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
58
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 4.0% 35 Financially Distressed Decline Risk
2022 — — 3.0% 35 Financially Distressed Decline Risk
2021 — — 10.0% 34 Critical Intervention Needed Recovery
2020 — — — 32 Critical Intervention Needed Decline Risk
2019 — — 5.8% 34 Critical Intervention Needed Decline Risk
2018 — — 5.7% 36 Financially Distressed Decline Risk
2017 — — 3.8% 45 Financially Distressed Decline Risk
2016 — — 3.2% 49 Fragile Stable Watch
2015 — — 2.8% 49 Fragile Recovery
2014 — — 3.4% 35 Financially Distressed Decline Risk
2013 — — 4.3% 35 Financially Distressed Decline Risk
2012 — — 4.6% 45 Financially Distressed Decline Risk
2011 — — 9.5% 48 Fragile Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
ROBERT CINNANTE JR Board President Hidden
KATHY BATTISTONI SKILLMAN Board President —
VINCENT SPIZIRI Board President —
WILLIAM GAGNON Treasurer —
GERALD JONES Secretary —
DAVID BRYAN Board Member —
MARA CALAME Board Member —
JANE CARR Board Member —
BARBARA CLIFFORD Board Member —
FREDERIC CLIFFORD JR Board Member —
MOTOKO DEANE Board Member —
RONALD GOLDBERG Board Member —
TIMOTHY HORAN Board Member —
ERIN HULL Board Member —
CAROLYN LOUGHLIN Board Member —
DONALD MASSA Board Member —
DANIEL PALMER Board Member —
LAUREN PIMPARE Board Member —
JOSEPH SALAH Board Member —
DEREK R SPENCE Board Member —
DAWN STANCAVISH Board Member —
JOSHUA BENNETT Board Member —
MIA ANTONIA Board Member —

Tax year 2023

Name Title Phone Email Compensation
ROBERT CINNANTE JR Board President Hidden
KATHY BATTISTONI SKILLMAN Board President —
VINCENT SPIZIRI Board President —
WILLIAM GAGNON Treasurer —
GERALD JONES Secretary —
DAVID BRYAN Board Member —
MARA CALAME Board Member —
JANE CARR Board Member —
BARBARA CLIFFORD Board Member —
FREDERIC CLIFFORD JR Board Member —
MOTOKO DEANE Board Member —
RONALD GOLDBERG Board Member —
TIMOTHY HORAN Board Member —
F SHERMAN HOYT Board Member —
ERIN HULL Board Member —
CAROLYN LOUGHLIN Board Member —
DONALD MASSA Board Member —
THOMAS O'DONNELL Board Member —
NANCY ODDLEIFSON Board Member —
LAUREN PIMPARE Board Member —
JOSEPH SALAH Board Member —
DEREK R SPENCE Board Member —
DAWN STANCAVISH Board Member —
BROOKE VALENTINE Board Member —

Tax year 2022

Name Title Phone Email Compensation
DAVID BRYAN Board Member —
MARA CALAME Board Member —
JANE CARR Board Member —
BARBARA CLIFFORD Board Member —
FREDERIC CLIFFORD JR Board Member —
MOTOKO DEANE Board Member —
RONALD GOLDBERG Board Member —
TIMOTHY HORAN Board Member —
F SHERMAN HOYT Board Member —
ERIN HULL Board Member —
DARREN HUMPHREYS Board Member —
CAROLYN LOUGHLIN Board Member —
DONALD MASSA Board Member —
THOMAS O'DONNELL Board Member —
NANCY ODDLEIFSON Board Member —
LAUREN PIMPARE Board Member —
JOSEPH SALAH Board Member —
VINCENT SPIZIRI Board Member —
DAWN STANCAVISH Board Member —
BROOKE VALENTINE Board Member —
DEREK SPENCE Board President —
KATHY BATTISTONI SKILLMAN Board President —
WILLIAM GAGNON Treasurer —
GERALD JONES Secretary —
ROBERT CINNANTE JR PRESDIENT (FEB 2021) —

Tax year 2021

Name Title Phone Email Compensation
WILLIAM ARVANITES Board Member —
DAVID BRYAN Board Member —
MARA CALAME Board Member —
JANE CHEEVER CARR Board Member —
BARBARA CLIFFORD Board Member —
KATHY CZERNY PAST PRESIDE —
MOTOKO TANIGUCHI DEANE Board Member —
MARY FOLEY Board Member —
WILLIAM P GAGNON Treasurer —
RONALD P GOLDBERG Board Member —
KAREN GREER Board President —
WILLIAM HANEY Board Member —
TIMOTHY HORAN Board Member —
F SHERMAN HOYT Board Member —
ERIN HULL Board Member —
DARREN HUMPHREYS Board Member —
GERALD JONES Secretary —
FRED CLIFFORD JR Board Member —
CAROLYN LOUGHLIN Board Member —
DONALD MASSA Board Member —
THOMAS O'DONNELL Board Member —
NANCY ODDLEIFSON Board Member —
LAUREN PIMPARE Board Member —
JOSEPH SALAH Board Member —
KATHY BATTISTONI SKILLMAN Board President —
DEREK SPENCE CHAIRMAN —
VINCENT J SPIZIRI Board Member —
MARY PALMER SMITH STEINKE Board Member —
BROOK VALENTINE Board Member —
ROBERT J CINNANTE JR Board President —
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
58 / 100
weight 40%
Program scale
60 / 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 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.

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.