2025-09-11T16:34:17+00:00 2024-10-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-11-01 481302204 Crescent Community Health Center CRES 5636902860 1690 Elm St 300 Dubuque IA 52001 CHAD WOLBERS CHIEF EXECUTIVE OFFICER 2025-09-11 true Krystal Creach P01248198 4178658701 2025-09-11 2023 2025-03-06 01:10:19Z CHAD WOLBERS 1690 Elm St 300 Dubuque IA 52001 22672541 false X WWW.CRESCENTCHC.ORG X 2003 IA CRESCENT COMMUNITY HEALTH CENTER PROVIDES HIGH-QUALITY, RESPECTFUL, AFFORDABLE, AND COMPREHENSIVE CARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. SEE SCHEDULE O. 13 13 203 15 471039 0 5460707 3706395 17275871 18445495 306218 465052 61512 52394 23104308 22669336 0 0 0 0 11616881 13824473 0 0 253727 8858465 9868942 20475346 23693415 2628962 -1024079 26175374 26297933 6986249 6886967 19189125 19410966 X TO PROVIDE HIGH QUALITY, RESPECTFUL, AFFORDABLE, AND COMPREHENSIVE CARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. false false 6091810 0 6041149 DURING THE FISCAL YEAR THE HEALTH CARE CENTER PROVIDED PHARMACY SERVICES TO 4,145 PATIENTS. PHARMACY SERVICES PROVIDED INCLUDE: DIABETES EDUCATION, ANTICOAGULATION EDUCATION, MED-PACKS, FILLING PERSCRIPTIONS, AND OTHER PHARMACY SERVICES. 5988632 0 5506063 DURING THE FISCAL YEAR THE HEALTH CARE CENTER PROVIDED MEDICAL SERVICES TO 16,057 PATIENTS. MEDICAL SERVICES PROVIDED INCLUDE: PHYSICALS, CHRONIC DISEASE MANAGEMENT, WELL CHILD EXAMS, ACUTE VISITS, AND OTHER PRIMARY HEALTHCARE. 3878295 0 4580209 DURING THE FISCAL YEAR THE HEALTH CARE CENTER PROVIDED DENTAL SERVICES TO 17,453 PATIENTS. DENTAL SERVICES PROVIDED INCLUDE: EXAMS, CLEANINGS, RESTORATIVES, X-RAYS, AND OTHER PRIMARY DENTAL CARE. 1559983 0 2318074 DURING THE FISCAL YEAR, THE HEALTH CARE CENTER PROVIDED BRAIN HEALTH SERVICES TO 7,168 PATIENTS. BRAIN HEALTH SERVICES INCLUDE: PSYCHIATRY, PSYCHOLOGY, COUNSELING, AND OTHER SERVICES. 1559983 2318074 17518720 true true false true false false false false true true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 17 0 true 203 true true true false false false false false false false false false false false X 13 13 false true false false false false false true true false false false true true true true false true true false X SAMANTHA LAMMERS 5636902860 1690 ELM ST SUITE 300 DUBUQUE IA 52001 ANN DECKER BOARD PAST CHAIR END 12/23 2.0 0.0 X X 0 0 0 DEB HICKMON BOARD SECRETARY 2.0 0.0 X X 0 0 0 JOHN MCANDREW BOARD CHAIR BEG 09/24 2.0 0.0 X X 0 0 0 LYNEE ROBSON BOARD TREASURER 2.0 0.0 X X 0 0 0 MIKE WRIGHT BOARD VICE CHAIR BEG 02/24 2.0 0.0 X X 0 0 0 ROBIN KENNICKER BOARD VICE CHAIR 2.0 0.0 X X 0 0 0 RONELLE CLARK BOARD PAST CHAIR BEG 02/24 2.0 0.0 X X 0 0 0 AMERICA WESTERBAND-VASQUEZ BOARD MEMBER 2.0 0.0 X 0 0 0 DAN WHITE BOARD MEMBER 2.0 0.0 X 0 0 0 DEREK OLBERDING BOARD MEMBER 2.0 0.0 X 0 0 0 GAIL HOFFMAN BOARD MEMBER BEG 05/24 2.0 0.0 X 0 0 0 KENNY GARLOW BOARD VICE CHAIR 2.0 0.0 X 0 0 0 KOLE GALLICK BOARD MEMBER BEG 01/24 2.0 0.0 X 0 0 0 MARY ROSE CORRIGAN BOARD MEMBER 2.0 0.0 X 0 0 0 MATTHEW SCHMID BOARD MEMBER END 08/24 2.0 0.0 X 0 0 0 CHAD WOLBERS CHIEF EXECUTIVE OFFICER BEG 10/24 40.0 0.0 X 0 0 0 GARY COLLINS CHIEF EXECUTIVE OFFICER END 08/24 40.0 0.0 X 174561 0 27162 JENNIFER RABER CHIEF FINANCIAL OFFICER END 03/24 40.0 0.0 X 141885 0 9515 DR MARCO ROUMAN CHIEF DENTAL OFFICER 40.0 0.0 X 246174 0 30440 DR URSULA LIVERMORE CHIEF MEDICAL OFFICER 40.0 0.0 X 275329 0 35545 DR HEATHER RICKERTSEN PHARMACIST 40.0 0.0 X 155506 0 28258 DR KEVIN STINGLEY DENTIST 32.0 0.0 X 142135 0 23500 DR LYDIA GOODSON DENTIST 40.0 0.0 X 212699 0 25200 JOSH FELDMANN DIRECTOR OF MIDWEST MEDICAL PHARMACY SERVICES 40.0 0.0 X 143292 0 27668 KATIE CAMPBELL NURSE PRACTITIONER 40.0 0.0 X 161138 0 10339 1652719 0 217627 28 false true false Damien Miller Construction 917 Badger Rd Hazel Green WI 53811 Construction 1545464 METX LLC 1690 ELM STREET DUBUQUE IA 52001 REAL ESTATE DEVELOPMENT 962112 INCONCERTCARE INC 500 SW 7TH STREET DES MOINES IA 50309 INFORMATION TECHNOLOGY 571311 FORVIS MAZARS LLP 910 E ST LOUIS 200 PO BOX 1190 SPRINGFIELD MO 658062523 Accounting Services 140778 Robert Half International PO box 743295 Los Angeles CA 94583 Consulting 140156 8 2907377 799018 5483 3706395 NET PATIENT SERVICE REVENUE 624100 12165432 12165432 PHARMACY REVENUE 446110 6041149 5570110 471039 OTHER REVENUE 624100 238914 238914 0 0 0 0 18445495 397240 397240 0 0 71017 3205 71017 -3205 67812 67812 GAIN ON EQUITY INVESTEE 900099 52394 52394 0 0 0 0 52394 22669336 17974456 471039 517446 0 0 940611 587488 353123 10291601 7738676 2457273 95652 397613 282230 115383 1359666 940348 405024 14294 834982 615894 219088 36805 2250 34555 242638 242638 69296 69296 1593297 1311928 281369 0 205027 20964 184063 478077 142921 191375 143781 153155 5823 147332 436424 362016 74408 40191 12893 27298 149557 67029 82528 240802 193404 47398 1070467 326482 743985 101284 21657 79627 MEDICAL SUPPLIES & DRUGS 4770007 4770007 LICENSES, DUES, & SUBSCRIPTIONS 221243 97541 123702 RECRUITING & RETENTION 60672 19169 41503 0 0 0 0 23693415 17518720 5920968 253727 815533 579683 3682725 2253192 361456 118672 2110247 2887588 0 0 0 0 382601 410304 334103 72400 6907067 1572152 3498487 5334915 6432336 6934541 0 694012 746406 1023717 958466 6840157 6001766 26175374 26297933 2066708 2235837 0 0 4919541 4651130 6986249 6886967 X 18061829 18249191 1127296 1161775 19189125 19410966 26175374 26297933 -1024079 1245920 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND TO THE IOWA PRIMARY CARE ASSOCIATION (IOWA PCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 4649695 88283 1131361 247040 0 74494 5547805 4685613 97697 180128 243030 47 70666 4649695 5770097 77593 -846910 239970 45 75152 4685613 4448973 86859 1505604 194330 146 76863 5770097 4646727 63676 -1069 196270 6 64085 4448973 0.0 1.0 0.0 true false 4121580 749908 3371672 2186333 822244 1364089 599154 599154 5334915 ROU ASSET 4165659 EST AMTS DUE FROM 3RD PARTIES 1750000 OTHER RECEIVABLES 86107 6001766 ROU LIABILITY 4651130 4651130 23829657 1245920 14971 306981 1567872 22261785 69296 338255 407551 22669336 23642295 14971 3205 18176 23624119 69296 0 69296 23693415 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part V, Line 4 Intended uses of endowment funds COMMUNITY FOUNDATION OF GREATER DUBUQUE, AN UNRELATED ORGANIZATION, HOLDS ENDOWMENT FUNDS WHICH INCLUDE MONIES DONATED TO BE USED FOR SPECIFIC EXPENSES AND THE INCOME FROM EACH FUND IS TO BE SPENT ON SPECIFIC SERVICES AND PROGRAM FUNCTIONS ON A FUND BY FUND BASIS. CRESCENT COMMUNITY HEALTH CENTER ENDOWMENT'S INTENDED USE IS FOR THE SUPPORT OF PUBLIC, CHARITABLE, SCIENTIFIC, LITERARY AND EDUCATIONAL PROGRAMS OF CRESCENT COMMUNITY HEALTH CENTER. DIABETES FUND FOR CRESCENT COMMUNITY HEALTH CENTER ENDOWMENT'S INTENDED USE IS SUPPORT THE DIABETES PROGRAM AT CRESCENT COMMUNITY HEALTH CENTER. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTIONS - 306981 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 341460 LOSS ON DISPOSAL OF FIXED ASSETS - -3205 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 LOSS ON DISPOSAL OF FIXED ASSETS - 3205 X X X X false false false false false false false true false GARY COLLINS CHIEF EXECUTIVE OFFICER END 08/24 174241 0 320 0 0 0 8749 0 18413 0 201723 0 0 0 JENNIFER RABER CHIEF FINANCIAL OFFICER END 03/24 131640 0 10245 0 0 0 0 0 9515 0 151400 0 0 0 DR URSULA LIVERMORE CHIEF MEDICAL OFFICER 270300 0 5029 0 0 0 12782 0 22763 0 310874 0 0 0 DR MARCO ROUMAN CHIEF DENTAL OFFICER 225300 0 20874 0 0 0 11467 0 18973 0 276614 0 0 0 DR LYDIA GOODSON DENTIST 191825 0 20874 0 0 0 7276 0 17924 0 237899 0 0 0 DR HEATHER RICKERTSEN PHARMACIST 146506 0 9000 0 0 0 7793 0 20465 0 183764 0 0 0 KATIE CAMPBELL NURSE PRACTITIONER 138948 0 22190 0 0 0 6965 0 3374 0 171477 0 0 0 JOSH FELDMANN DIRECTOR OF MIDWEST MEDICAL PHARMACY SERVICES 143292 0 0 0 0 0 7182 0 20486 0 170960 0 0 0 DR KEVIN STINGLEY DENTIST 131788 0 10347 0 0 0 5249 0 18251 0 165635 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments INCENTIVE COMPENSATION PAID DURING THE YEAR WAS BASED UPON PRODUCTIVITY BENCHMARKS. THERE WERE ALSO SIGN-ON BONUSES, WHICH WERE A PART OF THE EMPLOYEES' CONTRACTS. Form 990, Part III, Line 4 PROGRAM SERVICES THE ORGANIZATION PROVIDES PRIMARY HEALTHCARE SERVICES BY PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, ORAL HEALTH SERVICES BY DENTISTS AND DENTAL HYGIENISTS, DIAGNOSTIC LABORATORY SERVICES DIAGNOSTIC X-RAY SERVICES, PREVENTIVE HEALTH SERVICES, PATIENT CASE MANAGEMENT, PHARMACY SERVICES, REFERRALS FOR OB, MENTAL HEALTH, AND SUBSTANCE ABUSE SERVICES, PREVENTIVE AND RESTORATIVE DENTAL SERVICES, AND TRANSLATION SERVICES. Form 990, Part III, Line 4d Description of other program services (Expenses $ 1,559,983 including grants of $ 0)(Revenue $ 2,318,074) DURING THE FISCAL YEAR, THE HEALTH CARE CENTER PROVIDED BRAIN HEALTH SERVICES TO 7,168 PATIENTS. BRAIN HEALTH SERVICES INCLUDE: PSYCHIATRY, PSYCHOLOGY, COUNSELING, AND OTHER SERVICES. Form 990, Part VI, Line 3 Delegation of management duties CRESCENT COMMUNITY HEALTH CENTER CONTRACTED BOTH ROBERT HALF INTERNATIONAL AND DARA GROOP CONSULTING TO CARRY OUT THE ROLES OF CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER UNTIL THOSE POSITIONS COULD BE FILED BY THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. AFTER TO FILING, THE FORM 990 IS SUBMITTED TO THE FINANCE DIRECTOR OF THE ORGANIZATION, THE FINANCE COMMITTEE AND THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS SHALL PROVIDE FULL DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST, INCLUDING COMPLETING AN INITIAL CONFLICT OF POTENTIAL OR ACTUAL INTEREST STATEMENT WHEN APPOINTED, AND COMPLETING A CONFLICT OF POTENTIAL OR ACTUAL INTEREST STATEMENT AT LEAST ANNUALLY (JANUARY EACH YEAR THEREAFTER.) BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL AND/OR ACTUAL CONFLICTS OF INTEREST PRIOR TO SPECIFIC BOARD DECISIONS. THE BOARD CHAIRPERSON MAY ASK PERSONS WITH POTENTIAL CONFLICTS TO NOT PARTICIPATE IN DISCUSSIONS AT THE BOARD MEETINGS IF AN ISSUE BEFORE THE BOARD IS SENSITIVE TO ALLEGATIONS OF CONFLICT. NO EMPLOYEE, OFFICER OR AGENT SHALL PARTICIPATE IN THE SELECTION, AWARD OR ADMINISTRATION OF A CONTRACT SUPPORTED BY FEDERAL FUNDS IF A REAL OR APPARENT CONFLICT OF INTEREST WOULD BE INVOLVED. SUCH A CONFLICT WOULD ARISE WHEN THE EMPLOYEE, OFFICER, OR AGENT, OR ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY, HIS OR HER PARTNER, OR AN ORGANIZATION WHICH EMPLOYS OR IS ABOUT TO EMPLOY ANY OF THE PARTIES INDICATED HEREIN, HAS A FINANCIAL OR OTHER INTEREST IN THE FIRM SELECTED FOR AN AWARD. THE OFFICERS, EMPLOYEES AND AGENTS OF THE RECIPIENT SHALL NEITHER SOLICIT NOR ACCEPT GRATUITIES, FAVORS, OR ANYTHING OF MONETARY VALUE FROM CONTRACTORS, OR PARTIES TO SUB-AGREEMENTS. HOWEVER, RECIPIENTS MAY SET STANDARDS FOR SITUATIONS IN WHICH THE FINANCIAL INTEREST IS NOT SUBSTANTIAL OR THE GIFT IS AN UNSOLICITED ITEM OF NOMINAL VALUE. THE STANDARDS OF CONDUCT SHALL PROVIDE FOR DISCIPLINARY ACTIONS TO BE APPLIED FOR VIOLATIONS OF SUCH STANDARDS BY OFFICERS, EMPLOYEES OR AGENTS OF THE RECIPIENTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE COMPENSATION OF THE ORGANIZATION'S CEO, OTHER OFFICERS, AND KEY EMPLOYEES WAS REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS USING COMPARATIVE DATA FROM THE IOWA WORKFORCE DEVELOPMENT FOR DUBUQUE COUNTY. IN ADDITION TO COMPARATIVE DATA FROM VARIOUS NATIONAL WEBSITES SUCH AS SIMPLYHIRED.COM, SALARYLIST.COM, AND INDEED.COM, AS WELL AS THE HEALTH ASSOCIATIONS OF THE IOWA PRIMARY CARE ASSOCIATION AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE REVIEW PROCESS WAS DOCUMENTED IN THE COMMITTEE'S MINUTES AND OCCURRED DURING NUMEROUS MEETINGS IN FISCAL YEAR 2024. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE COMPENSATION OF THE ORGANIZATION'S CEO, OTHER OFFICERS, AND KEY EMPLOYEES WAS REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS USING COMPARATIVE DATA FROM THE IOWA WORKFORCE DEVELOPMENT FOR DUBUQUE COUNTY. IN ADDITION TO COMPARATIVE DATA FROM VARIOUS NATIONAL WEBSITES SUCH AS SIMPLYHIRED.COM, SALARYLIST.COM, AND INDEED.COM, AS WELL AS THE HEALTH ASSOCIATIONS OF THE IOWA PRIMARY CARE ASSOCIATION AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE REVIEW PROCESS WAS DOCUMENTED IN THE COMMITTEE'S MINUTES AND OCCURRED DURING NUMEROUS MEETINGS IN FISCAL YEAR 2024. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC TO BE VIEWED ON-SITE OR TO BE MAILED UPON WRITTEN REQUEST. Form 990, Part I, LIne 1 ORGANIZATION'S MISSION: CRESCENT COMMUNITY HEALTH CENTER IS A LOCAL MEDICAL AND DENTAL CLINIC PROVIDING BASIC (PRIMARY) MEDICAL, ORAL AND BRAIN HEALTH CARE. OUR DOCTORS, DENTISTS, NURSE PRACTITIONERS, DENTAL HYGIENISTS AND OTHER STAFF OFFER HIGH-QUALITY AND AFFORDABLE CARE TO ANYONE NEEDING A MEDICAL AND/OR DENTAL HOME. OUR PHILOSOPHY IS TO MAKE YOU, THE PATIENT, THE CENTER OF CARE AND A PARTNER IN YOUR TREATMENT. THE COST OF OUR SERVICES FOR UNINSURED PATIENTS ARE FIGURED ON A SLIDING FEE SCALE AND DISCOUNTED BASED UPON THE HOUSEHOLD INCOME AND SIZE. WE SERVE INDIVIDUALS AND FAMILIES WHO ARE UNINSURED, UNDERINSURED AND THOSE WITH VARIOUS TYPES OF INSURANCE. PATIENTS FROM ANY AREA ARE WELCOMED TO OUR PRACTICE. VALUE STATEMENTS ACCESSIBILITY: WE BELIEVE ALL INDIVIDUALS, REGARDLESS OF ABILITY TO PAY, SHOULD HAVE ACCESS TO QUALITY HEALTHCARE SERVICES. COLLABORATION: WE BELIEVE COLLABORATION AND AFFILIATION WITH OTHER PROVIDERS/AGENCIES WILL STRENGTHEN OUR PROGRAM WITH REGARD TO LEVELS OF CARE AND BREADTH OF SERVICES. DIVERSITY AND DIGNITY: WE VALUE DIVERSITY AND BELIEVE IN THE DIGNITY OF EACH PERSON. QUALITY: WE BELIEVE THAT THE HIGHEST STANDARD OF CARE SHOULD BE AVAILABLE FOR ALL. WE EXIST TO ENHANCE AND PROMOTE THE HEALTH AND WELL BEING OF EVERYONE THROUGH EDUCATION, PREVENTION AND TREATMENT. ADVOCACY: WE WILL REPRESENT THE PEOPLE WE SERVE AND PROMOTE THE RIGHT OF EVERYONE TO RECEIVE THE HIGHEST QUALITY HEALTH CARE AVAILABLE. SERVICE: WE BELIEVE EVERY ASPECT OF OUR SERVICES PROVIDED BY A CARING STAFF SHOULD REFLECT THAT MEETING THE NEEDS OF EACH PATIENT IS PARAMOUNT TO THE DIGNITY OF EACH PERSON. SUPPORT: WE BELIEVE INDIVIDUALS AND FAMILIES ARE SUCCESSFUL WITH COMMUNITY SUPPORT, AND OUR COMMUNITIES CAN AND SHOULD WORK TOGETHER FOR THE NEEDS OF ALL IN THE TRI-STATE AREA.