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
32
Score
Governance
50
Score
Financial
0
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 | 13.4% | 32 | Critical Intervention Needed | Stable Watch | |
| 2022 | — | — | 6.8% | 34 | Critical Intervention Needed | Decline Risk | |
| 2021 | — | — | 10.0% | 44 | Financially Distressed | Recovery | |
| 2020 | — | — | 12.9% | 32 | Critical Intervention Needed | Decline Risk | |
| 2019 | — | — | 5.1% | 38 | Financially Distressed | Recovery | |
| 2018 | — | — | 9.3% | 34 | Critical Intervention Needed | Decline Risk | |
| 2017 | — | — | 9.6% | 38 | Financially Distressed | Decline Risk | |
| 2016 | — | — | 9.7% | 38 | Financially Distressed | Decline Risk | |
| 2015 | — | — | 8.2% | 44 | Fragile | Recovery | |
| 2014 | — | — | 8.7% | 34 | Critical Intervention Needed | Recovery | |
| 2013 | — | — | 9.7% | 42 | Financially Distressed | Decline Risk | |
| 2012 | — | — | 9.4% | 46 | Financially Distressed | Stable Watch | |
| 2011 | — | — | 8.6% | 46 | Financially Distressed | Stable Watch |
Officer compensation history
Tax year 2025
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| KATHLEEN YOUNG | Executive Director | 7.4% of Rev | ||
| KIP WILSON | Executive Director | 6.0% of Rev | ||
| JADINE NEILSEN | Board Member | — | ||
| RAMONA SAYRE | Board Member | — | ||
| GEORGE APTER | Board Member | — | ||
| HANK CHAPIN III | Board Member | — | ||
| WENDY GOODENOW | Board Member | — | ||
| JEAN TRAPIDO-ROSENTHAL | Board Member | — | ||
| JEFFREY S PORTNOY | Board President | — | ||
| PETER EHRMAN | Board President | — | ||
| ROBERT TAYLOR | Treasurer | — | ||
| SCOTT D LARIMER | Secretary | — | ||
| DAVID KENNEDY | CHAIRMAN | — | ||
| CHRIS C BAYOT | Board Member | — | ||
| NORBERT M BEULSING | Board Member | — | ||
| RANDY DIAMOND | Board Member | — | ||
| BLENN FUJIMOTO | Board Member | — | ||
| THOMAS ISHII | Board Member | — | ||
| STACEY KATAKURA | Board Member | — | ||
| MARY KUBOTA | Board Member | — | ||
| WILLIAM LINDEMANN | Board Member | — | ||
| MALEKO MCDONNELL | Board Member | — | ||
| MATTHEW MISHINA | Board Member | — | ||
| AMY MONK | Board Member | — | ||
| SCOTT MORITA | Board Member | — | ||
| RICHARD S MORRIS | Board Member | — | ||
| KAREN MUKAI | Board Member | — | ||
| BARBARA NICKERSON | Board Member | — | ||
| ALICE K TUCKER | Board Member | — | ||
| JD WATUMULL | Board Member | — | ||
| DAVID WILSON | Board Member | — |
Tax year 2023
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| KIP WILBORN | Executive Director | 7.0% of Rev | ||
| JEFFREY PORTNOY | CHAIRMAN OF THE BOARD | — | ||
| DAVID KENNEDY | Board President | — | ||
| PETER EHRMAN | Board President | — | ||
| LORI SUN | Secretary | — | ||
| ROBERT TAYLOR | Treasurer | — | ||
| GEORGE APTER | Board Member | — | ||
| NORBERT BUELSING | Board Member | — | ||
| HANK CHAPIN | Board Member | — | ||
| WENDY GOODENOW | Board Member | — | ||
| BLENN FUJIMOTO | Board Member | — | ||
| TOM ISHII | Board Member | — | ||
| MARY KUBOTA | Board Member | — | ||
| SCOTT LARIMER | Board Member | — | ||
| WILLIAM LINDEMANN | Board Member | — | ||
| MALEKO MCDONNELL | Board Member | — | ||
| MATTHEW MISHINA | Board Member | — | ||
| RICHARD MORRIS | Board Member | — | ||
| AMY MONK | Board Member | — | ||
| KAREN MUKAI | Board Member | — | ||
| ALYSON NAKAMURA | Board Member | — | ||
| BARBARA NICKERSON | Board Member | — | ||
| RAMONA SAYRE | Board Member | — | ||
| MARK TAYLOR | Board Member | — | ||
| JEAN TRAPIDO-ROSENTHAL | Board Member | — | ||
| ALICE TUCKER | Board Member | — | ||
| J D WATUMULL | Board Member | — | ||
| DAVE WILSON | Board Member | — |
Tax year 2022
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| KIP WILBORN | Executive Director | 6.3% of Rev | ||
| DAVID KENNEDY | Board President | — | ||
| PETER EHRMAN | Board President | — | ||
| LORI SUN | Secretary | — | ||
| ROBERT TAYLOR | Treasurer | — | ||
| GEORGE APTER | Board Member | — | ||
| NORBERT BUELSING | Board Member | — | ||
| HANK CHAPIN | Board Member | — | ||
| WENDY GOODENOW | Board Member | — | ||
| NEIL FIELD | Board Member | — | ||
| BLENN FUJIMOTO | Board Member | — | ||
| TOM ISHII | Board Member | — | ||
| MELANIE KOSAKA | Board Member | — | ||
| MARY KUBOTA | Board Member | — | ||
| SCOTT LARIMER | Board Member | — | ||
| WILLIAM LINDEMANN | Board Member | — | ||
| MALEKO MCDONNELL | Board Member | — | ||
| MATTHEW MISHINA | Board Member | — | ||
| RICHARD MORRIS | Board Member | — | ||
| AMY MONK | Board Member | — | ||
| KAREN MUKAI | Board Member | — | ||
| ALYSON NAKAMURA | Board Member | — | ||
| BARBARA NICKERSON | Board Member | — | ||
| RAMONA SAYRE | Board Member | — | ||
| MARK TAYLOR | Board Member | — | ||
| JEAN TRAPIDO-ROSENTHAL | Board Member | — | ||
| ALICE TUCKER | Board Member | — | ||
| J D WATUMULL | Board Member | — | ||
| DAVE WILSON | Board Member | — | ||
| JEFFREY PORTNOY | CHAIRMAN OF THE BOARD | — |
Tax year 2021
| Name | Title | Phone | Compensation | |
|---|---|---|---|---|
| KIP WILBORN | Executive Director | 6.3% of Rev | ||
| JEFFREY PORTNOY | CHAIRMAN OF THE BOARD | — | ||
| DAVID KENNEDY | Board President | — | ||
| PETER EHRMAN | Board President | — | ||
| NEIL FIELD | Secretary | — | ||
| ROBERT TAYLOR | Treasurer | — | ||
| LORI SUN | Board Member | — | ||
| GEORGE APTER | Board Member | — | ||
| NORBERT BUELSING | Board Member | — | ||
| LORETTA CHEN | Board Member | — | ||
| HANK CHAPIN | Board Member | — | ||
| TOM ISHII | Board Member | — | ||
| MELANIE KOSAKA | Board Member | — | ||
| MARY KUBOTA | Board Member | — | ||
| SCOTT LARIMER | Board Member | — | ||
| WILLIAM LINDEMANN | Board Member | — | ||
| MATTHEW MISHINA | Board Member | — | ||
| RICHARD MORRIS | Board Member | — | ||
| KAREN MUKAI | Board Member | — | ||
| ALYSON NAKAMURA | Board Member | — | ||
| BARBARA NICKERSON | Board Member | — | ||
| RAMONA SAYRE | Board Member | — | ||
| MARK TAYLOR | Board Member | — | ||
| JEAN TRAPIDO-ROSENTHAL | Board Member | — | ||
| ALICE TUCKER | Board Member | — | ||
| J D WATUMULL | Board Member | — | ||
| DAVE WILSON | 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
50 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
32 / 100
Priority Review
The three components combine into a single 0–100 score weighted as shown. Full methodology →
Peer comparison
Compared to 34 other orgs in HI with NTEE prefix A6.
Most-divergent component: financial score sits 29 points below the peer median (0 vs. 29).
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 13.4% 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.