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

Ryan’s Story

Ryan’s addiction began when he got into a car accident and was prescribed pain medication. He quickly became addicted and lost his apartment, his car and many of his friends. It wasn’t until his foster mom called that he told her he needed help. Ryan went to a Centerstone Recovery Center where he set out on a life free from addiction.

Fiscal Year 2022 Highlights

These highlights and accomplishments are just a small sample of the milestones Centerstone’s dedicated team members have achieved in their efforts to enhance the lives of our patients and communities.

  • In fiscal year 2022, Centerstone secured $4,654,378 to further our mission of delivering care that changes people’s lives, while also introducing 817 new donors to our organization’s important work. Through partnerships with generous and dedicated donors, the Foundation established eight new endowment funds that will provide financial resources to Centerstone’s patients for generations to come.
  • Through the leadership and advocacy of its National Policy Committee and One Hundred Champions Initiative, Centerstone was instrumental in ushering the adoption of 988 legislation, paving the way for the transformation of crisis services throughout the nation. Both of these initiatives were chaired by Board Member Reed Farley.
  • In Tennessee, Centerstone expanded the capacity of supportive housing services in Tennessee by 82% to help people transition back to their everyday lives.
  • Centerstone received $3.2 million from Steven A. Cohen and the Cohen Veterans Network and Wounded Warrior Project to support care delivery in our three specialty military clinics and our global network of military-competent therapists.
  • Centerstone became the first organization in the state of Indiana to accept patients taking methadone from an opioid treatment provider to enter into residential substance use treatment, opening the door for more people to get the help they need.
  • Centerstone was awarded more than $38.6 million in federal funding to, in partnership with government agencies, enhance and expand critically needed services. Examples of key awards include SAMHSA/CMHS Community Mental Health Center grants; SAMHSA/CSAT Medication Assisted Treatment – Prescription Drug and Opioid Addiction (MAT-PDOA) grants and a HRSA Behavioral Health Workforce Education and Training program for Professionals grant.
  • Centerstone entered into an official partnership with Stop Soldier Suicide, allowing for an expansion of mental health counseling services to veterans across this country with a special focus on treating suicidal ideation. The partnership with Stop Soldier Suicide enables more veterans who are at high risk to get the help they need and save lives.
  • Centerstone was awarded a $5 million, two-year federal grant to expand and improve crisis response services, including the development of rapid clinical response teams and regional mobile crisis response teams.
  • Centerstone received $900,000 in grants from Illinois Children’s Healthcare Foundation’s COVID School Wellness Initiative to provide mental and emotional health services to students, families and staff at Giant City Schools, Johnston City Schools, and Carterville Unit Schools. Also in Illinois, Centerstone was awarded a three-year $480,000 grant from the Illinois Department of Human Services’ Division of Developmental Disabilities to create a competitive integrated employment program for adults with intellectual and/or developmental disabilities (I/DD).
  • Centerstone began a $3M renovation of the Centerstone Behavioral Health Hospital & Addiction Center in Florida. Expected to be complete in early 2023, renovations include new safety features, expansion of the 24/7 Access Center, new patient rooms, including some private rooms, meeting space and nurses’ station.
  • Centerstone’s Psychiatry Residency Consortium became the 6th largest doctoral psychology internship program in the US and the largest internship program in the Southeast US. Since it began in 2001, more than 290 doctors have graduated from Centerstone’s Residency Program, making it one of the most competitive in the country.
illustration of pumpkin pie slice

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

Christine’s Story

A mother of seven, Christine decided to become a foster parent when she was introduced to Centerstone’s foster care program by a member of her church. With the training and support she received through the process, Christine has fostered dozens of children who otherwise would have no place else to go. She says the most important thing is for children to know that someone loves and cares for them, and that’s exactly what she set out to do.

By the Numbers

people served

services provided

school partners

foster children placed with families

patients served at our hospital

military members and families served

staff nationwide

network therapists nationwide

Chris’ Story

Chris is a Marine Corps Reserves veteran working with the Air National Guard on geospatial analysis. He has been trying to find mental healthcare for more than five years and was referred to Centerstone when he reached out to his chaplain. Chris says the counselor’s ability to relate to his military experience helped him with his mental health journey and his ability to trust his counselors.

Carol Bean headshot

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!

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Our Donors


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The Lotus Flower

This year’s annual report has a central theme that incorporates imagery of the lotus flower. Each day, lotus flowers ascend through murky waters to bloom at the surface. They represent strength and resilience, much like Centerstone patients do as they choose to rise each day to the challenges of working toward recovery and reaching their full potential. The lotus flower reminds us of this, and that there is beauty to be discovered, even in the most dark and difficult of places.

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