Centerstone Annual Report to the Community FY2017

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Delivering care that changes people’s lives. ANNUAL REPORT TO THE COMMUNITY FY2017


ENTERPRISE HIGHLIGHTS

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FLORIDA 5 ILLINOIS 8 INDIANA 14 KENTUCKY 17 TENNESSEE 23 RESEARCH INSTITUTE

28

MILITARY SERVICES

31

FOUNDATION 33

Delivering care that changes people’s lives. Centerstone is a nationally recognized, not-for-profit health care organization dedicated to delivering care that changes people’s lives. We provide mental health and substance use treatment, related crisis care, education and support to people of all ages. We also serve specialized populations including service members, veterans and their loved ones, individuals with intellectual and developmental disabilities, and at-risk children. Our Research Institute improves behavioral health care through research, evaluation and technology, and our foundation secures philanthropic resources to support our work.

IL

IN KY TN

FL


FROM THE BOARD CHAIR AND CEO Dear friends, Each year, we turn our eyes to achieving our noble pupose: delivering care that changes people’s lives. This mission drives our decision-making, how we treat our patients and how we choose our partners. In fiscal year 2017, we built our plans around three strategic pillars to support our noble purpose: • Customer Experience: We lead health care in providing a superior customer experience known for convenience and hospitality.

Jim Sweeten

CHAIR, BOARD OF DIRECTORS CENTERSTONE AMERICA

• Value-Added Care: We pioneer service delivery that adds meaning and value to our patients on their journey to health and wellness. • Planning for Growth: We prepare for our future with scalable shared services, development and expansion of services, and beneficial affiliations. These pillars guided our plans, and I believe you will see their imprint on the successes we achieved in the report that follows. As we look to the future, I believe that we are at an inflection point for behavioral health care. Our field is emerging as a critically important piece in overall health. Advances in the science of care, how we access care and technology are offering clients untold opportunity for treatment. As the health care industry continues to change, we are changing with it so we can ensure that we meet our clients’ needs today and in the future. Centerstone has the opportunity and obligation to lead the way. Thank you for the part you have played in helping us achieve our goals this year. Without the help and support of donors, partners, our clients and communities, this work wouldn’t be possible.

David C. Guth Jr.

CHIEF EXECUTIVE OFFICER, CENTERSTONE

Fiscal Year 2016-2017 Board of Directors Jim Sweeten CHAIR

A John Rose VICE-CHAIR

Dick Fitzgerald

IMMEDIATE PAST CHAIR

Linda Hobbs SECRETARY

David C. Guth Jr. CHIEF EXECUTIVE OFFICER

Lee Brackett Peter Garrison Philippa Guthrie Sara Huggins Trish Lindler Dr. Patricia Lucas

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CENTERSTONE NATIONWIDE

172,000+ INDIVIDUALS SERVED

2017-2018

3.1 Million SERVICES PROVIDED

33%

67%

Children & Youth

51%

Female

Adults

15% 7.5%

77%

<1%

49% Male

77% White/Caucasian (includes HIspanic) 15% African American/Black (includes HIspanic) 7.5% Multiracial/Other <1% American Indian/Alaskan Native and Asian/Pacific Islander

Today

5,000

FY16-17

$331M

Professionals

Budget

Clinics in 5 States

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ENTERPRISE HIGHLIGHTS During Fiscal Year 17, we embraced our three strategic planning goals of Customer Experience, Value-Added Care, and Planning for Growth. Customer Experience – we lead health care in providing a superior customer experience known for convenience and hospitality. • We adopted enterprise customer service standards with the values of Safety & Security, Hospitality, Responsiveness, Convenience and Follow-Through • We declared our Centerstone Brand Promise • We implemented “Everything Speaks” – our unique review of clinics, facilities and properties Value-Added Care – we pioneer service delivery that adds meaning and value to our patients on their journey to health and wellness. • Appointment of Rick Shelton, MD as Chief Executive Officer for Research Institute and first-ever Chief Medical Officer for Centerstone. And, as a result: • Successful transition of the Research Institute to clinical model work and outstanding leadership transition, increasing the potential to make greater impact on how care is delivered • Development and implementation of two high value, evidence-based and data driven models of care; enabling us to begin efforts to establish a national contract around Medication Assisted Treatment and value based care contracts for Health Home services. • Our Center for Clinical Excellence introduced two new clinical models, Adult Health Homes and Substance Abuse Continuum • Centerstone implemented value based care contracts in Tennessee (HealthLink Health Homes) and Kentucky (Partners In Wellness {High Utilizer Care Coordination}) • Our grant writing team assisted Kentucky in obtaining a $10 million federal grant for primary care integration research Planning for Growth – we prepare for our future with scalable shared services, development and expansion of services, and beneficial affiliations. • Seven Counties joined Centerstone making the Enterprise a $340 million dollar agency with 5,000+ employees. The integration process included bringing Kentucky onto Centerstone email, desktop systems, help desk support and integrated teams more quickly and with greater success than any affiliation before • Stepping Stones merged into Centerstone of Indiana • Selection of Centerstone to operate a nationally-recognized Steven A. Cohen Military Family Clinic in Clarksville, Tennessee • Centerstone has been approved by United Health Care (Optum) as a Medication Assisted Treatment provider in their national network • We continued to expand our school based counseling services around our footprint (overall, we delivered school-based counseling, prevent and truancy services in 747 schools enterprisewide in FY17) • Each Centerstone company planned and implemented five percent (5%) organic growth • Our Finance and Administration departments researched and selected the General Ledger and Human Capital Management Systems of our future • Our Analytics team implemented Centerstone’s Enlighten Analytics™ improvements in Indiana, Kentucky and Florida • The organizational structure for Marketing, Payer Contracting, Grant Writing, and Policy has continued development and redesigned under the leadership of Debbie Cagle to better support future growth • The organizational structure for Administrative Services (Information Technology, Electronic Health Records, Analytics, Human Resources and Project Management) has been redesigned under the leadership of Wayne Easterwood to better support future growth • There is a clearer process for exploration of affiliation opportunities 3


ENTERPRISE HIGHLIGHTS Other Key Achievements • Appointment of Melissa Larkin-Skinner as Chief Executive Officer for Centerstone Florida. • Dramatic expansion of Kentucky ACT, crisis, outreach, and justice connected services. Awarded more than $300,000 to launch new Living Room Pilot Program. • Healthcare innovation: Initiated the transition of Tennessee’s TennCare Level 2 Case Management into the newly developed TennCare Health Link (Health Home) service line. Exceeded enrollment and engagement expectations for fiscal year 16/17. • Enlighten Analytics™ expansion completed across all strategic business units • Partnered with Glassdoor to enhance our Centerstone employment brand and attract more and better applicants. 15% increase is our used-determined rating. • EPCS (Electronic Prescribing Controlled Substance) Tokens now in use in IN, TN, KY and FL. • Successful consolidation of enterprise support services at new Centerstone-branded offices in MetroCenter (Vantage Way, Nashville, TN). • This is the fourth consecutive year the Foundation team has exceeded their fundraising goal. In FY17, the team brought $4,551,914 in philanthropic and other revenue to Centerstone (133% of goal). • Received $16,946,675 in federal grant funding, positioned federal grant procurement dollars as an investment in Centerstone’s clinical models of care. Commercial Insurance Private Pay County & Local Agencies

2% 5%

1%

Federal Agencies

1%

2%

12%

State Agencies

6%

(FFS, Contracts & Grants)

2%

Other

46%

Medicaid

11%

Administrative

FISCAL YEAR 2016-2017 HOW FUNDING WAS USED

89%

Direct Patient Care and Support Services

4

3%

Government Contracts & Grants

17%

FISCAL YEAR 2016-2017 FUNDING SOURCES $310M REVENUE

School Systems Pharmacy

2%

Subcontracted Services

1% Contributions


Delivering care that changes people’s lives IN FLORIDA

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FLORIDA HIGHLIGHTS FY17 Top Achievements • Met PQRS measures resulting in improved client care and removal of Medicare 2% penalty • Secured New Market Tax Credit financing totaling $6M Timothy Knowles BOARD CHAIR, CENTERSTONE FLORIDA

• Completed 7-bed hospital expansion, increasing access to care – September 2017 • Completed 5-bed CSU expansion and began renovation of existing rooms, increasing access to care – June 2017 • Secured $500K in state funding for psychiatric residency and expanded psychiatric residency from 9 physicians to 15 physicians • Achieved greater than 10% revenue growth

Melissa Larkin-Skinner MBA, LMHC CHIEF EXECUTIVE OFFICER, CENTERSTONE FLORIDA

• Awarded a 3-year $1.2M Criminal Justice, Mental Health, and Substance Abuse state grant with #1 ranked application and implemented a jail diversion pilot program (Comprehensive Treatment Court) • Expanded services in Sarasota County – county jail, jail diversion, trauma, Sawyer Road • Awarded first federal grant – 5-years, $2M

Fiscal Year 2016-2017 Board of Directors

• Implemented Pyxis in inpatient and residential – improved pharmaceutical controls

Timothy Knowles

• Rolled out Centerstone Excellence in Customer Service initiative – train the trainer sessions, Relias trainings, uniforms, management tools

CHAIR

Dr. Jennifer Bencie VICE-CHAIR

Customer Experience

• Implemented Centralized Receiving System

Rev. James Golden

• Awarded grant to improve lighting and safety of hospital and addiction center parking area

Paul Duck

• Installed cameras throughout inpatient campus (inside and out) to improve client and staff safety

SECRETARY

IMMEDIATE PAST CHAIR

Melissa Larkin-Skinner MBA, LMHC CHIEF EXECUTIVE OFFICER

Linda Agresta James Alderman Nina Marshall Robert L. Smith Colleen Thayer

Value-Added Care • Secured funding and implemented a new state community-based substance use program for parents struggling with addiction and involved with child welfare (FIT Team) • Joined a local Health Information Exchange • Partnered with Emergency Medical Services and Lake Erie College of Medicine to start a community-based pilot program to reduce re-hospitalizations, emergency department and 911 usage – Community Paramedicine • Placed Narcan at entry points and on inpatient units for use in the event of an opioid overdose

Edward Viltz

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FLORIDA HIGHLIGHTS Planning for Growth • Received approval for American Psychological Association accreditation for our psychology internship program (upgrade from current accreditation) • Expanded psychology consortium (Centerstone is the lead) from 2 to 4 member organizations • Implemented push reporting resulting a greater automation leading to greater compliance with Medicaid 48-hour documentation requirement amongst all clinical and medical staff • Added a new field marketing representative • Added a Professional Development Coordinator to improve hiring and job placement and increase retention • Increased referral relationships and networking events resulting in increased referrals Awards and Recognitions • Drug Free Manatee, Champion of Prevention – Health Care Professional – Melissa Larkin-Skinner, MA, MBA, LMHC Clinical Outcomes • Met 100% of critical state outcomes (organization-wide) • Met PQRS measures (all outpatient services lines) • Increased outpatient follow-up after hospitalization for state clients receiving services from the Centralized Receiving System Bridge Team – from 28% to 95% Noble Purpose Achievements • Expanded education and acceptance of Medication Assisted Treatment through organization-wide and community-wide training and speaking • Implemented Medication Assisted Treatment using Vivitrol in partnership with the Sarasota County Jail and Drug Court • Quadrupled the size of outpatient Medication Assisted Treatment clinic • Implemented inpatient opioid detox protocol using Suboxone Other Revenue

6% 1%

37%

Fee for Service

12%

Contributions

56%

State Contracts & Grants

CENTERSTONE FLORIDA

Administrative

47%

41%

Inpatient & Residential Treatment

Outpatient Care & Support Services

FISCAL YEAR 2016-2017 HOW FUNDING WAS USED

FISCAL YEAR 2016-2017 FUNDING SOURCES 7


Delivering care that changes people’s lives IN ILLINOIS

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ILLINOIS HIGHLIGHTS FY17 Top Achievements • 21% increase in persons services (from 12,109 to 14,648) over FY2016 • 60% increase in number of children and families services over FY2017 • Initiated school-based services with 18 additional school districts during FY2017 • Increased Facebook followers 25% from (1600 to 2005), and increased weekly organic reach on Facebook by 53%

Bonnie Brackett BOARD CHAIR, CENTERSTONE ILLINOIS

• Implemented market adjustment plan to help retain licensed staff and have seen turnover in these positions reduced by 50% • Expanded MAT services including a 25% increase in state funded contracts • Loss of crisis stabilization services felt; we worked with local hospitals and State of Illinois to reestablish this service with growth in FY18 anticipated • Increased access to psychiatric care by expanding available psychiatric hours • Have established KPIs at all levels of the organization which helps staff identify priorities and connection to the Noble Purpose • Feedback from Employee Engagement Surveys used to develop FY18 Employee Engagement Strategic Plan for CIL Customer Experience • Reviewed analysis on data from May survey to identify any trends or breakdowns • Included customer response rate and percentages on all reports • Developed plan to increase customer response rate

John Markley, MBA CHIEF EXECUTIVE OFFICER, CENTERSTONE ILLINOIS

Fiscal Year 2016-2017 Board of Directors Bonnie Brackett CHAIR

Sally Sheahan

• Developed customer experience improvement plan

IMMEDIATE PAST CHAIR

Tom Johnson

• Implemented customer experience improvement plan

VICE CHAIR

• Reviewed Incoming Call data to set goals and develop plan for improvement

Ronda Dunn SECRETARY

Value-Added Care

John Markley, MBA

• Reviewed analysis on data to identify trends • Trends presented monthly for discussion with Operations team • Based on baseline data, developed plan to improve access to treatment appointment that is reviewed monthly • Set interim targets for improvement with Directors based on baseline data and embed targets into FY18 KPIs • Developed plan to identify resources needed to improve access to care for persons who have payers other than Medicaid • PHQ-9 for use in clinical decision making and provided inspirational training on the value of the clinical use of the PHQ-9 to treatment teams

CHIEF EXECUTIVE OFFICER

Susan Doucleff Jonette Eagles EHS POLICY CHAIRPERSON

Patricia Fischer Kim Kaytor Jacob Lowry Karen McGarvey

Planning for Growth

David J. Melby

• Developed plan to increase Family Health Home services in Illinois

Stephani Meyer

• Provided monthly report on CSU utilization of services (census and bed nights) and effectiveness of engaging clients who received CSU services in Health Home and/or other services at Operations for develop ongoing plan to respond to barriers and plan for improvement 9

Jonathan Mitchell Dave Severin Carol Zwick


ILLINOIS HIGHLIGHTS Planning for Growth (continued) • Developed plan to expand and diversify funding sources other than State of Illinois contracts • Pursuing Hospitals for collaboration (SIH, St. Anthony’s Franklin Hospital, Heartland Regional Medical Center and Harrisburg Medical Center) • Partnering with Managed Care – working on 2 pilot projects for family and adult Health Homes • Competing to be the provider to 102 Illinois counties. We are leveraging our models of care and have an opportunity to use our nationally recognized models. We are in a good position to compete due to the outcomes we are seeing • Growing Medication Assisted Treatment Services • Invited by State of Illinois to partner on Federal Grant for Zero Suicide Initiative, modeled after Centerstone of Tennessee’s model. This could be approximately $200,000 Awards and Recognitions • Anne Tyree, VP of Marketing & New Business Development, was elected as President of CBHA • Jean Alstat, Clinical Director, was elected to Secretary of ICOY • Jennifer Craig, COO, chosen to serve on Advisory Council of 1115 Waiver for State of Illinois • Jennifer Craig, COO, elected to IABH Board of Directors Clinical Outcomes • Health Home Illinois now in Alton and Marion – served adults with moderate to high acute needs due to co-occurring behavioral health disorders, physical health needs, and/ or a high risk of developing a chronic health condition. Equipped clients with the tools, skills and community connections necessary to allow them to engage with their health home care team, improve their physical health and mental health and improve their quality of life. • Established baseline for data collection for improvement to access to care timeliness and timeliness for completion of PHQ9 scale • Developed plan to begin reporting on MIPS • Crisis Stabilization Unit has saved $4.1 million in Medicaid costs • Centerstone Early Head Start continued exceeding its regional, state and national peers in outcomes achieved for infant, child and mother screenings, and ensuring appropriate medical, dental, behavioral health and other specialty care. • Centerstone’s Integrated Health Home Model - Treat-to-target principles. Success on improving health capital, blood pressure, HgbA1c, depression, and other key indicators are tracked for each participant.

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ILLINOIS HIGHLIGHTS Noble Purpose Achievements • Embracing a “No Wrong Door” philosophy of accessing care • Access survey data included comments like, “You saved my life” • Took initiative to implement plan to continue our noble purpose in spite of state budget crisis and to be less dependent on state budget funding • Made staff development a priority by implementing system of monthly development sessions one on one between staff and supervisor • Restructured Operations Leadership team to unify operations in Illinois and helped staff be in roles they can be successful in

5% Medicare

Federal Contracts & Grants

15%

1%

Administrative

13%

2%

Other Revenue

Commercial Insurance

40%

CENTERSTONE ILLINOIS

Medicaid

32%

Contributions

85%

Direct Patient Care & Support Services

State Contracts & Grants

1%

2% 4%

Private Pay

Subcontracted Services

FISCAL YEAR 2016-2017 FUNDING SOURCES

FISCAL YEAR 2016-2017 HOW FUNDING WAS USED 11


NOBLE PURPOSE IN ACTION Finding Purpose and Healing through Employment In Illinois, we received a grant from the Department of Labor to help individuals who have been involved with the juvenile or adult justice systems re-enter the workforce. Through this grant, participants receive employment, education and training options and are provided mental health and substance use treatment and other supportive services as needed. Here are a few of their touching success stories shared by our staff. Bob* recently enrolled in the DREAM Program. He was very discouraged and feeling overwhelmed by his transition. He stated several times he wished he would just go back to prison to finish his time instead of deal with everything. He had never had an email, cell phone, nor did he know how to complete an application with his skills presented appropriately. He was also struggling with all the mistakes and lost time with family. The Employment Specialist spent a great deal of time the first week with Bob to work through his challenges. Often times with moments of silence and or encouragement in a supportive role while he processed what he wanted to pursue. He said he just thought it was a waste of time, nobody would want him. Ultimately, after the Employment Specialist assisted him obtaining an email, complete applications, make follow-up calls, review and demonstrate presenting himself in a positive light during an interview—he received a job offer with more interviews coming. When he came to my office the day he was hired he said “I did what you told me to do, I sold myself.” He had a huge smile on his face and said “my face must be glowing.” Bob said he couldn’t have done any of this without our program. He would have given up the first day he tried anything. Bob has completed his first week of work and is moving forward with progress toward reaching his goal of successful transition. The holiday party really showed the impact our program seems to have: individuals shedding tears of joy. One gentleman began to cry over being able to buy his mother a crockpot disclosing that it has been “over twenty years since I was able to get a gift.” Another moment at the party was to witness a heavily tattooed man who had just been released after over 7 years, be able to play Simon Says with his daughter and reporting that it has been a “long time since I felt safe enough to be goofy.” Moment after moment of witnessing increased confidence, gratitude and motivation was the truest gift as an employee that I have personally received this year. A participant came in to meet with her employment specialist for a review of her individual career plan. While talking about how things were going, she reported some recent concerns about her personal life, including some mental health concerns and suicidal ideations. It became clear that it was urgent to ensure that the next time she had these thoughts of suicide, she must not have access to lethal doses of her medication, as she tends to act impulsively. Her employment specialist and another employment specialist who was training to work at another site met with her and discussed services Centerstone could provide to assist her with these concerns. Given that she was open to receiving additional support, the new employment specialist spoke with the ACT team program manager, who agreed that she could be a good fit for the program. Even though Career Connect is not a mental health program, the need for holistic care is present in our population, and this story is a good example of how Career Connect can link participants to these services when the need arises unexpectedly.

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From the first session I had with Austin,* I could tell he was motivated not only to stay clean and find work, but to strive for more for himself. We helped him get hired at Subway, which he was grateful for. After a few months, he was hired on at Pepsi. John stopped by my office today with his girlfriend to let me know that he is still working for Pepsi. He has received a raise, bought a house, and has been completely clean and sober this entire time—6 months! He was the first client out of the program that was hired for Pepsi, and I would like to think it helped that the bridge that our program built that lead partly to this his success. Its days like this that make me love what I do! * Names changed to protect patient privacy.

 

Jersey Community Unit School District 100

Alton Community Unit School District 11

CENTERSTONE

ILLINOIS FAMILY SERVICES COVERAGE

Highland Community Unit School District 5

East Alton-Wood River High School District 14

Roxanna Community Unit School District 1

Christopher Community Unit School District 99 Zeigler-Royalton Community Unit School District 188

DeSoto Consolidated School District 86 Murphysboro High School

Frankfort Community Unit School District 168 Johnston City Community Unit School District 1 Marion Community Unit School District 2

Murphysboro Elementary & Middle Schools

Trico Community Unit School District 176

Carterville Community Unit School District 5 Herrin Community Unit School District 4

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Delivering care that changes people’s lives IN INDIANA

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INDIANA HIGHLIGHTS FY17 Top Achievements • A centralized scheduling model was implemented for all prescribers for new evaluations as well as for all rescheduling of cancelled or missed appointments • We have a contract for psychiatric consultation and therapy services with the Cummins Engine Company near-site clinic in Columbus

Brad Smith BOARD CHAIR, CENTERSTONE INDIANA

• Waiting lists for new psychiatric evaluations have been reduced at least 50% to an average of 30 days or less, depending on location • Implemented an electronic appointment reminder system for psychiatric staff and clinic-based therapists • The number of patients receiving Suboxone has expanded from about 75 in FY16 to 266 in FY17, with additional capacity of 165 more patients before we hit the prescribing limits of our existing team of psychiatrists and nurse practitioners. All of our prescribers have been trained to use anti-craving medications like Vivitrol as well as nicotine-cessation tools • Added 9 partner medical providers of MAT, namely Suboxone, bringing our total to 29 community medical partners for MAT throughout Indiana • We now have a standardized process for screening for benefit eligibility for uninsured clients and assist with completion of application process for any enrolled through presumptive eligibility. All clients who qualify are enrolled in HIP through presumptive eligibility process, if interested; 79% of those enrolled this way later fully complete the application. As of June 2017, less than 1% of clients receiving service were uninsured, compared to 22% in FY15, prior to Medicaid expansion • Improved PQRS outcome scores in all areas, having improved our measurement tracking systems both within and outside our medical record • Acquired new or expanded school contracts in Henry, Jennings, Clark, Monroe and Morgan Counties and are now providing services in over 150 area schools • Expanded referrals from the Department of Child Services in all of our counties, with significant expansion in Jay and Scott Counties • Established a partnership with a developmental disability organization (Stonebelt/Milestones) to provide life skills training in the schools for children with developmental disabilities and behavioral health problems in Monroe and Bartholomew Counties • Successfully integrated a transitional residential program for homeless or displaced youth ages 16-20, assuming their grants and adding additional clinical services • Launched Functional Family Therapy Program for Wayne and Fayette Counties through new grant funding

Suzanne Koesel LCSW CHIEF EXECUTIVE OFFICER, CENTERSTONE INDIANA

Fiscal Year 2016-2017 Board of Directors Brad Smith

BOARD CHAIR

Terrye Davidson VICE-CHAIR

Jeni Embree

IMMEDIATE PAST CHAIR

Kristi Rowell SECRETARY

Suzanne Koesel, LCSW CHIEF EXECUTIVE OFFICER

Dave Emmert, Esq. Sharon Harlin Linda Hobbs Franklin Jackson Mamie McDonald Darryl R. Neher Robert Neth Gil Palmer Jeffrey D. Pflug Steve Taylor, Esq. Linda Trader Cheryl D. Zell

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INDIANA HIGHLIGHTS • Child & Adolescent services in FY17 grew by 23% over FY16 • Our corrections re-entry work continued to grow, with referrals in all counties expanding. We are now recipients of about one third of the dollars being spent in the State’s Recovery Works program – the number one provider of services • In conjunction with local Sheriffs, work began to develop jail-based treatment programs in Monroe, Bartholomew, and Lawrence Counties • Formed a new FQHC partnership site at our Spencer Integrated Health Clinic with Indiana Health Centers; the expanded primary care operation opened in April • Opened a new Recovery Engagement Center in Columbus in May • Community engagement services were expanded in both Monroe and Bartholomew counties, providing outreach to homeless and transient persons with behavioral health disorders • As our data was restored mid-year, we were able to better manage service mix, caseload size, and staffing. We were also able to improve the health insurance coverage for many of our adult clients • The number of services in FY17 grew by 22% over the number in FY16 Awards and Recognitions • Matthew Clay: Awarded Bloomington’s 10 Under 40 Award • Matthew Clay (CCPE) and Kim Decker, Derrick Garletts (IU School of Nursing): Awarded the 2017 Dean’s Faculty Award for Partnerships

2%

Medicare

14%

State Contracts & Grants

56%

Medicaid

1%

22%

3%

<1%

14%

Administrative

CENTERSTONE INDIANA

Federal Contracts &Grants

1% Contributions

Private Pay

86%

Direct Patient Care & Support Services

Commercial Insurance School Systems

FISCAL YEAR 2016-2017 FUNDING SOURCES

FISCAL YEAR 2016-2017 HOW FUNDING WAS USED 16


Delivering care that changes people’s lives IN KENTUCKY

17


KENTUCKY HIGHLIGHTS FY17 Top Achievements • Kentucky dramatically expanded Opioid services – Several IOPs, residential capacity, peer services, RO-MAT, and new gender specific services MICHAEL ABATE BOARD CHAIR, CENTERSTONE KENTUCKY

• Continued improvement to our work across divisional lines of business with services like: psychological testing, OT/PT/Speech, dual diagnosis, IOPs, and crisis services • Transitioned Help Desk from Manual Ticket entry to automatic email entry into ServiceDesk • Point of Care Lab is up and running and we hired an Associate Chief of Nurse Practitioners • Development and state approval of the Peer Support Curriculum with OnSite Peer Support Training • Streamlined admissions at ARC turning a 4 hour admission process into less than 90 minutes, increasing overall census and revenue

Anthony “Tony” Zipple SCD, MBA PRESIDENT AND CHIEF EXECUTIVE OFFICER, CENTERSTONE KENTUCKY

Fiscal Year 2016-2017 Board of Directors Michael Abate CHAIR

• DBH allocating $1 million of CURES money to fund the University of Louisville Bridge Clinic project • Significant improvements in Financial Reporting & Revenue Cycle with Attestation, Volume Reports, Vena, and more • Stabilization of the EHR product with ongoing efficiencies allowing for an increase (62%) in Avatar satisfaction

Robert Watson

• Managed the PR/Communication (internal/external) pieces of the affiliation with Corporate Marketing, including updating all collateral materials throughout the agency

Curry Nicholson

• Reduced the volume of benzodiazepines prescribed by 76% in one year

VICE-CHAIR VICE-CHAIR

David Ray

• Sold prior Kentucky Administrative Headquarters and moved all Shared Services staff into one building

Tia Coatley

• Kentucky became a “Second Chance Employer” and spearheaded a new Retention Task Force.

TREASURER SECRETARY

Anthony “Tony” Zipple, ScD, MBA CHIEF EXECUTIVE OFFICER

Customer Experience • Developed new scripting for standardized customer phone greeting for sites • Completed a customer service online training for all staff and is a part of the orientation process • Created a “floater” prescriber to cover vacations, absences for regularly assigned prescribers • Created teams to “connect” with clients in hospitals, ERs, jail, etc. to facilitate a welcoming and warm engagement with our services • Developed 10 new Collateral Materials – Brochures, Rack Cards, etc. to better communicate with clients and the community

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KENTUCKY HIGHLIGHTS Value-Added Care

Fiscal Year 2016-2017 Board of Directors Michael Abate

• Designing, implementing and providing mobile crisis services to adults, averaging 75 clients a month with over 250 contacts • Added to the continuum of care for Addictions with new Structured Sober Housing. We have 7 new houses available • Expanded School Based Services into all rural schools. Currently we provide services in 135 schools • Expanded Psychological Testing services billing $106k in new revenue. This is a cross-divisional initiative • Increased in home services across all counties. Opened additional 75 cases over last year

CHAIR

Robert Watson VICE-CHAIR

Curry Nicholson VICE-CHAIR

David Ray

TREASURER

Tia Coatley SECRETARY

Anthony “Tony” Zipple, ScD, MBA CHIEF EXECUTIVE OFFICER

• After significant advocacy, the Medicaid State Plan now allows us to provide OT, PT and SLP therapies. We are now providing the services in DSD and plan to expand to other divisions

Jennifer Ballard

• Started Applied Behavioral Analysis health services for individuals on the autism spectrum. This is a cross-divisional initiative

Darlene Benzick

• Continue to grow Supported Employment and revenue generated from Office of Vocational Rehabilitation

Lee Baltzell

Russell J Bird, M.D. Dr. Craig Blakely Ashley Distler Maresa Fawns

• Provided 19 children with Autism, who have limited expressive communication, iPads and Speech Therapy to facilitate an alternative system of communication

Bruce Ferguson

Planning for Growth

Peter Garrison

• Successfully organized a Zero Suicide Summit in November 2016 and organized an ongoing implementation team in house for improvement of current care of suicidal clients

Kevin Gunn

• Launching The CKY Living Room in January 2018

Tom Hirsch

• Finalized the Centerstone Kentucky FY18-FY20 Strategic Plan • UM began transition of 2 major authorization projects with expectation of better data and improved revenue for ARC detox/residential and Medication Authorizations • Launching Moderate Level Lab in late 2017 and expanding prescriber abilities at TAYLRD • Conducted more than 50 employee engagement survey focus groups which has provided key areas of opportunity for our facility staff and shared services to support employee engagement and impact turnover • Development and support of the Onboarding Task Force to impact new employee turnover. A three day New Hire orientation launched July 2017 • Launched a new individual donors strategy, cleaned up donors data and designed an overall annual plan • Rolled out Enlighted Analytics to increase Staff Productivity in FY 18 • Signed a Feasibility Study contract with The Covenant Group to launch the ARC Capital Campaign 19

Denise Hall

Dr. Surinder “Sam” Kad Bill Kenealy Steven Lee Karen Long Mike Lorch Gary Marsh David Miller Denise Perry Michael Ringswald Felicia Smith, PhD Neil Stamp Chris Teeley


KENTUCKY HIGHLIGHTS Planning for Growth (continued) • Engaged the Department of Medicaid Services on the need to modernize Kentucky’s telehealth regulations. Since our initial meetings, the department has formed a workgroup to streamline KY’s telehealth statute Awards and Recognitions • Center for Nonprofit Excellence - Art of Leadership Pyramid Award –– Tony Zipple • Kentucky State audit of SCL Waiver had zero citations this year, a significant improvement over last year’s 27 citations • Centerstone Kentucky – FEAT Autism Friendly Business Initiative Recipient • Louisville Worksite Wellness Award, Gold, for providing exceptional wellness opportunities for our employees • Western Day Treatment was recognized by the Kentucky Department of Education as an Alternative Program of Distinction for alternative education programs in Kentucky. No other KY program has received that award 3 years in a row • The 2017 KY Stars – awarded to Jeffrey Sturgeon, A Peer Support Specialist from ARC • Philip Ardery Award, Mental Health America, KY Chapter, recognized the CKY ACT services Clinical Outcomes Adult Division: • Designing, implementing and providing mobile crisis services to adults; averaging 75 clients a month with over 250 contacts • Submitting proposal for Living Room model to Metro Government, campaigning for and receiving funds to open LR in 2018 Addictions: • Added to the continuum of care for Addictions with new Structured Sober Housing. We have 7 properties and 20 beds available • Streamlined admissions at ARC turning a 4 hour admission process into less than 90 minutes, increasing overall census and improved revenue • Added 16 bed Women’s Residential facility and achieved 75% occupancy in first 3 weeks of operation • Opened more IOP programming, 2 new Women’s only groups Child & Family: • Expanded School Based Services into all rural schools. Currently we provide services in 135 schools • Expanded Psychological Testing services billing $106k in new revenue. This is a cross-divisional initiative • Increased in home services across all counties; opened additional 75 cases over last year 20


KENTUCKY HIGHLIGHTS Developmental Services: • After significant advocacy, the Medicaid State Plan now allows us to provide OT, PT and SLP therapies. We are now providing the services in DSD and plan to expand to other divisions • Started Applied Behavioral health services for individuals on the autism spectrum. This is a crossdivisional initiative • State audit of SCL Waiver had zero citations this year, a significant improvement over last year’s 27 citations • We continue to grow Supported Employment and revenue generated from Office of Vocational Rehabilitation

1% Contributions

40%

Other Revenue

7%

1%

Grants

58%

Fee for Services

CENTERSTONE KENTUCKY

Administrative

93%

Direct Patient Care & Support Services

FISCAL YEAR 2016-2017 FUNDING SOURCES

FISCAL YEAR 2016-2017 HOW FUNDING WAS USED 21


NOBLE PURPOSE IN ACTION All in a Day’s Work at Adult Services in Kentucky (Before 1:00 p.m.): Jess* was observed walking around downtown last night on Broadway. She is visually impaired, tired, and filthy. She wears a foot brace on one foot and a shoe that is 2 sizes too small on the other. She carries her large suitcase with all her worldly possessions. This morning at 8:15 a.m., she sat outside of Adult Services patiently. When asked if she could be assisted, she becomes fearful as though she is in trouble, and needs assurance that she is safe and we are here to help. At 11:00 a.m., she is back outside now wearing a winter coat. Dan assures that she had her appointment and got her needs met. She advises that she has a safe place to sleep, saw a therapist, got a psychiatric appointment, and is getting a case manager to help her find a permanent place to live. She says “I have a plan.” Joe,* a 6”5’ 365lb man walks into Adult Services not able to communicate what he needs. Front desk staff are able to see that he is an ASET consumer with a violent history. ASET advises that it is time for his shot and the mobile prescriber and ACT nurse spring into action and get that accomplished. He says he is thinking about murdering people and needs to be safe. Other regional providers will not take him. Police nor ambulance will transport. ASET, with police escort, assist him to EPS. EPS is triaging and the work continues to try and get him to a safe place for respite. He really likes cats. He knows ASET comes to his home in Beecher and they like his cats as well. We dream of The Living Room being up and running today. Vic*, an adult with a brain injury and one eye is at Adult Services with his mother seeking services for behavioral outbursts and inappropriate sexual behavior. His insurance has been terminated. Adult Services and Peerfit staff surround them with assistance to control the wait time, help keep them calm, as well as assure both of them that he will receive the critical services Vic needs. He was able to work with a therapist before lunch. Lisa* is well known in the homeless community and to Adult Services. Today, she is wellgroomed and expressing the need for more support. Last year the ACT team attempted engagement for 6 months but her symptoms of paranoia and crack use were barriers to her being available for support. She has been able to stay at Women’s Healing Place. She isn’t able to verbalize what she needs and starts to leave. Adult Services staff and Miguel of ACT jump in. Her sister says if she keeps “doing good,” she can come stay with her. She needs payee support. She says that she trusts that we will do well and “do it right.” Miguel has plans to be off this afternoon but says “I am going pull around in my truck because we can’t walk in the rain. Let’s get this done now. You’re ready and it is important.” Every day, we are “Delivering care that changes people’s lives.” * Names changed to protect patient privacy.

22


Delivering care that changes people’s lives IN TENNESSEE

23


TENNESSEE HIGHLIGHTS FY17 Top Achievements

R. Parker Griffith BOARD CHAIR, OF DIRECTORS, CENTERSTONE TENNESSEE

• The Steven A. Cohen Military Family Clinic at Centerstone: Centerstone Tennessee was selected as Cohen Veterans Network’s 10th national network community provider; this Cohen Clinic at Centerstone will open in Clarksville in 2018 • School-Based Therapy: service line expansion continued, including a new contract to serve Murfreesboro City Schools and new partnership school locations added throughout Tennessee, including in Franklin, Maury, Robertson, Sumner, Putnam and White counties • Health Care Innovation: initiated transition of TennCare Level 2 Case Management into newly developed Tennessee Health Link (Health Home) service line; Centerstone Health Link exceeded enrollment and engagement expectations for the 2016-17 fiscal year

Robert N. Vero, EdD CHIEF EXECUTIVE OFFICER, CENTERSTONE TENNESSEE

Fiscal Year 2016-2017 Board of Directors R. Parker Griffith BOARD CHAIR

Jim Sweeten VICE CHAIR

Mark Faulkner

IMMEDIATE PAST CHAIR

Dana Oman SECRETARY

Robert N. Vero, EdD

CHIEF EXECUTIVE OFFICER

Janet Ayers Kelly Crockett Crook Father Fred Dettwiller Dr. Vincent W. Durnan, Jr. Albert Menefee III Father Bill Midgett Jill Obremskey, MD Dr. Carmen Reagan Steve Saliba Kate Satz Sperry Bell Simmons

• New Facilities/Locations: completed new facility construction and moved Dickson clinic operations to that location; opened a new Enhanced Supported Housing location in Sumner County • Therapeutic Foster Care: Centerstone Tennessee’s operation in Georgia continued to grow and was complimented by the State of Georgia as an organization that “was doing it right;” also received two A+ quality of care audits for this Therapeutic Foster Care service line in Georgia • Fatherhood Engagement: services were developed with evidence-based curricula, Inside Out Dads and 24/7 Dads, designed to increase appropriate father involvement in young children’s lives • Federal and State Grants: $12,546,675 in grant funding awarded to Centerstone Tennessee in fiscal year 2016-17, including a SAMHSA grant focused on using technology to engage clients in substance use disorder treatment • Awards: Donald Williams, Peer Wellness Coach, received the NAMI Davidson County “Well Within Personal Courage Award;” in addition, Centerstone was awarded both the “Zero Suicide Pioneer Award” from Tennessee Suicide Prevention Network and the “Patriotic Employer Award” from the Office of the Secretary of Defense • Quality Improvement: coordinated preparations for the Tennessee implementation of Episodes of Care for behavioral health; also collected input from 1,431 adults and 846 parent/guardians regarding their perception of received Centerstone services – this data was analyzed, and recommendations for improvement were presented to leadership • Crisis Services: saw 6,749 people face-to-face for a crisis assessment; diverted 55.6 percent of clients from inpatient hospitalization to lower level of care; partnered with TriStar Health and St. Thomas Health to provide telehealth services in their affiliate ERs • Clinical Services: advanced our commitment to supporting pharmacogenomic testing, medication assisted treatment (MAT) – including appropriate wraparound mental health care – and appropriate ADHD treatment follow-up in children and adolescents • Foundation: the Centerstone Tennessee Advancement team increased philanthropic revenue by 6.5 percent (total $528,056), employee giving by 18 percent (total $25,911) and Reclaiming Lives Luncheon revenue by 37.7 percent (total $103,923)

Joan Sivley Commissioner Deborah Taylor Tate

24


TENNESSEE HIGHLIGHTS Customer Experience • Fielded and assured timely follow up regarding 115 customer complaints • Collected input from 1,431 adults and 846 parent/guardians regarding their perception of the services that they or their child received from Centerstone. This information was analyzed, summarized and presented to leadership along with recommendations for improvement • Completed 220 telephone surveys with former Centerstone service recipients to better understand their perception of the services that they received and their reasons for leaving treatment • Mobile Crisis realizes that a client in crisis does not need to wait on services. Crisis responded to 95% of calls within 2 hours in our 20 county catchment area. This enables client’s to get the services they need quickly for CTN’s most vulnerable clients • Mobile Crisis responds to calls in the community where a client is most comfortable • Crisis provided in-service trainings on Suicide Prevention for Maury County Schools. Additionally, Crisis has made a good connection with their Director of Counseling and Mental Health • Crisis rolled out EHR modifications which included the administration of the PHQ-9/A at designated visits. These modifications also assist QI with gathering information as well as assisting in making our best efforts for effectively screening for suicidal ideations Value-Added Care • Supporting pharmacogenomic testing by our psychiatry staff • Worked to prepare staff for Tennessee payment reform initiatives including Episodes of Care and Tennessee Health Link • Initiated work with the Centerstone Center for Clinical Excellence to develop clinical pathways to provide the best care possible within Episode of Care cost parameters Planning for Growth • Supporting MAT in Tullahoma, accompanied by appropriate wrap-around mental health treatment, including consideration of computerized DISC-Flex Assessment • Working on MOUs to provide mobile crisis via telehealth to jail inmates. This is a quicker and safer alternative to providing crisis services in correctional facility • Partnered with Tristar and St. Thomas to provide telehealth services in their affiliate ERs • Applied for a multi-year grant to roll out the Suicide Prevention Pathway to all Centerstone states, as well as implementing the next steps of our suicide prevention efforts in TN • Working with Sallie Allen to provide QPR (Question, Persuade, and Refer) Gatekeeper Suicide Prevention training to all customer care and support staff within Centerstone • Increased CTN overall philanthropic revenue by 6.5% (total $528,056) • Increased CTN employee giving by 18% (total $25,911) 25


TENNESSEE HIGHLIGHTS Planning for Growth (continued) • Increased revenue from Centerstone’s Reclaiming Lives Luncheon by 37.7% (total $103,923) • Secured five-year contract for Metro Nashville Public Schools (total $872,057) Awards and Recognitions • Nashville Business Journal Health Care Hero - Quality Category – Brad Nunn, Ph.D. • Andy Lawrence, Director of Suicide Prevention, has become certified in QPR instruction as well as both Youth and Adult Mental Health First Aid Instructor. • “Zero Suicide Pioneer Award” presented to Centerstone by Tennessee Department of Mental Health and Substance Abuse Services and Tennessee Suicide Prevention Network • “Patriotic Employer Award” presented to Centerstone by Office of the Secretary of Defense • NAMI Davidson County Well Within “Personal Courage Award” presented to Centerstone Peer Wellness Coach Donald Williams • CNM Salute to Excellence “Catalyst for Change” Award Nomination for Centerstone’s work in suicide prevention Clinical Outcomes • Supporting appropriate ADHD treatment follow-up in children and adolescents • Oversaw improvements in calendar year 2016 Physician Quality Reporting System (PQRS) scores that can impact payments • 6749 seen face to face for crisis assessment • 55.6% diverted from inpatient hospital to lower level of care

School Systems Commercial Insurance

1% 7% 3%

Pharmacy & <1% Contributions Other Revenue

Federal Contracts 8% & Grants Private Pay 2%

23%

State Contracts & Grants

Medicare

53%

Medicaid

12%

CENTERSTONE TENNESSEE

Administrative

88%

Direct Patient Care & Support Services

2%

FISCAL YEAR 2016-2017 FUNDING SOURCES

FISCAL YEAR 2016-2017 HOW FUNDING WAS USED 26


NOBLE PURPOSE IN ACTION Helping Children Heal from Trauma Adverse childhood experiences (ACEs) are stressful or traumatic events—e.g., abuse, neglect, parental divorce or incarceration—that impact brain development and can lead to various mental and physical health conditions throughout someone’s life. As new studies confirm the true magnitude of ACEs on a person’s long-term wellbeing, Centerstone Tennessee is taking steps to educate community and staff. Through our Early Childhood Services, Centerstone sponsored the 2016 Building Strong Brains Tennessee ACEs Symposium where behavioral health, child advocacy and other leaders from around the mid-state gathered to discuss the prevalence and impact of ACEs while working toward solutions. During this same time, Early Childhood Services experts were supporting the ACEs initiative through educational presentations to Centerstone leadership teams, board members, at conferences and community groups. ACEs training was also offered to staff in order to aid in mobilizing knowledge around early childhood brain development. Staff learned more about how the architecture of a young child’s brain is shaped by the interaction between genes and experiences. The overarching message was clear: children thrive in a safe, stable, nurturing environment of supportive families, caregivers, neighborhoods and communities. Trauma-informed treatment has already been incorporated into our Therapeutic Foster Care service line, while our Therapeutic Intervention, Education & Skills (TIES) team uses an ACEs assessment tool created by Centerstone Research Institute. Finally, Centerstone Tennessee made a clear commitment in the 2016-17 fiscal year to educate community members about ACEs through a three-part series of events. In partnership with ACE Nashville, our Centerstone Ambassadors Circle organized these gatherings at the Lentz Public Health Center where health providers and concerned citizens alike learned how to address ACEs among the age groups of 0 to 6, 6 to 12 and 12 to 18. The popularity of these events will lead to the series is continuing in 2018.

Dr. Bob Vero, Deborah Taylor Tate and Elliot Pinsly attend the Tennessee ACEs Symposium in Nashville.

Mallori Cain (Hope Clinic for Women), Ingrid Cockhren (ACE Nashville) and Centerstone’s Jeremy Davaloz and Elizabeth Ball spoke at the first Adverse Child Experiences: Building Strong Brains event.

27


Delivering care that changes people’s lives RESEARCH INSTITUTE

28


RESEARCH INSTITUTE HIGHLIGHTS FY17 Top Achievements • Supported implementation of the Adult Health Home Clinical Model; pilots now exist in 5 sites. • Supported implementation of the Integrated Addictions Care Clinical Model; piloted in 1 location and efforts to align service delivery with model recommendations are occurring across all 5 states • Developed and entered into multiple Research and Joint Product Development Agreements, which provide a framework for working with external thought leaders and researchers to quickly translate emerging science into real-world practice

Janet Ayers BOARD CHAIR, CENTERSTONE RESEARCH INSTITUTE

• Advanced efforts toward value-based care readiness as evidenced by the submission of 2017 MIPS measures across the enterprise and the formation of the Value-Based Care Steering Committee • Reorganized the Research Institute to leverage resources in designing and testing clinical products such as models, clinical pathways and clinical processes that close the science to service gap • The Research Institute’s Center for Evaluation Excellence disseminated 3 White Papers on recovery post residential substance abuse treatment, 3 research briefs Defining Recovery, Nicotine and Recovery and Recovery Capital, and submitted an article for publication in the Addiction Research & Theory Journal, entitled Wellness-Based Predictors of Discharge against Medical Advice in Inpatient Substance Abuse Treatment • The Research Institute’s Center for Clinical Excellence achieved a rating of ‘good’ or ‘excellent’ in customer service from its bi-annual service standard survey of Centerstone staff • The Research Institute’s Center for Evaluation Excellence achieved an overall average of 95 out of 100 across all satisfaction criteria from its customer service survey of Centerstone staff, State and Federal Grant Project Directors • Continued implementation support and evolution of two high value, evidence-based and datadriven models of care; this has enabled Centerstone to further advance efforts to establish a national contract around Medication Assisted Treatment and value-based care contracts for Health Home services • Developed two additional clinical models of care: Crisis Response Services and Children’s Health Home with implementation planned for spring 2018 • Submitted MIPS measures across the enterprise and continued work to enable report automation resulting in dynamic dashboard reporting • Six staff completed Lean Sigma Green Belt training classes and are leading process improvement projects to improve the efficiency and effectiveness of clinical practice and operations • Continued implementation of the national service line: Integrated Addictions Care, which includes Medication Assisted Treatment. Efforts underway to establish new national health plan contracts • Continued implementation of the national service line: Adult Health Home. Multiple new health plan contracts are now in place with efforts to advance additional opportunities underway 29

Richard C. Shelton, MD CHIEF EXECUTIVE OFFICER, CENTERSTONE RESEARCH INSTITUTE

Fiscal Year 2016-2017 Board of Directors Janet Ayers

BOARD CHAIR

David J. Melby VICE CHAIR

Tom Mahler

IMMEDIATE PAST CHAIR

Jonathan Morphett SECRETARY

Richard C. Shelton, MD CHIEF EXECUTIVE OFFICER

Jennifer Bencie, MD Gil Palmer Nedda Pollack A John Rose Joan Sivley Deborah Taylor Tate Robert J. Williams, PhD


• The Center for Clinical Excellence provided remote and in-person training to support the implementation of enterprise clinical products, value-based care readiness, adoption of evidence-based practices and industry best practices • The Center for Evaluation Excellence designed and developed a RedCap database for the Opportunity Analysis and Model Fidelity Monitoring data elements serving both as an interface for data entry and a centralized repository for data cleaning and maintenance • Collaborated with IT to form an ongoing EHR Clinical Team to review and approve EHR Enhancements. Increased uniformity eases management of information, reduces the overhead costs of development and encourages more uniform workflows • Diagrammed and declared internal processes for producing clinical models. This aided in understanding the complexity of the team’s work and simplified explaining it to others and training new staff • Director of Clinical & Translational Research position filled with the aim of providing strategic leadership for Centerstone’s research agenda positioning the organization as an innovative and competitive leader • The Center for Clinical Excellence received an honorable mention for the submission of a Scattergood Innovation Award Clinical Outcomes • The Center for Clinical Excellence identified and supported the adoption of client outcomes essential for Centerstone’s ability to thrive in a value-based care environment. Appropriate metrics were identified across all clinical products and include metrics to target process and outcome metrics, HEDIS, PQRS and MIPS measures • The Center for Clinical Excellence and Research and Evaluation partnered to build a database intended to provide a repository and automated reports for clinical products. related treatment and process outcomes. This tool will allow for sustainable outcomes support and reporting to occur ongoing and will provide continued support in monitoring the effectiveness of clinical products to achieve treatment outcomes • The Center for Clinical Excellence piloted computerized self-report assessments and outcomes dashboard tools; pilot results will be utilized to make decisions about which tools best meet the needs of Centerstone and clients • Initiated a pilot in Kentucky for the routine capture of interval-based outcomes information that will expand to clients in all states. Measurement at Every Encounter captures information from clinicians and patients that can guide care, as well as enables comparisons of effectiveness within our agency • Electronic Health Record enhancements to support delivery of clinical models include implementation of outcomes measures and level of care tools for the Addictions Integrated Care and Health Home models • Initiated a review of laboratory ordering across Avatar systems to establish guidelines for practice and metrics to manage lab orders

30


Delivering care that changes people’s lives MILITARY SERVICES

31


MILITARY SERVICES HIGHLIGHTS FY17 Top Achievements • Increased ability to expand services through a partnership with Wounded Warrior Project/ Warrior Care Network affiliation Mike McCalip BOARD CHAIR, CENTERSTONE MILITARY SERVICES

• Increased reach of online courses for veterans and caregivers to 200 individuals and unique interactions among online group participants to 72,000 per year on average • Provided training for 20 veterans and caregivers • Provided peer and professional one-on-one support to 500 individuals • Appointed special programs director who increased retreats by 35%. Also increased the number of Project Odyssey Retreat providers nationwide with qualified mental health providers

Col. (Ret.) Kent Crossley EXECUTIVE DIRECTOR, CENTERSTONE MILITARY SERVICES

Fiscal Year 2016-2017 Board of Directors Mike McCalip CHAIR

Mike Enos

INTERIM VICE CHAIR

LTG (Ret.) Hubert G. Smith IMMEDIATE PAST CHAIR

COL (Ret.) Kent Crossley EXECUTIVE DIRECTOR

Wes Pass

SECRETARY

David C. Guth, Jr. Scott R. Himes Sherrif, COL (Ret.) Jon E. Lopey

• Upgraded encryption capability to provide increased security for online communication between clinical team and contractors • Instituted online data tracking to provide efficient and effective metrics for wraparound programs • Increased Wounded Warrior Project budget to $2.5 million and counseling utilization rate, an overall 50% increase • Provided retreats for 14 female military veterans subjected to Military Sexual Trauma in conjunction with partner • Increased Telehealth opportunities to 10% of all referrals • Increased Tennessee engagement of veterans by participating in Vietnam Veteran town meetings, retired military appreciation events and Tennessee hill days. This included a presentation to the House Veteran Services Committee in Washington, DC • Introduced pre- and post PCL-5 survey metrics into counseling treatment • Provided military competency training to 15 Centerstone of Florida providers • Finalized contractual agreement with Georgia National Guard to treat, through counseling, their guardsmen suffering from mental illness • Expanded online groups to include veteran groups and specialized peer groups • Added three new members to Centerstone Military Services board of directors and appointed a new Board Chair

BG Eden Murrie Linda Peek Schacht Raghu Upender Rober Wheeler

32


Delivering care that changes people’s lives THROUGH OUR FOUNDATION

33


FOUNDATION HIGHLIGHTS FY17 Top Achievements

Phil Krebs BOARD CHAIR, CENTERSTONE FOUNDATION

• This is the fourth consecutive year where the Foundation team has exceeded goal. In FY17, the team was responsible for raising $4,551,914 in philanthropic and other revenue for Centerstone (133% of budget). The team kept expense below budget by $148K, ending the year with the Cost to Raise a Dollar at 30% (or 30 cents on the dollar) • Secured 447 new donors (a 21% increase over FY16’s 370 new donors) • Successful affiliations, bringing Kentucky and Stepping Stones (IN) into the team and our fundraising focus • First year for Illinois to reach the $200K mark in total revenue • Sapphire Society – developed new planned giving brochure and received two planned gifts commitments (Illinois and Tennessee)

Ramona Rhodes CHIEF OPERATING OFFICER, CENTERSTONE FOUNDATION

Fiscal Year 2016-2017 Board of Directors Phil Krebs CHAIR

• Met with Presence Health Foundation (Chicago, IL) to share ideas and hear how they approached their fundraising and unified their Foundation while moving through M&As • Received first national grant for Centerstone Military Services from the Elizabeth Dole Foundation • Formalized a new portfolio approach to fundraising for FY18, with the creation of dashboards in Salesforce to support

Philippa Guthrie

• Developed new animated video for donors for use on web/social and at events. First of its kind for the team

George Stadler

Noble Purpose in Action

VICE-CHAIR

IMMEDIATE PAST CHAIR

Dr. Kay Whittington SECRETARY

David C. Guth, Jr. CHIEF EXECUTIVE OFFICER

Ramona Rhodes CHIEF OPERATING OFFICER

Nancy Low

FOUNDATION ADMINISTRATOR

Linda Brooks Richard Fitzgerald Tim Knowles Tom Mahler Jack Wallace

Deb* is a 19-year-old client in Centerstone Illinois’ integrated health program. She was referred to the program from Centerstone’s school-based counseling service that was co-located at Deb’s high school. Deb had challenges all throughout her school-aged years. She experienced abuse and neglect at a young age and struggled with depression and anxiety. Working with her school-based counselor, Deb worked hard in school, all while dealing with bullying, her own health problems and challenges at home, and finally made it to graduation. While she was excited to celebrate this milestone, Deb was embarrassed that she and her family couldn’t afford to purchase the cap and gown required by the school for graduation. Her counselor advocated with the school for a discounted price, and Centerstone Foundation donations provided what Deb couldn’t afford. Thanks to Centerstone, Deb was able to celebrate reaching this amazing milestone with her peers and her family. Deb continues to work hard in our integrated health program. She’s learning about how nutrition and exercise impact her mental health and help her feel better. She’s also looking at her next steps in life and considering applying for college. Through treatment services and donations to the Centerstone Foundation, Centerstone delivers care that change people’s lives. * Names changed to protect patient privacy.

Carol Zwick

34


FISCAL YEAR 2016-2017 DONOR SUPPORT 16%

Area of Greatest Need

5%

Adult Services

2% 1%

61%

Research & Evaluation

Child/Family Services

Crisis/Access Services

1% 10%

Military Services

2% Medical Services

LEADERSHIP TEAM David C. Guth, Jr. Chief Executive Officer Ramona Rhodes Chief Operating Officer Charles F. Callihan Advancement Director Nancy Low Foundation Administrative Officer Susan Norsworthy Events Director Beth Rodriguez Advancement Director Kathryn Sime Advancement Director Jeney Slusser Advancement Director

35

Endowment

2%

Homelessness Prevention


FISCAL YEAR 2016-2017 DONORS Centerstone gratefully acknowledges the contributions of everyone who helps make our organization a success—our boards, donors, volunteers and staff. Thanks to your efforts, we are able to fulfill our mission—our noble purpose—of delivering care that changes people’s lives. We acknowledge with gratitude the following donors for their total gifts during the fiscal year 2016-2017 in support of Centerstone’s endowment, special events and annual giving programs. Anonymous (31)

Betsy Arroyo

Consulting

Tonya Bordy

Ann Burke

Ms. Michelle Abercrombie

Thomas Ashe

Melanie and Kirk Bell

Heather Borghesi

Avery Burke

Angel Adam

Beth Atkins

Ms. Laura Bellezza

John Bortan

Vickie Burleson

Aida Adams

Auntie Anne’s

Ms. Amanda Benard

Julia Bortan

Ms. Lori Burnett

Andrew Adams

Phillip Austin

Dr. Jennifer Bencie

Ms. Angela Bostelman

Rhonda Burnett

Mr. Brice Adams

Gail Ayala

Kelly Benedict

Boston Scientific Corporation

David Burruss

Ms. Chithra Adams

The Ayers Foundation

Susan Benefiel

Ms. Stefanie Babb

Savannah Adkins

Robb Backmeyer

The Benevity Community Impact Fund

Boston Scientific Foundation, Inc.

Ryan Burt

Lexie Adams AdSource

Ryan Badger-Bridewell

Aetna Foundation

Brian Bagby

Marilyn Agee

Ms. Laura Baggett

Mr. and Mrs. Frank Agresta

Maria Bailey

Christine Aikman

Baird Foundation, Inc.

Air Hydro Power

Ms. Lorene Baity

Ms. Kimberly Akin

Ms. Melanie Baker

Jose Alamilla-Vasquez

Renee Baldridge

Mr. Jim Alderman

Jim and Jane Bales

Kimberly Alderson

Ms. Dana Ballinger

All Stars N Stitches

Banterra Bank

Tari Allan Amy Allen Blythe Allen Mr. and Mrs. C. Dale Allen Mr. and Mrs. Jimmy C. Allen

Mr. and Mrs. Jim Barker Sharon Barker Vaughn Barnett Ms. Deirdre Barr Dr. Ralph I. Barr

Mary L. Benham Sheri Benham Mr. and Mrs. Michael R. Bennett

Mr. Robert S. Bracco

Wanda Bennett

Lee and Bonnie Brackett

Mr. Lowell L. Benson, Jr.

Julie Bradshaw

Mr. Douglas Berger

Mr. Andrew Brady

Gloria Berry

Ms. Natasha Bragg

Mary Berry

Darla Brannan

Mr. and Mrs. Donald F. Berschback, II

Ms. Jacquelyn Brannen

Berstein-Ryan, LLC Ms. JoAnn Beshaw Johanna Beville Ms. Heather Beyer

Joe Billings (57 AHC)

Ms. Heather Barrett

Ms. Meaghan Birmingham

Mary (Ginny) Barth

Birracibo

Marcie Bartlett

Katherine Bishop

Ms. Courtney Bartoo

Molly Biss

Ms. Susan A. Basham

Todd Black

Christine Basile

Helen Blackburn

Francis Basile

Jennifer Blackwood

Mrs. Melaton Y. Bass-Shelton

Ms. Heidi Blair

Ms. Renee L. Bauer

Ann Blankenship

BB&T Bank

Edward Blayney

Diana Baylor

Mr. David Blehar

Lou Baylor

Marcie Bloodworth

Beam’s Alarm, LLC

Blue and Company, LLC

Carol Bean

BlueCross BlueShield of Illinois

Mischelle Bean

Blue Rooster

Terence and Sharon Anthoney

Yolanda Beaney

Julia Arany, PhD, HSPP, LLC

The Alton Foundation AmazonSmile Foundation Ameren CIPS American Express Ms. Evelyn Amodovar Amscot Corporation Beth Anderson Ms. Marcia Anderson Ms. Regine Anderson Ms. Leah Andrews Andy Wallace Rental Mr. Joe Angers

Mr. Richard Boyd

Ms. Rachelle Bennett

Mr. and Mrs. Charles Barrett

Ms. Lauren Alston

Mr. Greg Boyce Mr. Stephen D. Boyes

Big Brothers Big Sisters of America

Vera Alstat

Robert Boxley

Pamela Bennett

Ms. Alice Barrett

Susan Allen

Mr. and Mrs. James N. Bowen, II

Diane Brewer Kristyn Brigance Michelle Bright Paul Bright Kriss Brodfuehrer The Brook Ms. Charlene Brooks Ms. Jenny L. Brooks Mrs. Linda Daniel Brooks Ms. Anna Brown Breanna Brown

Busch Gardens Amy Bushatz Ms. Glenda F. Bussell Ms. Becky Butcher Mr. and Mrs. A. Rawls Butler Jane Butler Karen Butler Linda Butler Ms. Sheila Butler Pamela Cain Mr. Jayson Caines Kathy Cali Mr. Christopher Call Charles Callihan Mr. Ceasar R. Camarillo General and Mrs. John Campbell Karen Campbell Robert F. Campbell Kara Canary Diana Candelario David Cantor Ms. Tanya Capeling Taylor Caragan

Dair Brown

Mr. and Mrs. Thomas M. Carden

Ken Brown

CareSource

Brown & Brown Insurance

Pam Carlen

Brown County Community Foundation

Rene Carman

Brown-Forman Corporation Joshua Brunner Ms. Louise L. Bryan Lewis Bryant

Summer Carney Jennifer Carr Michael Carr David Carrico

Mason Bryant

Mr. and Mrs. Kenneth Ray Carroll

The B'Towne Coffee Co.

Dorothy Carsey

BNI Star

Mr. and Mrs. Frank M. Bumstead

Carson Economy

Kelley Bebout

Donnie Boemker

Karen Bunch

Gregory Arce

Ms. Rae Becker

Ms. Claire Bohmann

Kenneth Bundy

Architechniques, Ltd.

Ms. Christine Bednarek

Ms. Pamela Bollinger

Ms. Nancy Bunting

Camille Arendt

Belinda Holmes Healthcare Management

Melissa Bomar

Holleen Burcenski

Clare Bond

Ms. Meagen Burelli

Dr. John Angiolillo Anthem Blue Cross and Blue Shield

Shirley Arney

36

Lynne Carter Ms. Christa Casey Ms. Karen Casteel Ms. Catherine Caster Mr. and Mrs. Todd Cato


FISCAL YEAR 2016-2017 DONORS Brian Caudill

Sarasota County

DATIS HR Cloud, Inc.

Mr. Jacob Dowser

Angie Elliott

Marybeth Celell

Ms. Bonnie Condor

Daughters of Isabella #959

Dr. J.J. Wendel Plastic Surgery

Amy Elmore

Centerstone Kentucky Human Resources Staff

Michael Conforti

Mr. and Mrs. J. Page Davidson

Carol Draper

Bettina Elwood

Ms. Karen Conrad

Mark and Terrye Davidson

The Dream Center

Dave and Jennifer Embree

Ms. Marilu Chapa-Mojica

Mr. and Mrs. Thomas West Cook

Ms. Amber Davis

DRT Construction, Inc.

David and Carolyn Emmert

Angela Chapman

Ms. Michaela Cook

Ms. Barbara Davis

Adam Dubois

Ms. Susan Cooke

Mr. Paul Duck

Employees Community Fund of Boeing

Conor Chapman

Dr. Joan Davis

Gary Chapman

Karen Cooper

Kate Davis

Victor Duckworth

Ms. Joanne Chapman

Mr. and Mrs. John Copeland

Maguerite Davis

Carla Duff

Ms. Jodie Chappell

Ms. Christine Corbett

Mandy Davis

Mr. and Mrs. Gavin Duke

Mr. and Mrs. Robert Chappin

Amanda Corder

Mr. Maurice Davis

JoAnne Duke

Lindsay Chatham

Ms. Meri Cormier

Rebecca Davis

Lauri Duke

Ms. Amanda Cheatham

Isabella Cornejo

Richard Davis

Duke Energy

Kimberly Check

Cosgrove Enterprises, Inc.

Terri Davis

Duke Energy Foundation

Cherokee, Inc.

Tony Cotner

Decatur County REMC

Heather Dumont

John and Aveniel Cherry

Nicole Cottrill

Don Degner

James Dumont

Ms. Loreal Cherry

John Cournoyer

Alicia DeLuca

Angela Dunbar

Chiles Restaurant Group

Mr. and Mrs. Richard G. Courtney

Mr. and Mrs. Edwin F. DeMoss, Jr.

Bryan and Tara Dunbar

Diane and Norman Chiu

Mr. Rocco Couts

Thelma Chandler

Ms. Peggy Christian Shannon Christian Ms. Kathleen Christoff City of West Frankfort Gregory Clark Ms. Julie A. Clark Nedra Clark Ms. Shelly Ann Clark Mr. Matthew D. Clay Clearwave Communications Ms. Shannon Clemmons Katherine Coates Eric Cochran Ms. Jessica Cochran Ms. Judith Cohen Jeremiah Coker Leslie Coker Jennie Collier Mr. R. Alex Colston Columbus Regional Hospital Foundation

Ms. Carol Cox Ms. Jerrie Cox Ms. Jessica Cox CS&L CPAs Jennifer Craig Cralle Foundation, Inc. Ms. Catherine Crandall Ms. Lilly Crane Linda and Larry Crawford Ms. Ruth Crawford Creative Difference, Inc. Ms. Anne Crockett Mr. and Mrs. Richard Crook Larry Croney Veronique Crossay Kent and Deanna Crossley Vera Crowl Ms. Charlene Cunniffe Mrs. Michelle Dally Cunningham

Ms. Judith DeMuth Pamela Denison

Lindy Dunbar Kate Dunn

Sherry Eubanks Euphemia Haye Restaurant Celena Evans

Mr. Duncan Eve, III

Ms. Lucy Duvall

Mr. and Mrs. Harry G. DeSalvatore

DVL Seigenthaler

Extra Help Employment Services

Father and Mrs. G. F. Dettwiller, II Dr. Brian E. Devine Libby and Bob Devoe Ms. Sarah DeWeese Ms. Rosanna Diaz Sharon Diaz David Diegmueller Mr. Paul C. DiGiovanni Randy and Suzanne Dillingham Mr. Jeremy Dilts Allison Dimikck Discount Lock & Key Anndy Dittz

DWC Construction Sabrina Dye Ms. Susan Dyke Leon and Lucy Dykyj Alison Eadie Ms. Jonette Eagles Andrew and Janet Earnest Christy L. East Mr. and Mrs. Wayne Easterwood

Farmers State Bank Julie Farris fashionable, LLC Mr. and Mrs. Mark C. Faulkner Fayette County Foundation Federated Campaign Stewards Craig Feger Mr. James T. Fehrman Marilyn Feldmann Lisa Felsman Dr. Gary Felsten

EBS Foundation

Brandi Fenton

Mr. John Eckstein

Sarah Ferguson

Mr. and Mrs. Terry Edens

Chezza Ferman

Pascale Edouard

Toni Fernandez Cindy Ferree

Wyatt Tarant Combs

Paula Dodge

Barb Edwards

Communicare, Inc.

D. N. Batten Foundation

Hayden Dolan

Mr. Doug Edwards

Community Foundation of Bloomington and Monroe County

Rose Dahn

Marti Domerese

Michael Edwards

Chanavian Domino

Morgan Edwards

Ms. Shelley Donahue

Rebecca Edwards

Ms. Virginia Donney

Ms. Lisa Eggebeen

Mr. Doug Daniels

The Dorothy Cate and Thomas F. Frist Foundation

Mr. John H. Eldred

Margaret Darcy

The Dotted Line

Ms. Diana Darks

Mr. and Mrs.Michael Doucleff

Elements Therapeutic Massage, LLC

Mr. Robert M. Darpino

Richard and Michele Dousman

Elizabeth Dole Foundation

37

Pamela Evans

Cynthia Eaton

Mr. and Mrs. Brownlee O. Currey, Jr.

Community Foundation of

Ms. Stephanie Estell

Julie Dentinger

Andrea Edwards

Community Foundation of Morgan County

ESA

Lynn Evans Coleman

N. Renae Dodge

The Community Foundation of Middle Tennessee

Mr. and Mrs. Savas Erozer

Dr. Vincent W. Durnan, Jr.

Ms. Jessica Curd

Paul Daniel

Ms. Louise Schroader Epperson

Peggy Densmore

John and Rita Dobill

Ms. Charlotte Daniel

Enviro-Tech Termite & Pest Control, Inc.

Linda Durham

Tabitha Cunningham

Community Foundation of Jackson County

Enterprise Holdings Foundation

Ms. Lisa Dennison

The Edward and Lillian Bishop Foundation

Ms. Donna Dalton

Mr. and Mrs. Mike Enos

Randy and Ronda Dunn

Kathryn Dixon

Combined Federal Campaign

Ms. Carol Enos

Joanna Dennis

Phyllis Cunningham

Holly Combee

Energy Assistance Foundation

Palma Sola Elementary

Mr. and Mrs. Charles Fields Jennifer Fillmore Renee Finnegan Gina Fioto FirstBank First Mid-Illinois Bank & Trust First Southern Bank Patricia Fischer Phyllis Fitch Ms. Courtney D. Fitzgerald John Fitzgerald and Elise Fazio Mr. and Mrs. Richard H. Fitzgerald


FISCAL YEAR 2016-2017 DONORS Fitzio, LLC

Giant City Lodge

Kandi Guyton

Cathy Hendrix

Ms. Kathleen Hugo

Kimberly Fleck

Antonina M. Giardina, OFS

Victoria Haberkorn

Caio Henrique

Julie Hunniford

Melanie Flener

Brenda Gilbert

Ms. Samantha Hagberg

Ms. Bonnie Henry

Billy Flood

Ms. Monica Gilbert

Karen Hagan

Ms. Cristina C. Henry

Dr. and Mrs. Leslie B. Hutchinson

Florida Aquarium

Gilbert, Huffman, Prosser, Hewson & Barke, Ltd.

Felicia Hager

Henry County Community Foundation, Inc.

Florida Department of Health - Manatee

Chad Gildenzoph

Florida Patio Furniture, Inc.

Sharon Gilgenast

Flutterby Gardens

Mr. William Gilkey

Ken Followell

Thomas D. Gillespie, Jr.

Foodie Nash

Velma Gillett

Rob and Rachel Ford

Ms. Patricia Douglas Gillette

Susan Ford

Sean Gingras

Ms. Margo Fortney

Debra Ginther

Sam Foskey and Linda Benz

Gladys Brooks Foundation

Martha Foster

Ms. Cheryl Glattes

Ms. Roxanne Foster

Laura Gleason

Melanni Fowler

Reverend James and Mildred Golden

Ms. Jennifer Frantz Priscilla Freeman Margaret Friedman-Vaughan James Fries Mr. and Mrs. Richard Frisbie Ms. Suzy Fulkerson Function Brewing Alyssa Furkin Christian Furman Christina Gaines Kisha Gaines Ashley Gallusser Mr. and Mrs. Thomas K. Gambill

Golden Eagle Distributing Mr. Andres Gonzalez Johnny Gonzalez Vincent Gonzalez Jessica Goodman Andre Gordon Ms. Pamela Gordon Ms. Paula Gordon Barb Gossman Angie Grant Cary Grant Frank Grasso, Jr. Dr. James M. Graves

Kelley Gannon

Phyllis Graves

Gantz Family Foundation

Mr. and Mrs. E. Thomas Gray

Mr. and Mrs. Louis Garrard

Eric Greco

Mr. and Mrs. Marbut Glenn Gaston, Jr.

Mildred Green

Mr. John Gately GE Appliances Giving Campaign GE United Way Campaign Ms. Jessica Gebhart Karen Geier Genoa Foundation Nancy Gentile Ms. Angela Gentry Anthony George Colleen E. George Shirley George Ms. Amanda Gerber Ms. Katherine Gerhardt Katrina Gerlach GetMeRegistered.com, LLC

Tammy Green Krishen Greenwell Jerry Grens Mr. and Mrs. R. Parker Griffith, III Suzanne Grolemund Lorrie Groover Karen Grossman Linda Grove-Paul Beth Gruenewald Alejandro Guerrero Angela Guerrero Camila Guerrero Sondra Guffey Ms. Deirdre Guilloton Mr. and Mrs. David C. Guth, Jr.

Getwell Solutions, Inc.

Philippa M. Guthrie and Alex Tanford

Ms. Joan Geyer

Ms. Marie Guyer

Ms. Beth Hail Monica Halappnavar Maria Darlene Halcomb Mr. and Mrs. Barry S. Hale Jena Hale

ICU Technologies, Inc.

Ms. Kindy Hensler

Ms. Merritt Idlewine

Ms. Pamela Hensler

Illinois State Council for Intellectual Disabilities

Edwin Hernandez Ms. Susan Hewitt

Sarah Halk Ms. Ashleigh K. Hall Barbara Hall

Ms. Robin S. Heyne Jonathan Hickman Ms. Kelly Higgins

Marguerite Hall

Kala Hight

Yvonne Hall Ms. Stephanie Hamilton Karl Hammann Ms. Lindsey Hammond Kamilah Hang Mr. and Mrs. Matthew M. Hardy

Courtney Hikes Chase Hill Scott Himes Mr. and Mrs. M. Leo Hobbs Dr. Bart Hodgens Monique Hodison

Ms. Jo Danette Hargesheimer

John Hoffmeister

Ms. Kathy Hargreaves

Deedee Hokanson

Ms. Sharon Harlin

William Holder

Ms. Michelle A. Harmon

Ms. Stephane L. HolgateWilliams

Paige Harmon-Niles Akiya Harris Mr. and Mrs. W. Rhett Harris Jennifer R. Harrison Mr. and Mrs. Larry Harrison Mr. William L. Harrison Paula and Frank Harshaw Ms. Joan Hart

Richard and Lois Holl Ms. Amber Holland Ms. Tamara Holley Ms. Pauline Hollick Ms. Tammy H. Hollis Belle Holloway Mr. and Mrs. Steven Holman Honorable Order of the Kentucky Colonels

Carrie Harter Shea Hartford Christie Hartman Ms. Darla Hartung-Starns Lesley Hatfield

Matthew Hyde

Henry Printing, Inc.

Mrs. Ruby Herron

Chris Haley

Diep Thi Huynh

Mr. Frank Immel Leah Ingraham E. Ann Ingram Mr. and Mrs. Orrin H. Ingram Ms. Connie Insley Integrated Health of Southern Illinois Dawn and Darryl Irving Mr. and Mrs. Stephen Isbell Ms. Michelle Isham J & S Professional Pharmacy Ms. Danielle Jackson Deryon Jackson Ms. Frances C. Jackson Mr. Franklin Jackson Laurie Jackson Leatha Jackson Melissa Jackson Ms. Molly B. Jackson Amy Jacky Ms. Pamela Jacobini David and Melaine Jaegle Brian Jaggers Jennifer Jaggers Kade Jaggers Jenelle James

Mrs. Henry W. Hooker

Mr. Michael James

Tammy Hoover

Ms. Valarie P. James

Coreen Hopkins

The Jane & Richard Eskind & Family Foundation, Inc. Sara Jawad

Shea Haury Lisa Hay Mr. and Mrs. Ray Hayles Amy Haynes HC Development, LLC HCA Foundation HCA / TriStar Health David Head The Healing Trust Ms. Amelia Heard Heartland Regional Medical Center Aimee Hegemier Robert Helleny

Horatio B. and Willie D. Buntin Foundation, Mary and Alex Wade and DeeDee J. Wade, Trustees Ms. Gretchen G. Horlacher Shawn Horrall Mr. Jim Horten Brenna Hoskins House of Rentals, LLC Meredith Howes Frederick Hoyt Ms. Laura Huddleston Ms. Melanie Marie Huene Sara and Fred Huggins

Bianca Helmer

Kimberly Hughley

Heidi Heming

38

Aimmie Jenkins Latanya Jenkins Ms. Nicolette Jenkins Jet Blue Airways JMO Mobile Modular, LLC John T. Cherry Foundation, Inc. Abby Johnson Ms. Denese Johnson Ms. Jennifer Johnson Mr. and Mrs. Richard Johnson Laticia Johnson Lauren Johnson Lexus Johnson Ms. Margaret Johnson


FISCAL YEAR 2016-2017 DONORS Roger Johnson

Amy King

Mr. Andy Lawrence

Donna Mann

Carla McGill

Tom and Nancy Johnson

Ben King

Lauren McGrath

Ms. Cathy King

Lawrence County Community Foundation

Mr. and Mrs. Robert Mann

Ms. Helen Johnston

Tracy Mansfield

Marlene McGregor-Gibbs

Evan Jolgren

David and Carol King

Vicki Marchand

Melissa McGuire

Bill Jones

Jennifer King

John and Tracey Markley

Eileen McKee

Christopher Jones

Mr. and Mrs. Stephen King

Ms. Whitney Marocco

Melissa McKinney

Gabe Jones

Ms. Kelli Kington

Debbie Marquis

Elizabeth McLaughlin

John Jones

Erin Kinsey

Adam Marre

Margaret McLoughlin

Maria Jordan

Ms. Deborah R. Kirk

Julie McManaway

Marie Joseph

Irina Kirpich

Gary Marsh and Cathy Kannapel

Junior Service Club of Edwardsville-Glen Carbon

Garry and Cheryl Kleer

Barb Jurina Ava Jurkiewicz Just Rite Holdings, LLC Patricia Justice K. McCarthy, LLC Barbara Kain Shpresa Kaletsch M. Mackey Kalra Mr. and Mrs. Jeff Kaplan Karee Hayes Esthetics, LLC Karen Kaplan Drerup and Betty Stern Kaplan Fund of the Columbus Jewish Foundation Karis Foundation, Inc. Karl Truman, LLC Patti Karnatz Kathy Karr Ms. Zoe Katogiritis Joseph Katskill Ms. Kim Kaytor David Kaziska Mr. and Mrs. Patrick Keeble Mr. and Mrs. Danny Keene Keeton's Office Supply Co. Keith Urban Foundation Keller Williams on the Water

Marvin Kleinau Samantha Klene Carmen Kline Ms. Anna Knight Mr. Timothy A. Knowles Suzanne Koesel Kevin Kolander Samantha Kolb Debra Konik Kosair Charities Mr. Richard Kosmala Cliff Krause Mr. Philip D. Krebs Mr. Brian L. Krieble Kroger Rona Krueger Keith Krusch Gary Krutsinger

Dawn Lay John Lazara LDB Foundation Mr. and Mrs. H. Rowan Leathers, III Mr. and Mrs. John Leganza Mr. Robert Lehman Ms. Dorothy Lenard Rheba Leonard Ms. Cassandra Lepage Ms. Barbara Lesar Scott Lewellen Christine Lewis LG&E and KU Energy, LLC Alecia Lidge LifeSkills, Inc. Ms. Janice Lilly Mr. and Mrs. John Lindler Ms. Melanie Litke Mr. and Mrs. Rankin Little, Jr. Ms. Carolyn Loeffel Ms. Laura D. Lojacono Ms. Mary Long Ms. Mary Beth Long Ms. Ruth Loveless Nancy and Steve Low

Ms. Nina Marshall Rahab Marshall Sheila Marshall Ms. Ambria Martin Chandra and Steve Martin Felicia Martin Kayla Martin Ms. Sharin Martin Jessica Martinez John and Judy Martinko The Mary E. Parker Foundation

Ami McMullen Betty McNeal Angela McNear Dan McNeely Mary Beth McQuary Khary McWilliams Nora Medina Stephanie Medina Robert and Karla Mees David and Elaine Melby Susan Melton Diana Mendoza Mental Health Corporation Darcey Meridith

Concepcion Masias

Valerie Merriam

Jared Mason

Ms. Valleen C. Mertens

Masonic Homes of Kentucky

John Mess

Master Rental Center

Ms. Sharon Messmer

Mr. Ron Masters

Kathleen Metzler

Ms. Hilary Matotte

Lisa Metzler

Drs. Sandra V. and Whitson Lowe

Dawn Kutruff and Family

Jacob and Tara Lowry

Andy Matthews

Brian Meyer

Amy Kyriakidis

Ms. Meghan Loyd

Ms. Michelle Mattingly

Ms. Stephani Meyer

Mr. and Mrs. Christopher Kyriopoulos

Dr. Patricia Lucas

Mr. William Maxon

Mr. Christopher A. Michno

Mr. Elias Lucio

Ms. April May

Jason Luellen

Dr. Gregory May

Mr. and Mrs. Benjamin K. Middleton

Kristin Lumpkin

McAlister’s Deli

Ms. Autumn Lunsford

Mr. and Mrs. Robert M. McCain

Kenneth Luther

Ms. Wanda G. McCloud

David and Gypsy Lyle

Ms. Ursula S. and Major (R) Doug McCormick

Laborers International Union of NA Local 773 The Lace Buckle Boutique Ms. Paula LaFond Ms. Beth Laird

Mary Kelley The Kendrick Foundation

Mr. Bryan Lamb

Mr. Kevin S. MacDowell

Ms. Julie Cox Kennon

Carrie Lamb

Mr. Bob Madich

Kentucky Association of Regional MM/MR Programs, Inc.

Leah Lambert

Madison County Mental Health Board

Kentucky Restaurant Association

Lori Marsh

Nancy McMillen

Deanna Kuhn

Lakewood Ranch Community Fund

Kentucky Farm Bureau

Gilbert Marsh

Ms. Tami Lambert Terry and Jill Lane Preston Lang Michael Langan

Mary Helen Kermode

Ms. Susan Langenus Seabourn

Ms. Susan Kerr

David Langgle-Martin

Key Agency, Inc.

Rebecca Lanier

Scott Kiefer

Ms. Karissa Laprade

Ms. Elana Kier

Ms. Melissa Larkin-Skinner

Ms. Iris Kiesling

Ms. Doris Launderville

Lynda Killoran

Mr. and Mrs. Rick Lauschke

Lyles Chiropractic, PLLC

Trish Magana Mr. and Mrs. Thomas W. Mahler, Jr.

Father William Midgett Geraldine Miedreich Ms. Kerlene Milhouse Debi Miller

Brittanny McCourt

Jessica Miller

Ms. Cicely McDaniel

Joanna Miller

Tim and Mamie McDonald

Ms. Sara A. Miller

Melinda McDonald

Sheila Miller

Mr. and Mrs. Alec W. McDougall

Ms. Susan Miller

Tania McDowell

Lauri Mailloux

Ms. Katherine McElroy

Main Street Realty, Inc.

Ms. Amy McElwaine

Ms. Nancy Malachowski

Ken McFarland

Suesan Maleki

Ms. Karen McGarvey

Ms. Shalynn Malone

Jessica McGaughey

William Malone

Cynthia McGee

Manatee Community Foundation

Ms. Amanda McGeshick

39

Ms. Kim Jackson Middleton

Ms. Mary McGhee

Ms. Susan G. Miller Whitney Miller Lisa Minor Chemar Miou-Harris Becky Mitchell Beverly Mitchell Ms. Pam Mitchell MobileCause, Inc. Ms. Cathy Moehring


FISCAL YEAR 2016-2017 DONORS Faviola S. Mojica

Nathan L. Nehrt

Ms. Carol Pacheco

Matt Piermarini

Sally Mondino

Mr. James Nelsen

Brenda Page

Dr. and Mrs. Dale Pilkinton

Kelly Mong

Ms. Connie G. Nelson

Mr. Joshua Pain

Mr. Elliot Pinsly

Monroe County Commissioners

Steven L. and Edana W. Nelson

Palma Sola Elementary

Ms. Noel Pinson

Valerie Nelson

Chris Palmer

Ms. Susan W. Pirnia

Ms. Nancy S. Nerad

Chuck Palmer

Mr. and Mrs. Robert Neth

Mr. and Mrs. Gil Palmer

Pittsburgh Pirates and Bradenton Marauders

Network for Good

Ms. Renee V. Palmer

Melissa Newland

Panera Bread Co.

Monroe County Council Diana Montemano Keren Montoya Don Monty Ms. Diana Moore Mr. Joseph L. Moore Mr. and Mrs. Bruce Moore, Jr. Margaret Moore Robert Moore Scot Moore Theresa A. Moore Barbara Morelli Mr. William Morland Mr. and Mrs. Jonathan Morphett Steve and Tamara Morris Ms. Mia Morrison Nancy Moser Susan Moser Museum of Science and Industry (MOSI)

Amanda Newton

Driscoll

Ashley Newton

Papa John’s Pizza

Kathurah Nichols

Dorothy Parard

Tammi Nicholson

Amanda Pardue

Ms. Sheila C. Nickell

Mr. Dewayne L. Parker

Ms. Megan Nickless

Ms. Patsy S. Parker

Dr. Ginger Nicol

Dr. and Mrs. Jeffrey Parks

Ms. Cyndie Niver

Karen and Stuart Pass

Jane Niziolek

Mr. and Mrs. Wes Pass

NOCO

Passport Health Plan

Non-Existent, Inc.

Mr. Ken Patel

David and Martha Nord

Dr. and Mrs. W. Thomas Patten, Jr.

The Norton Foundation Norton Healthcare Helen Nowak NTT Data

Mike Moss

Carmen Nunez

Ms. Monica Moss

Ms. Ruth E. Nunley

Dotty Motta

Dr. and Mrs. M. Brad Nunn

Josephine Motter

Susan Oakley

Marian Mouzon

Dr. Jill C. Obremskey

Dan Moyers

Colleen O'Connor

Marie Mueller

Kathyanne O'Donnell

Lisa Muench

Elizabeth O'Grady

Lindsey Muir

Old National Bank Foundation

Anna Lauren Mullins

Old Newsboys Fund for Children

Mr. and Mrs. Brady Mullis Lauren Munn Murdale True Value Hardware Brigadier General Eden J. Murrie

Ms. Deanna E. Olexia Olive Vitality, LLC Rhonda Oliver Olympic Cafe

Myranda's

Dana and Bond Oman

Gretchen Nagaitis

Oman-Gibson Associates, LLC

Alicia Nale

Mr. Kerry O'Neil

Nashville Office Interiors

Chelsea O'Neill

National Philanthropic Trust – Warrix Family Charitable Fund

Mr. Kevin O'Neill

Caroline Nauert Jorge Navarrete Johanna Navarrete

Ms. Melissa Paneto

Ms. Nancy Opper Moser Ms. Sally J. Osborn Pauline Ottaviano

Ms. Candy Navarro

Our Lady of Peace, a part of KentuckyOne Health

Ms. Samantha Navarro

Bryan Overbey

Ms. Sandy Navarro

Robert and Marie Overgaard

Sharon Neal

Stacey Overturf

Ms. Tomasa Neeley

Melanie Owen

Maria Nehrt

Sarah Owen

Ms. Kennetha Patterson Liza Pavelich Mr. and Mrs. Richard J. Payne Ms. Rhemma Payne Ms. Koleytta Pearce Marion Pearson Ms. Rebecca Pearson Kent and V. Brooke Pellerite Vera Pendergraft Katherine Pendleton Mr. and Mrs. Christopher Pennewill, Jr. Teri Peoples Kristie Pepper Pepsico Foundation Ms. Sophia Percival Ms. Carol Persley Ms. Bernice A. Pescosolido Claire Peters Ms. Jennifer L. Petty Dee A. Petzold Ms. Linde Pflaum Reverend Jeffery Pflug Mr. Thomas Phelps Nelva Phillips Mr. and Mrs. Randy G. Phillips Susan R. Pickens and David L. Borcherding Julie Pickett

Reed Station Hotels, LLC Ryan Reese Amy Reiff

Nellie Poe

Mr. and Mrs. Mark P. Reineke

Drs. John and Mary Pohlmann

Ms. Patricia Reinhardt

Deborah Pohorylo

Theresa Reno-Weber

Ms. Karen Poidevin

Republic Services, Inc.

Susan Points

Melanie Retzer

Lawrence and Nedda Pollack

Elizabeth Reyes

Stephany Pond

Mr. and Mrs. Michael A. Reynolds

Terri Ponder Popi's Place Jocelyn Popit Mr. Gregory J. Porges Chuck and Nancy Porter Tom Porter

Lisa Reynolds Steven and Sharon Reynolds Dr. Karen H. Rhea April Rhodes Dr. and Mrs. Stephen L. Rhodes Andrea MJ Rial Johnny Richardson

Eric Post

Lovetta and Wayne Richmond

Lindsay Potts

Mr. and Mrs. Stephen Rick

Ms. Abbi Powell

Ms. Mary Alice Rickert

Ms. Andrea Powell

Robin Riddle

Stacy Pray

Rides Mass Transit District

Ms. Hilleary Price

Holly Rindorf

Merri L. Priest

Denise Ringlein

Priority Staffing Group, Ltd.

Mike Ringswald

Dr. Stephen Pritchard and Dr. Penny Gaither

Ms. Adrienne L. Babcock and Mr. Michael A. Rivera

Publix Super Markets, Inc

Deborah Roach

Joshua Puckett

Dr. and Mrs. Mark A. Robbins

Mrs. Laura Pullen

Sarah Roberts

Ms. Lexi Purser

Brian Robertson

Ms. Jennifer Puryear

Stephanie Robertson

Michael Pyburn

Ms. Shawndra Robey

LaGena Pyles

Elen Robinson

Cathy Quakenbush

Nicole Robinson

Qualtros Pizza

Ms. Leslie E. Robinson-Smith

Thomas Quigley

Angela Robison

Jacquelyn Ralston

Ms. Charlotte Robson

Mr. and Mrs. Robert C. Ramsey

Sabine E. Rodatz

Ms. Sherry Hurt-Randles

Beth Rodriguez

Valerie Rangel

Eloise Rodriguez

Crystal Ransom

Ms. Leticia Rodriguez

Lewis A. Ratcliff

Kristina Roehling

Dr. and Mrs. Mannil Ravindranathan

Cindy Rogers

Dr. Carmen C. Reagan

40

Mary Reed

Reid Health

Melissa Ray

Rice Pierce

Ms. Jennifer Redman

Dustin and Marlene Plummer

Matt Rawlings

Pier 22

Ms. Christiana M. Redman

PJ Land Trust

Poshard Foundation for Abused Children

Samantha Paul

Mr. and Mrs. Arthur J. Rebrovick, Jr.

Mr. and Mrs. Bobby G. Rogers Ms. Pennie Rogers Ms. Margaret Rolfsen


FISCAL YEAR 2016-2017 DONORS William V. Roll

Brenda Sax

Deb Slikkers

Pamela Stacy

Synovus Bank

Eddie Rosa

Marla Sax

Sharon Sloan

Matthew Szabo

Gabriel Rosa

Kelly Schenkel

Jeney Slusser

Mrs. Elizabeth B. Stadler

Alexandra Rosa-Sacalxot

David Schrader

Rachel Smallwood

Nicki Rosati

Mr. Robert Schraer

Amber Smith

Judith and A John Rose

Sheila A. Schuster, PhD

Bettye Smith

Mary Schwab

Mr. Brad Smith

Ms. Kathy Schwartz

Carol Smith

Stacy Schweppe

Charmaine M. Smith

Ms. Alison Schwing

Lieutenant General and Mrs. Hubert G. Smith

Mr. and Mrs. Eric Rose Ms. Mary Rose Jane Roseboro Ms. Ashley Rosen Dr. and Mrs. Philip Rosenbloom Melissa Rosenburg Mr. and Mrs. Hardy Ross Janice Ross Stephanie Ross Carol Rothenberger Nicole Brittany Rowe Rick Rowe Mr. and Mrs. Ron Rowell The Rowlett Family Endowment Fund of the Manatee Community Foundation

Ms. April Scott Ms. Calvin Scott Tamera Scotten Ms. Marie Sears Ms. Christi Seckman Glenn Seeber Seiller Waterman, LLC Ms. Tina Selinsky Mr. Dave Severin Tim Sewell Mr. and Mrs. Robert S. Shafer Ms. Ismely Shannon

Roy M. Speer Foundation

Steve and Jane Shapiro

Dr. Samuel Rubinstein

Ms. Emily Sharpe

Agraaw Ruchita

Mr. Theodore M. Sharpe

Pamela Rudd

Mr. and Mrs. John Sharpnack

Mary Ruiz

Mr. Bruce D. Shawcroft

Ms. Carey Runde

Ms. Sally Sheahan

Ms. Dara Russell

Tiffany Sheehy

Mr. Ronnie J. Russell, Sr.

Ms. Maren Sheese

Mr. and Mrs. Rivers Rutherford

Ms. Lori Shelly

Mandi Ryan

Shepard's Red Barn Flea Market

Eleuterio Salazar Mr. Stephen D. Saliba Kelley Salvo Sam's Club Erin Samuels Dianne Samwaru San Remo Pizza and Pasta Ms. Heather Sanders Jennine Sanders Mr. John Sanders Rebecca Sanders Mr. Isaac Sandidge Gary Sandifar Dr. and Mrs. Parviz Sanjabi Sarasota Dove Release Bill Sasso and Kathleen O'Laughlin

Anna Shim Wayne Shoopman Anna Huang Shrader Ms. Wendy Shuran Gina Shurtz Dr. Greg and Mrs. Carol Sidell Mr. and Mrs. Bob Siegmann Samara Silvester Don and Anna Sime Kathryn Sime Ms. Sperry Bell Simmons Mr. David Simon Harriet Simon Dr. and Mrs. Robert E. Sims Jim and Sue Sinclair Mr. William Sites

Charles Satterfield

SIU Credit Union

Kate Satz

Ms. Joan C. Sivley

Cecilia Saucedo

Ben Sklar

Karrie Sayles

Stacey Skomp

Ben Sax

Debra Slick

Jodi Smith Mr. Joshua Smith Joyce Smith Leah Smith Ms. Mary A. Smith Paula Smith Renee Smith Mr. Robert L. Smith Sheri Smith Tara Smith Tina Smith Smithville Charitable Foundation, Inc. Marion Smyser Snackworks, Inc. Lynn Snow Luretta Snyder Ms. Troy Solarek Ms. Darlene Soldi Maritza Solis Ms. Andrea Sonnabend Ms. Janet Sorenson South Florida Museum Southern Illinois Community Foundation Southern Illinois Healthcare Southern Recycling Center Southside Lumber Southwest Airlines Don Spain Joseph and Carol Spalding Clay Sparks Janet Sparks Joshua Sparks Mr. Steven Spaulding Mrs. Julie Spears

Mr. George B. Stadler Mr. and Mrs. James R. Stadler, Sr. Ms. Patty Stahly MaryEllen Stahr Bill Stangel Stanley H. Byram Trust Staples Starbucks - Manatee Ruth Staten

Jerry Talley Rebecca Tamas Ms. June E. Tarsha Commissioner Deborah TaylorTate and Mr. William H. Tate Donna Tatreau Marjorie Tauzer Barbara Taylor Janice Taylor

Kristi Steel

Stephen Taylor and Barbara E. Taylor, MD

Mr. Frank Stevens

Summer Taylor

Ms. Tonya Stevens

Leticia Teague

Mr. John Stevenson

Donna Tegeler

Mr. and Mrs. Benton K. Stewart

Telligen Community Initiative

Catherine Stewart Dr. and Mrs. Sherrill B. Stewart Stiles Office Solutions, Inc. Arthur Stillinger and Emma E. Stillinger Charitable Trust Nichole Stinson Devin Stoaks Gary Stoaks Jocelyn Stodghill Denni Stolze Roger Stout Dustin Strange Mr. William E. Strasshofer Ms. Chelsea Stripe Lisa Stritzel Ms. Ruth Strunk Jane Strzelczyk Ms. Donna Stull Julie Stull Kayla Stump Risa Stutz Mr. and Mrs. Bobby Don Sullenger Ginny Sullivan Ms. Kerri Sumner Sun-n-Fun RV Resort Dr. Kiabe Supuwood-Allen Suriel Touch

Sarah Spengler

Susanna Circle, Trinity United Methodist Church

Bonita Sprague

Frank Swanson

Ms. Margaret Squires

Kari Swaw

St. Armands Baking Company, Inc.

Sweetberries Frozen Custard & Eatery

St. Louis Community Foundation

Mr. and Mrs. James E. Sweeten

St. Mary Magdalene Episcopal Church

Ms. Jocelyn Swift-Jackson

41

Mary F. Tahmoush

Ms. Geraldine Swormstedt

Jeremiah Tennill Meagan Terlep Textillery Weavers Ms. Lisa Thatcher Colleen and Chad Thayer Bruce Theobald Drs. Leo and Grace Theodoro Theresa's Family Restaurant Ms. Sandra D. Thomas Ms. Jessica Thompson Regina Thompson Mr. Brian S. Tidd Janet Tilley Timberline Fisheries Corp. Vicki Timm Timothy Timmons Ms. Jayne Tingley Brittney Tipton Dana Tipton T.I.S. Group Sue Tissandler Jeanine Tobolski Sophia Tortora Vincent Tortora Arlene Tracy Ms. Ellen Trader Mr. and Mrs. Perry M. Trader Transit Authority of the River City (TARC) Linda Transue Ms. Aimee Travelstead Sarah Traylor Rebecca Trevino Ms. Caroline Thomas Trost Truist TSI of Manatee, Inc.


FISCAL YEAR 2016-2017 DONORS Mr. Christopher E. Tucker Marnetta Tucker Shannon Tulloch Nikki Tumey Ms. Anne Tyree Charis and Stuart Tyson Jeff and Sally Tyson Mark Uebel Mr. Jacob Ullmann D. Joann and John J. Ulrich Unbridled Charitable Foundation, Inc. Kimberly Underwood United Parcel Service United Way of Coastal Empire United Way of Greater Dayton United Way of Greater Milwaukee and Waukesha County United Way of Greater St. Louis United Way of Manatee County United Way of Metropolitan Nashville United Way of Monroe County United Way of Putnam County United Way of the Greater Clarksville Region United Way of the Greater Dayton Area Upland Brewing Company Anna Rose Urban Jennifer Urban Urban I.D. Urban Plumbing Service Alfredo Valencia Brian Valiente Douglas Valkenaar Lisa Valkenaar Valley District Civitan Foundation

Ms. Christina Joy Van Regenmorter Vanguard Charitable Endowment Carmen VanLeeuwen Ms. Margo Vaughan Guillermina Vega Ms. Melanie Vehslage Mary Velazquez Dr. and Mrs. Robert N. Vero Britt, Mary, Karan Vertrees Veterans of Foreign Wars Ladies Auxillary 9226 Sarah Viliocco Cesar Villanueva Jesus Villanueva Edward G. Viltz Ms. Phyllis Viltz Elena Voigt Kristi Vole Angela Voltaire Jurnee Voltaire Ms. Elizabeth Rehm Wachtel Mrs. Jennifer S. Waggoner Lindsey Wagner Walfly Rentals Mr. and Mrs. Christopher Walker Justin Walker Walker's Bluff, LLC Mr. and Mrs. Johnson B. Wallace, Jr. Kayla Wallace Ms. Tonya R. Waller Walmart Foundation Ms. Rebecca Walter Uwe Walter Scott Walters Ms. Maria Walton Ms. Susan Wanzer Ms. Kristi Ward

Susan Ward

Mr. Charles Whitfield

Todd D. Wolter

Ms. Valorie Ward Cole

Anita and Robert Whittington

Loren and Lindsay Wood

Ms. Hannah Warne

Colonel Michael A. Smith and Dr. Kathryn Whittington

Diane Woodrow

Kelly Warne Mr. Chadwick Warrix and Mrs. Lora Warrix

Johanna Wichmann Martha Wick

Mr. and Mrs. Christopher Was

Katherine Wiegand

Carlos Washington

Reverend and Mrs. Perry D. Wiggins

Kalia Washington Ms. Cheryl Waters Laura Watson Mr. and Mrs. Kenning G. Watts The Wawa Foundation, Inc. Ms. Lacey Weatherford Julie Weber Samantha Weber Ms. Courtney Weiler Ms. Barbara Weiner Ms. Catherine L. Weis Ellen Weis Frank and Barbara Weisberg and Family

Jen Wightman Mr. and Mrs. David Wilcox Mr. Bradley A. Wiles Marjorie Wiles Ms. Christy Wilkins Anita Williams Ms. Brittany Williams Dion Williams Ms. Lisa Williams Nancy Williams Nicoya Williams Pamela Williams Rachel Williams

Ms. Jennifer M. Weiss

Riley Williams

Ms. Dixie Welch

Drs. Robert and Kay Williams

Mr. and Mrs. Wilbert E. Wellhausen

Shannon Williams

Anna Wellman Deborah A. Cagle Wells

Mr. Shawn Williams Marsha Williams-Leggett

Grace Woods Melony Woods George Wright, III Joni Wright Laura Wright Vanessa Wright Wendy Wright Shannon Wyatt Cindy Wychor Lynn Wyciskalla Kristi Wyckoff Robert Yarman Ms. Deborah Yaryura Bonnie Thorson Young Ms. Cynthia R. Young Robert Young YourCause Dr. Jose Zaglul Kim Zang Ms. Julie Zaragoza Briana Zavala Diana Zavala Juan Zavala Liliana Zavala

WellSpring Resources

Mr. and Mrs. David Glenn Williamson, III

Vicki Wentzell

Ms. Beatrice Willis

Nicholas Zec

Ms. Joni P. Werthan

Willis of Tennessee, Inc.

Ms. Cheryl D. Zell

Ms. Danalyn Wilson West

Ms. Catherine Wilson

Charlotte Zietlow

West Tennessee Healthcare Foundation

Darragh Wilson

Ms. Deborah K. Zills

Robb Winger

Melinda Zimmerlee

Ms. Maria S. Winter

Anthony Zipple

Mary Winters

Elizabeth Zirnheld

Adelaide Wetzel

Winters, Brewster, Crosby & Schafer

Lida D. Zocklein

WHAS Crusade for Children

Ms. Angela Wishmeier

Mr. Robert Wheeler

Ms. Mindi Wisker-Tindall

Ms. Karen B. White

Ms. Caitlin Witcher

Billie Westbrook Audrey Westerfield George Westrup

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Heather Zayed

Carol and Malcolm Zwick


HONORARY GIFTS In honor of Janet Ayers Karen Kaplan Drerup and Betty Stern Kaplan Fund of the Columbus Jewish Foundation In honor of Latasha Barnes and Jake Simmons Mr. Leonard F. Berg In honor of Mike Butler Mr. and Mrs. Kenning G. Watts In honor of Judson Callen Dr. Jill C. Obremskey In honor of Jeff Chapman Angela Chapman In honor of Alexandra Cope Kathryn Sime In honor of Kelly Crockett Crook Mr. and Mrs. A. Rawls Butler In honor of Lorie Duke Ms. Karen Conrad In honor of Wayne Easterwood Mr. and Mrs. David C. Guth, Jr. In honor of Dawn Edwards Dr. Jill C. Obremskey In honor of Kim Fleck Ms. Barbara Weiner In honor of Jan Goodson Deborah A. Cagle Wells In honor of David Guth Karen Kaplan Drerup and Betty Stern Kaplan Fund of the Columbus Jewish Foundation Dr. and Mrs. Stephen L. Rhodes Mr. and Mrs. Kenning G. Watts Deborah A. Cagle Wells In honor of Barry Hale Mr. and Mrs. David C. Guth, Jr. Mr. and Mrs. Kenning G. Watts In honor of L. Hawken Dr. Jill C. Obremskey

In honor of Linda Herrell Dr. Jill C. Obremskey In honor of Kevin Hines Nancy Low Ms. Sally Sheahan In honor of Steve Holman Mr. and Mrs. David C. Guth, Jr. Mr. and Mrs. Kenning G. Watts In honor of Lee Ann Ingram Karen Kaplan Drerup and Betty Stern Kaplan Fund of the Columbus Jewish Foundation In honor of Jennifer Jenkins Ms. June E. Tarsha In honor of Susanne Koesel Mr. and Mrs. David C. Guth, Jr. In honor of Melissa Larkin Skinner Mr. and Mrs. David C. Guth, Jr. In honor of Kerry Loy Ms. Beth Hail In honor of John Markley Mr. and Mrs. David C. Guth, Jr.

In honor of Ramona Rhodes Mr. and Mrs. David C. Guth, Jr. Nancy Low Kathryn Sime In honor of The Rodriguez Family Kelly Schenkel In honor of David Rose, her son Ms. Mary Rose In honor of Richard Shelton Mr. and Mrs. David C. Guth, Jr. In honor of Kathryn Sime Don and Anna Sime In honor of Elizabeth Slattery Dr. Jill C. Obremskey In honor of M. P. Smitherman Dr. Jill C. Obremskey In honor of Natalie Stone Deborah A. Cagle Wells In honor of Bob Vero Mr. and Mrs. David C. Guth, Jr. Mr. and Mrs. Kenning G. Watts

In honor of Kendra May Dr. Jill C. Obremskey

In honor of Bob Vero and the Centerstone Tennessee team Kent and Deanna Crossley

In honor of Laura T Mcc Dr. Jill C. Obremskey

In honor of Gwen Watts Mr. and Mrs. David C. Guth, Jr.

In honor of Albert Menefee Dr. and Mrs. Sherrill B. Stewart

Dr. and Mrs. Stephen L. Rhodes Deborah A. Cagle Wells

In honor of L. Murak Dr. Jill C. Obremskey

In honor of Deborah A. Cagle Wells Mr. and Mrs. David C. Guth, Jr. Dr. and Mrs. Stephen L. Rhodes Mr. and Mrs. Kenning G. Watts

In honor of Dana Oman Ms. Karen Conrad Mr. and Mrs. Charles Fields In honor of Jocelyn Popit Kathryn Sime In honor of Karen Rhea Mr. and Mrs. David C. Guth, Jr. Mr. and Mrs. Kenning G. Watts

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In honor of Jeannie Williams Dr. Jill C. Obremskey In honor of Tony Zipple Mr. and Mrs. David C. Guth, Jr. In honor of Carol and Malcolm Zwick Dr. Ginger Nicol


MEMORIAL GIFTS In memory of Howard Bracco Mr. Robert S. Bracco Ms. Glenda F. Bussell Diane and Norman Chiu Communicare, Inc. Ms. Ruth Crawford Ms. Louise Schroader Epperson Fitzio, LLC Ms.Patricia Douglas Gillette Paula Harshaw Sara and Fred Huggins LifeSkills, Inc. Kentucky Association of Regional MH/MR Programs, Inc. Chandra Martin Ms. Michelle Mattingly Mental Health Corporation Mr. Christopher A. Michno Ms. Nancy Opper Moser Karen and Stuart Pass Lovetta and Wayne Richmond Dr. and Mrs. Philip Rosenbloom Sheila A. Schuster, PhD Steve and Jane Shapiro Mary F. Tahmoush Ms. Elizabeth Rehm Wachtel Catherine L. Weis Ellen Weis Frank and Barbara Weisberg & Family

In memory of Mrs. Ellielyn Frost Mr. and Mrs. Marbut Glenn Gaston, Jr. In memory of Patrick Gentile Nancy Gentile In memory of Mary Catherine Goodson Anthony Zipple In memory of Colonel (Ret.) William E. Holt, USAF Kent and Deanna Crossley In memory of Kevin Leroy Johnson Ms. Lorene Baity In memory of Virginia Kaytor Mrs. Ruby Herron In memory of Colin Flinn Kirkpatrick Centerstone Kentucky Human Resources Staff In memory of Cathy McCoy Lewis A. Ratcliff In memory of Jason Pfolsgrof Vickie Burleson In memory of Carol E. (Montgomery) Dever Piotraschke D. Joann and John J. Ulrich

In memory of Cindy Broskie Ms. Margaret Johnson

In memory of Thomas Wanamaker Dawn and Darryl Irving

In memory of Ronald J. Butcher Ms. Becky Butcher In memory of Michael Damian Susan Benefiel Shea Haury Lynda Killoran Ms. Cathy Moehring Kathryn Sime Harriet Simon Ms. Donna Stull

The Foundation team made every effort to see that the information on these pages is correct. In the preparation of such reports, however, errors occasionally occur despite our best efforts. We welcome your corrections. If you have any questions, corrections or would like to be removed from our mailing lists, please contact us at 615.463.6645 or foundation@centerstone.org.

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SAPPHIRE SOCIETY The Sapphire Society honors the generosity and commitment of individuals who have chosen to create a lasting legacy to Centerstone through their will, trust, retirement fund, life insurance or other planned gift. These distinguished contributors serve, like the beautiful sapphire, as precious and rare gifts for the future of behavioral health care. Sapphire Society Members Bobby E. Bailey Michael and Barbara Barton David Borcherding and Susan Pickens John and Aveniel Cherry Jim and Sally Sheahan C. Paul and Bertha Chisena Martha Crutchfield Mary Dement* John and Melissa Eason Richard H. Fitzgerald David C. Guth, Jr. and Carol Guth Philippa M. Guthrie and J. Alexander Tanford Ella Bullard Hayes* Cornelia Kelly Susan Kupisch Thomas W. Mahler, Jr. and Debra K. Mahler Robert and Karen McGarvey Martha Middleton* Peggy Harris Nunley Richard K. and Noel Pinson Lawrence and Nedda Pollack Steven Pritchard and Penny Gaither Jim and Sally Sheahan Elizabeth Stadler Stephen T. and Barbara E. Taylor Kathryn D. Whittington and Michael A. Smith Carol and Macolm Zwick * Deceased

We invite you to become a Sapphire Society member. Your membership will help ensure that children, adults and families continue to recover, heal, grow and thrive through care received at Centerstone. Additionally, you will inspire others to join you in making a lasting commitment that changes people’s lives into the future. Your legacy can begin today.

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