Civic Intelligence

Cross Trails Medical Center

EIN 43-1679687 • 501(c)3 • Cape Girardeau, MO

Profile

To provide affordable, accessible, quality health care to all within the designated service area. See schedule o for additional information.

408 S BroadviewCape Girardeau, MO 63703-5725

www.crosstrails.us

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

29th percentile

0.05x

Higher debt load relative to assets than 29% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

23rd percentile

0.06x

Higher debt load relative to revenue than 23% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

38th percentile

0.5%

Higher net margin than 38% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

86th percentile

$387,591

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

20th percentile

-3.8%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

63rd percentile

14%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$18,434,377

Down $733,224 (-3.8%) from 2023

Liabilities

Down

$884,827

Down $806,671 (-48%) from 2023

Net Assets

Up

$17,549,550

Up $73,447 (+0.4%) from 2023

Revenue

Up

$14,933,474

Up $1,851,819 (+14%) from 2023

Expenses

Up

$14,860,027

Up $2,292,267 (+18%) from 2023

Net Income

Down

$73,447

Down $440,448 (-86%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $7,595,554Liabilities 2010: $433,923Net Assets 2010: $7,161,6312010Assets 2011: $7,667,067Liabilities 2011: $451,634Net Assets 2011: $7,215,4332011Assets 2012: $8,118,169Liabilities 2012: $676,835Net Assets 2012: $7,441,3342012Assets 2013: $8,244,205Liabilities 2013: $660,375Net Assets 2013: $7,583,8302013Assets 2014: $8,848,631Liabilities 2014: $454,795Net Assets 2014: $8,393,8362014Assets 2015: $9,506,367Liabilities 2015: $723,479Net Assets 2015: $8,782,8882015Assets 2016: $10,515,755Liabilities 2016: $722,007Net Assets 2016: $9,793,7482016Assets 2017: $12,380,657Liabilities 2017: $1,864,782Net Assets 2017: $10,515,8752017Assets 2018: $13,000,802Liabilities 2018: $1,761,078Net Assets 2018: $11,239,7242018Assets 2019: $13,271,613Liabilities 2019: $1,587,616Net Assets 2019: $11,683,9972019Assets 2020: $16,622,925Liabilities 2020: $2,472,844Net Assets 2020: $14,150,0812020Assets 2021: $17,807,107Liabilities 2021: $1,848,751Net Assets 2021: $15,958,3562021Assets 2022: $18,650,307Liabilities 2022: $1,688,099Net Assets 2022: $16,962,2082022Assets 2023: $19,167,601Liabilities 2023: $1,691,498Net Assets 2023: $17,476,1032023Assets 2024: $18,434,377Liabilities 2024: $884,827Net Assets 2024: $17,549,5502024

Highlighted filing

2024

Assets$18,434,377
Liabilities$884,827
Net Assets$17,549,550

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0Expenses 2010: $8,588,9672010Expenses 2011: $8,570,8002011Expenses 2012: $9,944,0722012Revenue 2013: $10,116,477Expenses 2013: $9,973,981Net Income 2013: $142,4962013Revenue 2014: $11,752,897Expenses 2014: $10,942,891Net Income 2014: $810,0062014Revenue 2015: $11,652,501Expenses 2015: $11,263,449Net Income 2015: $389,0522015Revenue 2016: $13,135,905Expenses 2016: $12,125,045Net Income 2016: $1,010,8602016Revenue 2017: $12,567,104Expenses 2017: $11,844,977Net Income 2017: $722,1272017Revenue 2018: $12,655,679Expenses 2018: $11,931,830Net Income 2018: $723,8492018Revenue 2019: $12,403,725Expenses 2019: $11,959,452Net Income 2019: $444,2732019Revenue 2020: $13,747,968Expenses 2020: $11,281,884Net Income 2020: $2,466,0842020Revenue 2021: $14,162,761Expenses 2021: $12,354,486Net Income 2021: $1,808,2752021Revenue 2022: $13,905,151Expenses 2022: $12,901,299Net Income 2022: $1,003,8522022Revenue 2023: $13,081,655Expenses 2023: $12,567,760Net Income 2023: $513,8952023Revenue 2024: $14,933,474Expenses 2024: $14,860,027Net Income 2024: $73,4472024

Highlighted filing

2024

Revenue$14,933,474
Expenses$14,860,027
Net Income$73,447

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.4$0.88$17.5$14.9$14.9$0.07
2023Summary only. Only limited summary data is available for this year.$19.2$1.69$17.5$13.1$12.6$0.51
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.7$1.69$17.0$13.9$12.9$1.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.8$1.85$16.0$14.2$12.4$1.81
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.6$2.47$14.2$13.7$11.3$2.47
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.3$1.59$11.7$12.4$12.0$0.44
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.0$1.76$11.2$12.7$11.9$0.72
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.4$1.86$10.5$12.6$11.8$0.72
2016Summary only. Only limited summary data is available for this year.$10.5$0.72$9.79$13.1$12.1$1.01
2015Detailed filing. Detailed filing data is available for this year.$9.51$0.72$8.78$11.7$11.3$0.39
2014Detailed filing. Detailed filing data is available for this year.$8.85$0.45$8.39$11.8$10.9$0.81
2013Summary only. Only limited summary data is available for this year.$8.24$0.66$7.58$10.1$9.97$0.14
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.12$0.68$7.44$9.94
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.67$0.45$7.22$8.57
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.60$0.43$7.16$8.59
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Aug 6, 2025
Return Version
2024v5.1
Gross Receipts
$14,935,718
Mission and Program Overview

Mission

To provide affordable, accessible, quality health care to all within the designated service area. See schedule o for additional information.

To provide affordable, accessible, quality health care to all without regard to age, race, creed, disability or economic status within the designated service area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,940,000$7,939,225▼ $775
Savings and Temporary Cash Investments$6,601,769$6,006,101▼ $595,668
Accounts Receivable$905,526$1,149,832▲ $244,306
Pledges and Grants Receivable$289,381$580,131▲ $290,750
Cash and Non-Interest-Bearing Accounts$460,286$275,299▼ $184,987
Prepaid Expenses and Deferred Charges$168,864$207,837▲ $38,973
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$19,167,601$18,434,377▼ $733,224
Other Assets Total$2,801,775$2,275,952▼ $525,823
Liabilities
Mortgage Notes Payable Secured by Investment Property$887,630--
Accounts Payable and Accrued Expenses$803,868$884,827▲ $80,959
Grants Payable$0--
Unsecured Notes Loans Payable$0--
Other Liabilities$0$0→ $0
Deferred Revenue$0--
Escrow Account Liability$0--
Tax Exempt Bond Liabilities$0--
Total Liabilities$1,691,498$884,827▼ $806,671
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$17,476,103$17,549,550▲ $73,447
Net Assets With Donor Restrictions$0--
Total Net Assets Fund Balance$17,476,103$17,549,550▲ $73,447
Total Liabilities and Net Assets / Fund Balance$19,167,601$18,434,377▼ $733,224

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,327,967$4,879,041$11,207,008
Equipment$699,900$1,606,740$2,306,640
Land$911,358-$911,358
Other Assets Org$32,898--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Curtis JansenPhysicianFT$312,309$75,282$387,591
Robert AndersonDentist/dental DirectorFT$246,226$67,141$313,367
Amanda MurugaserPhysicianPT$254,091$37,799$291,890
Kalisha MclendonDentistFT$204,251$23,945$228,196
Christina WarrenCOOFT$187,724$35,386$223,110
Mona WellsCFO END 06/24; BOARD MEMBER BEG 07/24FT$133,157$18,337$151,494
Amy LanzottiCFO Beg 06/24FT$105,114$35,456$140,570
Rick FrancisPRESIDENT END 03/24; CEO BEG 04/24FT$109,251$10,381$119,632
Ron CampCEO End 03/24FT$82,562$10,106$92,668

Board Members and Trustees

NameTitle
Laura GriffinPresident Beg 06/24
Jo BurfordVice President
Cathi GreerBoard Member
Greg NenningerBoard Member
Kathy Hotop-rainesBoard Member
Robert HarrisBoard Member
Val CraderBoard Member
Rebecca GarrisBoard Member Beg 02/24
Cindy BeussinkSecretary
Fran SeabaughTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Southeast Oral And Maxillofacial SurgeryOral Surgery66 DOCTORS PARK, Cape Girardeau, MO 63703$325,625
Forvis Mazars LLPAccountingPO BOX 200870, Dallas, TX 75320$128,939
Cape CleaningCustodial2103 MONTGOMERY ST, Cape Girardeau, MO 63703$111,206
Revenue and Support

Revenue Composition

Contributions and Grants
$3,016,783
Program Service Revenue
$11,688,697
Investment Income
$200,145
Other Revenue
$27,849
All Other Contributions
$20,000
Change in Net Assets
$73,447

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies12,871$330,326Cost
Total Noncash Contributions12,871$330,326-

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,935,718
Revenue Not Reported on Financial Statements
$-2,244
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$-2,244
Total Revenue per Audited Statements
$14,935,718
Total Revenue per Form 990
$14,933,474
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$8,904,849
Other Expenses$5,955,178
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,626,912$1,002,349-$6,629,261
Other Employee Benefits$853,801$137,385-$991,186
Office Expenses$242,524$456,306-$698,830
Depreciation Depletion$333,888$237,263-$571,151
Payroll Taxes$400,339$109,981-$510,320
Current Officers, Directors, Trustees, and Key Employees-$504,364-$504,364
Fees for Services Other$388,296$76,597$0$464,893
Pension Plan Contributions$232,829$36,889-$269,718
Occupancy$134,663$26,646-$161,309
Information Technology$90,959$62,719-$153,678
Fees for Services Accounting-$121,934-$121,934
All Other Expenses$0$120,535$0$120,535
Insurance$61,476$42,390-$103,866
Conferences and Meetings$19,206$56,291-$75,497
Travel$47,023$19,253-$66,276
Other Expenses$22,162$19,008-$41,170
Interest$28,788--$28,788
Advertising-$25,193-$25,193
Fees for Services Legal-$6,834-$6,834
Total Functional Expenses$11,611,894$3,248,133$0$14,860,027

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$14,862,271
Expenses per Audited Statements$14,860,027
Total Expenses per Form 990$14,860,027
Expenses Not Reported on Form 990$2,244
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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 15A Process to establish compensation of top management official

In 2024, the board of directors hired a new ceo upon the former ceo's retirement. A contract was written for the new ceo and the board determined compensation based on comparison of ceo compensation from other similarly sized community health centers. Actions in this process are documented within the board documents for the year. The board evaluates the ceo on an annual basis.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

In 2024, 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 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.

Filing and Contact Details

Filer

Filer Name
Cross Trails Medical Center
EIN
43-1679687
Phone
5733391196
Address
408 S BROADVIEW, CAPE GIRARDEAU, MO 63703-5725

Signing Officer

Name
Ron Camp
Title
CEO
Phone
5733391196
Signed
2025-08-06
Discuss with paid preparer
Yes

Organization Details

Formed
1994
Legal Domicile
Mo
Voting Board Members
11
Independent Board Members
11
Employees
119
Volunteers
11

Preparer

Firm
Forvis Mazars LLP
Address
910 E St Louis 200 PO Box 1190, Springfield, MO 65806-2523
Preparer
Krystal K Creach
Phone
4178658701
Supplemental Narrative

Additional Explanations

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 11,224 patients for the year ended december 31, 2024. Uninsured patients were 876, medicaid 4,915, medicare 2,293, insured 3,140. The center had 22,023 medical care service encounters, 14,153 dental service encounters, 974 mental health encounters, 815 enabling service encounters for a total of 37,965 encounters. The organization adjusted off $591,800 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, contract pharmacy program, and case management.

Form 990, Part III, Line 4D Description of other program services

(Expenses $ 247,975 including grants of $ 0)(Revenue $ 249,614) 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.

Financial Statement Notes

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 of assets - -2244

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

Loss on disposal of assets - 2244

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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