Centerstone
Legal name: Centerstone of Indiana Inc
Nonprofit profile at a glance
- EIN
- 351147323
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Nashville, TN, US
- Phone
- 877-467-3123
- Rating
- 87
- Verdict
- STRONG
- Rating confidence
- Standard
- Sector
- Psychiatric Hospitals
Reported finances
- Revenue
- $107,622,845
- Expenses
- $111,141,962
- Assets
- $52,721,559
- Liabilities
- $25,670,510
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
24 people listed
Executive titles in this filing
- SUZANNE KOESEL (CEO)
Highest reported compensation
- ANNE LEACH (PSYCHIATRIST): $329,919 total reported compensation
- SUZANNE KOESEL (CEO): $327,250 total reported compensation
- MARK JONES (PSYCHIATRIST): $325,708 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Centerstone believes mental health matters for everyone. We embrace the uniqueness of each individual and foster an environment where each person is valued for their experiences and perspectives.
What it reported doing in 2024
Centerstone in Indiana secured its ccbhc certification through the state of Indiana and was the largest of eight organizations to enter the ccbhc demonstration on january 1, 2025. The ccbhc operating model ensures access to care, preventative physical health screenings and care coordination, new and expanded evidenced-based treatments, and expansion of and sustainable funding for our crisis services continuum. In fy25, centerstone in Indiana expanded staff by nearly 170 ftes, adding therapists, nurses, psychiatrists, recovery and health coaches, peer specialists and care coordinators in each of its 15 ccbchc clinic sites. Turnover in fy25 was reduced by 17% over fy24. This expansion improved the time to access care for both crisis and routine appointments, allowed for the expansion of evidence-based programs to new sites, and ensured expanded screening and care coordination for all individuals in carecenterstone added a third regional stride crisis stabilization and receiving center and mobile crisis team, ensuring 24-7 mental health crisis services to all fifteen ccbhc counties. With nearly 5,000 visits in fy25, stride center guests, on average, reported a rating of 9.2/10 satisfaction with services and had a 29% improvement in mood by the end of their stay.
Operating model
- Revenue model
- Earned-program. 65% 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: 85
- Transparency & Controls: 91
- Accountability: 96
- Sustainability: 25
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 86.7%; rating input score 87
- Program expense ratio: 83.9%; rating input score 84
- Fundraising efficiency: $59.75 raised per $1 spent on fundraising; rating input score 78; 78th percentile among comparable filings
Transparency & Controls
- Consistency checks: 92.9%; rating input score 93; 17th 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: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 94.1%; rating input score 94; 45th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -3.3%; rating input score 16; 16th percentile among comparable filings
- Total-asset coverage ratio: 0.47; rating input score 17; 17th percentile among comparable filings
- Liabilities to assets ratio: 0.49; rating input score 37; 37th percentile among comparable filings
- Officer compensation ratio: 1.4%; rating input score 66; 66th percentile among comparable filings
Growth
- Program expense growth: 6.4% per year; rating input score 100; 52nd percentile among comparable filings
- Revenue growth: 5.5% per year; rating input score 100; 48th percentile among comparable filings
- Asset growth: 4.2% per year; rating input score 100; 29th percentile among comparable filings
Details
- What they do: 7 programs and campaigns described on the official site · 5 operating locations identified
- Where the money goes: 86.7% of revenue deployed · 83.9% of spending went to programs
- Governance: 16 of 17 board members independent · 9 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $93.2M in reported program spending
- Leadership: top reported pay $330K · 24 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 2 contractors listed · $217K reported
- Consistency: 30 of 31 current checks pass · 1 finding to review
- Schedules: 8 filed schedules · includes major donors and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 5 filed money-flow records
- Related organizations: 34 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 16/100.
- High — Sustainability: Total-asset coverage ratio scored 17/100.
- Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
- Moderate — Sustainability: Liabilities to assets ratio scored 37/100.