2024-08-19T12:33:56+00:00 2023-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-01-01 431679687 CROSS TRAILS MEDICAL CENTER CROS 5733391196 408 S BROADVIEW CAPE GIRARDEAU MO 637035725 RON CAMP CEO 5733391196 2024-08-19 true Krystal K Creach P01248198 4178658701 2024-08-19 2023 2024-08-08 14:25:15Z RON CAMP 408 S BROADVIEW CAPE GIRARDEAU MO 637035725 13131759 false X WWW.CROSSTRAILS.US X 1994 MO TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHOUT REGARD TO AGE, RACE, CREED, DISABILITY OR ECONOMIC STATUS WITHIN THE DESIGNATED SERVICE AREA. 10 10 118 10 0 0 4889376 3524786 8998124 9526783 17651 30086 0 0 13905151 13081655 0 0 0 8309824 8060121 0 0 0 4591475 4507639 12901299 12567760 1003852 513895 18650307 19167601 1688099 1691498 16962208 17476103 X THE MISSION OF CROSS TRAILS MEDICAL CENTER, A COMMUNITY HEALTH CENTER, IS TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHIN THE DESIGNATED SERVICE AREA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 5593609 0 5602828 THE CENTER PROVIDES MEDICAL SERVICES FOCUSED ON PROVIDING PRIMARY HEALTH CARE TO MEET THE IMMEDIATE AND LONG TERM NEEDS OF PATIENTS. DURING 2023 THE ORGANIZATION HAD 19,967 MEDICAL CARE SERVICE ENCOUNTERS. MEDICAL SERVICES OFFERED AT ALL FOUR CLINICAL SITES INCLUDE: PRIMARY MEDICAL CARE, PREVENTIVE HEALTH SCREENINGS AND ADULT IMMUNIZATIONS, ACUTE CARE FOR MINOR ILLNESS OR INJURY, CHILDREN'S CARE, INCLUDING IMMUNIZATIONS AND WELL CHILD CHECKS, ADOLESCENT HEALTH, PEDIATRICS, GERIATRICS, WOMEN'S HEALTH CARE, INCLUDING FAMILY PLANNING AND ANNUAL GYNECOLOGICAL EXAMS. 3499823 0 3505591 THE CENTER PROVIDES COMPREHENSIVE ORAL HEALTH SERVICES AT ALL FOUR OF ITS CLINICAL LOCATIONS. SERVICES ARE PROVIDED BY LICENSED DENTISTS AND REGISTERED DENTAL HYGIENISTS. PREVENTIVE SERVICES INCLUDE: CLEANINGS, FLUORIDE APPLICATIONS, SEALANTS, X-RAYS, AND EXAMS. ROUTINE CARE INCLUDES: RESTORATIONS, MINOR SURGICAL PROCEDURES, DENTURES, ORAL SCREENINGS, FILLINGS, ROOT CANALS, AND CROWNS AND BRIDGES. PATIENTS NEEDING SPECIALIZED SERVICES SUCH AS ORTHODONTICS, COMPLICATED ORAL SURGERY, LIMITED ENDODONTICS OR FIXED PROSTHETICS ARE REFERRED TO SPECIALISTS. DURING 2023, THE ORGANIZATION HAD 12,493 DENTAL SERVICE ENCOUNTERS. 235600 0 235988 THE CENTER PROVIDES BEHAVIORAL HEALTH SERVICES TO PATIENTS THROUGH LICENSED CLINICAL SOCIAL WORKER. THE LICENSED SOCIAL WORKER COLLABORATES WITH THE PRIMARY CARE PROVIDERS TO BEST MEET THE BEHAVIORAL HEALTH NEEDS OF PATIENTS. IN A CONFIDENTIAL AND COMFORTABLE SETTING, PATIENTS RECEIVE HELP WITH STRESSES IN LIFE THROUGH: INDIVIDUAL, COUPLE, OR FAMILY COUNSELING, LEARNING HOW TO COPE WITH CHRONIC HEALTH PROBLEMS, AND FINDING WAYS TO ADJUST TO TRANSITIONS OF LIFE SUCH AS MARRIAGE, DIVORCE, AGING OR THE LOSS OF A LOVED ONE. DURING 2023, THE ORGANIZATION HAD 841 MENTAL HEALTH ENCOUNTERS. 182076 0 182376 THE ORGANIZATION PROVIDES SPECIAL PROGRAMS TO PATIENTS INCLUDING: CHRONIC DISEASE PROGRAM THE FOCUS OF THE CHRONIC DISEASE PROGRAM IS TO IMPROVE THE QUALITY OF CARE FOR PATIENTS WITH CHRONIC ILLNESS, SUCH AS DIABETES, CARDIOVASCULAR DISEASE AND DEPRESSION. LIVING WITH A CHRONIC DISEASE IS EASIER WHEN YOU KNOW WHAT TO EXPECT. CROSS TRAILS MEDICAL CENTER WORKS ONE-ON-ONE WITH PATIENTS TO MAKE SURE THEY HAVE THE EDUCATION AND SKILLS TO MANAGE THEIR CHRONIC DISEASE. SOME OF THE RESOURCES AVAILABLE INCLUDE THE FOLLOWING: GROUP EDUCATION CLASSES, CASE MANAGEMENT, COUNSELING SERVICES, SELF-MANAGEMENT SUPPORT, AND DIABETIC FOOT EXAMS. OUTREACH CROSS TRAILS MEDICAL CENTER IS AN ACTIVE PARTICIPANT IN ALL FOUR COMMUNITIES SERVED, INCLUDING BOLLINGER COUNTY, CAPE GIRARDEAU COUNTY, STODDARD COUNTY, PERRY COUNTY AND SURROUNDING COMMUNITIES. CROSS TRAILS MEDICAL CENTER WORKS WITH OTHER COMMUNITIES AND AGENCIES TO HELP PATIENTS RECEIVE ACCESS TO SERVICES. A FULL-TIME CASE MANAGER IS AVAILABLE TO PATIENTS TO HELP THEM FIND NEEDED SERVICES. MEDICATION ASSISTANCE PROGRAM A PART-TIME PATIENT ASSISTANCE COORDINATOR IS ON STAFF TO HELP PATIENTS COMPLETE PAPERWORK FOR THE MEDICATION ASSISTANCE PROGRAM. THROUGH THIS PROGRAM, PATIENTS CAN RECEIVE LOW-COST MEDICATIONS, IF THEY QUALIFY FINANCIALLY. SHOW-ME HEALTHY WOMEN PROGRAM CROSS TRAILS MEDICAL CENTER IS A PARTICIPANT IN THIS IMPORTANT PROGRAM THAT PROVIDES ACCESS TO WOMEN'S HEALTHCARE. THE SHOW-ME HEALTHY WOMEN PROGRAM PROVIDES PAP SMEARS, CERVICAL EXAMS AND MAMMOGRAMS FREE OF CHARGE. VACCINES FOR CHILDREN THE VACCINES FOR CHILDREN PROGRAM PROVIDES VACCINES AT NO COST TO CHILDREN WHO MIGHT NOT OTHERWISE BE VACCINATED BECAUSE OF INABILITY TO PAY. 182076 182376 9511108 true true false true false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 10 0 true 118 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false X MONA WELLS AND CHRISSY WARREN 5733391196 408 S BROADVIEW CAPE GIRARDEAU MO 63703 CINDY BEUSSINK SECRETARY 1.0 0.0 X X 0 0 0 FRAN SEABAUGH TREASURER 1.0 0.0 X X 0 0 0 JO BURFORD VICE PRESIDENT 1.0 0.0 X X 0 0 0 RICK FRANCIS PRESIDENT 1.0 0.0 X X 0 0 0 CATHI GREER BOARD MEMBER 1.0 0.0 X 0 0 0 GREG NENNINGER BOARD MEMBER 1.0 0.0 X 0 0 0 KATHY HOTOP-RAINES BOARD MEMBER 1.0 0.0 X 0 0 0 LAURA GRIFFIN BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT HARRIS BOARD MEMBER 1.0 0.0 X 0 0 0 VAL CRADER BOARD MEMBER 1.0 0.0 X 0 0 0 MONA WELLS CFO 40.0 0.0 X 224197 0 33879 RON CAMP CEO 40.0 0.0 X 240700 0 34836 AMANDA MURUGASER PHYSICIAN 32.0 0.0 X 301077 0 47672 BRENNA KELLER PHYSICIAN 25.0 0.0 X 184521 0 11071 CHRISTINA WARREN COO 40.0 0.0 X 180367 0 29897 EDWARD DOYLE PHYSICIAN 40.0 0.0 X 247112 0 35639 ROBERT ANDERSON DENTIST/DENTAL DIRECTOR 40.0 0.0 X 233508 0 43515 1611482 0 236509 16 false true false KIEFNER BROS INC 1459 N KINGSHIGHWAY CAPE GIRARDEAU MO 63701 CONSTRUCTION 2549135 SOUTHEAST ORAL AND MAXILLOFACIAL SURGERY 1325 MT AUBURN CAPE GIRARDEAU MO 63701 ORAL SURGERY 135066 FORVIS LLP PO BOX 200870 DALLAS TX 75320 ACCOUNTING 123068 CAPE CLEANING 2103 MONTGOMERY ST CAPE GIRARDEAU MO 63703 CUSTODIAL 100810 4 3486041 38745 116335 3524786 NET PATIENT SERVICE REVENUE 624100 9522334 9522334 OTHER REVENUE 624100 4449 4449 0 0 0 0 9526783 49690 49690 0 0 30500 50104 0 -19604 -19604 -19604 0 0 0 0 0 13081655 9526783 0 30086 533612 0 533612 0 5890070 4885698 1004372 254998 217493 37505 931226 784366 146860 450215 348454 101761 1271 1271 129653 129653 363977 292782 71195 0 13675 13675 689620 168214 521406 156285 91695 64590 147105 125310 21795 58991 40662 18329 79871 24647 55224 56556 56456 100 458297 306591 151706 76200 44708 31492 MEDICAL SUPPLIES & DRUGS 2107526 2107526 RECRUITING & RETENTION 42502 42502 LICENSES, DUES, SUBSCRIPTION 33996 16506 17490 92114 0 92114 0 12567760 9511108 3056652 0 475860 460286 6902796 6601769 1961573 289381 1070011 905526 0 0 0 0 0 0 0 0 157803 168864 13950638 6010638 5881308 7940000 0 0 0 0 0 0 2200956 2801775 18650307 19167601 761198 803868 0 0 15314 0 0 0 0 0 0 0 911587 887630 0 0 0 0 1688099 1691498 X 16667769 17476103 294439 0 16962208 17476103 18650307 19167601 513895 0 X false true X true true true X 2917822 5027889 4963605 4889376 3524786 21323478 0 0 2917822 5027889 4963605 4889376 3524786 21323478 0 21323478 27251 24495 13861 16173 49690 131470 0 0 0 0 0 0 0 21454948 45885457 0.9939 0.9953 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 0 0 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 640863 640863 11115025 4434907 6680118 2194750 1575731 619019 7940000 EST AMTS DUE FROM 3RD PARTIES 2800000 ACCRUED INTEREST 1775 2801775 13101259 0 0 0 0 0 13101259 0 -19604 -19604 13081655 12587364 19604 19604 12567760 0 0 12567760 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 XI, Line 4(b) Other revenues in form 990 not in audited financial statements LOSS ON DISPOSAL - -19604 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 LOSS ON DISPOSAL - 19604 X X X false false false false false false false true false RON CAMP CEO 238155 0 2545 0 0 0 14442 0 20394 0 275536 0 0 0 MONA WELLS CFO 218475 0 5722 0 0 0 13452 0 20427 0 258076 0 0 0 AMANDA MURUGASER PHYSICIAN 300693 0 384 0 0 0 18053 0 29619 0 348749 0 0 0 EDWARD DOYLE PHYSICIAN 240084 0 7028 0 0 0 14827 0 20812 0 282751 0 0 0 ROBERT ANDERSON DENTIST/DENTAL DIRECTOR 229229 0 4279 0 0 0 14011 0 29504 0 277023 0 0 0 BRENNA KELLER PHYSICIAN 183673 0 848 0 0 0 11071 0 0 0 195592 0 0 0 CHRISTINA WARREN COO 176089 0 4278 0 0 0 10822 0 19075 0 210264 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments IN 2023, CROSS TRAILS MEDICAL CENTER PAID BONUSES BASED ON YEARS OF SERVICE PROVIDED, PRODUCTIVITY INCENTIVES AND PERFORMANCE. X 15158 116335 Cost 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - The number of contributions was determined by the number of units received. Form 990, Part III, Line 1 ORGANIZATION'S MISSION THESE SERVICES WILL BE PROVIDED WITHOUT REGARD TO AGE, RACE, CREED, DISABILITY, ECONOMIC STATUS. THESE SERVICES CONSIST OF USUAL AND CUSTOMARY SERVICES AS DEFINED BY THE TERM PRIMARY CARE. EVERY EFFORT WILL BE MADE TO REFER PATIENTS WITH HEALTH CARE ISSUES OUTSIDE THE PRIMARY CARE FOCUS TO QUALIFIED PROVIDERS. Form 990, Part III, Line 4 PROGRAM SERVICES THE CENTER PROVIDES PHYSICIAN, DENTIST RELATED HEALTH CARE SERVICES THROUGH HEALTH CLINICS LOCATED IN CAPE GIRARDEAU, MARBLE HILL, ADVANCE & PERRYVILLE, MISSOURI. THE CENTER PROVIDES CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES. THE CENTER SERVED 10,813 PATIENTS FOR THE YEAR ENDED DECEMBER 31, 2023. UNINSURED PATIENTS WERE 839, MEDICAID 5,138, MEDICARE 2,155, INSURED 2,681. THE CENTER HAD 19,967 MEDICAL CARE SERVICE ENCOUNTERS, 12,493 DENTAL SERVICE ENCOUNTERS, 841 MENTAL HEALTH ENCOUNTERS, 691 ENABLING SERVICE ENCOUNTERS FOR A TOTAL OF 33,992 ENCOUNTERS. THE ORGANIZATION ADJUSTED OFF $645,973 IN CHARGES TO INDIGENT PATIENTS THAT QUALIFIED. THE CENTER ALSO PROVIDES FULL CHRONIC DISEASE PROGRAM, LABORATORY SERVICES, X-RAY SERVICES, MENTAL HEALTH/COUNSELING, PATIENT MEDICATION ASSISTANCE PROGRAM, TELEHEALTH (CURRENTLY PSYCHIATRY), CONTRACT PHARMACY PROGRAM, AND CASE MANAGEMENT. Form 990, Part III, Line 4d Description of other program services (Expenses $ 182,076 including grants of $ 0)(Revenue $ 182,376) THE ORGANIZATION PROVIDES SPECIAL PROGRAMS TO PATIENTS INCLUDING: CHRONIC DISEASE PROGRAM THE FOCUS OF THE CHRONIC DISEASE PROGRAM IS TO IMPROVE THE QUALITY OF CARE FOR PATIENTS WITH CHRONIC ILLNESS, SUCH AS DIABETES, CARDIOVASCULAR DISEASE AND DEPRESSION. LIVING WITH A CHRONIC DISEASE IS EASIER WHEN YOU KNOW WHAT TO EXPECT. CROSS TRAILS MEDICAL CENTER WORKS ONE-ON-ONE WITH PATIENTS TO MAKE SURE THEY HAVE THE EDUCATION AND SKILLS TO MANAGE THEIR CHRONIC DISEASE. SOME OF THE RESOURCES AVAILABLE INCLUDE THE FOLLOWING: GROUP EDUCATION CLASSES, CASE MANAGEMENT, COUNSELING SERVICES, SELF-MANAGEMENT SUPPORT, AND DIABETIC FOOT EXAMS. OUTREACH CROSS TRAILS MEDICAL CENTER IS AN ACTIVE PARTICIPANT IN ALL FOUR COMMUNITIES SERVED, INCLUDING BOLLINGER COUNTY, CAPE GIRARDEAU COUNTY, STODDARD COUNTY, PERRY COUNTY AND SURROUNDING COMMUNITIES. CROSS TRAILS MEDICAL CENTER WORKS WITH OTHER COMMUNITIES AND AGENCIES TO HELP PATIENTS RECEIVE ACCESS TO SERVICES. A FULL-TIME CASE MANAGER IS AVAILABLE TO PATIENTS TO HELP THEM FIND NEEDED SERVICES. MEDICATION ASSISTANCE PROGRAM A PART-TIME PATIENT ASSISTANCE COORDINATOR IS ON STAFF TO HELP PATIENTS COMPLETE PAPERWORK FOR THE MEDICATION ASSISTANCE PROGRAM. THROUGH THIS PROGRAM, PATIENTS CAN RECEIVE LOW-COST MEDICATIONS, IF THEY QUALIFY FINANCIALLY. SHOW-ME HEALTHY WOMEN PROGRAM CROSS TRAILS MEDICAL CENTER IS A PARTICIPANT IN THIS IMPORTANT PROGRAM THAT PROVIDES ACCESS TO WOMEN'S HEALTHCARE. THE SHOW-ME HEALTHY WOMEN PROGRAM PROVIDES PAP SMEARS, CERVICAL EXAMS AND MAMMOGRAMS FREE OF CHARGE. VACCINES FOR CHILDREN THE VACCINES FOR CHILDREN PROGRAM PROVIDES VACCINES AT NO COST TO CHILDREN WHO MIGHT NOT OTHERWISE BE VACCINATED BECAUSE OF INABILITY TO PAY. Form 990, Part VI, Line 15 COMPENSATION REVIEW IN 2023, THE BOARD OF DIRECTORS REVIEWED THE CEO'S CONTRACT. THE BOARD OF DIRECTORS EVALUATES THE CEO ON AN ANNUAL BASIS. THE BOARD REQUESTED CEO COMPENSATION FROM OTHER ORGANIZATIONS AS A BASIS FOR COMPARABILITY. ACTIONS IN THIS PROCESS ARE DOCUMENTED WITHIN THE BOARD DOCUMENTS FOR THE YEAR. THE CEO REVIEWED A COMPARABILITY STUDY CONDUCTED BY STATE PCA IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION. THE BOARD REVIEWS KEY EMPLOYEE CONTRACTS ANNUALLY. 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. A COPY OF THE FORM 990 IS DISTRIBUTED TO EACH BOARD MEMBER, CEO, CFO, AND COO. THE FORM 990 IS REVIEWED BY THE CFO PRIOR TO COMPLETION. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REQUIRES ANNUAL CORPORATE COMPLIANCE TRAINING FOR ALL EMPLOYEES AND BOARD MEMBERS WHICH INCLUDES SIGNING A STATEMENT STATING THEIR UNDERSTANDING AND COMPLIANCE OF THE PLAN. ANY DIRECTOR HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS PERSONAL INFLUENCE ON THE MATTER AND HE/SHE SHALL NOT BE COUNTED IN DETERMINING QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING, AND THE QUORUM STATUS. EMPLOYEES AND MEMBERS OF THEIR IMMEDIATE FAMILIES ARE CONSIDERED TO HAVE A CONFLICT OF INTEREST AND ARE NOT ELIGIBLE FOR BOARD MEMBERSHIP. LIKEWISE, BOARD MEMBERS AND MEMBERS OF THEIR IMMEDIATE FAMILY ARE PROHIBITED FROM BEING EMPLOYEES OR CONTRACTORS TO THE HEALTH CENTER. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLY UPON REQUEST. THE DOCUMENTS CAN EITHER BE MAILED OR MADE AVAILABLE FOR VIEWING AT THE ORGANIZATION.