Cross Trails Medical Center
Public records show a registered, tax-exempt organization in good standing.
What it says it does
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.
- Income
- $18.2 million
- Spending
- $16.4 million
- Spent on programs
- 80%
- Reserves
- 8.8 months of spending
- Largest source of income
- fees for its services, 84%
- Employees
- 117
- Volunteers
- 11
- Highest pay
- $398,004, physician
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Strong: 93 out of 100. Higher than 88% of charities in its peer group (education, $10m to $100m).
Reserves
28 of 35Spendable reserves would cover 8.8 months of spending.
Debt
20 of 20It owes 5% of what it owns.
Living within its means
15 of 15Income exceeded spending by 10% of income.
Income trend
15 of 15Income rose 22% on the year before.
Spending floor
15 of 1580% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 50% of charities in its peer group (education, $10m to $100m).
Independent board
25 of 2511 of 11 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (5)
- $6.7 million spent. 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.
- $5.9 million spent. 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.
- $242,425 spent. 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.
- $239,523 spent. 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.
- (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.
Source: Form 990 for the year ending December 31, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since January 1995.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
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