKY 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 13 other orgs in RI with NTEE prefix A6.

Most-divergent component: financial score sits 39 points below the peer median (0 vs. 39).

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.