Last week, we got a reminder that size and scale matter with the announcement that Brightli and Centerstone plan to merge (see Brightli & Centerstone Plan Merger To Form $1 Billion Behavioral Health Powerhouse Across Nine States). The combination will create an organization that with $1.1 billion in annual revenue. Together, Brightli and Centerstone have completed more than 45 mergers before this sizable transaction. 

Brightli is a Springfield, Missouri-based organization with more than 6,000 associated employees working at more than 220 locations in five states: Missouri, Illinois, Indiana, Oklahoma, and Kansas. In fiscal year 2024, Brightli served 101,691 unique clients, with revenue of $474 million. Centerstone, based in Nashville, has 4,300 employees in 140 locations across six states—Georgia, Florida, Illinois, Indiana, North…