2026-08-17T13:14:44+00:00 2025-12-31 440160260 FORVIS MAZARS LLP 910 E ST LOUIS 200 PO BOX 1190 SPRINGFIELD MO 658062523 990 2025-01-01 431679687 CROSS TRAILS MEDICAL CENTER CROS 5733391196 408 S BROADVIEW CAPE GIRARDEAU MO 637035725 RON CAMP CEO 5733391196 2026-08-17 true KRYSTAL CREACH P01248198 4178658701 2026-08-17 2025 2025-03-06 01:10:19Z RICHARD FRANCIS 408 S BROADVIEW CAPE GIRARDEAU MO 637035725 18274208 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. 11 11 117 11 0 0 3016783 2676846 11688697 15238025 200145 313842 27849 0 14933474 18228713 0 0 0 0 8904849 9605857 0 0 0 5955178 6775427 14860027 16381284 73447 1847429 18434377 20500980 884827 1104001 17549550 19396979 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.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. false false 6710523 0 7822119 THE CENTER PROVIDES MEDICAL SERVICES FOCUSED ON PROVIDING PRIMARY HEALTH CARE TO MEET THE IMMEDIATE AND LONG-TERM NEEDS OF PATIENTS. DURING 2025 THE ORGANIZATION HAD 20,816 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. 5880089 0 6854124 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 2025, THE ORGANIZATION HAD 18,240 DENTAL SERVICE ENCOUNTERS. 242425 0 282583 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 2025, THE ORGANIZATION HAD 752 MENTAL HEALTH ENCOUNTERS. 239523 0 279199 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. 239523 279199 13072560 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 false false true false false false false false false false false false true 10 0 true 117 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false false true true true true true true true true false false X AMY LANZOTTI 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 LAURA GRIFFIN 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 MONA WELLS BOARD MEMBER 1.0 0.0 X 0 0 0 REBECCA GARRIS 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 AMY LANZOTTI CFO 40.0 0.0 X 152685 0 39464 RICK FRANCIS CEO 40.0 0.0 X 211673 0 29102 CURTIS JANSEN PHYSICIAN 40.0 0.0 X 354785 0 43219 JULIA VIDYAKIN DENTIST 40.0 0.0 X 227841 0 24838 KALISHA MCLENDON DENTIST 40.0 0.0 X 225037 0 24688 ROBERT ANDERSON DENTIST/DENTAL DIRECTOR 40.0 0.0 X 273131 0 47268 SUZANA GJINO DENTIST 40.0 0.0 X 238893 0 32876 1684045 0 241455 19 false true false SOUTHEAST ORAL AND MAXILLOFACIAL SURGERY 66 DOCTORS PARK CAPE GIRARDEAU MO 63703 ORAL SURGERY 200219 CPI 340B CONSULTING PO BOX 7 MAMMOTH SPRING AR 72554 CONSULTING 173540 CAPE CLEANING 2103 MONTGOMERY ST CAPE GIRARDEAU MO 63703 CUSTODIAL 137725 PHARMACY DATA MANAGEMENT INC 8530 CROSSROADS DR POLAND OH 44514 PHARMACY PROCESSING 127612 FORVIS MAZARS LLP PO BOX 200870 DALLAS TX 75320 ACCOUNTING 116556 5 2653700 23146 27650 2676846 NET PATIENT SERVICE REVENUE 624100 15235574 15235574 OTHER REVENUE 624100 2451 2451 0 0 0 0 15238025 269337 269337 0 0 90000 45495 0 44505 44505 44505 0 0 0 0 0 0 18228713 15238025 0 313842 432924 432924 7284329 6087635 1196694 262721 228109 34612 1077390 933882 143508 548493 434236 114257 7688 7688 112031 112031 475941 390913 85028 0 42947 42947 459101 57116 401985 152358 80728 71630 403050 311039 92011 39176 21737 17439 67707 12468 55239 409 409 568788 328495 240293 107388 56900 50488 MEDICAL SUPPLIES & DRUGS 4113806 4113806 RECRUITING & RETENTION 50191 50191 LICENSES, DUES, SUBSCRIPTIONS 35777 15496 20281 139069 0 139069 0 16381284 13072560 3308724 0 275299 216872 6006101 9598790 580131 573730 1149832 1358940 0 0 0 0 207837 127021 14113061 6694603 7939225 7418458 0 0 2275952 1207169 18434377 20500980 884827 1084001 0 20000 0 0 0 0 884827 1104001 X 17549550 19396979 17549550 19396979 18434377 20500980 1847429 0 X false true true true true X 4963605 4889376 3524786 3016783 2676846 19071396 0 0 0 0 4963605 4889376 3524786 3016783 2676846 19071396 0 19071396 13861 16173 49690 202389 269337 551450 0 0 0 0 0 0 0 0 19622846 54637557 0.97190 0.98589 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. 932163 932163 10857175 4983605 5873570 2323723 1710998 612725 7418458 EST AMTS DUE FROM 3RD PARTIES 1195789 ACCRUED INTEREST 2866 OTHER ASSETS OTHER RECEIVABLE 8514 1207169 18184208 0 0 18184208 44505 44505 18228713 16336779 -44505 -44505 16381284 0 0 16381284 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 GAIN ON DISPOSAL OF ASSETS - 44505 SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 GAIN ON DISPOSAL OF ASSETS - -44505 X X X false false false false false false false true false AMY LANZOTTI CFO 151654 0 1031 0 0 0 9161 0 30303 0 192149 0 0 0 RICK FRANCIS CEO 211339 0 334 0 0 0 7808 0 21294 0 240775 0 0 0 ROBERT ANDERSON DENTIST/DENTAL DIRECTOR 260000 0 13131 0 0 0 16388 0 30880 0 320399 0 0 0 CURTIS JANSEN PHYSICIAN 354418 0 367 0 0 0 12310 0 30909 0 398004 0 0 0 KALISHA MCLENDON DENTIST 223095 0 1942 0 0 0 13502 0 11186 0 249725 0 0 0 SUZANA GJINO DENTIST 236184 0 2709 0 0 0 1967 0 30909 0 271769 0 0 0 JULIA VIDYAKIN DENTIST 224619 0 3222 0 0 0 13671 0 11167 0 252679 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS IN 2025, CROSS TRAILS MEDICAL CENTER PAID BONUSES BASED ON YEARS OF SERVICE PROVIDED, PRODUCTIVITY INCENTIVES AND PERFORMANCE. 1 27650 COST 0 false false false SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS DRUGS AND MEDICAL SUPPLIES - DRUGS AND MEDICAL SUPPLIES - THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF CONTRIBUTOR. 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 11,766 PATIENTS FOR THE YEAR ENDED DECEMBER 31, 2025. UNINSURED PATIENTS WERE 917, MEDICAID 5,286, MEDICARE 2,233, INSURED 3,330. THE CENTER HAD 20,816 MEDICAL CARE SERVICE ENCOUNTERS, 18,240 DENTAL SERVICE ENCOUNTERS, 752 MENTAL HEALTH ENCOUNTERS, 743 ENABLING SERVICE ENCOUNTERS FOR A TOTAL OF 40,551 ENCOUNTERS. THE ORGANIZATION ADJUSTED OFF $603,988 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 $ 239,523 INCLUDING GRANTS OF $ 0)(REVENUE $ 279,199) 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 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 2025, THE BOARD OF DIRECTORS REVIEWED THE CEO'S CONTRACT. THE BOARD EVALUATES THE CEO ON AN ANNUAL BASIS. THE BOARD REQUESTED CEO COMPENSATION FROM OTHER ORGANIZATIONS AS A BASIS OF COMPARABILITY. ACTIONS IN THIS PROCESS ARE DOCUMNETED WITHIN THE BOARD DOCUMENTS FOR THE YEAR. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES IN 2025, THE CEO REVIEWED A COMPARABILITY STUDY CONDUCTED BY THE STATE PCA IN DETERMINING CFO, COO, 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.