Who are we?
The Crescent Community Health Center is a freestanding, not-for-profit
corporation created solely for the purpose of being a Federally Qualified Health
Center. The primary populations it serves are individuals and their dependents
on Medicaid and Medicare, as well as those who are uninsured and underinsured.
Anyone in the tri-state area, including Illinois, Wisconsin and other Iowa counties,
is welcome to use this high-quality healthcare facility.
What is the mission?
The Crescent Community Health Center exists to improve and maintain the health and well-being of our communities
by providing affordable, client-friendly and comprehensive, high-quality healthcare services in collaboration with other
community organizations and resources.
Values Statements
- Accessibility
We believe all individuals, regardless of ability to pay, should have access to quality healthcare services and the opportunity to be integrated with people who have the means to pay.
- 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.
Service- We believe every aspect of our services provided by a caring staff should reflect that meeting the needs of each client is paramount to the dignity of each person.
- Support
- We believe families are successful with community support, and our communities can and should work together for the needs of all in the tri-state area.
February 19, 2003
Where is the center located?
The Crescent Community Health Center is located in the Washington Neighborhood at 1789 Elm St. - Suite A, in the Washington Court Building, formerly known as the Dubuque Casket Company.
Gronen Properties is restoring the building to its original beauty. The upper three floors will be renovated, creating 36 affordable apartments. Gronen will leases the first floor to the Crescent Community Health Center and Project Concern, an organization whose mission is “to respond to unmet needs.” The two organizations will have a symbiotic relationship that will serve the citizens of the area well.
This location allows for future expansion of the Crescent Community Health Center. Until needed, the additional 2,000 square feet will be utilized to fill a community need, possibly a day care or a mini-“Y.”
The Crescent Community Health Center’s establishment enhances several economicdevelopment and quality-of-life initiatives:
- Work-force development
- Job creation through existing and new businesses
- Quality work force
- Neighborhood reinvestment
- Downtown redevelopment plan
- Washington Neighborhood strategy
- Community policing/neighborhood crime reduction
Where does revenue come from to support the center?
Revenue is derived from numerous sources:
- Cost-based reimbursement from Medicaid and Medicare clients
- Iowa, Wisconsin and Illinois Departments of Human Services and Public Aid
- SCHIP programs in Wisconsin, Illinois and Iowa (hawk-i)
- Contractual relationships with private insurers
- Private pay
- Donations, fundraising and grants
The Estimated Three-Year Community Health Center Revenue and Expense Budget
CHC Revenue and Expenses |
Year 1 | Year 2 | Year 3 | |
Annual Operating Expense |
2,022,617 | 1,541,906 | 1,903,979 | |
Annual Operating Revenue |
1,634,721 | 1,724,616 | 1,399,512 | |
Annual Surplus (Deficit) |
(387,896) | 182,710 | (504,466) |
In Year 4, as we achieve Federal Look-Alike and/or Qualified Health Center (FQHC) status, dependence
on local funds will decrease as enhanced Medicare and Medicaid payments are collected.
What funds are currently available? |
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Funds received from several organizations:
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Funds pledged from organizations:
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Funds expended to date:
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What is the benefit to the community?
- Quality healthcare is available to all.
- Crescent Community Health Center will provide a “medical home” for those who have none.
- Allows the Dubuque area to access state and federal healthcare funds that are not currently accessible.
- Reduction of emergency room charity care and bad debt may result in the development of new programs and services,
creating additional job opportunities not otherwise possible. Mercy Medical Center and Finley Hospital currently absorb
about $4.5 million in annual charity-care costs and about $4 million for bad debt. The gap in Medicare and Medicaid
reimbursement to the Dubuque hospitals is $20 million annually. - As Crescent Community Health Center expands, new jobs will be created.
- Substance abuse and mental health services will see an increase in referrals, but crisis referrals will decrease.
- Prescription medications will be accessible and affordable through a reduced-fee pharmacy program.
- Collaboration between all the healthcare providers will be strengthened.
Examples
An adult female whose front teeth are fractured and so sharp that when she
is home she covers them with silicone earplugs so they don’t cut her lips
or tongue.
- A gentleman who had gone several years without medical and dental care
and required same-day surgery for multiple tooth extractions. On the pre-op
chest x-ray, lung cancer was detected.
- A 43-year-old female who hasn’t seen a dentist for
three years, and has frequent oral abscesses she
lances herself.
- A sick child with no health insurance, unable to
get an appointment to see a doctor.
- A 45-year-old man with an infected tooth,
employed at a job with no dental insurance.
- A 15-year-old who needs a tetanus booster.
- A 40-year-old woman with a lump in her breast,
unable to afford a mammogram.
- An 8-year-old whose teeth hurt “all the time” and has never been to the dentist.
In every instance, had care been initiated routinely, or at least earlier in the disease process, the emergent situations, incredible discomfort and expense could have been avoided or greatly minimized.