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
34
Score
Governance
50
Score
Financial
5
Score
Program
60
Score

Institutional Epochs

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 — — — 34 Critical Intervention Needed Decline Risk
2022 — — 4.8% 45 Fragile Recovery
2021 — — — 40 Fragile Decline Risk
2020 — — 12.6% 42 Fragile Recovery
2019 — — 3.9% 41 Financially Distressed Recovery
2018 — — — 27 Critical Intervention Needed Recovery
2017 — — — 19 Critical Intervention Needed Stable Watch
2016 — — — 19 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
KEVIN RICE EXECUTIVE DI 5.0% of Rev
CLAIRE ADAMS Board President —
EUGENE FOLEY Treasurer —
DAVID LUBIN Board Member —
ELLEN KUMATA Board Member —
BARRY BLUESTONE Board Member —
LISA BROWN Board Member —
ELLEN CARNO Board Member —
ALAN CHEBOT Board Member —
JAMES BISCEGLIA Secretary —
MELINDA KRASTING Board Member —
DEB ULMAN Board Member —
ORIANA CONKLIN Board Member —
BOB SEAY Board Member —
CARLA BETTANO Board Member —
STAN BRATSKEIR Board Member —
TED CORMAY Board Member —

Tax year 2023

Name Title Phone Email Compensation
KEVIN RICE EXECUTIVE DI 4.1% of Rev
DAVID LUBIN Board President —
RUSSELL BRAUN Treasurer —
CLAIRE ADAMS Board Member —
ELLEN KUMATA Board Member —
BARRY BLUESTONE Board Member —
LISA BROWN Board Member —
ELLEN CARNO Board Member —
ALAN CHEBOT Board Member —
JAMES BISCEGLIA Secretary —
MELINDA KRASTING Board Member —
DEB ULMAN Board Member —
STAN SIKORSKI Board Member —
ORIANA CONKLIN Board Member —
BOB SEAY Board Member —

Tax year 2021

Name Title Phone Email Compensation
KEVIN RICE EXECUTIVE DI 3.6% of Rev
KEVIN RICE Board Member 3.2% of Rev
SETH ROLBEIN Board President —
RUSSELL BRAUN Treasurer —
FREDERICK TODD Board Member —
CLAIRE ADAMS Board Member —
NICHOLAS ATHANASSIOU Board Member —
CARLA BETTANO Board Member —
BARRY BLUESTONE Board Member —
LISA BROWN Board Member —
ELLEN CARNO Board Member —
ALAN CHEBOT Board Member —
LIZABETH COHEN Board Member —
ELLEN COVELL Board Member —
MICHAEL FEE Board Member —
ELLEN KUMATA Board Member —
DAVID LUBIN Board Member —
SETH ROLBEIN Board President —
RUSSEL BRAUN Treasurer —
ALAN FLAXMAN Secretary —
FREDERICK TODD 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
5 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
34 / 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 50 points below the peer median (5 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.