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
30
Score
Governance
55
Score
Financial
0
Score
Program
45
Score

Institutional Epochs

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 9.0% 30 Critical Intervention Needed Recovery
2023 29 Critical Intervention Needed Decline Risk
2022 6.3% 42 Fragile Recovery
2021 25.7% 30 Critical Intervention Needed Recovery
2020 12.2% 29 Critical Intervention Needed Stable Watch
2019 29 Critical Intervention Needed Stable Watch
2018 29 Critical Intervention Needed Stable Watch
2017 29 Critical Intervention Needed Decline Risk
2016 35 Critical Intervention Needed Stable Watch

Officer compensation history

Tax year 2025

Name Title Phone Email Compensation
WENDY HIRSCH Executive Director 9.0% of Rev
PAUL RIDEOUT Board President
MERCEDES KUCYK Treasurer
JOEL SCRAPER Board President
BEVERLY ZIGELMAN Secretary
THOMAS HERLONG Board President
DORIS BEGLEY Board Member
KENA BLACK Board Member
JUANITA CAMPBELL Board Member
SANDY COSTANZO Board Member
WAYNE FREI MD Board Member
LISA GLASS Board Member
BOB HOOD Board Member
PATTI MONCZEWSKI Board Member
JOSEPH STEEL Board Member
BILL TISZAI Board Member
EM LIGON Board Member

Tax year 2023

Name Title Phone Email Compensation
WENDY HIRSCH Executive Director 8.1% of Rev
THOMAS HERLONG Board President
PAUL RIDEOUT Treasurer
SCOTT WIESS CONDUCTOR
SANDY COSTANZO Board President
BEVERLY ZIGELMAN Secretary

Tax year 2022

Name Title Phone Email Compensation
DEEDEE VAUGHTERS Executive Director 7.3% of Rev
WENDY HIRSCH Board Member 6.9% of Rev
THOMAS HERLONG Board President
DAVID ALLEN Board President
PAUL RIDEOUT Treasurer
DOIRS BEGLEY AUDIENCE RELATIONS
SANDY COSTANZO Board President
DR DONALD PORTNOY Board Member
BEVERLY ZIGELMAN Secretary

Tax year 2021

Name Title Phone Email Compensation
DEEDEE VAUGHTERS Executive Director 5.1% of Rev
WENDY HIRSCH SYMPHONY ADMINISTRATOR 4.8% of Rev
THOMAS HERLONG Board President
DAVID ALLEN Board President
PAUL RIDEOUT Treasurer
DOIRS BEGLEY AUDIENCE RELATIONS
SANDY COSTANZO CHIEF ADMINSTRATIVE OFFICER
DR DONALD PORTNOY Board Member
DENNIS DERKSEN Vice President
HOLLY WOLTZ Board Member
CODY ANDERSON Board Member
MARY BARNETT Board Member
CATHERINE BEDENBAUGH Board Member
JOHN BIGGER Board Member
VICKI BUKOVITZ Board Member
PAUL CROOK Board Member
THOMAS HOFSTETTER Board President
SHARON JOHNSON Board President
JAMES OREMUS Board Member
JUDY RECTOR Board President
PAUL RIDEOUT Board Member
DAVID TAVERNIER Board Member
KITTY YUNDT 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
55 / 100
weight 40%
Program scale
45 / 100
weight 20%
Overall
30 / 100
Priority Review

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

Peer comparison

Compared to 97 other orgs in SC with NTEE prefix A6.

Most-divergent component: financial score sits 33 points below the peer median (0 vs. 33).

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.