Centerstone Research Institute

Annual Report 2012

Centerstone Research InstituteAnnual Report 2012

Letter from the CEO 2

The Why, How and What of CRI 3

Research 5

Knowledge Network 6

Evaluation 7

Analytics 8

Infrastructure Services 9

Center for Clinical Excellence 9

Information Technology 10

Grant Writing 11

Philanthropy 12

Leadership 13

Financials 14

Bridge Builders 15

FROM THE CEO

A decade ago, Centerstone combined research with its clinical services to improve the likelihood of recovery for people battling mental illness and addiction. Those early activities evolved into the Centerstone Research Institute (CRI), which since 2001, has grown from 2 people to more than 100.

Today CRI is working side-by-side with Centerstone staff and other partners to prevent and cure mental illness and addiction. Because of these partnerships, we have renewed hope for the 33 million Americans seeking help for behavioral health disorders. In order to ensure that every initiative we undertake at CRI is deliberate and mission-focused, the CRI leadership recently took a step back to clearly define and articulate the Why, How and What of CRI. This annual report is the result, in part, of that exercise.

I hope the information provided here helps communicate not only our purpose but our passion for improving the quality and effectiveness of care for individuals and families facing behavioral health disorders.

Sincerely,

Tom Doub, PhD Chief Executive Officer

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Centerstone Research Institute (CRI) is a nonprofit organization which exists to improve the quality and effectiveness of care for individuals and families facing behavioral health disorders. Research shows an alarming 13–17 year delay between significant treatment breakthroughs and the standard use of those treatments in clinical settings. This means that a young person diagnosed with depression may have to suffer for 15 years before receiving a life-saving treatment already known today. CRI aims to bridge this gap between science and service, so the 33 million Americans seeking help for behavioral health and addiction disorders receive the most effective care without delay.

Partnering with clinicians and other research professionals in academia and industry, CRI provides research, analytics and evaluation services. CRI’s efforts – including the development of Enlighten Analytics™, an advanced business intelligence tool – are funded through contracts, grants, foundations and individual donors who share our commitment to bridging the gap between science and service. Together with partners, donors, clients and their families, CRI is advancing behavioral healthcare and recovery.

Why does CRI exist?To improve the quality and effectiveness of care for individuals and families facing behavioral health disorders.

How does CRI accomplish this?

By bridging the gap between science and service.

What services does CRI provide to do this?

Research, Analytics and Evaluation services, which are all fueled by the Center for Clinical Excellence, Information Technology, Grant Writing and Philanthropy.

Who is CRI?

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Research shows an alarming 13-17 year delay between significant treatment breakthroughs and the standard use of those treatments in clinical settings. Centerstone Research Institute aims to bridge this gap between science and service, so the 33 million Americans seeking help for mental health and addiction disorders receive the most effective care without delay.

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RESEARCH

CRI is privileged to work with renowned researchers, including Dr. Herbert Y. Meltzer, one of the world’s top researchers in the treatment of people diagnosed with schizophrenia. Because of the number and quality of his studies at Centerstone, many of our treatment-resistant patients diagnosed with schizophrenia have improved lives. I have witnessed patients who had not responded well to treatment show measurable improvement in Dr. Meltzer’s new protocols. The clinical staff where Dr. Meltzer has had a presence now refer patients to CRI Research because of the great care they receive.

Another example of the field’s evolving culture is illustrated in our project with GenOmind, which developed a genetic screening tool using a simple cheek swab to help medical providers determine if a patient diagnosed with major depressive disorder is likely to respond to certain anti-depressants or why they aren’t responding to current medications. This is a huge step forward in personalized medicine and matching patients with effective medications.

Sincerely,

David Ayer, PhDDirector of Clinical Research

CRI partners with clinical researchers who are engaged in cutting edge behavioral and biomedical research. Through these partnerships, Centerstone patients gain access to state-of-the-art treatments that enhance care while advancing science. Research partners also serve as a valuable resource for Centerstone treatment staff.

Accomplishments in Fiscal Year 2012• The clinical research office conducted 48 ongoing and 18 new studies.• A total of 3,032 participants were enrolled in these Centerstone studies.• 30 investigators were located at 14 institutions, including Vanderbilt,

Harvard, and Northwestern universities.• The Institutional Review Board (IRB) conducted over 100 human

subject protections reviews of studies taking place at Centerstone facilities or by Centerstone/CRI staff.

Goals for the Coming YearWe have new resources in Indiana to help us develop research collaborations that will impact all of Centerstone. For example, a new collaboration among CRI and Centerstone, Indiana University, and Notre Dame will build a unified, measurement-based pathway for the treatment of unipolar depression. This pathway will leverage our electronic health record to provide clinical decision support and resources to all Centerstone therapists, thereby improving the lives of nearly 13,000 consumers who battle with depression.

Another project will add new partners to existing collaborations to identify early signs of psychotic disorders before they emerge and result in damage to the brain. Early recognition and treatment greatly enhances the prognosis for those affected by such disorders, promising them a higher quality, longer life.

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During the past 15 years TeleSage has conducted NIMH funded research with universities and public sector mental

health organizations across the country. We have found Centerstone to be a well-oiled machine. Centerstone provides first-rate clinical care while also serving as a laboratory for improving the quality of mental health services across the country. Centerstone is by far our

best and most important research collaborator.

– Benjamin Brodey, MD, MPH, CEO TeleSage Research Inc.

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By working across the U.S. to bridge the divide between cutting-edge research and clinical care, the Knowledge Network helps create a reality for patients that inspires hope in the midst of despair. The Knowledge Network is a national collaboration of academic researchers, mental healthcare providers, policymakers, and industry leaders committed to dialogue and action in an effort to reduce the disparity between today’s healthcare reality and tomorrow’s cures.

Despite advancements in treatment and technology, according to the Institute of Medicine (IOM) and RAND, 70%–80% of people seeking mental health treatment receive the wrong care. Of the 33 million Americans seeking such treatment annually, approximately 26 million are not receiving the best, most effective care. The mission of the Knowledge Network is to eliminate the delay in bringing cutting-edge treatments to standard patient care settings.

Accomplishments in Fiscal Year 2012• A video to increase patient and provider awareness of clozapine was

filmed by TEVA Pharmaceuticals. The video, featuring interviews of Centerstone medical staff and patients, will be disseminated and used in clinical settings across the country.

• Enlighten Analytics was made available to KN members, with now over 275,000 patients, 13 million service records, and 2 million prescriptions in the database.

• A NIMH funded study on developing a screen for prodromal psychosis was launched at multiple KN sites.

• Summits in Fall 2011 and Spring 2012 highlighting the topics of wellness and integrated care.

• Behavioral Health IT Bill of 2012 was introduced in the House and Senate.

• Risk alerts and clozapine reporting are being piloted at different KN sites.

To me, the Knowledge Network means that a person who has never been able to hold down a job because of the angry voices they hear in their head gets a second chance. They get the opportunity to participate in a research study where they gain access to a new treatment that helps the voices stop for the first time. They get to enjoy simple things like reading, watching TV, or being with loved ones without fear.

The Knowledge Network brings care providers together to learn from each other and avoid hitting the same barriers. It aims to drive down the costs of care by sharing innovative approaches that are succeeding. This past year, in a project led by Dr. Karen Rhea of Centerstone of Tennessee, the Knowledge Network helped create an educational video on the use of the atypical antipsychotic clozapine in preventing suicidality in patients with psychosis. The video will be distributed to a large number of providers across the US and will have an untold impact on increasing awareness of the effectiveness of this medication.

The ultimate goal of the Knowledge Network is to improve care while reducing healthcare costs for all Americans. The Knowledge Network is saving lives by implementing the cures of today while at the same time advancing the discoveries of tomorrow.

Sincerely,

April Bragg, PhDVP for Research Advancement

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EVALUATION

Traditionally, research and practice have operated in silos, with clinicians focused on the care and treatment of patients and researchers focused on the development and testing of theories about how to care for and treat patients. CRI’s program evaluation strives to integrate the domains of research and practice by facilitating the establishment of a common language between the clinician and the researcher. This language is foundational in the development of evaluation designs that align with program goals, objectives, questions, and information needs.

CRI evaluators tailor presentations of data in ways that help clinicians understand:

• theimpactoftheirtreatmentapproaches,

• thefidelitywithwhichevidence-basedpractices are implemented, and

• concretewaystoimprovetheservicesthatthey deliver.

CRI evaluators have helped to bridge the research and practice gap by forming positive relationships with clinicians, recognizing the importance of their perspective, including them in the evaluation process, and providing them with information that helps improve program implementation and client outcomes.

Sincerely,

Kathryn Mathes, PhDVP of Research & Evaluation

Through its state-of-the-art evaluation services, CRI aims to improve the effectiveness of evidence-based treatments and interventions as they are transitioned from research to “real world” settings. CRI’s evaluation services include evaluation planning, logic model development, program implementation consultation, outcomes measurement, data collection, reporting, and policy analysis. These services help turn knowledge into action – one more step toward bridging the gap.

Accomplishments in Fiscal Year 2012• CRI evaluators provided services for 25 grant projects, enrolled 6,867

clients into program evaluation and conducted 1,757 follow-up interviews.

• Outcomes presentations to program staff on the impact of trauma-focused care resulted in the adoption of trauma screenings for 100% of participants enrolled in a new program with the Franklin County Drug Court. Thus far, 52% of participants have screened positive and subsequently were enrolled in Seeking Safety, a trauma-focused evidence-based curriculum.

• Evaluation information about Centerstone’s evidence-based practices was disseminated through various modes of communication (publications, presentations, fact sheets, newsletters, advisory group meetings, etc.) to increase knowledge about behavioral healthcare services’ impact on children, youth, and adults.

• CRI evaluation staff provided guidance and close oversight to the Supportive Services for Veteran Families (SSVF) grant program staff during its initial year to ensure compliance and goal achievement. This success contributed to the Centerstone SSVF grant being chosen as a mentor site for new VA grantees across the United States.

Goals for the Coming Year• Implement quality program evaluations (ongoing and new), informing

individual programs and the behavioral health field.• Disseminate reports reflecting client outcomes, satisfaction, and cost

savings related to Centerstone grant-funded programs, promoting program sustainability and widespread care improvements.

• Populate a new data warehouse system with current and historical evaluation data across projects, making the data accessible and meaningful for use in clinical and client outcomes reports.

EVALUATION

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Centerstone clinicians and administrators have been collecting client data for decades. Analyzed, this information paints a picture of the populations accessing mental health and substance abuse prevention and treatment services. It gives insight into operations, effectiveness, and efficiencies. Since Centerstone first started electronically compiling clinical, financial, and other data more than a decade ago, this information has been poised to promote improvements in care delivery and administration. Recognizing the untapped potential of that data, CRI began providing analytics services across the enterprise to enhance revenue generation through billing improvements, reporting, productivity measures, “what-if” scenario planning and financial analysis, all while increasing the quality of care for patients through patient engagement initiatives, compliance and outcomes reporting.

CRI analytics services are changing lives for Centerstone patients and, through Enlighten Analytics, for individuals and families across the nation. Partnerships with 10 behavioral health providers in 8 states and with Netsmart, America’s largest behavioral health electronic health records vendor, enable CRI analytics services to empower clinicians and inform care nationally.

Sincerely,

Russ Galyon Director of Analytics

Effectively capturing, interpreting and applying data is the key to quality patient care. In order to help organizations transform the raw data that they collect every day into useful information, CRI developed Enlighten Analytics™, a leading business intelligence platform. Through Enlighten Analytics and other services – including operations metrics, statistical analysis and reporting, predictive modeling, and leading indicators detection – CRI helps improve efficiency and enhance patient care.

Recent Accomplishments in Analytics• Built and released Enlighten Analytics™, an affordable, intuitive,

interactive business intelligence platform, that helps behavioral health providers harness the power of their own data to reduce costs, improve operations and enhance patient care.

• Launched new web site at www.EnlightenAnalytics.com.• CRI developed a partnership with Netsmart to expand the user

base of Enlighten Analytics products to Community Mental Health Centers across the country.

Goals for the Coming Year• Provide monitoring and success metrics to clinicians and management

related to clinical initiatives.• Roll out Enlighten Analytics across Centerstone to standardize

metrics and enable conversion to the Netsmart electronic health record system.

• Streamline Centerstone of Indiana reporting, yielding significant cost savings to the bottom line.

• Extend Analytics to further support integrated care projects. • Continue to play a critical role in reporting on the quality and

effectiveness of patient care at Centerstone.• Continue to assist with securing successful CARF accreditations.

ANALYTICS

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EVALUATION

Every person within Centerstone with whom I’ve interacted – from office managers to therapists to the CEOs – has shown a sincere commitment to clinical excellence. As such, it is my privilege to serve on the launch team for the Center for Clinical Excellence (CCE).

I know personally what good care can do; I watched my brother, an Iraq veteran, come back to himself after starting an effective PTSD protocol. I also know what poor care can do. My grandpa died 30 years too young due to the side effects of “shell shock” and bipolar disorder. My mother-in-law, whom I cared for in my home for six years, died too young, in part due to the lack of integrated care.

Through CCE, our ability to accelerate adoption of the most effective practices within Centerstone will benefit families like mine far beyond our walls, helping to ensure that all of the people we serve receive excellent care.

Sincerely,

Christina VanRegenmorter, MSWDirector of Center for Clinical Excellence

In 2012, CRI proudly introduced the Center for Clinical Excellence (CCE). CCE provides a systematic framework to identify, prioritize, implement and scale strategic initiatives that improve quality of care and patient outcomes. These efforts aim to accelerate the adoption of the most effective practices within Centerstone and beyond, bridging the gap between science and service.

CCE is overseen by the Clinical Excellence Council, a partnership between CRI, Centerstone of Indiana, and Centerstone of Tennessee. Staff include the vice-presidents for quality improvement and clinical leaders from both states, an enterprise communications leader, the CCE director, and CRI’s Information Technology leader for clinical excellence.

Role of the Center for Clinical Excellence• Promote and enable transparent project management

of all large clinical excellence related projects.• Lead an enterprise campaign focused on three board outcome goals:

1. Reducing hospitalizations2. Improving client engagement3. Preventing suicide

• Empower direct staff to engage in clinical excellence activities through online resources and grassroots improvement teams.

Goals for the Coming Year• Improve implementation of clinical excellence projects at Centerstone.• Implement three IT improvements into the electronic health record,

which will improve diagnoses for 45,000 patients in Tennessee, improve the ability of 2,000 staff to track outcomes quickly in both states, and promote recovery outcomes for several thousand adults in Indiana.

• Fully implement at least one clinical pathway that has clinical decision support embedded within it.

INFRASTRUCTURESERVICES

CRI offers a range of infrastructure services that are strategically positioned to advance Centerstone’s goals to prevent and cure mental illness and addiction. These include the Center for Clinical Excellence, Information Technology, Grant Writing and Philanthropy. By integrating Research, Evaluation, and Analytics functions with key infrastructure services, CRI is poised to more effectively bridge the gap between science and service.

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CRI’s information technology staff are often buried within and/or behind machines, wires, data, and other non-human aspects of Centerstone’s work. Sometimes, though, we have opportunities to see, feel, and better understand the lives we touch through our efforts. In a grant-funded project led by Linda Grove-Paul of Centerstone of Indiana, we had the opportunity to work with SPINN PHR to help develop and implement a virtual recovery and engagement system, V-Recover.com. This created a web-based portal for Indiana’s Recovery Oriented System of Care, a program that combines the goals of good health, a stable home, purposeful actions, and community networks and support to sustain long-term recovery for those impacted by substance use disorders.

V-Recover.com significantly reduces a major barrier to accessing care in rural Indiana where most of our consumers live. It’s a free website open to the general public that contains information on housing, employment, peer support, and addictions treatment, offering a safe, secure environment for consumers to get help, talk openly about the issues they face, and move toward recovery in an online format, bringing hope to greater numbers of people regardless of where they live.

Sincerely,

Wayne EasterwoodChief Information Officer

INFORMATION TECHNOLOGYTechnology is heavily embedded in many aspects of modern life and is an essential enabler of optimal clinical practice in the new era of healthcare. CRI views technological innovation as central to improving quality and individual outcomes while increasing the efficiency of care. From helpdesk support and training to sophisticated product development, CRI is passionate about using technology to advance care.

Accomplishments in Fiscal Year 2012• Expanded the disaster recovery data center in Columbus, Indiana.• Deployed SharePoint system to improve collaboration, document

versioning, and client information sharing between teams.• Completed integration between electronic health record (EHR) and

financial system (MIP).• Performed a major VoiceOver IP (VOIP) upgrade.• Reached 85% virtualization in the data centers, reducing both

footprint and cost.• Added “cloud” technology, enabling instant connection between

employees in the field and administrators/managers to share information, documents, best practices, resources, etc., and leading to faster, collaborative solutions and decision making.

• Provided system and network teams to help bring Enlighten Analytics to fruition.

• Implemented new virtual recovery and engagement system for eROSC program in Indiana.

• Consolidated databases across the enterprise for efficiency.• Created detailed specifications for Human Factors Lab, including

evidence-based practice module (Science to Service initiative) and Life Skills Training module, a mobile app that trains and assists clients in mastering and performing positive life skills.

Goals for the Coming Year• Implement a new EHR, including staff training, and standardize common

best practices across both states’ clinical and administrative operations. • Create and implement an enterprise-wide financial system.• Deploy proactive monitoring and automating tools to reduce system

downtime and human error.• Upgrade to double bandwidth for 26 TN locations to reduce costs.

“ “It is important for people to know that recovery is possible….Treatment has changed my life completely from one of despair and homelessness to

hope for the future and physical security.

– Andi, a Centerstone consumer in Indiana

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EVALUATION

Sadly, poverty, stigma, geography, education and other surmountable barriers can stand between people with behavioral health disorders and healthy lives. Effective treatments for mental illness and addiction exist, and people can recover. CRI’s grant writing team is positioned to play a key role in reaching such individuals and families and helping them find recovery. Every team member brings a unique, unparalleled passion and commitment to the mission of preventing and curing mental illness and addiction, a commitment that since 2004 has resulted in the implementation of 35 federally funded programs, the award of over $80 million in private and government grants and contracts, and more than 30,000 individuals and families accessing services—people who would likely have otherwise gone unreached and untreated.

The CRI grant writing staff partners with all levels of the enterprise – from direct program, administrative, and evaluation staff to chief executives – in order to develop, initiate, and support implementation and evaluation of research-based and innovative prevention and treatment services. We also maintain relationships with local and state government representatives to promote partnerships that secure funding to implement these services, often across multiple counties or even statewide. It is an honor and a privilege to be a part of this team and to be a part of the recovery path for so many.

Sincerely,

Jan GoodsonVP Grant Writing and Research Communications

Accomplishments in Fiscal Year 2012Secured $13,300,000 in federal, state, and local government grants for the Centerstone enterprise. • Funding awarded and programs initiated during FY12 include:

» $1 million US Department of Veterans Affairs Supportive Services for Veteran Families grant to provide housing and other supportive services for Middle Tennessee veteran families at risk for homelessness.

» $2.5 million contract to work with the Tennessee Department of Mental Health and Substance Abuse Services to provide program and evaluation services for screening, brief intervention, and referral to treatment projects, including community-based services for members of the Tennessee National Guard.

» $3.5 million contract to implement mental health services in Metro Nashville Public Schools’ special education day schools.

» $1.2 million to provide substance abuse treatment services for adults via the court system in three rural Tennessee counties.

» $840,000 health technology grant to increase consumer involvement in their own treatment via a web-based technology enabled care tool.

• Assisted Advantage Behavioral Health in obtaining a $3.2 million planning and development contract for TDMHSAS’ early childhood system of care.

Goals for the Coming Year• Secure at least $6 to $10 million in federal, state, and local funding to

expand and enhance consistently improved behavioral health services.• Support integrated care implementation strategies across the enterprise

to improve patient access to comprehensive healthcare. • Ensure that grant-funded programs contribute to the behavioral

health knowledge base via comprehensive evaluation and dissemination efforts.

As a nonprofit organization, CRI relies on government and foundation grants and the generous support of individuals. CRI refers to its supporters as Bridge Builders because they play a critical role in bridging the gap between science and service. The grant writing and philanthropy teams at CRI have raised over $80 million in funding to advance behavioral healthcare and individual recovery. This money has funded service implementation and research studies in areas like addiction, depression, psychosis and suicide prevention… yielding results that have literally saved lives.

GRANT WRITING

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Because my life has been tremendously blessed, I feel an acute responsibility to give back to those who are not as fortunate. Thankfully, I am not alone in this perspective.

Although we disproportionately hear about the atrocities that are committed in the world, I fervently believe that the unnoticed acts of love and courage are much more powerful. I see this every day in the tireless devotion and compassion of CRI colleagues and board members in our common fight against mental illness and addiction. And I see it in the generosity of the Bridge Builders who partner with us on this journey.

At CRI we are outraged by the disparities in mental healthcare in our communities, but at the same time we are honored by the opportunity to eliminate these disparities and make a difference by improving care for those who need it.

Sincerely,

April Bragg, PhDVP for Research Advancement

PHILANTHROPYPhilanthropy was officially integrated into CRI services in spring 2012, broadening existing opportunities to connect compassionate individuals with patients whose lives are impacted by the work we are doing. The generosity of our donors helps us “build a bridge” between today’s cutting-edge treatments and the patients that need them, enabling our critical work to promote healing in the midst of a challenging healthcare economy fraught with undeserved and unwarranted stigma against mental healthcare.

We refer to our supporters as Bridge Builders because they are partners with us in bridging the gap between science and service. Our Bridge Builders give us hope and inspire us to new achievements and cures for the individuals we serve every day. Their powerful generosity serves as a reminder that we are all connected by acts of kindness. In this case, that kindness helps enable the best care possible for mental illness and addiction, changing the trajectory of people’s lives from despair to hope, from fear to joy, from lost to saved.

Accomplishments in Fiscal Year 2012• Selected by International Foundation for Research and Education

on Depression as a recipient for their Fields for Hope campaign.• Finalized proposal with Harvard faculty for personalized medicine

for alcohol addiction.• Initiated relationships with Grameen Foundation, Commonwealth

Fund, Helmsley Charitable Trust. Goals for the Coming Year• Raise $2 million to support essential research through CRI.• Raise $10,000 through microphilanthropy and grass roots initiatives.• Share stories of success on website and enable online giving in

response to program needs and patient stories.

“ “I have been in the health care field for more than 20 years. I know that there is a tremendous amount of data being collected that isn’t being used. I support CRI because this

organization is providing technology that leverages this data to improve care. This is absolutely essential for patients and for

the industry. It just can not happen soon enough.

– Janet Ayers, The Ayers Foundation

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LEADERSHIPBoard of DirectorsJoan Sivley (Chair) – Retired, former healthcare executiveJanet Ayers (Vice Chair) – President, The Ayers FoundationKen Shidler (Secretary) – Career Counselor, Indiana University Kelley School of Business Career ServicesTom Doub – CEO, Centerstone Research InstituteSteve Bryant – Board Chair Emeritus, Executive Director, Gayle and Bill Cook Center for Entrepreneurship, Ivy Tech Community College–BloomingtonTrish Lindler – Retired, former Senior Vice President of Government Programs for HCA, Inc.Tom Mahler – Colonel, USAF (Retired)Gil Palmer – Agent, State Farm InsuranceNedda Pollack – Retired, former executive of AmSouth BankDeborah Taylor Tate – Special Envoy for Child Online Protection, International Telecommunications Union; Former Commissioner, FCC

Institutional Review BoardOperated by CRI, the IRB is an independent committee that approves, monitors, and performs ethical reviews of proposed research involving Centerstone consumers or staff in Indiana and Tennessee. Centerstone is the only community mental health center to meet and maintain federal requirements to operate an IRB, reflecting the organization’s commitment to the safety of its consumers and staff. IRB members are listed below.

David W. Ayer, PhD (Chair) Frances Crater, MBAJan van Eys, MD, PhD Jason Luellen, PhDHeather Nelms, MPH John Putz, MA (alternate)Frank Stevens, PhD Sarah Suiter, PhDSally Violin, MBA

Leadership StaffTom Doub, PhD, Chief Executive OfficerCrystal Hurst, Executive AssistantWayne Easterwood, Chief Information OfficerKathryn Mathes, PhD, Vice President of Evaluation and ResearchApril Bragg, PhD, Vice President for Research AdvancementJan Goodson, Vice President of Grant Writing and Research CommunicationsFrank Stevens, Vice President of Clinical InformaticsMarlene Alvarez, Finance ManagerKaren Keene, Enterprise Security Officer David Ayer, PhD, Director of Clinical ResearchMelissa Collette, EHR Project DirectorRuss Galyon, Director of AnalyticsPrasad Kodali, Director of Enterprise ApplicationsHoward McClung, Technology Director*Paul Robbins, Director of Clinical Applications DevelopmentChristina VanRegenmorter, MSW, Director of Center for Clinical Excellence

In July of 2012, CRI lost one of its own. Howard McClung was the Director of Technology and a beloved friend and colleague. In his honor, CRI established the Howard McClung Award for Excellence in Leadership. Wayne Easterwood was presented this award as its first recipient in November of 2012.

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FINANCIALS

REVENUE EXPENSES

Snapshot• CRI is a 501(c)(3) nonprofit organization.

• CRI ended the fiscal year on June 30, 2012 with a net surplus of $58,893.

• CRI sold Behavioral Pathway Systems, a behavioral health benchmarking tool, to Netsmart in August of 2012.

• CRI increased its net revenue by $19,422 over previous fiscal year.

Income StatementRevenues

GovernmentNon-GovernmentTotal Revenues

Direct Expenses

SalariesFringe BenefitsFacilitiesTelephonesTravel and VehiclesSuppliesSubcontracted ServicesOther Professional ServicesComputersLiability InsuranceProfessional DevelopmentDepreciationInterestOther

Total Direct ExpensesTotal Indirect AllocationsNet Surplus

$1,110,109$1,950,377$3,060,486

$1,468,991$225,471$153,080

$68,621$168,662

$51,196$7,241

$145,576$91,270

$6,829$48,956$52,672

$10$123,587

$2,612,163$389,430

$58,893

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BRIDGE BUILDERSThank you to the individuals and foundations whose generosity has helped bridge the

gap between science and service, so the 33 million Americans seeking assistancefor behavioral health disorders can receive the most effective care without delay.

Major Funding Sources Administration for Children and FamiliesNational Institute of Mental HealthOffice of Adolescent HealthSubstance Abuse and Mental Health Services Administration (SAMHSA)Tennessee Department of Mental Health

Major DonorsThe Ayers FoundationJim and Janet AyersJoe C. Davis FoundationCal Turner FoundationLavinia Johnston

Become a Bridge Builder. Visit CenterstoneResearch.org