Cross Trails Medical Center

Nonprofit profile at a glance

EIN
431679687
IRS 990 coverage
2010–2025
Forms available
Form 990 2025, Form 990-T 2025
Location
Cape Girardeau, MO, USA
Phone
5733391196
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Education N.E.C.

Official website

Reported finances

Revenue
$18,228,713
Expenses
$16,381,284
Assets
$20,500,980
Liabilities
$1,104,001

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

18 people listed

Executive titles in this filing

  • JO BURFORD (VICE PRESIDENT)
  • LAURA GRIFFIN (PRESIDENT)
  • RICK FRANCIS (CEO)

Highest reported compensation

  • CURTIS JANSEN (PHYSICIAN): $398,004 total reported compensation
  • ROBERT ANDERSON (DENTIST/DENTAL DIRECTOR): $320,399 total reported compensation
  • SUZANA GJINO (DENTIST): $271,769 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

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.

What it reported doing in 2025

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.

Operating model

Revenue model
Other-operating. 84% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 67
  • Transparency & Controls: 84
  • Accountability: 100
  • Sustainability: 49
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 72.3%; rating input score 72
  • Program expense ratio: 79.8%; rating input score 80
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 10.1%; rating input score 58; 58th percentile among comparable filings
  • Total-asset coverage ratio: 1.25; rating input score 36; 36th percentile among comparable filings
  • Liabilities to assets ratio: 0.05; rating input score 76; 76th percentile among comparable filings
  • Officer compensation ratio: 11.8%; rating input score 19; 19th percentile among comparable filings

Growth

  • Program expense growth: 2.5% per year; rating input score 100; 21st percentile among comparable filings
  • Revenue growth: 3.5% per year; rating input score 100; 28th percentile among comparable filings
  • Asset growth: 7.4% per year; rating input score 100; 53rd percentile among comparable filings

Details

  • Where the money goes: 72.3% of revenue deployed · 79.8% of spending went to programs
  • Governance: 11 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $13.1M in reported program spending
  • Leadership: top reported pay $398K · 18 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $756K reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 15 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Sustainability: Operating margin scored 58/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 36/100.
  • High — Sustainability: Officer compensation ratio scored 19/100.