Centerstone

What Centerstone does

Centerstone is a private nonprofit 501(c)(3) behavioral health organization headquartered in Nashville, Tennessee, operating since 1997. Following its November 2025 merger with Brightli Inc., the combined entity is the largest U.S. behavioral health provider by revenue at approximately $1.1 billion, serving roughly 250,000 patients annually across nine states (Florida, Georgia, Illinois, Indiana, Kansas, Missouri, North Carolina, Oklahoma, and Tennessee) with more than 10,000 employees.

The organization delivers a full continuum of mental health and substance use disorder services organized into eight core care modules: Addiction Services, Crisis Services (including 988 Lifeline connection), Counseling, Residential Services, Inpatient (e.g., Centerstone Bradenton Hospital and Addiction Center), Medical and Psychiatric, Children and Family Programs (including Therapeutic Foster Care in Indiana and Tennessee), and Military Services delivered via the Cohen Military Family Clinic network in partnership with Cohen Veterans Network (24 clinics across 21 states). Service delivery combines in-person clinic care with a Zoom-based telehealth platform supporting virtual group therapy, DBT, Seeking Safety, Tobacco Free Group, and Therapy 101 orientation groups. Technology integrations are limited to standard communication (Zoom), calendar (Google/iCalendar/Outlook), and payment tools (PayPal, Authorize.Net), with no disclosed proprietary AI/ML or data platform.

Centerstone operates a direct-to-consumer go-to-market model, accepting self-referred, provider-referred, insurance-referred, and government-program-referred patients at physical clinic locations and via telehealth. Revenue is generated on a fee-for-service unit-pricing basis (e.g., psychotherapy $120-$180 per session, hospital psychiatric room and board $700-$1,200 per day), billed to commercial payers (Aetna, Blue Cross Blue Shield, Cigna, United Behavioral), Medicare, Medicaid, TRICARE, state judicial system contracts for incompetent-to-stand-trial services, and self-pay. Supplemental revenue derives from philanthropic grants (Bishop Parker Foundation, Robert R. McCormick Foundation, Face the Fight) processed through Centerstone's Foundation arm. Marketing is conducted via the company website, social media, a monthly newsletter, community events, and health/wellness content marketing.

Name

Centerstone

Legal name

Centerstone

Website

https://centerstone.org

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Centerstone is a nonprofit behavioral health organization, formed by the November 2025 merger with Brightli, operating the largest U.S. behavioral health provider serving roughly 250,000 patients across nine states with full-continuum mental health, substance use disorder, and veteran services.

Ownership category

akta.pro rank

Product category

Behavioral Healthcare Services

NAICS

Psychiatric and Substance Abuse Hospitals (62221), Outpatient Mental Health and Substance Abuse Centers (621420), Residential Mental Health and Substance Abuse Facilities (623220)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Hospitals (8060), Services-Health Services (8000)

akta.pro primary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

akta.pro secondary industries

Residential Mental Health Treatment Centers (HLAFACAC), Outpatient Mental Health & Counseling Clinics (HLAFABAC)

Keywords

• Behavioral health services
• Mental health treatment
• Substance use disorder care
• Crisis intervention services
• Psychiatric inpatient care

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Healthcare Services Revenue: Fee-for-service revenue from providing mental health and substance use disorder treatment services, billed to insurance providers, Medicare, Medicaid, and self-pay patients. The organization also generates revenue through contracts with state judicial systems for managing justice-involved individuals.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

Centerstone is a non-profit behavioral health provider delivering a full continuum of mental health and substance use disorder services. Its offerings span addiction recovery, crisis intervention, individual/group/family counseling, residential treatment, inpatient psychiatric care, medical and psychiatric services, children's and family programs, and specialized military mental health services. Care is delivered through physical clinic locations across nine U.S. states and via a telehealth platform, with revenue generated from insurance reimbursements, government contracts, and self-pay patients.

Product overview

Centerstone is a behavioral health organization providing a comprehensive continuum of mental health and substance use disorder services across nine states. The organization operates a multi-module service portfolio organized around core care areas: Addiction Services, Crisis Services, Counseling, Residential Services, Inpatient Care, Medical & Psychiatric Services, Children and Family Programs, and Military Services. Service delivery combines in-person care at physical clinic locations with Telehealth as a virtual delivery channel. Specialized programs include Therapeutic Foster Care, DBT groups for adults and teens, Therapy 101 orientation, Tobacco Free Group, Seeking Safety trauma groups, and Thrive Teen Processing Group. The Cohen Military Family Clinic network, operated in partnership with Cohen Veterans Network, provides specialized services for veterans and military families. Following its merger with Brightli in late 2025, Centerstone became the largest U.S. behavioral health provider by revenue at approximately $1.1 billion, serving roughly 250,000 patients.

Differentiator

Problem solved

Functional benefit

Products and services

• Addiction Services Comprehensive substance use disorder treatment services including recovery support, addiction counseling, and substance abuse treatment programs for individuals struggling with addiction.
• Crisis Services 24/7 crisis intervention and support for individuals experiencing mental health emergencies, including connection to the 988 Suicide & Crisis Lifeline.
• Counseling Individual, group, and family therapy services covering various mental health conditions using therapeutic approaches including CBT, EMDR, and DBT.
• Residential Services Housing and residential treatment programs providing temporary safe and supportive living environments for individuals in recovery.
• Inpatient Hospital-based inpatient mental health care including the Centerstone Bradenton Hospital and Addiction Center in Florida providing psychiatric and addiction hospitalization.
• Medical & Psychiatric Psychiatric evaluation, medication management, and medical services integrated with behavioral health treatment.
• Children and Family Mental health services for children, adolescents, and families including therapeutic foster care, trauma treatment, and parenting support programs.
• Military Services Specialized mental health services for veterans, active duty service members, and military families through the Cohen Military Family Clinic network.
• Telehealth Virtual mental health services delivered via video conferencing (Zoom), enabling remote access to counseling, therapy groups, and psychiatric services for patients who cannot attend in person.
• Therapeutic Foster Care Foster care program providing training, guidance, and continued support for foster families caring for children with emotional and mental health needs; available in Indiana and Tennessee.
• Cohen Military Family Clinic Mental health clinic operated in partnership with Cohen Veterans Network providing accessible mental health care to post-9/11 veterans, service members, and their families, located in Tennessee, North Carolina, Florida, Georgia, and Kansas.

Quantifiable outcome

• Serves approximately 250,000 patients across 9 states following merger with Brightli

Named customers2 records

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Partnerships

Two partnerships are on record, tiered core.

• Cohen Veterans NetworkcoreStrategic or Co-development Partner · 23 April 2026Centerstone operates Cohen Military Family Clinics as part of the Cohen Veterans Network, providing mental health services to post-9/11 veterans, service members, and their families. Centerstone operates clinics in Tennessee, North Carolina, Florida, Georgia, and the new Kansas clinic, expanding CVN's network to 24 clinics across 21 states.
• BrightlicoreStrategic or Co-development Partner · 1 November 2025Merger completed November 2025 creating the largest US behavioral health provider by revenue. Combined organization has estimated annual revenue of $1.1 billion and serves roughly 250,000 patients across nine states.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Acadia Healthcare: Acadia is the largest pure-play US behavioral health operator running inpatient psychiatric hospitals, residential treatment centers, and outpatient clinics. It is the closest for-profit comparison to Centerstone's combined inpatient (Bradenton Hospital), residential, and outpatient behavioral health continuum.
• Recovery Centers of America: RCA operates a multi-state network of inpatient and outpatient addiction treatment and mental health facilities, directly mirroring Centerstone's addiction services, residential programs, and detoxification offerings.
• Hearst Health / Hazelden Betty Ford Foundation: Hazelden Betty Ford is a leading nonprofit addiction treatment provider offering residential, outpatient, and recovery services — a strong comparable to Centerstone's addiction services and continuum-of-care model in similar segments.

Broad incumbents

• Universal Health Services: UHS operates one of the nation's largest acute care and behavioral health hospital networks through its Behavioral Health segment, directly overlapping with Centerstone's psychiatric hospital and addiction treatment offerings while also providing scale benchmarks for multi-state behavioral health operators.
• HCA Healthcare: HCA operates the country's largest hospital network with significant inpatient psychiatric capacity across many of the same states as Centerstone. It competes for inpatient behavioral health referrals and serves as a benchmark for nonprofit-to-for-profit behavioral health contracting.
• Magellan Health: Magellan manages behavioral health benefits for managed-care plans, serving as both a payer-counterpart and an indirect competitor to Centerstone for government behavioral health contracts including Medicaid and justice-involved populations.

Emerging players

• Talkiatry: Talkiatry is a fast-growing virtual psychiatry practice providing in-network psychiatric medication management and therapy. It competes with Centerstone's Medical & Psychiatric and Telehealth services for higher-margin outpatient commercial cases.
• Lyra Health: Lyra is an employer-sponsored mental health platform offering therapy, coaching, and psychiatry services. It overlaps with Centerstone's commercial outpatient therapy segment and represents the digital-native threat to traditional CMHCs.
• Charlie Health: Charlie Health operates a virtual intensive outpatient (IOP) program for teens, young adults, and adults, competing directly with Centerstone's higher-acuity outpatient programs like DBT and teen processing groups.

Others

• Brightli (now merged into Centerstone): Brightli was Centerstone's merger partner in November 2025; pre-merger it was a comparable nonprofit CMHC operating across multiple states with addiction, mental health, and developmental disability services — the closest historical comp for Centerstone's CMHC operating model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/Centerstone
• YouTubeyoutube.com/CenterstoneVideos
• Facebookfacebook.com/Centerstone.org
• LinkedInlinkedin.com/company/centerstone
• Instagraminstagram.com/CenterstoneHealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds2 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments1 record

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Centerstone