2023-09-05T17:08:02-05:00 2022-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-01-01 431679687 CROSS TRAILS MEDICAL CENTER % MONA WELLS AND CHRISSY WARRE CROS 5733391196 408 S BROADVIEW CAPE GIRARDEAU MO 637035725 RON CAMP CEO 5733391196 2023-09-15 true RON CAMP 999009999 Krystal K Creach P01248198 4178658701 2 2022 2023-04-26 12:10:37Z RON CAMP 408 S BROADVIEW CAPE GIRARDEAU MO 637035725 13913610 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 91 10 0 0 4963605 4889376 9185928 8998124 13228 17651 0 0 14162761 13905151 0 0 0 0 7589845 8309824 0 0 0 4764641 4591475 12354486 12901299 1808275 1003852 17807107 18650307 1848751 1688099 15958356 16962208 X TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHIN THE DESIGNATED SERVICE AREA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 5564336 4152698 THE CENTER PROVIDES MEDICAL SERVICES FOCUSED ON PROVIDING PRIMARY HEALTH CARE TO MEET THE IMMEDIATE AND LONG TERM NEEDS OF PATIENTS. DURING 2022 THE ORGANIZATION HAD 18,794 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 4274063 4749040 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 2022, THE ORGANIZATION HAD 14,436 DENTAL SERVICE ENCOUNTERS. 184748 83519 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 2022, THE ORGANIZATION HAD 624 MENTAL HEALTH ENCOUNTERS. 126332 12867 10149479 true true false true false 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 13 0 true 91 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 WARRE 5733391196 408 S BROADVIEW CAPE GIRARDEAU MO 63703 AMANDA MURUGASER PHYSICIAN 32.0 0.0 X 323437 0 27859 EDWARD DOYLE PHYSICIAN 40.0 0.0 X 255321 0 36212 RON CAMP CEO 40.0 0.0 X 228151 0 34595 MONA WELLS CFO 40.0 0.0 X 214184 0 33800 ROBERT ANDERSON DENTAL DIRECTOR/DENTIST 40.0 0.0 X 205470 0 37125 NICHOLAS VEENSTRA DENTIST 40.0 0.0 X 186762 0 36335 BRENNA KELLER PHYSICIAN 25.0 0.0 X 198027 0 10824 CINDY BEUSSINK SECRETARY 1.0 0.0 X X 0 0 0 ROBERT HARRIS BOARD MEMBER 1.0 0.0 X 0 0 0 CATHI GREER BOARD MEMBER 1.0 0.0 X 0 0 0 FRAN SEABAUGH TREASURER 1.0 0.0 X X 0 0 0 GREG NENNINGER BOARD MEMBER 1.0 0.0 X 0 0 0 JO BURFORD VICE PRESIDENT 1.0 0.0 X 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 RICK FRANCIS PRESIDENT 1.0 0.0 X X 0 0 0 VAL CRADER BOARD MEMBER 1.0 0.0 X 0 0 0 1611352 0 216750 16 false true false KEIFNER BROS INC 1459 N KINGSHIGHWAY CAPE GIRARDEAU MO 63701 CONSTRUCTION 1156946 SOUTHEAST ORAL AND MAXILLOFACIAL SU 1325 MT AUBURN CAPE GIRARDEAU MO 63701 ORAL SURGERY 234329 PHILLIP B SMITH 423 THEMIS CAPE GIRARDEAU MO 63701 ARCHITECT 217453 JAYNE SCHERRMAN DDS 251 S SILVER SPRINGS RD CAPE GIRARDEAU MO 63703 PEDIATRIC DENTISTRY 134772 FORVIS LLP PO BOX 200870 DALLAS TX 75320 ACCOUNTING 112113 6 4734500 154876 319270 4889376 NET PATIENT SERVICE REVENUE 624100 8993050 8993050 OTHER REVENUE 624100 5074 5074 8998124 16173 16173 0 0 0 0 0 9937 8459 1478 1478 1478 0 0 0 0 0 0 0 0 0 0 13905151 8998124 17651 0 0 0 0 510730 510730 0 6114746 5153749 960997 234287 186128 48159 988342 789859 198483 461719 358398 103321 0 943 943 109014 109014 0 0 0 349548 290083 59465 20395 20395 580606 212282 368324 148058 101834 46224 0 131678 118220 13458 53413 31893 21520 0 58027 10081 47946 46394 43247 3147 0 336932 266448 70484 61897 42573 19324 MEDICAL SUPPLIES & DRUGS 2534844 2534844 MISCELLAENOUS EXPENSES 89798 76 89722 RECRUITING & RETENTION 44759 44759 LICENSES, DUES, SUBSCRIPTIONS 25169 9764 15405 12901299 10149479 2751820 0 656543 475860 5986692 6902796 1421737 1961573 627120 1070011 0 0 0 0 0 0 0 0 135340 157803 11559174 5677866 4479190 5881308 0 0 0 0 0 0 0 0 4500485 2200956 17807107 18650307 889058 761198 0 0 0 15314 0 0 0 0 0 0 959693 911587 0 0 0 0 1848751 1688099 X 15934320 16667769 24036 294439 15958356 16962208 17807107 18650307 1003852 X false true X true true true X 3077795 2917822 5027889 4963605 4889376 20876487 0 0 3077795 2917822 5027889 4963605 4889376 20876487 0 20876487 16546 27251 24495 13861 16173 98326 0 0 20974813 45948156 0.99531 0.99205 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 681367 681367 7000430 4106365 2894065 2195107 1571501 623606 1682270 1682270 5881308 EST AMTS DUE FROM 3RD PARTIES 2200000 ACCRUED INTEREST 956 2200956 13634748 13634748 270403 270403 13905151 12901299 12901299 12901299 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 4B AMOUNTS INCLUDED ON FORM 990, PART VII, LINE 12, BUT NOT ON LINE 1: $ 270,403 TEMPORARILY RESTRICTED CONTRIBUTIONS X X X false false false false false false false true false MONA WELLS CFO 206687 0 7497 0 0 0 12851 0 20949 0 247984 0 0 0 RON CAMP CEO 223831 0 4320 0 0 0 13689 0 20906 0 262746 0 0 0 AMANDA MURUGASER PHYSICIAN 321677 0 1760 0 0 0 0 0 27859 0 351296 0 0 0 BRENNA KELLER PHYSICIAN 196380 0 1647 0 0 0 10824 0 0 0 208851 0 0 0 EDWARD DOYLE PHYSICIAN 248517 0 6804 0 0 0 14898 0 21314 0 291533 0 0 0 NICHOLAS VEENSTRA DENTIST 184467 0 2295 0 0 0 6117 0 30218 0 223097 0 0 0 ROBERT ANDERSON DENTAL DIRECTOR/DENTIST 203196 0 2274 0 0 0 6895 0 30230 0 242595 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: IN 2022, CROSS TRAILS MEDICAL CENTER PAID BONUSES BASED ON YEARS OF SERVICE PROVIDED, PRODUCTIVITY INCENTIVES AND PERFORMANCE. X 8300 319270 COST false false false SCHEDULE M, PART I, LINE 20, COLUMN B DRUGS & MEDICAL SUPPLIES: THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF UNITS RECEIVED. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: 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. 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 11,295 PATIENTS FOR THE YEAR ENDED DECEMBER 31, 2022. UNINSURED PATIENTS WERE 1,141, MEDICAID 5,449, MEDICARE 2,104, INSURED 2,601. THE ORGANIZATION HAD 18,794 MEDICAL CARE SERVICE ENCOUNTERS, 14,436 DENTAL SERVICE ENCOUNTERS, 624 MENTAL HEALTH ENCOUNTERS, 679 ENABLING SERVICE ENCOUNTERS FOR A TOTAL OF 34,533 ENCOUNTERS. THE ORGANIZATION ADJUSTED OFF $636,404 IN CHARGES TO INDIGENT PATIENTS THAT QUALIFIED. FORM 990, PART III, LINE 4B PROGRAM SERVICES - CONTINUED: ...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 OTHER PROGRAM SERVICES: 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 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, SECTION B, LINE 11B REVIEW OF FORM 990: 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, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING AND COMPLIANCE: 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, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: IN 2022, 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, SECTION C, LINE 19 DOCUMENT DISCLOSURE: 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.