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Crescent Community Health Center 2018 Annual Report Copyrighted April 15, 2019 City of Dubuque Consent Items # 5. ITEM TITLE: Crescent Community Health Center2018Annual Report SUM MARY: City Manager providing a copy of the 2018 Annual Report for the Crescent Community Health Center. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File ATTACHMENTS: Description Type Crescent Community Health Center 2018 Annual Supporting Documentation Report Growing to Serve. y '�K'• � �IIi �r�a � � � �"�JI Ce�yty r Ni��� �. Mi�LJ�w \ Y R��i4�ui, L�fYlullYr� t" IJu�Y~"u i����Y� . 1i�li�i4rr�`°^y'i e •��•�:,.,..�.,��_-.. Crescent Community �MIH` YYF1�'�yup�ywYvut;Y .. W��iiyy' �i]rlii'Q'YaY4: IYI�VWY�YYVWYI�Y1iVYy�Y WWi�1�IMiM���sY��w iBW���oll'w���W�.� �Yif��+��lr�llr�� . M�� ' • � I � � Ir I I I I + I , II , I , I , . � II . I —"` ��� ��>�� _y __ � --'�`+�-�'„c �,� -� _ �-�_, ^�-.,s� �����.—��- -- � _i:: -�{����� _ _- __�_ _ - t_�-� � � �_� �� ; -� . ___ �_ '-�_a-s� �'� �� � 1� ���► � .=�i� +`E-� S aa4LZ��i�'��i,� �. �. �". � , - ' - ' - - ' - - _ a�• -_ � I � �� - -� � `. \ A. D � S � � ! i , . � ' s rs" ; _'`F�� ;%' , �!� � � ' ' �"' �J_�'/ �ll�j '� ' �` � /� /y � F% � � � � : - �,. �„ �. ,,, � a< y r � �` 1 � � 9`.i � /, ' f � � � y� �, � � ;� ' , �� , � f � RIp � ��II� I .Y1 �� � � �nia 4 s: � ' � � .\ � ���.i- ' ,� - 1 ; �. �� "- : ±:��'�1 � h �.; � ! ��. � �� ��� ' � �] j ��. n, ��_ �__ �� l l� � 1 1 �� _� - �i � � � � � �� � _ � rt� �\�� , ��--�- ,� ` � � � i ' � ��� ' ���� , + '1 � � �� � 'r�r-, . , � � � .-� � � \ y � � �''� s - ..�� � � � � �M�,, � , , ' � �' \ s � � ��` � �� � : , yi� j y y� `�� f'��//� y � °���✓ "�1A! �ww�w' � f � �-►, �ii r� ► ��< < , � \ . - . TABLE OF CONTENTS �+�e � � �,» DEARFRIENDS 4 b : GROWING TO LEAD 5 �� GROUNDED IN QUALITY 8 � `"' GROWING TO SERVE 9 ����:�yr� y 2018 BYTHE NUMBERS 10 �^�.� CARING FOR DUBUQUE 11 ` BREAKING DOWN BARRIESTO BEHAVIORAL HEALTH 13 MEETDR. SHROYER 15 MANAGING RESOURCES 17 INSPIRING SUPPORT 19 OUR DONORS 21 n � � I , .� , ' � � / I .�� . � � � �� i �I �, ..`� c Y.. e � y ��/�/� �� `,5�` \� A � � � I�' ] i !� �.:; v,, ,, � �� �; �" � �"; .,� � `N a � ��� � : :+�,r�„� ��; �„ �:. . � V *. � � - � � �. � �", � , � [:��^ ��• `';:' .. %'7 ; � iA ��',./ .. ' �, _;_�: ,�4• � i � �` i !;L ',� � �� � � � � g �' .1 s i rER �.'�\,. i� , * '� 7 ,� r:. , _... , l, PUTTING PATIENTS FIRST. PROVIDING THE BEST CARE. Dear Friends, Twelve years ago, a team of local leaders were challenged to develop a solution that would fill the healthcare gap in our community. Utilizing the health center model, Crescentwasformed and began providing high-quality, affordable, medical and dental care to those who otherwise had nowhere to turn.Today,we are fulfilling our responsibility by not only serving the people of Dubuque but providing care to patients in the tri-states. Since opening our doors Crescent has become one of the nation's top health centers exceeding nationally established benchmarks for quality care year after year. In 2018 Crescentwas awarded the Health Center Quality Leader award, given bythe Health Resources and ServicesAdministration (HRSA). As a Health Center Quality Leader, Crescent achieved the best overall dinical performance among all health centers, placing in the top 30% ofthe adjusted quartile rankingsfor Clinical Quality Measures. While Crescent has always been about quality, affordability, and access,this award from H RSA demonstrates that ou r providers and staff continue to strive for the best patient outcomes while remaining affordable and accessible to all, all while being committed to our mission. Community health centers continue to be economic drivers, having a $35.5 million annual economic impact in lowa alone. We are also cost-effective Medicaid providers, serving 13.6% of all Medicaid beneficiaries in lowa, but representing onlyl2l% ofthe state of lowa'stotal Medicaid expenditures. In our local service area Crescent has a 23% petention rate ofthe uninsured population and a 34% penetration rate ofthetotal Medicaid population. In 2018, Crescent served over 6,300 patients with this number expected to grow to 8,000 by2021. With growth comes logistical challenges and opportunities.To address our space and service needs, Crescent will be moving to a new facility, expanding our space, and staying true to our community. Construction iswell underway and we expect to move in the fal l of 2019 to our new faci lity at 1690 Elm Street. We lookforward to the exciting opportunities this expansion will bring to our community! Respectfu I ly Su bm itted, Clil2i�r,/�aa, c.:,..��.i Mary Rose Corrigan Chair, Board of Directors 4 GROWING TO e.• •. . . • .• .� _ � �_ . As Crescent moves forward growing to serve, leadership ' - •- • �- - - - - . �-. will continue to be integral to the character and success � _� _ _ of Crescent.The unified board of directors, executive " "-•" " " leadership team, and providers guide each department, . .- - project, and service to achieve CrescenYs vision of ' ' qualitycare for all, resulting in a healthycommunity. • . � . . Over half of our board of directors is comprised of e .. . - - •.- . patients to ensure major decisions for Crescent are � _ _ � _ _ made with patient input.As a result,we are held " " � " ' - - � - . . accountable to the unique needs of our community. �- . - � - - In addition to valued consumer input, our board has � " � � �" � • - � - . . . expertise in marketing, healthcare, public health, legal, •• - - - - • • �- . � •._ . - small business, finance, and non-profits. �_ _ � _ � Together,with their direction, our teams are grounded ..� � . in qualityworking to improve the patient experience � - - ._ �� - through increased access to affordable, respectful, and - • � � . . -. efficient care. � � � � � � _ . � � ... - - . . . 5 BOARD OF DIRECTORS � � ._� � r � � � -v-� �n.: � W�_� , ' ; � g -� ��� �`- � - ` : ,_ � / ' ,s��;s�. � , _ ;-� - - � �. ��i / ; � � EXECUTIVE LEADERSHIP � �,. . � � `r f^ o _ _ � �• PROVIDERS _ �' �' �' i �;, � � n � � �a ,��, �� L � �'3�5� ' �� � � { *'1� <:> ;-Tg ��� ���,�:Mj��' �.�i :./. ... � '�.�`".�>'f�'r1� � 5 ]EN ZALAZNIK,ARNP _:> \ . -� � ...����� f-�< „�'�\1�.��?i€: d -_.-��,a,s>�} � .. "� 'E+�'_�s� � i � , �"��, j ;-_ �,,a�,��� - _ ` �,,� s , �� , ' M f� f �� ,, ' ,r� � t� � A � �• - �� 4 � �� � �/� }� > �,r✓" "✓ �� 1 �� �� � � � Y�+� �°�il'� 6��� � � a �1 � ��, � a �\��, '�, ^� ��'� `��u�F�; . � ..i/, � �i. � � � � j1 �,3\ P �� I � �1� � �, — = ; ,. � � ��'� 1 ' `,',� ;� ` � � � :--_�_ , � i � �I l h � �, � � � �I! + � � � � � � � ' l � � ' � �� � � � � � �� � �/ - � � .� - ,��� �� � � ��^ � � '� ' ;� , r , r , ,� ,. m �.,,�, ; �/��' �� ` ��_ " . '` O f(! /// ���� u� ' � ��%�� � �� � �� � °���° �' :�. ys�,►!�� J� � � � ' r � ` , �,-� �� � �� -�; , � __ �. j ':. � . `�:.- r_ ��. -,�-.,. � �- � � ' �� . G RO U N D E D I N QVALITY. In 2018, Crescent was a recipient of the staff continue to strive for the best patient Health Center Quality Leader award, given outcomes while remaining affordable and by the Health Resources and Services accessible to all. Administration (HRSA).As a Health Center Quality Leader, Crescent achieved the best Crescent served 6,373 patients in 2018, overall clinical performance among all breaking down to 3,561 women and 2,812 health centers, placing in the top 30% of the men.These patients comprised a total of adjusted quartile rankings for clinical quality 18,765 clinic visits which were split to 43% measures. medical appointments and 56% dental appointments. It is rare among health Health centers qualify for this award based centers that dental appointments outweigh on critical national benchmarks including medical appointments, which points to chronic disease management, preventative the unique needs of access to care in our care, and behavioral health. community. Crescent has always been about quality, Preventative care benchmarkswhich affordability, and access. This award from qualified Crescent for the HRSA award HRSA demonstrates that our providers and include: - .- - . ._ - .- - . . - . . -. . ... . - - - - . • . . . .. . . ... . . .. ._ -. . - . . -. - - _ .• - - . ._ -. . • . . - . . _ . -. - - - .- - . - • . - ._ - - - -. . . - - -- • - - . ._ -. • - . .- - . - • . - ._ - - - -- -. . .-. - . . _. _ . . . • _ •• ' '• •• ' •' ' ' • •_ '• • • • • - • • - • '• ' ' 8 \� � „ , � • a� � �� .- � � — .. �: ��_V � � ��, . ... . �i � iF \ - 4 R� r `: / \ � � ! �. 'i �V �.`: . 1 0: • 'r}�� \ \ • • � • �� `�♦ �� � \ \ � .f�'• . �,'� _ \ ;\ \ f �T . . ' \ ` . + ''.. . . . ' ��. �� � � � b�� � ��i.Y4li v� ' . v��`�:�' �' ���. � ,. � ,�� ��> � �.��... -�; _ � .�. a i :�` ya, .,, ..: \� ' a Y' _ � T4 � � �� � � � '�+� t�� . . . ` L�'a��{ '7�k.'' � s ��� I 'r' u�i��:- _ ���� '�„i�a f�Y"1•�"" �. �''� '. �� � . .. . • .. , . . . � : \ �� � , ; � � ; � .� .� .\ ; i r . � � , � �b� �� ��,<!�a ��."�'<\„y�� :' , L� ,� . v . 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'� ' 1�.'S�'�.�C., �`v,�. /� � � ��. � ' F �\�J;�y�, . ,' . ` t -`.. . _'.. :�..+��' � � r / a"J'��.L�+• '(r� y-i�,, � � ,/. � i ► - '�� . . / ..'ti:��l'�.., t. �' . ��F .�/' k� �. ��a�yy`��r� 7 ` a'R '!� /% n� ;�,-��y `;'-�o�Y .� �,"s`.'�'�:,. � . �� f� `..v`.���''�$���: •'� z�L"•r 9 s� ; , '�yR. ��.4 *\„i���.:.��y, :. . t,�._�. �'yr�.�,',�. �.� . + � ��`1� 1Q: ~ �r� i� _ '',4� . t :�� . . ,� • r.. .i�:�`�►�4.-�,� . . CARING FOR DUBUQUE �:�- Y � _ � : �' - � '�"'"��"-�—�- '�'. �. ,,�,, �� ^�„ .' :. �.�� _ i �+c:>�..�_��� � �+"�t �. . � - . L y � �� ��� ���_� � � . {�Y 'a. y• /'Ri '; l � - , i ,J� c—•,!�,� �e��r ..�.4r e� t yi�� � iK 9 T' -F . � yyy L"._. �.- ._ , a�.�n+��� ' � �� - 'w��_„ _��'"�^"'� 4 �.h�: � a I t ]�l i Y � ,5 7 ���, " � � � _. �r�m� � : _ .f���� ir�� .� ;_- .+. ., � ,� ";,y �Ysti _ s i . .:w e � . �� y . � �'. `� '_ f � � � �' ��,�y�y� � . .' ti� ♦ « 'I�. _���`\ �� +7/� K im�M� 4 � +fSl �`'� � ��i�fK. � W� A'�� Y..,� �r,�� ; � � i /� �.t,�`� � � _ .. 4t+/ � ry 7•dt �y!- t a - Yi-�`G�� �. '� a � � •�.ti, ;� +� '�� � . ✓ 1 �� �'��r1 � _ .. ��' .. .j �v�_ �� •�����9L�r . ;/' ti i � '. / . \-.Q� . t � � ��S f� i �. i � .. � ",� � b 4e � � �� t��� 1 �1 , -v '�,v � ���ik "f � �� / � %�i,. �� � � �t� r f. r G r �'�. '� � r' 4' . � # . '� � t �. �' .� , ), � '�,• � `�/�_ r ' ' '7( �` f � �;�'��� � ��� �;. ,, , ,� �,� � � y ����'� ��y ,�-�y J .5� ''� a X � .. � it�i� ., ,.� � x \ 5��,, �r �1� � ' � � ' � ,�� \ f �� �4 '. � 1' � � �� � � � �� �`{ f/ I R� � J, � 1� . , -/ l� JJI � '� 1'1 ''41' :.�. '�i� . �y , �i� e ' ,F''��..f. 4 �� � � � � ,� . �. / I1 � �' I � ��`.i,s.. r � . v� .•' y�. /��, � ,�Y� C IT ' .�' � ��t \� � ` : + Y p:. .:i;' � r :� � ' r � ^ ? r ��', . �� . .M_^'� ` R ' � }' va.N+� —'s. - . TREATING CHRONIC CONDITIONS My name is Tammy and I have been a Crescent patient since 2011. I was originally referred here by a friend of mine and have been receiving medical services ever since. In 2012 I had a chronic cough condition and was finally diagnosed with the help of my nurse practitioner,Jenny Zalaznik,who monitored my symptoms and made a referral to the pulmonologistwho diagnosed me with right middle lobe syndromewhich affects the right lung and bronchial airway. Working with Jennyshetookthetimeto listen to my health concems to find the cause and make the necessary referrals. She is truly focused on patientcare, ratherthan making mefeel like a number. If I didn't have Crescent, I would probably be making frequenttrips to receive medical care in lowa City.Additionally,for the last six months I have become part ofthe patient and family advisory council so I can advocatewhatthe patients hears and see, and offer suggestions to improve patient/provider relationships. 12 ��3� � Crescent is committed to advancing the integration of behavioral health and medical care as a substantial wayto advance access for low-income populations, ensure that care is affordable, and provide data to help decision- makers develop and implementforward-thinking policies. AtCrescent,we define behavioral health as the full range of brain and emotional well-being '��.r,,��.� — how we cope with daily challenges,the treatment of inental illnesses like '� depression-andpec��,lity�a' sorders, as well as substance use disorders and �'� cyk�er a ' -.,,. „ " .:i -, . , ..:�.��,` :y��. +'��:..� - �A% More than one q p ., !ts'in the U.S. experience some type of behavioral �'�µ�n y`; health disorder in a giv�,r�; �� �r, according to the Centers for Disease Control . s"� and Prevention While' � �adultswith a medical condition also have some �j ' type of behavioral hea � rder, doseto 70% of behavioral health patients �� �r ° ,'y'', have a medical co a -��� .'Both conditions often act as a driver for one '' � �"r-'�" anq��aer, heighten�,�^�FF� nSk�fhat a person with a chronic disease will develop "�•""� a beti�yioral healfh'disal'deC�da`vice versa.The presence of both behavioral and'�hroriic health �bn8itions in a patient often increasetheir healthcare i ,•.��.. costs Patients with untreated depression and a chronic illness have monthly {"!3; healthcare costs that average $560 higher than those with just a chronic disease, accordingtotheAmerican HospitalAssociation. �'�.^`� rr t Crescent has taken valuable initial steps to integrate behavioral healthcare + ���„�� into our primary care services. In 2018, 966 patients received behavioral health o'$ treatment at Crescentthrough our partnership with Hillcrest Family Services. ' ��'�' Additionally,196 patients received substance use disorder treatment omsite �'�� � through our partnership with the Substance Abuse Services Center. Crescent has plans to expand these services in 2019 as we move into the new dinic. Crescentwilladdtreatment aaliststothecurrentprogram, allowingus to increase the capacity of, �,,�lra{�a]�h and substance use disorder ' services. �' ` F BREAK S TO B ,=� � � ► ��- �.� �'� � ; -:� V } `R i 'rio, �: , yy - �'.''C'. .,�t`. � � . dy.4,, i,; � 9 : ?; d4 r " �y;��� � �a ��� "�`� �..� x �4� ?°.�,°J .: r p�� 5 � �� d���f .. � f• aH:� +: t�P,. �. �' ✓ • �t'�h_ , �M� �'t'. � � �� b / �C` � YM'�ey�� ... � ( Y 'iY" • . ..4F.� II a�s't+°� ' S . }.SM � ' :j:l�"y{ y�,` 1 . I H �R � � •'.lb� P , 14- o � •' t� i . qv,.:_) .. ��(� 14 M EET DR . ADAM SH ROYER ; � _ ,� - � ,n�; , • `��-.� � , :r..�, - �:,r,; .: . , .;� - � ,�„a,. .. .-. w� .. IbeganworkatCrescentinthefallof2017. Myroleattheoffice ����'`� indudes providing dental care as a dentist. I find my workvery + rewarding because it provides a way to directly impact a person's life, ` such as oral health education, or even pain relief if a tooth is infected. �,� ,���i �J �I Prior to Crescent I worked in private practice. Working in both dinic settings has been an unique professional experience.At Crescent I have a great work-life balance,while being able to focus my time and energy at workto serving my patients. I also enjoythe camaraderie I'-.y. that comes with working with other health care providers. After working at Crescent for a while now, I would have to say I am very pleased with my decision tojoin the team. I definitely � ;` ,j', � � recommend employment herefor those who have a passion for �• serving others and making a difference in their lives. '" � - . Fti._ � - DR.ADAM SHROYER, DENTAL DIRECTOR �\� . .• '.-. I L � l, _ ��� � � \� ���� �� � - I i � — t ^ �` drl , � � � � ��� ; ���� ����� . --- �.. - � o �� ��_ � � . . _ _� �,_ , ,, _ � � o , �,� � - - ; , _ ��.��, ., o � � ���: �, % �� �� F i� �1� � ` y � F�' � ..,+� ^' II ��a`""uarui . ;:".;y � � ` � 1 � �� ��„�', �� �`,,� � -" �- y�p.; �! -< yp�... �s, t � a. d" " e ., a g �>"`5�ia : � ' � ,� . 4, i' � � k3d � �... y c�� t .-;« c :y }� ,,.� � � I f�, {� {� ' "��I��� ��•r; ' I ,� }Ytill� � � ] � ��� :� "�� �U / �\ � . . .`_-�.. '1 ,�'�r� _ 1 d � � � - MANAG I N G :��---- - . _ � R ESO U RC ES �: � � � � Fiscal year 2018, Crescent maintained strong / _. .. f financial performancewhileexperiencing � T -T unprecedented demand for our services. �` M Crescent cared for over 6,300 patients with 18,765 ' � dinic visits. Ourpartnershipswith Hillcrest FamilyServices, the Substance Abuse Service Center, and Mercy Family Pharmacy have continued to flourish enabling Crescent to provide affordable access to T �""""` evenmoreservices. Crescent continues to be a destination for both primaryand complex healthcare, as a result we are expanding to meet the demand while maintaining high-qualitystandards and increase services. 11 �s _� ; ' , . """'"� 2 2018 FINANCIAL OVERVIEW REVENUE PATIENTSERVICE REVENUE $4,663,726 GRANT REVENUE $1,675,872 CONTRI BUTIONS $456,235 OTHER REVENUE ($344,251) EXPENSES SALARI ES & WAGES $3,186,742 EMPLOYEE BENEFITS $671,747 SERVICES & PROFESSIONAL FEES $1,018,084 SUPPLIES & OTHER $994,266 OCCU PAN CY $352,239 DEPRECIATION $85,943 A COM M U N ITY ASSET 6,373 62 $3,186,742 $671,747 DISTINCT NUMBER OF WAGES PAIDTO BENEFITS PAID PATIENTS FROM EMPLOYEES EMPLOYEES TO EMPLOYEES THE TRI-STATE (RETIREMENT, AREASERVED HEALTH, DENTAL, BY CRESCENT IN AND LIFE 2018. I NSU RANCE). INSPIRING SV PPORT Our generous donors include families, individuals, local healthcare providers, employees, businesses, a Philanthropyisessenti �� �.x to provide high-quality to the people we serve. , forthis ongoing philan Without such generosit «' not be a nationally ran leader. With our upcoming mo growing to serve those more lives in our comm clinic our space will dou patient is left without a timely manner. The support of our gen federal grants allow us t in qualityto meetthe n realizing our bold visio resul h � yy , ,� . �9 �,�^, �G �� � ,°'�, �-> `%�� ;� �,�_ _ _.�. `� a,�n ��-� _ 3,,, �-�,; _ _ _ �;. y� t���) � .\a � � e � :��� , S. � �,.�. „i a.�� � # �X�� .:: �"�t - _< � � y a� � q� � �� �� � `�� `l� 1"y �\\%��r 4�i ,�- •��p k� � 4. � 4� � _:� .`� �'��{c�; , �� . �, �.�. �� , . -.�\ :,n��� '� �cQ� ' � �jr .�x \, ;:�A ,' � A�r � a� J �i�, ,� �:r . r. , �� �r`�"% � � �' � � ,} � ' �� � �i% �- �1 I ''k � .r, i r.. + � � ` D t�� , �� _ � U �i , � t ,'� ,•� � ` i,� �/ ♦ . 6 ' :` , ' � � � �� J ���� � �� � �� � I��. ( ,;" > � � / / � // � � +Y. ' � � � our DONORS Crescent would like to thank the many families, individuals, local healthcare providers, employees, businesses, and foundations whose contributions make our work possible. The following list includes donors who made gifts or grants during calendar year 2018. Dr. Peter and Cynthia Alt Envision Mental Health Endowment Edward and Patricia Alt Kenneth Erickson Jim andJudyArlen Tom Feller David and Amy Becker Fidelity Bank and Trust Rudolph and Joan Bellmann Fidelity Company Dr. Tom and Anne Benda Marilynne Field Lugene and Keith Berning Jane and Tom Flynn Reverends Dr. Ken and Nancy Bickel Mary Flynn Black Hills Corporation Foundation Don and Jan Freymann Black Hills Energy Paula and Terry Friedman Paul and Jean Blaser Joseph and Bonnie Garrity Carol and Don Bluml David and Lisa Gaylor TA and JS Borgwardt Geisler Brothers Company Paul and Judy Brandt James and Bernita Gilbertson Doug and Diane Brotherton Charles and Vicki Glab SisterJoanne Burrows Barbara Gormley Sister Kathleen Marie Carr, BVM Grandview Gallop Center Grove United Methodist Church Greater Dubuque Development Corp City of Dubuque Alan and Sue Hattel Sister ponard Collins, BVM Sister Janet Haverkamp Community Foundation of Greater Dubuque Sister C. Jean Hayen Amy and Daniel Connolly Henry Family Foundation Michael and Valerie Conzett Dr. Peter Szeibel and Carmen Hernandez Jennifer Corniea Herrig Family Charitable Foundation Gus and Mary Rose Corrigan-Psihoyos Betty M. Hillary Cottingham & Butler Gerald Hinman Helen Cremer Robert and Marilyn Hoefer Crescent Electric Charitable Foundation Randy and Shelly Hoff Paul and Myra DeLong Bernadette Hogan Delta Dental of lowa Foundation Elaine Holthaus Rick and Rae Ann Dickenson Suzanne Holtz Dubuque County Republican Women's Group HolyTrinity Lutheran Church Dubuque Mercy Health Foundation Honkamp Krueger & Co, PC Margaret and Patrick Dunham Doug and Karen Horstmann Dupaco R.W. Hoefer Foundation Sue Houselog 21 Sister Helen Huewe Mr. and Mrs. James Rhomberg Elihda and Maitha Jolet Edward and Susan Butler Ritts Brian and Kathy Kane Art and Dianne Roche Sister Elvira Kelley, OSF Rotary Club of Dubuque Fr. Daniel Knepper Charles and Margaret Ryan Dr. Sudhir and Sudha Koneru AI and Joan Sampson Dorothy Krayer Sister Alice Schaefer Sharon Kress and Keith Cook Brian and Lynette Schatz Mary Kretz Ron and Julie Schlader Elizabeth and Ryan Kruse Matt and Eva Schmid Gail Kublie Elizabeth and Michael Schmid Bill and Colleen Lester MarySchmid Sister JoAnn Lohrmann, OSF Karen Schmid Jon Luckstead Julie Schmid SisterAngele Lutgen, BVM James & MarySchmid FamilyCharitable Foundation John and Joan Lux John and Donna Schmidt Sister MaryAnne Lynch, BVM David Schmitz Ross and Sally Madden Marlene and Jerry Schollmeyer Sister Mary Martens, BVM Robert and Jeanette Schreiber Sister Mary McCauley Bernice Schuetz, OSF Jack and Lynn McCullough Sharon Scully Trish L. McDonald Keith and Lori Sindberg McDonough Foundation RandySirk Ruth McEllhiney SistersofCharityofthe BVM Marty and Nancy McNamer Sisters of Saint Francis Don and Shirley Moody Sisters of the Presentation Mosaic Lodge No. 125 Peter and Michelle Smith Sister Mira Mosle St. Luke's United Methodist Women New MellerayAbbey Community Sister MaryArnold Staudt Kathy Noonan Michael and Susan Steele Constance Norby Dr. Chris and KristyStille Paula Norby Chapter IB-PEO Sisterhood SisterJoAnn M O'Connell Kayand MikeTakes John and Mary Beth O'Connor Jim and Marita Theisen Frank and Robin O'Connor Chris and Pamela Theisen Barb and Dave O'Hea Thunder Hills Country Club Dr. and Mrs Edmond E O'Neill Andrew and Michelle Townsend Darlene and Pat O'Neill Ruth Turnis Paula Connors and Paul Opperman Larry and Julie Vogt Wendy O'Rourke Robert and Donna Wahlert Virginia O'Rourke Westmark Enterprises, Kendall Hunt Publishing, and Our Lady of the Mississippi Abbey Great River Learning Sister Karen Pollard, BVM Richard and Sue Whitty Portzen Construction Your Pie Prudential Retirement Roger and Cathy Rhomberg Ifyournamewasfnaduertantlylefroffthelfst, J8f1@t Rh01'Ylb@Yg please acceptourapologfes 22 tOWING TO SER� GROVNDED IN QVALITY GROWING TO SERVE GRO � DE D I N QVALITY G �O SERVE GROVNC O SERVE GROVN � _ ITY GROWING TO ROVNDED IN QVA�. � ✓ ING TO SERVE GR ' N QVALITY G ROW