Centerstone of Indiana

annual report

2013

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from the CEO and the Board ChairThis year, the US Supreme Court made a landmark decision concerning the health and well-being of millions of Americans by declaring the constitutionality of the Affordable Care Act (ACA). This means health care coverage will eventually be expanded to an estimated 500,000 Hoosiers and guarantees coverage for people with pre-existing conditions, including mental illnesses. This will dramatically increase the number of individuals Centerstone can serve. Importantly, the ACA expands regulations to ensure public and private insurers consider mental and physical healthcare equally.

This has created a new healthcare ecosystem in which great opportunities for Centerstone exist. As a community-based mental health center focused on recovery, Centerstone has a long history of addressing wellness issues through a strengths-based, individualized and holistic approach. With the implementation of the ACA, Centerstone is more relevant now than ever before. Through the integration of behavioral and physical healthcare, we are able to address the underlying lifestyle and behavioral health challenges faced by so many individuals suffering from chronic illness and disease. The statistics are both startling and compelling. Nearly 70% of adults with a severe mental illness have chronic medical conditions. A great number of these adults have their lives cut short 25 years sooner than those without mental illness.

We also know that individuals who experience severe trauma as children are twice as likely to smoke and have heart disease, seven times more likely to be alcoholics, and 12 times more likely to have attempted suicide. Additionally, two of the top five causes of re-hospitalization after treatment of a physical health condition are depression and substance abuse. With this in mind, our multi-faceted integrated care approach includes but is not limited to:

• The training of 200+ community-based support specialists to recognize the key illnesses that shorten the lives of our clients and providing them with access to tools including scales, blood pressure monitors, measuring tapes and pedometers to document key health indicators. With the help of specialized software, support specialists can share a data-based graphic of an individual’s progress toward improving his or her overall health.

• A joint venture with Unity Physician Partners to build two health care clinics inside our Centerstone facilities in Bloomington and Columbus.

• Plans to combine our Owen County behavioral health team with the Johnson Nichols Health Clinic in a state of the art fully integrated health clinic.

• A partnership between Centerstone, IU Health Bloomington and HealthLINC to provide electronic alerts when our clients are treated in the emergency room or are admitted to the hospital for physical or behavioral health concerns.

• The placement of Centerstone therapists in Federally Qualified and Rural Health Clinics throughout our service area. In the following pages, you will see an overview of this year’s accomplishments and highlights guided by Centerstone’s four shared values: Clinical Excellence, Rewarding Experiences, Service Excellence and Fiscal Responsibility. These outcomes are both impressive and inspiring. Most importantly, however, they represent the hard work and dedication of nearly 900 professional and caring Centerstone team members working with more than 24,000 children, adults and families to build a unique and powerful path to recovery and wellness. It is an honor and a pleasure to share this annual report with you.

Suzanne Koesel, LCSWChief Executive Officer

Centerstone of Indiana, Inc.

Linda TraderFY13 Chair

Board of DirectorsCenterstone of Indiana, Inc.

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The mission of Centerstone is to prevent and cure mental illness and addiction.

about Centerstone of IndianaCenterstone is a not-for-profit organization offering a full range of mental health services, substance abuse treatment and related educational programs to individuals of all ages and their families.

With a history that spans more than five decades and an annual revenue of $52,027,018, the Centerstone network includes more than 60 facilities in 17 Indiana counties throughout south and central Indiana. Centerstone served 24,429 Hoosiers this past year.

Centerstone services go beyond diagnosis and treatment. Our programs also help individuals rebound from adversity, build on their strengths and achieve life goals for recovery. Centerstone seeks to identify new treatments and even eliminate mental illness and addiction by participating in groundbreaking research studies with leading universities across the nation.

CARF International accreditation, and certification by the Indiana Department of Mental Health and CMHC, underscores Centerstone of Indiana’s commitment to providing unmatched quality care as well as a diverse continuum of services. We are dedicated to providing behavioral healthcare needs within the communities we serve, focusing first upon those who need

ends statementAt Centerstone of Indiana we work to provide individuals and families the opportunity for recovery and health through availability of research-based mental health and addiction therapy, treatment, technology and education.

Jackson

Randolph

Fiscal Year 2012-2013 www.centerstone.org

Counties where 100+ clients reside

Counties where 1-99 clients reside

Counties with Centerstone facilities

CENTERSTONE

Michigan - 3

Kentucky - 67

Ohio - 118

Illin

ois

- 8

Jackson

Randolph

Fiscal Year 2012-2013 www.centerstone.org

Counties where 100+ clients reside

Counties where 1-99 clients reside

Counties with Centerstone facilities

CENTERSTONE

Michigan - 3

Kentucky - 67

Ohio - 118

Illin

ois

- 8

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Centerstone of Indiana shared values

• clinical excellence • rewarding experiences • service excellence • fiscal responsibility

year in review

Some of the Centerstone of Indiana accomplishments for FY2013 include:

• e-ROSC, an online tool for clients with substance use disorders to support their recovery, helped decrease depression rates by 36%, anxiety rates by 19%, arrests by 33% and consumption of illegal drugs by 50%.

• Centerstone joined a national consortium of behavioral healthcare leaders dedicated to a Zero Suicide Culture that was recognized by the National Council for Behavioral Healthcare. With our Zero Suicide initiative, we implemented new assessment protocols and alerts, conducted state-wide trainings and joined in state and local community events. We saw a

decrease in the number of suicides among our clients, with only one occurring this year.

• Centerstone was awarded a three-year accreditation by CARF International.

• Centerstone Center for Clinical Excellence launched an enterprise-wide outcomes initiative focusing on suicide prevention, client engagement and improvement in function.

• At the request of the Indiana Department of Child Services, we expanded our child and family services to Jay County and Delaware counties.

• Red Oak Industries, a subsidiary of Centerstone designed to provide lasting career opportunities for workers with disabilities in an integrated and normalized environment, opened a new office and data management service line in Columbus.

• The joint venture with Unity Physician Partners was finalized with plans to construct two co-located primary care clinics in our facilities in Bloomington and Columbus.

• Project HOPE (Helping Offenders through Partnership and Employment), funded by the Department of Labor, has sucessfully enrolled over 100 individuals who are working toward recovery and employment.

• Centerstone was awarded a technology grant in collaboration with IU Health Bloomington for the development of a health information exchange (HIE). The exchange allows for notifications to Centerstone when our clients are admitted to the hospital for a physical or psychiatric problem. This is significant, as we are one of two such HIEs working

with a behavioral health provider.

• John Isbell, a Peer Support Specialist and Rehabilitation Specialist for our BE Well program, won a “Hero in the Fight” award from Mental Health America in December. This award recognizes his leadership, supports the work and celebrates the

magnificent example he provides to others recovering from mental illness.

• The Indiana Division of Mental Health and Addiction appointed Jenny Harrison, Centerstone VP for Access, Crisis and Clinic Services, to the Indiana Suicide Prevention Council.

• The Richmond Chamber of Commerce named Redwood Terrace Apartments as the recipient of the “Community Improvement Award” for 2012.

• Staff retention improved this year, moving from 77% to 80%. (con’t)

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year in review (con’t)

• Centerstone obtained the Four Star Designation as “Military Ready and Veteran Friendly” for our work with the VA in expanding access to services for veterans through a videoconference system.

• Centerstone received the 2013 Rural Indiana Smoke-Free Environment Award (R.I.S.E.) from the Indiana Rural Health Association.

• Centerstone raised nearly $100,000 through employee and community giving, foundation grant awards, corporate sponsor-ships and special events, including $10,000 from the Homeward Bound 5K Walk to End Homelessness.

Robert E. Neth Secretary Gil Palmer Bartholomew County

David Emmert, Esq.Linda L. HobbsBrown County

Stephen Taylor, Esq.Decatur County

Robert Baltzell Fayette County

Centerstone of Indianaboard of directorsTerrye Davidson Immediate Past ChairJackson County

Rev. Gregory A. RussellJefferson County

Kristi RowellJennings County

Jennifer Embree, DNP Vice ChairLawrence County

Stephen Pritchard, DDSMonroe County

Gerald GrayMorgan County

Linda Trader ChairOwen County

Catherine Stephen Randolph County

Bradley Smith Rush County Sharon Harlin Wayne County

Suzanne Koesel, LCSWChief Executive Officer

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25.7

expenses

Home & Community Based Specialty Services57%

Therapy & Medical Services

25%

Administration13%

Grant Funded Services

5%

Medicaid 50.5%

revenues25.7

Governmental Agency Grants & Contracts

25.7%

Commercial -Insurance/Contracts

5.6%IN County Funds

5.9%% Other 7.7%

Self Pay4.6%

Centerstone of Indiana2012 - 2013

clients servedtotal 24,429

0-5 years 1%75+ years 1%

6-12 years 11%

13-19 years 15%

20-54 years 60%55-74 years 12%

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More than 1.6 million people across Indiana face mental illness or substance abuse every year. Centerstone is on the front line of supporting these individuals by providing counseling, offering school-based services for the children, helping combat veterans and their families adjust to life after war, creating innovative substance abuse recovery programs, and implementing parenting, foster care and adoption programs.

Generous contributions to Centerstone CARES, our annual giving campaign, and to Homeward Bound 5K Walk to End Homelessness, help to provide vital services to more than 24,000 children, families and individuals throughout Indiana. In addition, philanthropic investments aid in the discovery and development of cutting edge treatments for mental illness and addiction and bridge the gap from science to service.

Centerstone of Indiana 2012-13 Sustaining DonorsAnonymous (6)Patricia AdamsYetunde Adeyinka-DeLeonKristin AdkinsAmerican Legion Post 18Kathy AmmermanShirley ArneyStephen ArthurHarold AslingerDr. and Mrs. David W. AyerKurt BachmanRobb BackmeyerChristopher BallRobert and Marsha BaltzellBecky BareShannon BarkerSherry BarkerMarta BarkerBenjamin BarkerAndrew BarkerBetty BarrGinny BarthAnna BarwickJacqueline BauerKelly BauermeisterMischelle BeanKelley BeboutHeidi BednarskiKelly BenedictMr. and Mrs. Michael R. BennettWanda BensonBloomington Metro Professional Fire Fighters Jean BluePatty BohnClare BondJulie BooherJoan BoothKathy BostickTiffany BowmanLaureen M. BrownOtis BrownSteve BryantRonald BulthuisKenneth BundyBarbara BushDebra BushAnthony BushongMichelle Bustle

Stanley H. Byram TrustDavid CaldieSusan CallahanLaura CampbellMeredith CanadaKara CanaryMarsha CarrDavid CarricoCortney CarterJanice CarterShannon CastetterHeather CaudillSara ChambersThelma ChandlerTammy ChappellKathy ChristoffDavid ClarkGreg ClarkJulie ClarkEric CochranRita CollinsThe Christopher Nathan Emery Fund of the Lawrence County Community FoundationChristina ComerfordThe Community Foundation of Bloomington and Monroe County – Precision Health Network FundCommunity Foundation of Jackson CountyCommunity Foundation of Randolph CountyKen ConwayDebra Cowdell-SlikkersEdith CrossHeather CroweVera CrowlCarolyn CunninghamGeorge DanielsJohn DaughertyMark and Terrye DavidsonJoan DavisTerri DavisRebecca DayDecatur County Community FoundationSeairah DelaneyJeana DelaneyJina Dickson

Deborah Dillard-StarkKathy DobbsMichelle R. DooleyThe Camilla B. Dunn Fund of the Wayne County FoundationSarah EadsMichael EdwardsBill ElmoreJeni EmbreeLynn Evans-ColemanJennifer FarberGlenda FarrellShonita FinkMelissa ForsterDr. and Mrs. Sherman FranzFriend of English ManorFresh Start Housing, LLCWilliam GalbraithDebra GarrettMary GarveySarah GatesKaren GeierGenoa Healthcare Holdings, LLCKaren GeorgeJill GiffinGrace GlantonGerald GrayLinda Grove-PaulBeth GruenewaldDavid C. Guth, Jr.Philippa M. GuthrieSusan HailerSherry HardestyRachel HardyAmy HarrisonJennifer HarrisonMatthew HayesCrystal HenryHeritage Fund – the Community Foundation of Bartholomew CountyErcilia HernandezKaeleigh HerstadLinda L. HobbsJo HollandSteve HolmanMarla HolmesJames HughesNatalie Hughes-MooreKelly Hunt

Chris HustedJohn IsbellStephanie LaFontaineLeatha JacksonBethany JacobsJennifer JaggersAmy JewellMichelle JohnsJennifer JohnsonLisa JohnsonSandra JohnsonKendrick FoundationJohn KennyBelinda KilgusJennifer KinzieJason KiserGarry and Cheryl KleerJoy L. KnopfmeierSuzanne KoeselDorene KrawczykRona KruegerPamela LakesJessie LangAnne LeachScott LewellenSusan LohNancy LowDonna MannGhansham ManwaniSheila MarshallDeborah MartinKendra MartinGregory MarvelAndy MatthewsBill MayGregory MayKevin MayMargaret McClinticTeresa McDanielDan McNeelySusan MeltonAmy MillerRebecca MontgomeryMia MorrisonGail MooreJana MooreJanet MooreTheresa MooreSusan Moser

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Leanna MyersSharon NealMaria NehrtNathan NehrtMr. & Mrs. Robert NethOld National Bank FoundationBryan OverbeySusan OvertonLaurie PattonLiza PavelichConnie PenningtonBerdina PettyAngel PhillipsLelia PipengerTony and Patti PizzoShannon PlatterSusan PointsCindy PortMerri PriestSteve Pritchard and Penny GaitherPutnam County Community FoundationCathy QuakenbushJoseph RagsdaleCarla RainsRuth RalphJessica RamseyJacke ReynoldsHolly RicheyStephen RingenbergPaul RobbinsCathryn RobersonZenda RodgersBeth RodriguezCindy Rogers

William RollTwila A. RomineKristi RowellPatty RuddickGregory A. RussellKelley SalvoElizabeth SarchetJack SchererCarla SchnurpelTerri SchuldTammy ScottenMichelle SearsJosie SeyboldJohn T. SharpnackColleen SheridanGregory SidellBob SiegmannTodd SjoblomBen SklarBrad SmithJoyce SmithLynn SnowJanet SparksRebecca SparksMegan SporlederBeverly SpurlinKelly StanfieldCatherine StephenDonna StephensFrank StevensRuth StrunkDebra SullivanSteve and Barbara TaylorMeagan TerlepJessica Thurston

Every effort has been made to ensure the accuracy of this list. If your name is misspelled or not included, please contact the Development Office at (812) 355-6355 or Beth.Rodriguez@centerstone.org.

Lisa ToddLinda ToschlogPerry and Linda TraderTreaty Line FarmsEric TrowbridgeJessica TroxelTreasure TruebloodShannon TullochNikki TumeyMark UebelGerald VanNoteChris VanSleenAndy VerschoyleNancy WalkeJamie WalterUwe WalterLianne WarnerVinita WattsWayne County FoundationLindsey WeadLuther WelchDonna WellsCol. Michael A. Smith and Dr. Kathryn D. WhittingtonAnne WickensHeather WilliamsBob and Kay WilliamsRachel WilliamsonE. Darrgh WilsonVickie WilsonAlan WinslowLinda WrightNancy YheulonRobert YoungTara Zellner

Centerstone of Indiana In-Kind DonorsAver’s PizzaBaked of Bloomington Balance Massage TherapyBicycle Garage, Inc.Bloomingfoods Market & DeliBuccetto’s Smiling TeethCarmen Delgado’s Oasis Spa and SalonCurvesFirst Bank RichmondIU AuditoriumJazzerciseJW Marriot IndianapolisLaughing Planet CaféMalibu GrillMira Salon and SpaOnce Upon a ChildRevolution Bike and BeanSoma CoffeehouseStarbucksT.I.S. College BookstoreThe Comedy AtticVillage DeliYoga Mind & Body

Spotlight ThanksWe give special thanks to the generous funders who invested in the lives of our clients through the Centerstone Employment Services (CES) program.

At Centerstone, we understand that work is integral to recovery. Yet, nearly 80% of individuals with a serious mental illness throughout the country are unemployed. Not because they don’t want to work – they do!

But the barriers of overcoming stereotypes, red-tape hurdles and fear, just to name a few, can often get in the way. The dedicated members of the CES serve individuals ages 17 and older in 14 counties throughout south central Indiana by breaking down barriers and supporting our clients through the creation of a job plan, job skills training, work experiences and on-the-job coaching. Through the investments of donors throughout our communities, our clients can take the essential steps to a path of greater self sufficiency and wellness. For this, we are truly grateful.

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leadershipSuzanne Koesel, LCSWChief Executive Officer

Shirley Arney, MBAChief Operating Officer for Clinicand Administrative Services

Robb Backmeyer, MSW, MBAChief Operating Officer for Recovery Services

Robert Siegmann, LCSW, MBASenior Vice President for Healthcare Integration and Collaboration

John Daugherty, MBA, CPAVice President for Finance

Linda Grove-Paul, MSW, MPA, LCSW, LCACVice President for Recovery and Innovation

Jenny Harrison, LCSWVice President for Crisis, Access, andCentral Region Clinic Services

Rona Krueger, MSWVice President for Quality Improvement

Jerry Neff, MDMedical Director

Shannon Castetter, MBADirector of Red Oak Industries

David Carrico, LCSWDirector of Adult Recovery and Residential Services

Thelma Chandler, MSW, CADAC-I, ICAC-IIDirector of Clinic Services, East Region

Kathy O’Brian Christoff, LCSWDirector of Adult Recovery andEmployment Services

Kenneth Conway, MDAssistant Medical Director, Central Region

Mark Jones, MDAssistant Medical Director, East Region

John Kenny, CPAController

Scott LewellenDirector of Marketing and Public Relations

Darcey Meridith, LCSWDirector of Child and Family Services

Maria Nehrt, BGSDirector of Environmental Services

Amanda Pardue, LMHCDirector of Clinic Services, West Region

Ruth Ralph, LSWExecutive Director of Johnson Nichols Health Clinic

Beth Rodriguez, MADirector of Development

Michelle SearsDirector of Authorization, Credentialing, Access, Clinic Records and Support Services

Centerstone of Indiana

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Centerstone of Indianacorporate offices645 South Rogers StreetBloomington, Indiana 47403800.344.8802

clinic locationsBartholomew County720 North Marr RoadColumbus, Indiana 47201812.314.3400

Brown County91 West Mound Street, PO Box 550Nashville, Indiana 47448812.988.2258

Clark County335 Spring StreetJeffersonville, Indiana 47130812.258.0310

Decatur County1530 Commerce Park West DriveGreensburg, Indiana 47240812.663.7057

Fayette County390 E. Erie StreetConnersville, Indiana 47331765.825.4124

Henry County3221 S. Memorial DriveNew Castle, Indiana 47362765.521.3010

Jackson County1443 Corporate WaySeymour, Indiana 47274812.522.4341

Jefferson County3008 North Bevcher DriveMadison, Indiana 47250812.265.1918

Jennings County1260 East Buckeye StreetNorth Vernon, Indiana 47265812.346.4468

Lawrence County1315 Hillcrest RoadBedford, Indiana 47421812.279.3591

Monroe County645 South Rogers StreetBloomington, Indiana 47403812.339.1691

Morgan County1175 Southview DriveMartinsville, Indiana 46151765.342.6616

11370 North SR 67Mooresville, Indiana 46158765.342.6616

Owen County272 North US Highway 231Spencer, Indiana 47460812.829.4871

Randolph County325 South Oak Street, Suite 103Winchester, Indiana 47394765.584.1735

Rush County201 Conrad Harcourt Way, Suites A & BRushville, Indiana 46173765.932.3974

Wayne County831 Dillon DriveRichmond, Indiana 47374765.983.8000

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Learn more about Centerstone of Indianawww.centerstone.org

facebook.com/Centerstone.orgtwitter: @Centerstone

youtube.com/CenterstoneVideos

Centerstone of Indiana, Inc.Corporate Office

645 S. Rogers StreetBloomington, Indiana 47403

Centerstone, a not-for-profit organization, has provided a wide range of mental health, substance use disorder, and integrated health services to Indiana residents for more than 50 years. Through more than 60 facilities in 17 Indiana counties, Centerstone serves more than 24,000 children, adolescents, adults and seniors each year. It is accredited by CARF International. For more information about Centerstone, please call 800-344-8802 or visit www.centerstone.org.

Access Service 800.344.8802

Crisis Services 800.832.5442