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
44
Score
Governance
55
Score
Financial
25
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 5.1% 44 Financially Distressed Decline Risk
2022 — — 3.5% 49 Fragile Recovery
2021 — — 4.7% 41 Fragile Recovery
2020 — — 5.0% 39 Financially Distressed Recovery
2019 — — 4.5% 35 Financially Distressed Stable Watch
2018 — — 5.9% 34 Critical Intervention Needed Stable Watch
2017 — — 5.8% 34 Critical Intervention Needed Stable Watch
2016 — — 5.0% 35 Financially Distressed Stable Watch
2015 — — 4.9% 35 Financially Distressed Recovery
2014 — — 5.6% 32 Critical Intervention Needed Stable Watch
2013 — — 5.2% 34 Critical Intervention Needed Stable Watch
2012 — — 4.2% 35 Financially Distressed Recovery
2011 — — — 32 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
BIANCA GARCIA EXEC DTR SEP Hidden
MARK S CROSS-POWERS Board President —
CRAIG GARNER Board President —
MARTIN FLETCHER Treasurer —
HANNAH KARAMANOOGIAN Secretary —
BRENDAN PETERSON Board Member —
LAURA GAMACHE Board Member —
AIMEE KEARAGE Board Member —
GREG POWERS Board Member —
JOHN CUNNINGHAM Board Member —
TIMOTHY NORONHA Board Member —
POLLY TOWNER EXEC DTR JUN —

Tax year 2023

Name Title Phone Email Compensation
PIPER RUNNION-BAREFORD EXECUTIVE DI Hidden
MARK S CROSS-POWERS Board President —
BRENDAN PETERSON Board President —
MARTIN FLETCHER Treasurer —
HANNAH KARAMANOOGIAN Secretary —
LAURA GAMACHE Board President —
BIANCA GARCIA Board Member —
CRAIG GARNER Board Member —
AIMEE KEARAGE Board Member —
GREG POWERS Board Member —

Tax year 2022

Name Title Phone Email Compensation
PIPER RUNNION-BAREFORD EXECUTIVE DI Hidden
JOHN D'AMATO Board President —
MARK S CROSS-POWERS Board President —
THOMAS GIFFEN Treasurer —
JENNIFER RIVETT Secretary —
ALAN CLEVELAND Board Member —
TYLER L CRAIG Board Member —
CRAIG GARNER Board Member —
HANNAH KARAMANOOGIAN Board Member —
NANCY J NICHOLS Board Member —
BRENDAN PETERSON Board Member —

Tax year 2021

Name Title Phone Email Compensation
PIPER RUNNION-BAREFORD EXECUTIVE DI Hidden
JOHN D'AMATO Board President —
MARK S CROSS-POWERS Board President —
THOMAS GIFFEN Treasurer —
JENNIFER RIVETT Secretary —
ALAN CLEVELAND Board Member —
TYLER L CRAIG Board Member —
CRAIG GARNER Board Member —
HANNAH KARAMANOOGIAN Board Member —
NANCY NICHOLS Board Member —
BRENDAN PETERSON 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
25 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
44 / 100
Priority Review

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

Peer comparison

Compared to 65 other orgs in NH with NTEE prefix A6.

Most-divergent component: financial score sits 41 points below the peer median (25 vs. 66).

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.