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

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
2025 Hidden Hidden Unknown
2023 35 Critical Intervention Needed Recovery
2022 33 Critical Intervention Needed Recovery
2021 31.9% 26 Critical Intervention Needed Stable Watch
2020 29.6% 26 Critical Intervention Needed Stable Watch
2019 15.8% 27 Critical Intervention Needed Stable Watch
2018 29 Critical Intervention Needed Recovery
2017 30.3% 26 Critical Intervention Needed Decline Risk
2016 35.5% 22 Critical Intervention Needed Decline Risk
2015 38.7% 24 Critical Intervention Needed Stable Watch
2014 37.3% 26 Critical Intervention Needed Stable Watch
2013 32.0% 26 Critical Intervention Needed Stable Watch
2012 37.6% 26 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
KATHLEEN ALMAND Board Member
TURNER BLEDSOE Board Member
CATHERINE CAMPBELL VICE PRESIDE
AMY BORDES DELANEY Board Member
LAURIE ANN DROGIN Board Member
ELISABETH FINN Board Member
LIBERTY FONTS Board Member
WILLIAM FORD Treasurer
DENVER GIBBS Board Member
AZHAR KARACHI VICE PRESIDE
THOMAS KENT Board Member
JOHN MORGAN Board Member
BEGUM OKUTGEN Board Member
PAUL PECCI Board President
MARIO PEREZ Board Member
ADITYA RENGASWAMY Board Member
KUCKU VERGHASE Board Member

Tax year 2023

Name Title Phone Email Compensation
KAREN THOMPSON Executive Director 19.5% of Rev
BEGUM OKUTGEN Board Member
STACIE MADDEN Board President
MATTHEW NELSON Board Member
KATHLEEN ALMAND Secretary
PAUL PECCI Board President
ADITYA RENGASWAMY Treasurer
RYAN ESCO Board Member
BETH BARCLAY Board Member
JAMESON PASEK Board Member
JOHN MORGAN Board Member
KENNETH BUNTROCK Board Member

Tax year 2022

Name Title Phone Email Compensation
KAREN THOMPSON Executive Director 16.8% of Rev
TURNER BLESDSOE Board Member
BEGUM OKUTGEN Board Member
LORETTA MCCABE Board Member
STACIE MADDEN Board President
CHRISTINE MCINTYRE Board Member
CONNIE GORFINKLE Board Member
MATTHEW NELSON Board Member
KATHLEEN ALMAND Secretary
PAUL PECCI Board President
ADITA RENGASWAMY Treasurer
RYAN ESCO Board Member

Tax year 2021

Name Title Phone Email Compensation
KAREN THOMPSON Executive Director 10.9% of Rev
TURNER BLESDSOE Board Member
NANCY CUSACK Board Member
LORETTA MCCABE Board Member
STACIE MADDEN Board President
CHRISTINE MCINTYRE Board Member
CONNIE GORFINKLE Board Member
HELEN TANG Treasurer
MATTHEW NELSON Board Member
KATHLEEN ALMAND Secretary
Officer contact details, exact compensation figures, and active litigation are available to verified members.
Request access
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 245 other orgs in MA with NTEE prefix A6.

Most-divergent component: financial score sits 27 points below the peer median (15 vs. 42).

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).
  2. Stabilize program expenses or grow earned-income revenue to break the consecutive-deficit pattern (~8 points to financial score).

Improving governance is a board decision. These are the levers.