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Missouri · Nonprofit

CROSS TRAILS MEDICAL CENTER

CROSS TRAILS MEDICAL CENTER (Missouri) receives grants from 1 organization whose IRS filings report $0 to it, the largest being HEART TO HEART INTERNATIONAL INC ($0). 0 of them have funded it in more than one year.

Revenue FY2025
$18M
Funders on record
1
Grants received
$0
Net assets
$19M
0/1 repeat funderspeak grant-dependency 0%
01What it does

What Cross Trails Medical Center does

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.

As stated on its FY2025 Form 990.

Programs

  1. 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.

    $6,710,523 spent$7,822,119 earned by the program
    51% of program spending
  2. 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.

    $5,880,089 spent$6,854,124 earned by the program
    45% of program spending
  3. 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.

    $242,425 spent$282,583 earned by the program
    2% of program spending
  4. 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.…

    $239,523 spent$279,199 earned by the program
    2% of program spending

The 4 programs described on its FY2025 Form 990, listed largest first by expense. Program spending in total: $13,072,560.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($13M) Expenses 100 ($12M) Net assets 100 ($11M)2018 Revenue 101 ($13M) Expenses 101 ($12M) Net assets 107 ($11M)2019 Revenue 99 ($12M) Expenses 101 ($12M) Net assets 111 ($12M)2020 Revenue 109 ($14M) Expenses 95 ($11M) Net assets 135 ($14M)2021 Revenue 113 ($14M) Expenses 104 ($12M) Net assets 152 ($16M)2022 Revenue 111 ($14M) Expenses 109 ($13M) Net assets 161 ($17M)2023 Revenue 104 ($13M) Expenses 106 ($13M) Net assets 166 ($17M)2024 Revenue 119 ($15M) Expenses 125 ($15M) Net assets 167 ($18M)2025 Revenue 145 ($18M) Expenses 138 ($16M) Net assets 184 ($19M)
'17'18'19'20'21'22'23'24'25
Revenue (145)Expenses (138)Net assets (184)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $13M to $17M (+25%).

$12M
$13M
$13M
$17M
$18M
$19M
$19M
$18M
$21M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 22% · 2018 23% · 2019 22% · 2020 34% · 2021 34% · 2022 34% · 2023 27% · 2024 20% · 2025 15%. Grants only. Government contracts and fees sit inside program revenue.

15% of CROSS TRAILS MEDICAL CENTER’s revenue is contributions — about as donation-reliant as the typical peer (23% for the typical peer).

This organization
Typical peer · 4,251 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 9 reported years ran a deficit.

$722k
’17
$724k
’18
$444k
’19
$2.5M
’20
$1.8M
’21
$1.0M
’22
$514k
’23
$73k
’24
$1.8M
’25
7.2
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Rick Francis

CEO

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'24'25
Listed2019202017171918
Joined·+1+3+3+3+3·+2
No longer listed·22363·3
03Who funds it
04Its place in the field

Against its field

CROSS TRAILS MEDICAL CENTER holds deeper cash reserves than three-quarters of the 3,758 education nonprofits its size.

Operating margin10% · above the median
Months of reserve7.2mo · top quartile
Revenue growth (annualized)5% · below the median

this organization peer median middle 50% of peers· 3,758 education nonprofits $10M–$100M, FY2025

Government funding CROSS TRAILS MEDICAL CENTER receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $30.5M on record — $30.5M federal, $42 state.

Federal$30.5M
grants $30.5Mcontracts $0
17
18
19
20
21
22
23
24
25
26
Top agencies
  • Department of Health and Human Services$30.5M
State$42
Top programs
  • FEES - GENERAL - COMMODITIES $42

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like CROSS TRAILS MEDICAL CENTER

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Missouri

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

80% of spending goes to programs.

Program 80%Management 20%Fundraising 0%

Governance

11
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

97%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Screen this organization

A dated, signed PDF of the compliance screen for CROSS TRAILS MEDICAL CENTER: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds CROSS TRAILS MEDICAL CENTER?
CROSS TRAILS MEDICAL CENTER (Missouri) receives grants from 1 organization whose IRS filings report $0 to it, the largest being HEART TO HEART INTERNATIONAL INC ($0). 0 of them have funded it in more than one year.
How many funders does CROSS TRAILS MEDICAL CENTER have?
IRS filings report 1 organization giving $0 in grants to CROSS TRAILS MEDICAL CENTER.
Who is the largest funder of CROSS TRAILS MEDICAL CENTER?
HEART TO HEART INTERNATIONAL INC is the largest funder on record, with $0 in grants. The full list of funders is on this page.
How can an organization like CROSS TRAILS MEDICAL CENTER find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Missouri. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 1 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing