Acute Resource Divergence
Acute Resource Divergence
Acute Resource Divergence Market Archetype Mechanical Natural
Tier
Priority Review
Trajectory Thumbprint

Acute Resource Divergence

What does this mean?

Revenue is contracting significantly, but executive compensation percentage is rising. The organization is refusing to adjust its administrative overhead to match its new economic reality.

The Path Forward

The Realignment

Forces immediate balancing of administrative bloat against actual programmatic output. It demands that every dollar extracted for overhead be justified by community impact.

The Realignment
The Realignment
Institutional Health Scores
5-yr trend: Acute Resource Divergence ↑
Overall
36
Score
Governance
50
Score
Financial
10
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
Resource Divergence

Historical Performance

Year Revenue Top Comp Comp % Rev Score Phase Label Outlook Details
2023 — — 12.4% 36 Financially Distressed Decline Risk
2022 — — 10.8% 42 Fragile Decline Risk
2021 — — 8.6% 54 Fragile Recovery
2020 — — 16.8% 31 Critical Intervention Needed Decline Risk
2019 — — 12.7% 36 Financially Distressed Decline Risk
2018 — — 8.7% 42 Fragile Recovery
2017 — — 9.5% 36 Financially Distressed Recovery
2016 — — 15.4% 31 Critical Intervention Needed Stable Watch
2015 — — 12.9% 32 Critical Intervention Needed Stable Watch
2014 — — — 32 Critical Intervention Needed Stable Watch
2013 — — — 32 Critical Intervention Needed Stable Watch
2012 — — — 32 Critical Intervention Needed Stable Watch
2011 — — — 32 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
GILBERT ROSE Board President Hidden
CHRIS AVERY VICE PRESIDE —
WALTER HOWELL Board Member —
JAMES BARNETT Board Member —
RAYFORD LAW Board Member —
ELIZABETH BOVEROUX Treasurer —
SAM MAWN-MAHLAU CHAIRMAN —
DAVID LLOYD BROWN Secretary —
HARRIETT ECKSTEIN Board Member —

Tax year 2022

Name Title Phone Email Compensation
GILBERT ROSE Board President Hidden
CHRIS AVERY VICE PRESIDE —
WALTER HOWELL Board Member —
JAMES BARNETT Board Member —
RAYFORD LAW Board Member —
ELIZABETH BOVEROUX Treasurer —
SAM MAWN-MAHLAU CHAIRMAN —
DAVID LLOYD BROWN Secretary —
HARRIETT ECKSTEIN Board Member —
ANURADHA YADAV Board Member —

Tax year 2021

Name Title Phone Email Compensation
Gilbert Rose Board President Hidden
Chris Avery Board Member —
Elizabeth Boveroux Treasurer —
James Barnett Board Member —
David Lloyd Brown Secretary —
Anuradha Yadav Board Member —
Harriet Eckstein Board Member —
Walter Howell Board Member —
Rayford Law Board Member —
Sam A Mawn-Mahlau Chairman —
Officer contact details, exact compensation figures, and active litigation are available to verified members.
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Score breakdown

Score breakdown

Financial resilience
10 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
36 / 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 45 points below the peer median (10 vs. 55).

5-year trend: Acute Resource Divergence

Revenue is contracting significantly, but executive compensation percentage is rising. The organization is refusing to adjust its administrative overhead to match its new economic reality.

Overall score has gone from 36 → 36 over 5 years (stable by 0 points).

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.