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
36
Score
Governance
55
Score
Financial
5
Score
Program
60
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
2025 Hidden Hidden — — Unknown —
2024 Hidden Hidden — — Unknown —
2023 — — 7.7% 36 Financially Distressed Decline Risk
2022 — — 7.0% 40 Financially Distressed Decline Risk
2021 — — 5.3% 50 Fragile Recovery
2020 — — 7.9% 40 Financially Distressed Decline Risk
2019 — — 4.8% 51 Fragile Recovery
2018 — — 14.0% 37 Financially Distressed Decline Risk
2017 — — 4.2% 55 Fragile Recovery
2016 — — 14.2% 33 Critical Intervention Needed Decline Risk
2015 — — 13.4% 39 Financially Distressed Decline Risk
2014 — — 4.6% 55 Fragile Recovery
2013 — — 10.3% 38 Financially Distressed Decline Risk
2012 — — 5.9% 50 Fragile Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
FISHER PATRICK Executive Director 8.3% of Rev
PATRICK FISHER Executive Director 7.7% of Rev
BERSHIK BETH Board President —
AGNEW THOMAS Board President —
RAK ROBERT Treasurer —
FREELAND MONTEZE Secretary —
MORGAN-LEE DR VERONICA Board President —
HIPPERT ROB Board Member —
LAMMEL OLIVIA Board Member —
LIMBACH ELSA Board Member —
MCCREARY JEANINE Board Member —
MORGAN-LEE DR VERONICA Board President —
NG NICHOLAS Board Member —
WESSELL MICHAEL A ESQ Board President —
PARSAKIAN RICHARD Board Member —
BONACCORSI JOHN L Secretary —
RUSSO-LONG NAYLI Board Member —
RAK ROBERT Treasurer —
SAWYER MICHAEL PHD Board Member —
AGNEW THOMAS Board Member —
TOMAYKO JACK Board Member —
BERSHOK BETH Board Member —
TSU SUSAN Board Member —
FREELAND MONTEZE Board Member —
HAHN CHRISTOPHER Board Member —
HIPPERT ROB Board Member —
LAMMEL OLIVIA Board Member —
LIMBACH ELSA Board Member —
MERRELL CLAYTON Board Member —
PARSAKIAN RICHARD Board Member —
SHELLMAN CECILE Board Member —
TOMAYKO JACK Board Member —
TSU SUSAN Board Member —

Tax year 2023

Name Title Phone Email Compensation
MITCH SWAIN Executive Director 8.7% of Rev
SANDRA SOLOMON Board President —
MICHAEL A WESSELL Board President —
TRACY EDMUNDS Board President —
VERONICA MORGAN-LEE Board President —
VICTOR DOZZI Treasurer —
DEBORAH ACKLIN Board Member —
THOMAS AGNEW Board Member —
MONTEZE FREELAND Board Member —
TOM CORDS Board Member —
ROBERT HIPPERT Board Member —
CHRISTOPHER HAHN Board Member —
SUSAN TSU Board Member —
PATRICK MOORE Board Member —
JACK TOMAYKO Board Member —
BETH BERSHOK Board Member —
DREW MARTORELLA Board Member —
PATRICK JORDAN Board Member —
RICHARD PARSAKIAN Board Member —
JANIS BURLEY WILSON Board Member —
JOHN BONACCORSI Secretary —
OLIVIA LAMMEL Board Member —

Tax year 2022

Name Title Phone Email Compensation
MITCH SWAIN Executive Director 8.3% of Rev
SANDRA SOLOMON Board President —
MICHAEL A WESSELL Board President —
TRACY EDMUNDS Board President —
CLAYTON MERRELL Board President —
VERONICA MORGAN-LEE Secretary —
VICTOR DOZZI Treasurer —
DEBORAH ACKLIN Board Member —
THOMAS AGNEW Board Member —
MONTEZE FREELAND Board Member —
TOM CORDS Board Member —
ROBERT HIPPERT Board Member —
CHRISTOPHER HAHN Board Member —
EMILY KRULL Board Member —
PATRICK MOORE Board Member —
JACK TOMAYKO Board Member —
BETH BERSHOK Board Member —
JOHN BONACCORSI Board Member —
ELSA LIMBACH Board Member —
DREW MARTORELLA Board Member —
PATRICK JORDAN Board Member —
HOLLY LORENZ Board Member —
RICHARD PARSAKIAN Board Member —
JANIS BURLEY 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
5 / 100
weight 40%
Governance risk
55 / 100
weight 40%
Program scale
60 / 100
weight 20%
Overall
36 / 100
Priority Review

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

Peer comparison

Compared to 41 other orgs in PA with NTEE prefix A9.

Most-divergent component: financial score sits 68 points below the peer median (5 vs. 73).

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.