2026-09-02T16:40:59+00:00 2025-10-31 440160260 FORVIS MAZARS LLP 910 E ST LOUIS 200 PO BOX 1190 SPRINGFIELD MO 658062523 990 2024-11-01 481302204 CRESCENT COMMUNITY HEALTH CENTER CRES 5636902860 1690 ELM ST 300 DUBUQUE IA 52001 CHAD WOLBERS CHIEF EXECUTIVE OFFICER 2026-09-02 true KRYSTAL CREACH P01248198 4178658701 2026-09-02 2024 CHAD WOLBERS 1690 ELM ST 300 DUBUQUE IA 52001 23386400 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. 12 12 212 16 426890 0 3706395 3919077 18445495 18801714 465052 336640 52394 78799 22669336 23136230 0 0 0 0 13824473 15155814 0 0 225253 9868942 8982746 23693415 24138560 -1024079 -1002330 26297933 33476363 6886967 14447311 19410966 19029052 X TO PROVIDE HIGH QUALITY, RESPECTFUL, AFFORDABLE, AND COMPREHENSIVE CARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. false false 5968913 0 6642463 DURING THE FISCAL YEAR THE HEALTH CARE CENTER PROVIDED MEDICAL SERVICES TO 19,836 PATIENTS. MEDICAL SERVICES PROVIDED INCLUDE: PHYSICALS, CHRONIC DISEASE MANAGEMENT, WELL CHILD EXAMS, ACUTE VISITS, AND OTHER PRIMARY HEALTHCARE. 4804791 0 5346978 DURING THE FISCAL YEAR THE HEALTH CARE CENTER PROVIDED DENTAL SERVICES TO 23,498 PATIENTS. DENTAL SERVICES PROVIDED INCLUDE: EXAMS, CLEANINGS, RESTORATIVES, X-RAYS, AND OTHER PRIMARY DENTAL CARE. 4383529 0 4878179 DURING THE FISCAL YEAR THE HEALTH CARE CENTER PROVIDED PHARMACY SERVICES TO 3,436 PATIENTS. PHARMACY SERVICES PROVIDED INCLUDE: DIABETES EDUCATION, ANTICOAGULATION EDUCATION, MED-PACKS, FILLING PRESCRIPTIONS, AND OTHER PHARMACY SERVICES. 1354373 0 1507204 DURING THE FISCAL YEAR, THE HEALTH CARE CENTER PROVIDED BRAIN HEALTH SERVICES TO 7,110 PATIENTS. BRAIN HEALTH SERVICES INCLUDE: PSYCHIATRY, PSYCHOLOGY, COUNSELING, AND OTHER SERVICES. 1354373 1507204 16511606 true true false true false 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 true false false false false false false false false false true 43 0 true 212 true true true false false false false false false false false false false false X 12 12 false true true false false false false true true false false false false true true true true false true true false false X SAMANTHA LAMMERS 5636902860 1690 ELM ST SUITE 300 DUBUQUE IA 52001 DEB HICKMON BOARD SECRETARY END 12/24 2.0 0.0 X X 0 0 0 JOHN MCANDREW BOARD CHAIR 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 2.0 0.0 X X 0 0 0 ROBIN KENNICKER VICE CHAIR/BOARD SECRETARY BEG 01/25 2.0 0.0 X X 0 0 0 RONELLE CLARK BOARD PAST CHAIR 2.0 0.0 X X 0 0 0 AMERICA WESTERBAND-VASQUEZ BOARD MEMBER END 01/25 2.0 0.0 X 0 0 0 DAN WHITE BOARD MEMBER END 03/25 2.0 0.0 X 0 0 0 DEREK OLBERDING BOARD MEMBER 2.0 0.0 X 0 0 0 GAIL HOFFMAN BOARD MEMBER 2.0 0.0 X 0 0 0 JANE BENTROTT BOARD MEMBER BEG 01/25 & END 06/25 2.0 0.0 X 0 0 0 JEAN-MICHELLE CHOQUET BOARD MEMBER BEG 01/25 2.0 0.0 X 0 0 0 KENNY GARLOW BOARD MEMBER 2.0 0.0 X 0 0 0 KOLE GALLICK BOARD MEMBER 2.0 0.0 X 0 0 0 MARY ROSE CORRIGAN BOARD MEMBER 2.0 0.0 X 0 0 0 TIM WALKER BOARD MEMBER BEG 01/25 2.0 0.0 X 0 0 0 CHAD WOLBERS CHIEF EXECUTIVE OFFICER 40.0 0.0 X 46519 0 1505 SAMANTHA LAMMERS CHIEF FINANCIAL OFFICER BEG 12/24 40.0 0.0 X 2452 0 114 DR MARCO ROUMAN CHIEF DENTAL OFFICER 40.0 0.0 X 304437 0 30031 DR URSULA LIVERMORE CHIEF MEDICAL OFFICER 40.0 0.0 X 260327 0 36759 DR JAMES LIVERMORE PHYSICIAN 40.0 0.0 X 163800 0 11787 DR KEVIN STINGLEY DENTIST 32.0 0.0 X 173504 0 24606 DR LYDIA GOODSON DENTIST 40.0 0.0 X 240518 0 23919 DR SHIQI WANG DENTIST 40.0 0.0 X 196809 0 20342 JOSH FELDMANN DIRECTOR OF MIDWEST MEDICAL PHARMACY SERVICES 40.0 0.0 X 184032 0 753 GARY COLLINS FORMER CHIEF EXECUTIVE OFFICER 40.0 0.0 X 128069 0 18348 1700467 0 168164 28 true true false DAMIEN MILLER CONSTRUCTION 917 BADGER RD HAZEL GREEN WI 53811 CONSTRUCTION 1130863 METX LLC 1690 ELM STREET DUBUQUE IA 52001 REAL ESTATE DEVELOPMENT 1102074 INCONCERTCARE INC 500 SW 7TH STREET DES MOINES IA 50309 INFORMATION TECHNOLOGY 644841 FORVIS MAZARS LLP 910 E ST LOUIS 200 PO BOX 1190 SPRINGFIELD MO 658062523 ACCOUNTING SERVICES 210673 PHARMSERV SOLUTIONS LLC 4225 FLEUR DRIVE 118 DES MOINES IA 50321 CONTRACTED PHARMACIST 135819 5 2274342 1644735 30781 3919077 NET PATIENT SERVICE REVENUE 624100 13370378 13370378 PHARMACY REVENUE 446110 5376950 4950060 426890 OTHER REVENUE 624100 54386 54386 0 0 0 0 18801714 325266 325266 0 0 261544 250170 11374 0 11374 11374 GAIN ON EQUITY INVESTEE 900099 78799 78799 0 0 0 0 78799 23136230 18374824 426890 415439 0 0 682144 631554 50590 188831 188831 11529569 7785922 3639576 104071 477369 338094 139275 1357754 775675 566715 15364 920147 613844 306303 35023 35023 255426 255426 68712 68712 1653279 1439237 214042 0 167946 29296 138650 234482 75927 52737 105818 176702 2815 173887 440147 375562 64585 42469 12015 30454 171399 66943 104456 208430 187914 20516 1378140 396399 981741 110930 18939 91991 MEDICAL SUPPLIES & DRUGS 3613564 3613564 REPAIRS & MAINTENANCE 185627 25404 160223 LICENSES, DUES, & SUBSCRIPTIONS 182911 92440 90471 RECRUITING & RETENTION 57559 30062 27497 0 0 0 0 24138560 16511606 7401701 225253 579683 1145285 2253192 1884765 118672 186257 2887588 4869341 0 0 0 0 410304 346816 72400 165790 9572424 2329364 5334915 7243060 6934541 7774197 0 746406 825205 958466 782193 6001766 8253454 26297933 33476363 2235837 2428426 0 0 4651130 12018885 6886967 14447311 X 18249191 18862867 1161775 166185 19410966 19029052 26297933 33476363 -1002330 620416 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 275 false true 2000 2275 false SCHEDULE C, PART II-A, LINE 1G, COLUMN (B) CEO PARTICIPATION IN FEDERAL LEGISLATOR MEETINGS TRAVEL EXPENSES RELATE TO THE CEO'S PARTICIPATION IN IPCA ADVOCACY MEETINGS WITH FEDERAL LEGISLATORS REGARDING FQHC POLICY AND FUNDING. 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. 5547805 38295 654287 253260 23 77382 5909722 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 0.0 1.0 0.0 true false 6300566 1132908 5167658 2954034 1196456 1757578 317824 317824 7243060 ROU ASSET 8172454 EST AMTS DUE FROM 3RD PARTIES 81000 8253454 FEDERAL INCOME TAXES ROU LIABILITY 8690885 EST AMTS DUE TO 3RD PARTIES 3328000 12018885 24683524 620416 1128257 1748673 22934851 68712 132667 201379 23136230 24069848 0 0 24069848 68712 0 68712 24138560 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 TO 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 - 1128257 SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS TEMPORARILY RESTRICTED CONTRIBUTIONS - 132667 X X X X false false false false false false false true false GARY COLLINS FORMER CHIEF EXECUTIVE OFFICER 127956 0 113 0 0 0 6432 0 11916 0 146417 0 0 0 DR MARCO ROUMAN CHIEF DENTAL OFFICER 281926 0 22511 0 0 0 11652 0 18379 0 334468 0 0 0 DR URSULA LIVERMORE CHIEF MEDICAL OFFICER 260000 0 327 0 0 0 12016 0 24743 0 297086 0 0 0 DR SHIQI WANG DENTIST 174619 0 22190 0 0 0 8897 0 11445 0 217151 0 0 0 DR KEVIN STINGLEY DENTIST 159054 0 14450 0 0 0 5859 0 18747 0 198110 0 0 0 DR JAMES LIVERMORE PHYSICIAN 163800 0 0 0 0 0 8231 0 3556 0 175587 0 0 0 DR LYDIA GOODSON DENTIST 218007 0 22511 0 0 0 10857 0 13062 0 264437 0 0 0 JOSH FELDMANN DIRECTOR OF MIDWEST MEDICAL PHARMACY SERVICES 150699 0 33333 0 0 0 0 0 753 0 184785 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. 1 29588 MARKET VALUE X MINOR EQUIPMENT 3 1193 MARKET VALUE false true false SCHEDULE M, PART I COLUMN B NUMBER OF CONTRIBUTIONS THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF CONTRIBUTORS. 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 $ 1,354,373 INCLUDING GRANTS OF $ 0)(REVENUE $ 1,507,204) DURING THE FISCAL YEAR, THE HEALTH CARE CENTER PROVIDED BRAIN HEALTH SERVICES TO 7,110 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 ROBERT HALF INTERNATIONAL TO CARRY OUT THE ROLE OF CHIEF FINANCIAL OFFICER UNTIL THE POSITIONS COULD BE FILLED BY THE ORGANIZATION. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS DURING THE TAX YEAR, THE ORGANIZATION AMENDED ITS BYLAWS TO PERMIT DIRECTORS IN GOOD STANDING TO SERVE UP TO THREE CONSECUTIVE 3-YEAR TERMS BEFORE A REQUIRED ONE-YEAR BREAK, REPLACING THE PRIOR LIMIT OF TWO FULL 3-YEAR TERMS PLUS ANY PARTIAL TERM. 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 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 2025 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 2025. 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.