Cross Trails Medical Center

“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.”

“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.”

“Compensation review: in 2013, 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.”

“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.”

“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, or 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.”

“Program services: the center provides physician, dentist & related health care services through health clinics located in cape girardeau, marble hill & advance, missouri. The center provides charity care to patients who are unable to pay for services. The center served 14,421 patients for the year ended december 31, 2013. Uninsured patients were 3,528, medicaid 6,299, medicare 2,090 & insured 2,504. The organization had 21,775 medical care service encounters, 20,648 dental service encounters, 587 mental health encounters & 691 enabling service encounters for a total of 43,701 encounters. The organization adjusted off $1,358,101 in charges to indigent patients that qualified.”

“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.”

“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 a chronic illness, such as diabetes, cardiovascular disease & 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 & 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 three communities served, including bollinger county, cape girardeau county, stoddard county & surrounding communities. Cross trails medical center works with other communities & 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 full-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 health care. The show-me healthy women program provides pap smears, cervical exams & 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.”

“Other fees for services: the organization's total other fees for services on the statement of functional expenses is comprised of the following: contract services $1,862,475 laboratory services 66,782 data processing 33,228 collection agency fees 7,573 --------- total 1,970,058”