CENTERSTONE OF TENNESSEE INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1997

Legal Domicile

Principal Officer

JULIE SPEARS

Phone

6154636600

Tax Period

2024-07-01 to 2025-06-30

CENTERSTONE OF TENNESSEE INC, founded in 1997, is a major nonprofit in the Mental Health sector that reported $172.0M in total revenue in fiscal year 2024. Revenue grew 15% year-over-year, indicating healthy expansion. Expenses of $162.0M left a modest 6% surplus.

Mission

OUR MISSION IS "DELIVERING CARE THAT CHANGES PEOPLE'S LIVES"

Program Service Accomplishments

Program 1

Expenses: $36,221,828 Revenue: $26,827,763

CENTERSTONE PROVIDES OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES TO CHILDREN, ADOLESCENTS AND ADULTS. OUR LICENSED CLINICIANS ARE EXPERTS IN THEIR FIELDS WHO WORK WITH EACH CLIENT TO CREATE SPECIALIZED CARE PLANS BEST DESIGNED FOR THE INDIVIDUAL. PROVIDED BY LICENSED MASTERS-LEVEL CLINICIANS, THESE SERVICES INCLUDED INDIVIDUAL, FAMILY, COUPLES OR GROUP COUNSELING, PRIMARILY PROVIDED IN A CLINIC SETTING. CENTERSTONE'S COUNSELING SERVICES CAN HELP WITH ADDICTION, ANGER MANAGEMENT, ANXIETY, DEPRESSION, STRESS AND TRAUMA AND MANY OTHER CONCERNS.

Program 2

Expenses: $26,737,119 Revenue: $31,959,523

WORKING WITH INDIVIDUALS IN THEIR NATURAL ENVIRONMENTS, FOR EXAMPLE IN THEIR HOME OR SCHOOL. SERVICES PROVIDED INCLUDE: ASSESSMENT, PLANNING, COORDINATION, MONITORING, AND EVALUATION OF OPTIONS AND RESOURCES TO MEET AN INDIVIDUAL'S SPECIFIC NEEDS. SOME EXAMPLES OF CASE MANAGEMENT SERVICES MIGHT BE: ASSISTANCE WITH HEALTH NEEDS, ASSISTANCE WITH TRANSPORTATION.

Program 3

Expenses: $25,357,683 Revenue: $27,247,666

CENTERSTONE PHARMACY PROVIDES BEHAVIORAL AND PHYSICAL HEALTH CARE MEDICATIONS TO INDIVIDUALS VIA 3 ONSITE LOCATIONS AND MAIL ORDER SERVICE. PHARMACY STAFF WORKS WITH THE PRESCRIBING PROFESSIONAL...

CENTERSTONE PHARMACY PROVIDES BEHAVIORAL AND PHYSICAL HEALTH CARE MEDICATIONS TO INDIVIDUALS VIA 3 ONSITE LOCATIONS AND MAIL ORDER SERVICE. PHARMACY STAFF WORKS WITH THE PRESCRIBING PROFESSIONAL (PSYCHIATRIST OR NURSE PRACTITIONER) TO ENSURE CONTINUITY OF CARE IN FILLING AND ACCESSING NEEDED MEDICATIONS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $42,305,827

Program Service Revenue $128,922,122

Investment Income $491,147

Other Revenue $327,037

TOTAL REVENUE $172,046,133

Expense Breakdown

Grants Paid $5,000

Salaries & Benefits $91,534,990

Fundraising Expenses $640,188

Program Expenses $139,239,437

Other Expenses $70,479,315

TOTAL EXPENSES $162,019,305

Year-over-Year Comparison

	2024	2023	Change
Revenue	$172,046,133	$149,694,623	+0.1%
Expenses	$162,019,305	$145,786,684	+0.1%
Net Income	$10,026,828	$3,907,939	+1.6%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

1591

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$876,674

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
HANNAH DUDNEY	DIRECTOR	2.00	Director	$0	$0	$0
JACOB GIESECKE	DIRECTOR	2.00	Director	$0	$0	$0
JACOB TATE	DIRECTOR	2.00	Director	$0	$0	$0
JILL OBREMSKEY MD	SECRETARY	2.00	Officer Director	$0	$0	$0
KATE SATZ	VICE CHAIR	2.00	Director	$0	$0	$0
KELLY CROCKETT	IMMEDIATE PAST CHAIR	2.00	Officer Director	$0	$0	$0
KEVIN HAMILTON	DIRECTOR	2.00	Director	$0	$0	$0
MARK FAULKNER	CHAIR	2.00	Officer Director	$0	$0	$0
MARY WILSON	DIRECTOR	2.00	Director	$0	$0	$0
SCOTT NEU	DIRECTOR	2.00	Director	$0	$0	$0
SHANE MCSIMOV	DIRECTOR	2.00	Director	$0	$0	$0
SHAY BINKLEY	DIRECTOR	2.00	Director	$0	$0	$0
BENJAMIN K MIDDLETON	CEO	39.00	Officer	$0	$22,240	$398,654
JULIE W SPEARS	REGIONAL FINANCIAL OFFICER	40.00	Officer	$0	$21,842	$226,448
MATTHEW HARDY	COO	40.00	Officer	$238,699	$12,873	$251,572
ALLEN CRAIG	SR REGIONAL PSYCHIATRIST	40.00	Highest	$292,973	$11,389	$304,362
BERT ALLEN HARTMAN	SR REGIONAL PSYCHIATRIST	40.00	Highest	$424,626	$29,130	$453,756
KIABE SUPUWOOD-ALLEN	PSYCHIATRIST	40.00	Highest	$313,905	$14,797	$328,702
MICHAEL KAVUR	PSYCHIATRIST	40.00	Highest	$277,567	$12,353	$289,920
OBA HOLLIE	MAT PHYSICIAN	40.00	Highest	$255,624	$18,787	$274,411

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$172,046,133	$162,019,305	$73,699,618	$10,026,828
2024	$149,694,623	$145,786,684	$61,138,892	$3,907,939
2023	$123,035,839	$121,971,215	$51,571,590	$1,064,624
2022	$105,417,397	$110,635,399	$50,936,775	$-5,218,002
2021	$108,136,602	$107,127,502	$57,044,856	$1,009,100
2020	$102,951,516	$99,765,636	$55,319,715	$3,185,880
2019	$95,472,879	$96,884,632	$48,944,461	$-1,411,753
2018	$93,232,281	$88,596,581	$44,796,337	$4,635,700