Centerstone’s
Annual Report
Fiscal Year 2022
“Just like the lotus, we too have the ability to rise from the mud, bloom out of the darkness, and radiate into the world.”
– Unknown
Centerstone is a nonprofit health system providing mental health and substance use disorder treatments. Services are available nationally through the operation of outpatient clinics, residential programs, school-based services, the use of telehealth and an inpatient hospital.
From David
Friends of Centerstone,
As I reflect on the past year, I am so grateful to our amazing boards of directors and our dedicated staff for the many accomplishments Centerstone has been able to achieve. And nothing makes me more proud than the continued, incredible care for our patients and support for our colleagues.
As we passed through the worst of the COVID-19 pandemic, our organization continued a full complement of clinical services, ensuring all of our patients maintained access to care. We celebrated dedicated colleagues who made the generous decision to work beyond their planned retirement to support our mission, and we welcomed the new leaders who now fill their shoes.
We are grateful for the exceptional state and national policy work of our boards of directors and other key volunteers in advocating for people with mental illness. Most notably, our advocacy efforts were instrumental in securing the continued access to telehealth services and in the historic launch of the national 988 Suicide & Crisis Lifeline, which we can see is connecting people to life saving services.
The coming year promises continued forward progress for Centerstone. We realize there are two profound changes happening within the field of behavioral health: the understanding and use of telehealth technology; and the public perception of mental illness and addiction as important, treatable conditions that deserve respect, support, and expert care. These two things have impacted employers, legislators, individuals and their families’ willingness to reach out. My commitment is we are not going to squander those changes. This is the time to capture that momentum and continue to lead the positive impact on behavioral health in this country. Centerstone is uniquely positioned to create more open access, more effective treatments, and continue our noble purpose of delivering care that changes people’s lives, and that’s exactly what we will do!
David C. Guth, Jr. | CEO
Thanksgiving Pie & Legislative Advocacy:
How Centerstone Helped the 988 Suicide & Crisis Lifeline Become a Reality
Crisis care in America was forever changed on July 16, 2022 with the official launch of the 988 Suicide & Crisis Lifeline. What many people don’t realize is that the precipice for the three-digital dialing code for mental health and suicide emergencies can be traced back to a conversation over Thanksgiving pie in Utah. In 2016, Senator Orrin Hatch and Representative Chris Stewart were sharing a meal together when they began discussing solutions to increase access to crisis care services in Utah. Hatch told Stewart “you’re thinking too small.” They then began working on ways to implement a national three-digit telephone number that anyone in the country could call for a suicide or mental health crisis, and in 2017, the National Suicide Hotline Improvement Act was introduced.
After the National Suicide Hotline Improvement Act was signed into law by President Trump in August 2018, the Federal Communications Commission (FCC) began working on a report for Congress. This report included findings from multiple federal agencies and several rounds of public comments, including those submitted by Centerstone. In the report, the FCC detailed the dire need for increased access to care and concluded a three-digital dialing code would, in fact, play a key role in improving the effectiveness of suicide prevention efforts and ease access to crisis services.
In August 2019, less than one week after the FCC delivered their report, Representatives Stewart and Seth Moulton introduced the National Suicide Hotline Designation Act to officially designate 988 as the 3-digit mental health and suicide prevention line. From there Centerstone took center stage in leading national advocacy efforts on the bill. Centerstone Board Members and staff, including Becky Stoll and Lauren Conaboy, met numerous times with congressional staffers and FCC representatives, engaged with and encouraged dozens of mental health organizations to sign-on to the bill, co-hosted congressional briefings and press conferences, and worked to build support across a range of critical stakeholders that ultimately generated the necessary momentum to advance the bill through key congressional committees without opposition.
After years of dedicated effort, the National Suicide Hotline Designation Act unanimously passed the Senate chamber in May 2020, and passed unanimously by the House in September 2020. The bill was signed into law the following month by the President. The mental health community celebrated this monumental victory and Centerstone received many acclamations and thanks, including from FCC Chairman Ajit Pai and numerous congressional staffers. From that point, mental health providers, telecomm providers, and state governments got to work, beginning the years-long process to prepare for the launch of 988 in 2022.
Now that 988 has officially launched, Centerstone continues to support this critical initiative by operating a 988 Call Center and a National 988 Chat/Text Back-Up Center, answering thousands of messages from people in crisis each month, and connecting those individuals with care and resources. Though the work took several years to come to fruition, we at Centerstone wouldn’t have changed a thing because we know the positive impact it will have and believe it will forever transform how Americans access crisis care treatment.
• In 2021, 47,646 Americans died by suicide and more than 1 million people attempted suicide
• It is estimated that more than 20 veterans die by suicide each day
• Youth suicides reached a five-decade high in 2021 with more than 7,000 deaths among people aged 10-24
If you or someone you know is experiencing a mental health or suicide crisis, please contact the 988 Suicide & Crisis Lifeline by calling or texting 988 or chatting online at 988lifeline.org.
Financial Growth
“The financial impact of the COVID-19 pandemic continues to remain challenging for many organizations, and Centerstone has certainly not been immune. Despite this, we have seen signs of positive financial progress over the last fiscal year. Our revenues grew by 1.3% year over year with minimal impact from pandemic-related stimulus funding, and we’ve also received announcements of possible reimbursement rate increases in some of our states. These are just two of many encouraging examples that tell us our financial stewardship efforts are working and Centerstone’s financial future is promising.”
-Carol Bean, Chief Financial Officer
| Service Line | Revenue |
|---|---|
| Inpatient Care | $14,124,127 |
| Residential Treatment | $27,626,877 |
| Crisis Services | $9,728,117 |
| Outpatient Medical Services | $18,682,082 |
| Non-Behavioral Physical Medicine | $13,332,408 |
| Integrated Care Coordination Services | $170,232 |
| Counseling Services | $38,240,984 |
| Rehabilitation Services | $4,997,919 |
| Community Based Services | $89,557,191 |
| Forensic | $3,265,643 |
| Child Welfare – Foster Care | $8,189,866 |
| Psychosocial | $21,387,815 |
| Pharmacy | $17,331,360 |
| Evaluation & Other Consulting Services | $2,136,731 |
| Other | $36,954,074 |
| Total Revenue | $305,725,431 |
Centerstone Community
Centerstone’s life-changing work would not be possible without the generous contributions of our Board Members, donors, and volunteers. Whether you give your time, your expertise, or your dollars, we want you to know you are positively impacting people in communities across the country. Thank you for your support!
