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
Institutional Health Scores
5-yr trend: Acute Resource Divergence ↓
Overall
40
Score
Governance
55
Score
Financial
15
Score
Program
60
Score
Title
-
Institutions
-
Avg Revenue
-
Risk Profile
Representative Institutions
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 |
|---|---|---|---|---|---|---|---|
| 2025 | Hidden | Hidden | — | — | Unknown | — | |
| 2024 | Hidden | Hidden | — | — | Unknown | — | |
| 2023 | Hidden | Hidden | 7.5% | 40 | Financially Distressed | Recovery | |
| 2022 | — | — | — | 49 | Fragile | Stable Watch | |
| 2021 | — | — | 3.2% | 52 | Fragile | Recovery | |
| 2020 | — | — | 3.0% | 45 | Fragile | Stable Watch | |
| 2019 | — | — | 1.9% | 45 | Fragile | Recovery | |
| 2018 | — | — | — | 42 | Fragile | Stable Watch | |
| 2017 | — | — | 7.4% | 40 | Fragile | Recovery | |
| 2016 | — | — | 4.3% | 38 | Financially Distressed | Recovery | |
| 2015 | — | — | 12.6% | 25 | Critical Intervention Needed | Decline Risk | |
| 2014 | — | — | 13.1% | 31 | Critical Intervention Needed | Decline Risk | |
| 2013 | — | — | 3.1% | 45 | Fragile | Recovery | |
| 2012 | — | — | 8.9% | 30 | Critical Intervention Needed | Stable Watch | |
| 2011 | — | — | 5.7% | 30 | Critical Intervention Needed | Stable Watch |
Officer compensation history
Tax year 2026
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| JOHN RENSENHOUSE | Board President | 1.0% of Rev | ||
| TEISHA BANKSTON | Board Member | 0.9% of Rev | ||
| HILLARY CLEMENS HARBOR | Board Member | 0.8% of Rev | ||
| CHRISTINA SCHAFER | Secretary | 0.7% of Rev | ||
| MATT SCHWADER HARBOR | Board Member | 0.6% of Rev | ||
| GARY HEISSERER | Board Member | 0.4% of Rev | ||
| DARREN SEXTRO | Board Member | 0.4% of Rev | ||
| JERRY MANAN | Board Member | 0.2% of Rev | ||
| JAN ROGGE | Board President | 0.1% of Rev | ||
| CINNAMON SCHULTZ | Board Member | 0.1% of Rev | ||
| VICTOR RAIDER WEXLER | Board Member | 0.0% of Rev | ||
| ANNE C JETTER | Treasurer | — | ||
| NEDRA DIXON | Board Member | — | ||
| ERIK ELVING | Board Member | — | ||
| STEPHANIE HANAWAY | Board Member | — | ||
| SUSAN PORTER | Board Member | — | ||
| STAN WILLIAMS | Board Member | — |
Tax year 2025
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| JOHN RENSENHOUSE | Board President | 1.3% of Rev | ||
| JAN ROGGE | Board President | 0.8% of Rev | ||
| JERRY MANAN | Board Member | 0.8% of Rev | ||
| VICTOR RAIDER-WEXLER | Board Member | 0.7% of Rev | ||
| CHRISTINA SCHAFER | Secretary | 0.7% of Rev | ||
| TEISHA BANKSTON | Board Member | 0.6% of Rev | ||
| HILLARY CLEMENS HARBOR | Board Member | 0.6% of Rev | ||
| NEDRA DIXON | Board Member | 0.6% of Rev | ||
| DARREN SEXTRO | Board Member | 0.6% of Rev | ||
| CINNAMON SCHULTZ | Board Member | 0.4% of Rev | ||
| GARY HEISSERER | Board Member | 0.2% of Rev | ||
| STAN WILLIAMS | Board Member | 0.1% of Rev | ||
| ERIK ELVING | Board Member | 0.1% of Rev | ||
| ANNE C JETTER | Treasurer | — | ||
| STEPHANIE HANAWAY | Board Member | — | ||
| SUSAN PORTER | Board Member | — | ||
| MATT SCHWADER HARBOR | Board Member | — |
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| GARY HEISSERER | Board President | 0.5% of Rev | ||
| DARREN SEXTRO | Board Member | 0.5% of Rev | ||
| JOHN RENSENHOUSE | Board Member | 0.3% of Rev | ||
| MATT SCHWADER HARBOR | Board Member | 0.2% of Rev | ||
| CHRISTINA SCHAFER | Secretary | 0.2% of Rev | ||
| JAN ROGGE | Board President | 0.2% of Rev | ||
| ANNE JETTER | Treasurer | — | ||
| ERIK ELVING | Board Member | — | ||
| CINNAMON SHULTZ | Board Member | — | ||
| HILLARY CLEMONS HARBOR | Board Member | — | ||
| VICTOR RAIDER-WEXLER | Board Member | — | ||
| STEPHANIE HANANWAY | Board Member | — | ||
| SUSAN PORTER | Board Member | — | ||
| TEISHA BANKSTON | Board Member | — | ||
| NEDRA DIXON | Board Member | — | ||
| BRIANA RENEE WOODS | Board Member | — | ||
| JERRY MANON | Board Member | — | ||
| MARK EDELMAN | Board Member | — |
Tax year 2022
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| VICTOR RAIDER-WEXLER | Board Member | 0.7% of Rev | ||
| JAN ROGGE | Board President | 0.4% of Rev | ||
| JOHN RENSENHOUSE | Board Member | 0.4% of Rev | ||
| CINNAMON SHULTZ | Board Member | 0.3% of Rev | ||
| MATT SCHWADER HARBOR | Board Member | 0.3% of Rev | ||
| DARREN SEXTRO | Board President | 0.2% of Rev | ||
| BRIANA RENEE WOODS | Board Member | 0.2% of Rev | ||
| NEDRA DIXON | Board Member | 0.2% of Rev | ||
| GARY HEISSERER | Board Member | 0.1% of Rev | ||
| HILLARY CLEMONS HARBOR | Board Member | 0.1% of Rev | ||
| CHRISTINA SCHAFER | Secretary | — | ||
| ANNE JETTER | Treasurer | — | ||
| ERIK ELVING | Board Member | — | ||
| STEPHANIE HANANWAY | Board Member | — | ||
| SUSAN PORTER | Board Member | — | ||
| DANIEL SHINN | Board Member | — | ||
| JERRY MANON | Board Member | — | ||
| MARK EDELMAN | Board Member | — |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| SARAH OLIVER | Board Member | 0.5% of Rev | ||
| GARY HEISSERER | Board Member | 0.4% of Rev | ||
| DARREN SEXTRO | Board President | 0.4% of Rev | ||
| ERIK ELVING | Board Member | 0.2% of Rev | ||
| CINNAMON SCHULTZ | Board Member | 0.2% of Rev | ||
| JOHN RENSENHOUSE | Board Member | 0.2% of Rev | ||
| JAN ROGGE | Board President | — | ||
| CHRISTINA SCHAFER | Secretary | — | ||
| ANNE JETTER | Treasurer | — | ||
| STEPHANIE HANAWAY | Board Member | — | ||
| VICTOR RAIDER-WEXLER | Board Member | — | ||
| DANIEL SHINN | Board Member | — | ||
| HILLARY CLEMENS HARBOR | Board Member | — | ||
| MATT SCHWADER HARBOR | Board Member | — | ||
| SUSAN PORTER | 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
15 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
40 / 100
Priority Review
The three components combine into a single 0–100 score weighted as shown. Full methodology →
Peer comparison
Compared to 160 other orgs in MO with NTEE prefix A6.
Most-divergent component: financial score sits 38 points below the peer median (15 vs. 53).
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.
What's driving this score
- Comp-to-revenue ratio of 7.5% sits within the sector's healthy band (18–22%).
- Financial resilience score in the bottom quartile — reserves and liabilities ratios warrant review.
What would change this score
The two changes that would most improve this score:
- 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.