Centerstone

Legal name: Centerstone of America Inc

Nonprofit profile at a glance

EIN
200072992
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Nashville, TN, USA
Phone
6154636610
Rating
89
Verdict
STRONG
Rating confidence
Moderate
Sector
Mental Health, Crisis Intervention N.E.C.

Official website

Reported finances

Revenue
$51,853,446
Expenses
$51,883,579
Assets
$42,483,556
Liabilities
$45,242,466

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

26 people listed

Executive titles in this filing

  • DAVID GUTH (CEO)
  • ANNE TYREE (CEO CENTERSTONE OF ILLINOIS)
  • ASHLEY NEWTON (CEO CENTERSTONE RESEARCH INSTITUTE)
  • BENJAMIN MIDDLETON (CEO CENTERSTONE OF TENNESSEE)
  • MELISSA LARKIN-SKINNER (CHIEF EXECUTIVE OFFICER CFL)
  • SUZANNE KOESEL (CEO CSI)

Highest reported compensation

  • DAVID GUTH (CEO): $836,071 total reported compensation
  • KEVIN NORTON (CHIEF OPERATING OFFICER): $604,550 total reported compensation
  • JASON HERNANDEZ (CHIEF HR OFFICER): $464,532 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Delivering care that changes people’s lives. Centerstone’s Foundation works to unite the hearts of donors with the needs of our clients and programs. The Foundation brings philanthropic support from individuals, businesses and grant funders to Centerstone in support of our mission to “deliver care that changes people’s lives”. Gifts to Centerstone provide tremendous opportunity in the lives of children, youth, adults and families seeking a path to recovery and wellness. Our donors and funders help advance care and health outcomes while providing direct support for key clinical initiatives of Centerstone. In FY2020, Centerstone’s Foundation secured more than $3.2 million in philanthropic gifts. []( Centerstone’s Military Services.

What it reported doing in 2024

Centerstone of america, inc. Exists to serve its affiliated organizations through operations support, business analytics, unified branding, seamless technology network and communications infrastructure, and financial services.

Operating model

Revenue model
Earned-program. 97% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 94
  • Accountability: 95
  • Sustainability: 23
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 99.6%; rating input score 100
  • Program expense ratio: 99.7%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Missing
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.1%; rating input score 27; 27th percentile among comparable filings
  • Total-asset coverage ratio: 0.82; rating input score 32; 32nd percentile among comparable filings
  • Liabilities to assets ratio: 1.06; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 13.1%; rating input score 2; 2nd percentile among comparable filings

Growth

  • Program expense growth: 10% per year; rating input score 100; 74th percentile among comparable filings
  • Revenue growth: 10.2% per year; rating input score 100; 77th percentile among comparable filings
  • Asset growth: 12.5% per year; rating input score 100; 80th percentile among comparable filings

Details

  • What they do: 4 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 99.6% of revenue deployed · 99.7% of spending went to programs
  • Governance: 7 of 7 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $51.7M in reported program spending
  • Leadership: top reported pay $836K · 26 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $1.4M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 7 filed schedules · includes executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 19 filed money-flow records
  • Related organizations: 31 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 27/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 32/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • High — Sustainability: Officer compensation ratio scored 2/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.