One Year of Emergency Care in Harvest
7/14/2025
Crestwood’s Harvest Freestanding Emergency Department Turns One
Harvest, AL - July 14, 2025 - It’s already been a year since Crestwood Medical Center opened the doors to the Crestwood Medical Center Freestanding Emergency Department (FED) in Harvest, Alabama. Built to meet the needs of a fast-growing community, the Harvest FED has become a vital healthcare resource for families in northwest Madison County and beyond. The freestanding emergency department cared for its first patient on July 9, 2024.
Now, a year in, the numbers tell a powerful story of access, impact, and service:
- 14,955 ER visits
- 348 ambulance arrivals
- 658 hospital admissions
- 103 zip codes served
- 8 Heart Alerts with an average of 91 minutes from door to device for possible intervention
- 3 stroke patients received emergency treatment of clot-busting medication
- 800 outpatient imaging studies
From broken bones to chest pain and everything in between, the Harvest freestanding emergency department has offered timely, life-saving care for individuals in North Alabama.
“These numbers represent real people, neighbors, friends, and families, who needed help, and found it just minutes from their door,” said Justin Serrano, chief executive officer at Crestwood Medical Center. “We’re proud to serve this community and look forward to continuing to grow alongside it.”
The Harvest FED is staffed by board-certified emergency physicians, nurses and advanced practice providers, offering the same level of care found at hospital-based ERs. When patients need more advanced care or inpatient treatment, seamless transfers to Crestwood Medical Center ensure continuity and speed.
“We opened the Harvest facility with a vision to bring high-quality, 24/7 emergency care closer to where people live, work, and raise families,” said Dr. Ric Koler, ER physician at the freestanding ER. “A year later, we see that vision in action every day. This freestanding ER has filled a critical need and exceeded expectations in how many lives would be impacted.”
The success of this facility in its first year reflects both the need for localized emergency care and the commitment of our healthcare team to meet that need with skill and compassion.
Crestwood Medical Center plans to build a freestanding emergency department in Madison, Alabama. Construction is expected to begin later this year.

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