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
30
Score
Governance
55
Score
Financial
0
Score
Program
45
Score

Institutional Epochs

2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
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 9.0% 30 Critical Intervention Needed Recovery
2023 — — — 29 Critical Intervention Needed Decline Risk
2022 — — 6.3% 42 Fragile Recovery
2021 — — 25.7% 30 Critical Intervention Needed Recovery
2020 — — 12.2% 29 Critical Intervention Needed Stable Watch
2019 — — — 29 Critical Intervention Needed Stable Watch
2018 — — — 29 Critical Intervention Needed Stable Watch
2017 — — — 29 Critical Intervention Needed Decline Risk
2016 — — — 35 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
WENDY HIRSCH Executive Director 9.0% of Rev
PAUL RIDEOUT Board President —
MERCEDES KUCYK Treasurer —
JOEL SCRAPER Board President —
BEVERLY ZIGELMAN Secretary —
THOMAS HERLONG Board President —
DORIS BEGLEY Board Member —
KENA BLACK Board Member —
JUANITA CAMPBELL Board Member —
SANDY COSTANZO Board Member —
WAYNE FREI MD Board Member —
LISA GLASS Board Member —
BOB HOOD Board Member —
PATTI MONCZEWSKI Board Member —
JOSEPH STEEL Board Member —
BILL TISZAI Board Member —
EM LIGON Board Member —

Tax year 2023

Name Title Phone Email Compensation
WENDY HIRSCH Executive Director 8.1% of Rev
THOMAS HERLONG Board President —
PAUL RIDEOUT Treasurer —
SCOTT WIESS CONDUCTOR —
SANDY COSTANZO Board President —
BEVERLY ZIGELMAN Secretary —

Tax year 2022

Name Title Phone Email Compensation
DEEDEE VAUGHTERS Executive Director 7.3% of Rev
WENDY HIRSCH Board Member 6.9% of Rev
THOMAS HERLONG Board President —
DAVID ALLEN Board President —
PAUL RIDEOUT Treasurer —
DOIRS BEGLEY AUDIENCE RELATIONS —
SANDY COSTANZO Board President —
DR DONALD PORTNOY Board Member —
BEVERLY ZIGELMAN Secretary —

Tax year 2021

Name Title Phone Email Compensation
DEEDEE VAUGHTERS Executive Director 5.1% of Rev
WENDY HIRSCH SYMPHONY ADMINISTRATOR 4.8% of Rev
THOMAS HERLONG Board President —
DAVID ALLEN Board President —
PAUL RIDEOUT Treasurer —
DOIRS BEGLEY AUDIENCE RELATIONS —
SANDY COSTANZO CHIEF ADMINSTRATIVE OFFICER —
DR DONALD PORTNOY Board Member —
DENNIS DERKSEN Vice President —
HOLLY WOLTZ Board Member —
CODY ANDERSON Board Member —
MARY BARNETT Board Member —
CATHERINE BEDENBAUGH Board Member —
JOHN BIGGER Board Member —
VICKI BUKOVITZ Board Member —
PAUL CROOK Board Member —
THOMAS HOFSTETTER Board President —
SHARON JOHNSON Board President —
JAMES OREMUS Board Member —
JUDY RECTOR Board President —
PAUL RIDEOUT Board Member —
DAVID TAVERNIER Board Member —
KITTY YUNDT 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
0 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
45 / 100
weight 20%
Overall
30 / 100
Priority Review

The three components combine into a single 0–100 score weighted as shown. Full methodology →

Peer comparison

Compared to 129 other orgs in SC with NTEE prefix A6.

Most-divergent component: financial score sits 45 points below the peer median (0 vs. 45).

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

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.