Civic Intelligence

Cross Trails Medical Center

990 • Fiscal year 2015 • EIN 43-1679687

Jan 01, 2015 to Dec 31, 2015 • Filed on Aug 04, 2016

408 S BroadviewCape Girardeau, MO 63703-5725

(573) 339-1196

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

30th percentile

0.08x

Higher debt load relative to assets than 30% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

18th percentile

0.06x

Higher debt load relative to revenue than 18% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

51st percentile

3.3%

Higher net margin than 51% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

76th percentile

$273,931

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 2.4% of source-year revenue.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

71st percentile

7.4%

Faster asset growth than 71% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

35th percentile

-0.9%

Faster revenue growth than 35% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Up

$9,506,367

Up $657,736 (+7.4%) from 2014

Net Assets

Up

$8,782,888

Up $389,052 (+4.6%) from 2014

Liabilities

Up

$723,479

Up $268,684 (+59%) from 2014

Revenue

Down

$11,652,501

Down $100,396 (-0.9%) from 2014

Expenses

Up

$11,263,449

Up $320,558 (+2.9%) from 2014

Net Income

Down

$389,052

Down $420,954 (-52%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2015

Assets$9,506,367
Liabilities$723,479
Net Assets$8,782,888

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2015

Revenue$11,652,501
Expenses$11,263,449
Net Income$389,052
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Aug 4, 2016
Return Version
2015v2.1
Gross Receipts
$11,653,032
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$4,546,922$4,174,878▼ $372,044
Savings and Temporary Cash Investments$2,445,848$2,713,976▲ $268,128
Cash and Non-Interest-Bearing Accounts$307,399$1,022,081▲ $714,682
Accounts Receivable$877,694$715,853▼ $161,841
Pledges and Grants Receivable$148,156$461,572▲ $313,416
Prepaid Expenses and Deferred Charges$123,983$54,880▼ $69,103
Investments Other Securities$2,403$10,147▲ $7,744
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $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$8,848,631$9,506,367▲ $657,736
Other Assets Total$396,226$352,980▼ $43,246
Liabilities
Accounts Payable and Accrued Expenses$440,728$703,997▲ $263,269
Mortgage Notes Payable Secured by Investment Property$14,067$19,482▲ $5,415
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$454,795$723,479▲ $268,684
Net Assets / Fund Balance
Unrestricted Net Assets$8,141,536$8,634,696▲ $493,160
Temporarily Rstr Net Assets$252,300$148,192▼ $104,108
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$8,393,836$8,782,888▲ $389,052
Total Liabilities and Net Assets / Fund Balance$8,848,631$9,506,367▲ $657,736

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,944,081$2,610,374$5,554,455
Equipment$750,876$1,171,994$1,922,870
Land$479,921-$479,921
Other Land Buildings$0-$0
Leasehold Improvements$0-$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Edward DoyleMedical DirectorFT$245,541$28,390$273,931
PATRICK O'HARAMedical Director/physicianFT$177,134$33,240$210,374
Louis RohlfsDentistPT$170,773$28,878$199,651
Ron CampCEOFT$140,750$34,808$175,558
Mona WellsCFOFT$132,740$42,272$175,012
Jonathan EdwardsPhysicianFT$133,209$23,030$156,239
Susan FarrowFamily Nurse PractitionerFT$115,184$25,052$140,236

Board Members and Trustees

NameTitle
Greg NenningerBoard President
Beverly PiepenbrokBoard Member
Bryan GreaserBoard Member
Cathi GreerBoard Member
Gene WardBoard Member
Jo BurfordBoard Member
Kathy Hotop-rainesBoard Member
Lorna GiabbarBoard Member/v.p. Beg 6/2015
Jackie PattonBoard Memeber
Fran SeabaughBoard Secretary
Cindy BeussinkBoard Treasurer Beg 8/2015
Cheryl OberhausBoard Treasurer Ending 8/2015
Val CraderBoard V.p. End 6/15/board Mbr

Highest Paid Contractors

ContractorServicesLocationCompensation
Jane Scherrman DdsDental-$1,190,747
Center For Oral SurgeryOral Surgery-$379,479
Se Mo Oral SurgeryOral Surgery-$284,756
Revenue and Support

Revenue Composition

Contributions and Grants
$2,544,977
Program Service Revenue
$9,091,345
Investment Income
$7,022
Other Revenue
$9,157
All Other Contributions
$230,540
Change in Net Assets
$389,052

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 Supplies33$80,021Cost
Total Noncash Contributions33$80,021-

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,652,501
Revenue Not Reported on Form 990
$44,108
Total Revenue per Audited Statements
$11,696,609
Total Revenue per Form 990
$11,652,501
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,998,863
Other Expenses$5,264,586
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,441,761$472,596-$3,914,357
Fees for Services Other$2,208,023$35,873-$2,243,896
Other Employee Benefits$1,006,339$211,006-$1,217,345
Office Expenses$161,358$297,982-$459,340
Depreciation Depletion$329,129$92,432-$421,561
Current Officers, Directors, Trustees, and Key Employees-$350,570-$350,570
Payroll Taxes$269,813$60,813-$330,626
Occupancy$177,306$49,795-$227,101
Pension Plan Contributions$166,893$19,072-$185,965
Information Technology$61,791$61,852-$123,643
Advertising-$92,206-$92,206
Conferences and Meetings$36,318$37,225-$73,543
Travel-$61,442-$61,442
Fees for Services Accounting-$60,364-$60,364
All Other Expenses$306$48,915-$49,221
Other Expenses$15,620$15,893-$31,513
Insurance$10,269$2,884-$13,153
Fees for Services Legal-$4,718-$4,718
Interest$993--$993
Total Functional Expenses$9,130,772$2,132,677$0$11,263,449

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$11,263,449
Expenses per Audited Statements$11,203,449
Total Expenses per Audited Statements$11,203,449
Expenses Not Reported on Financial Statements$60,000
Other Expense Adjustments$60,000
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 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, 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, Line 15A

Compensation review: in 2015, 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.

Filing and Contact Details

Filer

Filer Name
Cross Trails Medical Center
EIN
43-1679687
In Care Of
% MONA WELLS AND CHRISSY WARRE
Phone
5733391196
Address
408 S BROADVIEW, CAPE GIRARDEAU, MO 63703-5725

Signing Officer

Name
Ron Camp
Title
CEO
Signed
2016-08-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ron Camp
Formed
1994
Legal Domicile
Mo
Voting Board Members
12
Independent Board Members
12
Employees
102
Volunteers
13

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

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, 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.

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, missouri. The center provides charity care to patients who are unable to pay for services. The center served 14,136 patients for the year ended december 31, 2015. Uninsured patients were 2,793, medicaid 6,298, medicare 2,490 & insured 2,555. The organization had 18,020 medical care service encounters, 20,491 dental service encounters, 645 mental health encounters & 460 enabling service encounters for a total of 39,616 encounters. The organization adjusted off $1,335,547 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 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 four communities served, including bollinger county, cape girardeau county, stoddard county, perry 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 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 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.

Form 990, Part IX, Line 11G

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 $ 2,168,699 laboratory services 39,324 data processing 33,416 collection agency fees 2,457 ---------- total $ 2,243,896

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 2D

Amounts included on line 1, but not on form 990, part viii, line 12: $( 60,000) provision for uncollectible accounts 104,108 net assets released from restrictions ---------- $ 44,108

Schedule D, Line XII, Line 4B

Amounts included on form 990, part ix, line 25, but not on line 1: $ 60,000 provision for uncollectible accounts

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IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd3X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd4X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
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IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
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IRS990/Form990PartVIISectionAGrp/OfficerInd7X
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1334408
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1434272
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1526690
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1627978
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1723140
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1818080
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1925052
IRS990/Form990PartVIISectionAGrp/PersonNm0GREG NENNINGER
IRS990/Form990PartVIISectionAGrp/PersonNm1BEVERLY PIEPENBROK
IRS990/Form990PartVIISectionAGrp/PersonNm2JACKIE PATTON
IRS990/Form990PartVIISectionAGrp/PersonNm3GENE WARD
IRS990/Form990PartVIISectionAGrp/PersonNm4FRAN SEABAUGH
IRS990/Form990PartVIISectionAGrp/PersonNm5KATHY HOTOP-RAINES
IRS990/Form990PartVIISectionAGrp/PersonNm6CATHI GREER
IRS990/Form990PartVIISectionAGrp/PersonNm7BRYAN GREASER
IRS990/Form990PartVIISectionAGrp/PersonNm8CINDY BEUSSINK
IRS990/Form990PartVIISectionAGrp/PersonNm9JO BURFORD
IRS990/Form990PartVIISectionAGrp/PersonNm10VAL CRADER
IRS990/Form990PartVIISectionAGrp/PersonNm11LORNA GIABBAR
IRS990/Form990PartVIISectionAGrp/PersonNm12CHERYL OBERHAUS
IRS990/Form990PartVIISectionAGrp/PersonNm13RON CAMP
IRS990/Form990PartVIISectionAGrp/PersonNm14MONA WELLS
IRS990/Form990PartVIISectionAGrp/PersonNm15EDWARD DOYLE
IRS990/Form990PartVIISectionAGrp/PersonNm16LOUIS ROHLFS
IRS990/Form990PartVIISectionAGrp/PersonNm17PATRICK O'HARA
IRS990/Form990PartVIISectionAGrp/PersonNm18JONATHAN EDWARDS
IRS990/Form990PartVIISectionAGrp/PersonNm19SUSAN FARROW
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt14140740
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt15247241
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt16171673
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt17187234
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt18138159
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt19115184
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2BOARD MEMEBER
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD TREASURER BEG 8/2015
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD V.P. END 6/15/BOARD MBR
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD MEMBER/V.P. BEG 6/2015
IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD TREASURER ENDING 8/2015
IRS990/Form990PartVIISectionAGrp/TitleTxt13CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt14CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt15MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DENTIST
IRS990/Form990PartVIISectionAGrp/TitleTxt17MEDICAL DIRECTOR/PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt19FAMILY NURSE PRACTITIONER
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01994
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GainOrLossGrp/OtherAmt0-531
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt012
IRS990/GovernmentGrantsAmt02314437
IRS990/GrantsPayableGrp/BOYAmt00
IRS990/GrantsPayableGrp/EOYAmt00
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt011653032
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt012
IRS990/IndivRcvdGreaterThan100KCnt012
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt061852
IRS990/InformationTechnologyGrp/ProgramServicesAmt061791
IRS990/InformationTechnologyGrp/TotalAmt0123643
IRS990/InsuranceGrp/ManagementAndGeneralAmt02884
IRS990/InsuranceGrp/ProgramServicesAmt010269
IRS990/InsuranceGrp/TotalAmt013153
IRS990/IntangibleAssetsGrp/BOYAmt00
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/ProgramServicesAmt0993
IRS990/InterestGrp/TotalAmt0993
IRS990/InventoriesForSaleOrUseGrp/BOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt07553
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt07553
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt02403
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt010147
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt010
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt03782368
IRS990/LandBldgEquipBasisNetGrp/BOYAmt04546922
IRS990/LandBldgEquipBasisNetGrp/EOYAmt04174878
IRS990/LandBldgEquipCostOrOtherBssAmt07957246
IRS990/LegalDomicileStateCd0MO
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt0531
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt00
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt00
IRS990/LobbyingActivitiesInd0true
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHIN THE DESIGNATED SERVICE AREA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt014067
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt019482
IRS990/NetAssetsOrFundBalancesBOYAmt08393836
IRS990/NetAssetsOrFundBalancesEOYAmt08782888
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0-531
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-531
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoncashContributionsAmt080021
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IRS990/OccupancyGrp/ManagementAndGeneralAmt049795
IRS990/OccupancyGrp/ProgramServicesAmt0177306
IRS990/OccupancyGrp/TotalAmt0227101
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0297982
IRS990/OfficeExpensesGrp/ProgramServicesAmt0161358
IRS990/OfficeExpensesGrp/TotalAmt0459340
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0396226
IRS990/OtherAssetsTotalGrp/EOYAmt0352980
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0211006
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt01006339
IRS990/OtherEmployeeBenefitsGrp/TotalAmt01217345
IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES & DRUGS
IRS990/OtherExpensesGrp/Desc1RECRUITING & RETENTION
IRS990/OtherExpensesGrp/Desc2BAD DEBT
IRS990/OtherExpensesGrp/Desc3LICENSES, DUES, SUBSCRIPTIONS
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0157039
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt115893
IRS990/OtherExpensesGrp/ProgramServicesAmt01184853
IRS990/OtherExpensesGrp/ProgramServicesAmt160000
IRS990/OtherExpensesGrp/ProgramServicesAmt215620
IRS990/OtherExpensesGrp/TotalAmt01184853
IRS990/OtherExpensesGrp/TotalAmt1157039
IRS990/OtherExpensesGrp/TotalAmt260000
IRS990/OtherExpensesGrp/TotalAmt331513
IRS990/OtherLiabilitiesGrp/BOYAmt00
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0GAIN ON INVESTMENT IN EQUITY INVESTEE
IRS990/OtherRevenueMiscGrp/ExclusionAmt09157
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt09157
IRS990/OtherRevenueTotalAmt09157
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0472596
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt03441761
IRS990/OtherSalariesAndWagesGrp/TotalAmt03914357
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt060813
IRS990/PayrollTaxesGrp/ProgramServicesAmt0269813

Document Assets

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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