Civic Intelligence

Bismarck Cancer Center

EIN 45-0454363 • 501(c)3 • Bismarck, ND

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Profile

To make locally available the highest quality, state-of-the-art radiation therapy services to persons with cancer within the bismarck service area. Such services shall be delivered, in so far as possible, without regard to reimburement, and always in a supportive, compassionate, and caring manner, and will include needed wrap-around services to both patients and their families, educational services, prevention and early detection initiatives, and survivorship programs.

500 N 8th StreetBismarck, ND 58501

www.bismarckcancercenter.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

20th percentile

0.03x

Higher debt load relative to assets than 20% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

18th percentile

0.06x

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

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

50th percentile

4.2%

Higher net margin than 50% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$1,342,469

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 7.8% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

35th percentile

1.5%

Faster asset growth than 35% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

40th percentile

3.4%

Faster revenue growth than 40% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets20th percentile

Assets

Up

$43,463,485

Up $648,105 (+1.5%) from 2023

Liabilities

Down

$1,107,969

Down $68,338 (-5.8%) from 2023

Net Assets

Up

$42,355,516

Up $716,443 (+1.7%) from 2023

Operations
Liabilities / Revenue18th percentileNet Margin50th percentile

Revenue

Up

$17,220,233

Up $571,473 (+3.4%) from 2023

Expenses

Up

$16,502,478

Up $1,483,260 (+9.9%) from 2023

Net Income

Down

$717,755

Down $911,787 (-56%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth35th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $10,667,842Liabilities 2010: $4,482,978Net Assets 2010: $6,184,8642010Assets 2011: $12,785,030Liabilities 2011: $3,598,798Net Assets 2011: $9,186,2322011Assets 2012: $12,669,996Liabilities 2012: $3,336,132Net Assets 2012: $9,333,8642012Assets 2013: $16,243,219Liabilities 2013: $3,252,978Net Assets 2013: $12,990,2412013Assets 2014: $18,356,158Liabilities 2014: $2,553,633Net Assets 2014: $15,802,5252014Assets 2015: $21,173,709Liabilities 2015: $2,093,049Net Assets 2015: $19,080,6602015Assets 2016: $20,212,795Liabilities 2016: $1,701,300Net Assets 2016: $18,511,4952016Assets 2017: $22,266,217Liabilities 2017: $1,070,777Net Assets 2017: $21,195,4402017Assets 2018: $25,753,205Liabilities 2018: $1,284,817Net Assets 2018: $24,468,3882018Assets 2019: $29,650,267Liabilities 2019: $1,017,036Net Assets 2019: $28,633,2312019Assets 2020: $35,974,835Liabilities 2020: $1,930,683Net Assets 2020: $34,044,1522020Assets 2021: $39,722,467Liabilities 2021: $1,951,098Net Assets 2021: $37,771,3692021Assets 2022: $41,372,865Liabilities 2022: $1,363,334Net Assets 2022: $40,009,5312022Assets 2023: $42,815,380Liabilities 2023: $1,176,307Net Assets 2023: $41,639,0732023Assets 2024: $43,463,485Liabilities 2024: $1,107,969Net Assets 2024: $42,355,5162024

Highlighted filing

2024

Assets$43,463,485
Liabilities$1,107,969
Net Assets$42,355,516
Open 2024 Filing

Operations Trend

Revenue Growth40th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0Expenses 2010: $6,643,6652010Expenses 2011: $7,328,7622011Expenses 2012: $7,157,8902012Revenue 2013: $11,743,946Expenses 2013: $8,087,569Net Income 2013: $3,656,3772013Revenue 2014: $12,441,221Expenses 2014: $9,628,793Net Income 2014: $2,812,4282014Revenue 2015: $13,837,847Expenses 2015: $10,559,712Net Income 2015: $3,278,1352015Revenue 2016: $14,501,747Expenses 2016: $10,735,623Net Income 2016: $3,766,1242016Revenue 2017: $12,797,815Expenses 2017: $10,113,870Net Income 2017: $2,683,9452017Revenue 2018: $14,461,019Expenses 2018: $11,188,071Net Income 2018: $3,272,9482018Revenue 2019: $15,982,059Expenses 2019: $11,817,216Net Income 2019: $4,164,8432019Revenue 2020: $18,939,373Expenses 2020: $13,528,452Net Income 2020: $5,410,9212020Revenue 2021: $16,505,322Expenses 2021: $12,778,105Net Income 2021: $3,727,2172021Revenue 2022: $16,020,916Expenses 2022: $13,782,754Net Income 2022: $2,238,1622022Revenue 2023: $16,648,760Expenses 2023: $15,019,218Net Income 2023: $1,629,5422023Revenue 2024: $17,220,233Expenses 2024: $16,502,478Net Income 2024: $717,7552024

Highlighted filing

2024

Revenue$17,220,233
Expenses$16,502,478
Net Income$717,755
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$43,463,485
Liabilities
$1,107,969
Net assets
$42,355,516
Revenue
$17,220,233
Expenses
$16,502,478
Net income
$717,755
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$43.5$1.11$42.4$17.2$16.5$0.72
2023Detailed filing. Detailed filing data is available for this year.$42.8$1.18$41.6$16.6$15.0$1.63
2022Detailed filing. Detailed filing data is available for this year.$41.4$1.36$40.0$16.0$13.8$2.24
2021Detailed filing. Detailed filing data is available for this year.$39.7$1.95$37.8$16.5$12.8$3.73
2020Detailed filing. Detailed filing data is available for this year.$36.0$1.93$34.0$18.9$13.5$5.41
2019Detailed filing. Detailed filing data is available for this year.$29.7$1.02$28.6$16.0$11.8$4.16
2018Detailed filing. Detailed filing data is available for this year.$25.8$1.28$24.5$14.5$11.2$3.27
2017Detailed filing. Detailed filing data is available for this year.$22.3$1.07$21.2$12.8$10.1$2.68
2016Detailed filing. Detailed filing data is available for this year.$20.2$1.70$18.5$14.5$10.7$3.77
2015Detailed filing. Detailed filing data is available for this year.$21.2$2.09$19.1$13.8$10.6$3.28
2014Detailed filing. Detailed filing data is available for this year.$18.4$2.55$15.8$12.4$9.63$2.81
2013Detailed filing. Detailed filing data is available for this year.$16.2$3.25$13.0$11.7$8.09$3.66
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.7$3.34$9.33$7.16
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.8$3.60$9.19$7.33
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.7$4.48$6.18$6.64
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 16, 2025
Return Version
2024v5.2
Gross Receipts
$17,220,233
Mission and Program Overview

Mission

To make locally available the highest quality, state-of-the-art radiation therapy services to persons with cancer within the bismarck service area. Such services shall be delivered, in so far as possible, without regard to reimburement, and always in a supportive, compassionate, and caring manner, and will include needed wrap-around services to both patients and their families, educational services, prevention and early detection initiatives, and survivorship programs.

The mission of the bismarck cancer center is to provide world class radiation therapy services administered by highly qualified and companssionate professionals utilizing state of the art technology and highly individualized support services and survivorship programs, all within a warm, caring, considerate, and supportive environment, and, in so far as possible, without regard to reimbursement.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$19,928,179$17,760,127▼ $2,168,052
Savings and Temporary Cash Investments$13,462,023$14,700,051▲ $1,238,028
Cash and Non-Interest-Bearing Accounts$5,567,603$6,766,362▲ $1,198,759
Accounts Receivable$2,330,304$1,967,887▼ $362,417
Prepaid Expenses and Deferred Charges$716,551$755,441▲ $38,890
Inventories for Sale or Use-$123,095-
Total Assets$42,815,380$43,463,485▲ $648,105
Other Assets Total$810,720$1,390,522▲ $579,802
Liabilities
Accounts Payable and Accrued Expenses$1,157,540$1,095,224▼ $62,316
Other Liabilities$18,767$12,745▼ $6,022
Total Liabilities$1,176,307$1,107,969▼ $68,338
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$41,639,073$42,355,516▲ $716,443
Total Net Assets Fund Balance$41,639,073$42,355,516▲ $716,443
Total Liabilities and Net Assets / Fund Balance$42,815,380$43,463,485▲ $648,105

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$11,439,499$4,337,217$15,776,716
Equipment$5,593,493$6,058,091$11,651,584
Land$727,135-$727,135

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$480,253$46,423▲ $35,415$35,415$526,676
2023$430,070$50,183▲ $24,888$24,888$480,253
2022$407,570$22,500▲ $7,409$7,409$430,070
2021$362,570$45,000▲ $415$415$407,570
2020$305,570$57,000▲ $1,965$1,965$362,570
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Robert ReynoldsRadiation OncologistFT$1,315,650$26,819$1,342,469
Dr John WatkinsRadiation OncologistFT$1,212,804$20,317$1,233,121
Dr Cole KreofskyRadiation OncologistFT$1,078,009$40,669$1,118,678
Amy GrossExecutive DirectorFT$218,968$41,613$260,581
Sara KelschDirector of MarketingFT$131,538$33,884$165,422
Melissa KleinRadiation Therapy ManagerFT$129,930$29,077$159,007
Lolita DuttonFinancial and Support ServFT$102,334$22,113$124,447

Board Members and Trustees

NameTitle
Don Kirk Cristy Term 52024President
J'PATRICK FAHNPresident
Dr Chris MeekerVice President
Jeff Gustafson Term 32024Trustee
Leigh Ann Thompson Eff 52024Trustee
Stephanie Kaul Eff 42024Trustee
Wendy KoppSecretary
Andrew WoodTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Radiation Physics Services LLCPhysicist And Dosemetric ServicesPO BOX 327, Wyoming, MN 55092$747,383
Apex Physics Partners LLCPhysicist And Dosemetric ServicesPO BOX 197645, Nashville, TN 37219$358,578
One Physics LLCPhysicist And Dosemetric ServicesPO BOX 197645, Nashville, TN 37219$238,100
Brady Martz & Associates PCAccounting ServicesPO BOX 1297, Bismarck, ND 58502$145,200
Revenue and Support

Revenue Composition

Contributions and Grants
$1,077,644
Program Service Revenue
$15,549,927
Investment Income
$573,106
Other Revenue
$19,556
Change in Net Assets
$717,755
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$8,994,184
Other Expenses$7,508,294
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,075,284$566,014-$7,641,298
Depreciation Depletion$1,635,923$809,781-$2,445,704
All Other Expenses$1,098,392$345,103-$1,443,495
Other Employee Benefits$442,568$216,063-$658,631
Current Officers, Directors, Trustees, and Key Employees-$385,028-$385,028
Other Expenses$384,655$101,946-$384,655
Payroll Taxes$236,245$72,982-$309,227
Advertising-$252,450-$252,450
Insurance$121,721$119,572-$241,293
Office Expenses-$199,892-$199,892
Occupancy-$114,641-$114,641
Fees for Services Accounting-$86,080-$86,080
Information Technology$68,756--$68,756
Fees for Services Other-$10,759-$10,759
Total Functional Expenses$13,222,167$3,280,311$0$16,502,478
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Trustees/officers of Bismarck Cancer Center Also Serve for the FoundationReceivable at Year-end for Reimbursement of Expenses.No$1,084,710
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Special Assessment Payable$12,745
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

“J'patrick fahn, andrew wood, and stephanie kaul are officers at chi st. Alexius medical center chris meeker, wendy kopp, and leigh ann thompson are officers at sanford health.”

Form 990, Part VI, Section A, Line 6

“The organization has 2 not-for-profit members, sanford health and chi st. Alexius medical center. Both members are charitable 501(c)(3) organizations.”

Form 990, Part VI, Section A, Line 7A

“Members of the board elect new members.”

Form 990, Part VI, Section A, Line 7B

“According to the articles of incorporation, there are actions that are reserved for member approval.”

Form 990, Part VI, Section B, Line 11B

“A copy of the form 990 is provided to each member of the board of directors before it is filed.”

Form 990, Part VI, Section B, Line 12C

“The executive director and board members are aware of potential conflicts. All board members are required to disclose any potential conflicts. If one arises, the full board addresses the issue at that time.”

Form 990, Part VI, Section B, Line 15

“A comprehensive salary survey is completed by hr on an annual basis. Recommendations for salary adjustments are made by the executive director and hr to the board of directors. The board reviews the final salary adjustments.”

Form 990, Part VI, Section C, Line 18

“The forms are available through public inspection upon request.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy, and financial statements availabe to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Bismarck Cancer Center
EIN
45-0454363
Phone
7012226100
Address
500 N 8TH STREET, BISMARCK, ND 58501

Signing Officer

Name
Amy Gross
Title
Executive Director
Phone
7012226114
Signed
2025-09-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Amy Gross
Formed
1999
Legal Domicile
Nd
Voting Board Members
6
Independent Board Members
6
Employees
59
Volunteers
150

Preparer

Firm
Brady Martz & Associates Pc
Address
PO BOX 1297, BISMARCK, ND 58502-1297
Preparer
Lance Rambousek
Phone
7012231717
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 2D

“The consolidated financial statements are audited by an independent accountant. A separate financial statement is compiled by an accountant.”

Form 990, Part XI, Line 2(C)

“Part xi, line 2(c) the board of directors oversees the audit. The completed audit is presented to the board of directors for their review and approval by the audit firm.”

Financial Statement Notes

PART V, LINE 4:

“Earnings from the endowment fund are to be used for the general support of the bismarck cancer center”

PART X, LINE 2:

“The center believes that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The center would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred.”

Raw XML AppendixShowing 400 of 735 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0THE MISSION OF THE BISMARCK CANCER CENTER IS TO PROVIDE WORLD CLASS RADIATION THERAPY SERVICES ADMINISTERED BY HIGHLY QUALIFIED AND COMPANSSIONATE PROFESSIONALS UTILIZING STATE OF THE ART TECHNOLOGY AND HIGHLY INDIVIDUALIZED SUPPORT SERVICES AND SURVIVORSHIP PROGRAMS, ALL WITHIN A WARM, CARING, CONSIDERATE, AND SUPPORTIVE ENVIRONMENT, AND, IN SO FAR AS POSSIBLE, WITHOUT REGARD TO REIMBURSEMENT.
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IRS990/Desc0PROVIDE RADIATION THERAPY TREATMENTS FOR PATIENTS WITHIN A 250 MILE RADIUS OF BISMARCK. PROVIDE FINANCIAL ASSISTANCE TO THE UNINSURED OR UNDERINSURED PATIENTS SO ALL CAN RECEIVE PROPER TREATMENT. PROVIDE OUTREACH CLINICS IN MINOT AND DICKINSON, NORTH DAKOTA SO PATIENTS CAN HAVE APPOINTMENTS CLOSER TO HOME.
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IRS990/Form990PartVIISectionAGrp/TitleTxt12RADIATION ONCOLOGIST
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