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
42
Score
Governance
55
Score
Financial
25
Score
Program
60
Score

Institutional Epochs

2010
2011
2012
2013
2014
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 10.0% 42 Financially Distressed Decline Risk
2023 3.6% 47 Financially Distressed Decline Risk
2022 3.4% 53 Fragile Stable Watch
2021 7.0% 52 Fragile Recovery
2020 4.2% 45 Financially Distressed Decline Risk
2019 3.4% 47 Financially Distressed Decline Risk
2018 2.7% 51 Fragile Recovery
2017 3.4% 41 Financially Distressed Decline Risk
2016 3.8% 43 Financially Distressed Decline Risk
2015 3.5% 47 Financially Distressed Decline Risk
2014 3.8% 47 Financially Distressed Decline Risk
2013 2.9% 51 Fragile Recovery
2012 3.1% 47 Financially Distressed Recovery
2011 44 Financially Distressed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
SHELLEY BROWN Executive Director 4.4% of Rev
TRACY SNYDER CHIEF FINANCIAL OFFICER 2.9% of Rev
MARK RAFINSKI Vice President 2.7% of Rev
S GRAHAM SIMMONS CHAIRMAN
RENEE JAMES 1ST VICE CHAIRMAN
CINDY PENCHISHEN Treasurer
PETER GRAY Secretary
ANTHONY DARE Board Member
DAVID HINSON Board Member
MICHAEL LOTITO Board Member
KIM ROMPILLA Board Member
FORREST STUART Board Member

Tax year 2023

Name Title Phone Email Compensation
SHELLEY BROWN Executive Director 4.3% of Rev
S GRAHAM SIMMONS CHAIRMAN
RENEE JAMES 1ST VICE CHAIRMAN
CINDY PENCHISHEN Treasurer
PETER GRAY Secretary
ANTHONY DARE Board Member
CYNTHIA DIRENZO Board Member
DAVID HINSON Board Member
BEVERLY PESARESI Board Member
CHAND ROHATGI Board Member
KIM ROMPILLA Board Member
MELISSA STARACE Board Member

Tax year 2021

Name Title Phone Email Compensation
SHELLEY BROWN Executive Director 4.2% of Rev
SHELLEY BROWN Executive Director 4.2% of Rev
CHARLES STEHLY CHAIRMAN
RENEE JAMES 1ST VICE CHAIRMAN
CINDY PENCHISHEN Treasurer
PETER GRAY Secretary
DON CUNNINGHAM Board Member
ANTHONY DARE Board Member
JON DAVIS Board Member
TERRENCE DEFRANCO Board Member
CYNTHIA DIRENZO Board Member
DAVID HINSON Board Member
ERIC LUFTIG Board Member
BEVERLY PESARESI Board Member
CHAND ROHATGI Board Member
KIM ROMPILLA Board Member
S GRAHAM SIMMONS Board Member
MELISSA STARACE Board Member
S GRAHAM SIMMONS CHAIRMAN
RENEE JAMES 1ST VICE CHAIRMAN
CINDY PENCHISHEN Treasurer
PETER GRAY Secretary
ANTHONY DARE Board Member
CYNTHIA DIRENZO Board Member
DAVID HINSON Board Member
ERIC LUFTIG Board Member
BEVERLY PESARESI Board Member
CHAND ROHATGI Board Member
KIM ROMPILLA Board Member
MELISSA STARACE Board Member
CHARLES STEHLY 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
25 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
42 / 100
Priority Review

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

Peer comparison

Compared to 295 other orgs in PA with NTEE prefix A6.

Most-divergent component: program score sits 28 points above the peer median (60 vs. 32).

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.