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
41
Score
Governance
50
Score
Financial
30
Score
Program
45
Score

Institutional Epochs

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 Hidden Hidden 12.1% 41 Financially Distressed Decline Risk
2022 — — 11.5% 45 Fragile Decline Risk
2021 — — 8.9% 54 Fragile Recovery
2020 — — 9.5% 34 Critical Intervention Needed Recovery
2019 — — 10.0% 30 Critical Intervention Needed Recovery
2018 — — 11.0% 39 Financially Distressed Decline Risk
2017 — — 8.7% 40 Financially Distressed Decline Risk
2016 — — 8.5% 48 Fragile Recovery
2015 — — 12.2% 39 Financially Distressed Decline Risk
2014 — — 13.4% 41 Financially Distressed Recovery
2013 — — 17.1% 41 Fragile Stable Watch
2012 — — 24.9% 37 Fragile Gov Risk

Officer compensation history

Tax year 2023

Name Title Phone Email Compensation
DEBRA PFLUGHOEFT-HASSET Executive Director 11.9% of Rev
BECCA BAUMBACH Secretary —
MARK SCHILL Board Member —
JULIE RYGG Board President —
BRYAN SCHOLLER Treasurer —
DONNA SMITH Board President —
HAL GERSHMAN Board Member —
KRISTI HALL-JIRAN Board Member —
JAMIE LUNSKI Board Member —
MAUREEN STORSTAD Board Member —
JONATHAN HOLTHI Board President —
KATHLEEN COUDLE-KING Board Member —

Tax year 2022

Name Title Phone Email Compensation
Debra Pflughoeft-Hasset Executive Director 9.4% of Rev
Donna Smith Board President —
Julie Rygg Board President —
Bryan Scholler Treasurer —
Hal Gershman Board Member —
Kathleen Coudle-King Board Member —
Jamie Lunski Board Member —
Mark Schill Board Member —
Tami Vigness Board Member —
Korrie Wenzel Board Member —
Kristi Hall-Jiran Board Member —
Jonathan Holth Board President —

Tax year 2021

Name Title Phone Email Compensation
Emily Montgomery Executive Director 5.8% of Rev
Debra Pflughoeft-Hasset Executive Director 5.0% of Rev
Jonathan Holth Board President —
Donna Smith Board President —
Bryan Scholler Treasurer —
Hal Gershman Board Member —
Julie Rygg Board Member —
Jamie Lunski Board Member —
Misty Paul Board Member —
Shannon Mikula Board Member —
Tami Vigness Board Member —
Korrie Wenzel Board Member —
Kristi Hall-Jiran Board Member —
Brett Olson 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
30 / 100
weight 40%
Governance risk
50 / 100
weight 40%
Program scale
45 / 100
weight 20%
Overall
41 / 100
Priority Review

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

Peer comparison

Compared to 23 other orgs in ND with NTEE prefix A2.

Most-divergent component: financial score sits 35 points below the peer median (30 vs. 65).

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 30 → 41 over 5 years (improving by 11 points). A multi-year directional move of this magnitude is a signal worth investigating.

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.