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
38
Score
Governance
50
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 |
|---|---|---|---|---|---|---|---|
| 2024 | Hidden | Hidden | — | — | Unknown | — | |
| 2023 | Hidden | Hidden | 10.6% | 38 | Financially Distressed | Decline Risk | |
| 2022 | — | — | 13.7% | 44 | Financially Distressed | Decline Risk | |
| 2021 | — | — | 8.1% | 54 | Fragile | Recovery | |
| 2020 | — | — | 14.2% | 51 | Fragile | Recovery | |
| 2019 | — | — | 9.1% | 40 | Financially Distressed | Decline Risk | |
| 2018 | — | — | 9.4% | 42 | Financially Distressed | Recovery | |
| 2017 | — | — | 10.0% | 42 | Financially Distressed | Decline Risk | |
| 2016 | — | — | 10.2% | 44 | Financially Distressed | Stable Watch | |
| 2015 | — | — | 8.7% | 46 | Financially Distressed | Recovery | |
| 2014 | — | — | — | 49 | Fragile | Recovery | |
| 2013 | — | — | — | 45 | Fragile | Decline Risk | |
| 2012 | — | — | — | 49 | Fragile | Recovery | |
| 2011 | — | — | — | 41 | Fragile | Stable Watch |
Officer compensation history
Tax year 2025
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| GINGER POOLE | Executive Dir. | 7.4% of Rev | ||
| LAURENCE E KUFEL | Board Member | 3.2% of Rev | ||
| MAXWELL H WIEGARD | Board Member | — | ||
| AMANDA NELSON | Board Member | — | ||
| DAVID K ALLEN | Treasurer | — | ||
| ROBYN HAKANSON | Board Member | — | ||
| WILLIAM L LEE | Board President | — | ||
| ELIZABETH RICE MARTIN MD | Board Member | — | ||
| BEVERLY LEARMAN | Board Member | — | ||
| DORIS ROGERS | Board President | — | ||
| CAROLYN RAKES | Board Member | — | ||
| NANCY REYNOLDS | Board Member | — | ||
| Linda Garbee | Board Member | — | ||
| AMY BRIDGE | Board Member | — | ||
| KERRY EDMONDS | Board Member | — | ||
| ANTHONY-SAMUEL LAMANTIA PHD | Board Member | — | ||
| WILL TRINKLE | Board Member | — | ||
| ARMIDA VALLES-KLUTE | Board Member | — | ||
| LAURA MCKEAGE | Board Member | — | ||
| SHERRENE ROANNE WELLS | Board Member | — | ||
| EDWARD M SMITH | Board Member | — |
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| GINGER POOLE | Executive Dir. | 6.5% of Rev | ||
| LAURENCE E KUFEL | Board Member | 3.0% of Rev | ||
| MAXWELL H WIEGARD | Board Member | — | ||
| LORI D CAULEY | Treasurer | — | ||
| DAVID K ALLEN | Board President | — | ||
| ROBYN HAKANSON | Board Member | — | ||
| WILLIAM L LEE | Board Member | — | ||
| ELIZABETH RICE MARTIN MD | Board Member | — | ||
| BEVERLY LEARMAN | Board Member | — | ||
| DORIS ROGERS | Secretary | — | ||
| CYNTHIA LAWRENCE | Board Member | — | ||
| Lauren Ellerman | Board Member | — | ||
| JUDY TENZER | Board Member | — | ||
| Linda Garbee | Board Member | — | ||
| NATHANIEL L BISHOP | Board Member | — | ||
| J LEE OSBORNE | Board Member | — | ||
| NANCY RUTH PATTERSON | Board Member | — | ||
| ANTHONY-SAMUEL LAMANTIA PHD | Board Member | — | ||
| WILL TRINKLE | Board Member | — | ||
| NANCY O GRAY | Board Member | — | ||
| LAURA MCKEAGE | Board Member | — | ||
| GARY S POWERS | Board President | — | ||
| EDWARD M SMITH | Board Member | — |
Tax year 2022
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| GINGER POOLE | Executive Dir. | 6.8% of Rev | ||
| LAURENCE E KUFEL | Board Member | 2.2% of Rev | ||
| MAXWELL H WIEGARD | Board Member | — | ||
| LORI D CAULEY | Treasurer | — | ||
| DAVID K ALLEN | Board Member | — | ||
| ROBYN HAKANSON | Board Member | — | ||
| WILLIAM L LEE | Board Member | — | ||
| ELIZABETH RICE MARTIN MD | Board Member | — | ||
| DORIS ROGERS | Board Member | — | ||
| CYNTHIA LAWRENCE | Board Member | — | ||
| Lauren Ellerman | Board Member | — | ||
| JUDY TENZER | Board Member | — | ||
| Linda Garbee | Board Member | — | ||
| NATHANIEL L BISHOP | Secretary | — | ||
| J LEE OSBORNE | Board President | — | ||
| NANCY RUTH PATTERSON | Board Member | — | ||
| ANTHONY-SAMUEL LAMANTIA PHD | Board Member | — | ||
| REYNOLDS G LYNCH II | Board Member | — | ||
| WILL TRINKLE | Board Member | — | ||
| NANCY O GRAY | Board Member | — | ||
| MACEL HUBBARD JANOSCHKA | Board President | — | ||
| LAURA MCKEAGE | Board Member | — | ||
| GARY S POWERS | Board Member | — | ||
| EDWARD M SMITH | Board Member | — |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| GINGER POOLE | Executive Dir. | 4.8% of Rev | ||
| LAURENCE E KUFEL | Board Member | 1.8% of Rev | ||
| MAXWELL H WIEGARD | Board Member | — | ||
| LORI D CAULEY | Treasurer | — | ||
| DAVID K ALLEN | Board Member | — | ||
| ROBYN HAKANSON | Board Member | — | ||
| WILLIAM L LEE | Board Member | — | ||
| ELIZABETH RICE MARTIN MD | Board Member | — | ||
| DORIS ROGERS | Board Member | — | ||
| CYNTHIA LAWRENCE | Board Member | — | ||
| Lauren Ellerman | Board Member | — | ||
| JUDY TENZER | Board Member | — | ||
| Linda Garbee | Board Member | — | ||
| NATHANIEL L BISHOP | Secretary | — | ||
| J LEE OSBORNE | Board President | — | ||
| NANCY RUTH PATTERSON | Board Member | — | ||
| ANTHONY-SAMUEL LAMANTIA PHD | Board Member | — | ||
| REYNOLDS G LYNCH II | Board Member | — | ||
| WILL TRINKLE | Board Member | — | ||
| NANCY O GRAY | Board Member | — | ||
| MACEL HUBBARD JANOSCHKA | Board President | — | ||
| VIRGINIA JARRETT | Board Member | — | ||
| LAURA MCKEAGE | Board Member | — | ||
| GARY S POWERS | Board Member | — | ||
| EDWARD M SMITH | 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
50 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
38 / 100
Priority Review
The three components combine into a single 0–100 score weighted as shown. Full methodology →
Peer comparison
Compared to 242 other orgs in VA 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 10.6% 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.