Civic Intelligence

Bismarck Cancer Center

990 • Fiscal year 2016 • EIN 45-0454363

Jan 01, 2016 to Dec 31, 2016 • Filed on Sep 05, 2017

500 N 8th StreetBismarck, ND 58501

(701) 222-6100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

32nd percentile

0.08x

Higher debt load relative to assets than 32% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

32nd percentile

0.12x

Higher debt load relative to revenue than 32% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

84th percentile

26%

Higher net margin than 84% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

99th percentile

$1,774,632

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 12.2% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

19th percentile

-4.5%

Faster asset growth than 19% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

56th percentile

4.8%

Faster revenue growth than 56% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Assets

Down

$20,212,795

Down $960,914 (-4.5%) from 2015

Net Assets

Down

$18,511,495

Down $569,165 (-3.0%) from 2015

Liabilities

Down

$1,701,300

Down $391,749 (-19%) from 2015

Revenue

Up

$14,501,747

Up $663,900 (+4.8%) from 2015

Expenses

Up

$10,735,623

Up $175,911 (+1.7%) from 2015

Net Income

Up

$3,766,124

Up $487,989 (+15%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2016

Assets$20,212,795
Liabilities$1,701,300
Net Assets$18,511,495

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$14,501,747
Expenses$10,735,623
Net Income$3,766,124
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Sep 5, 2017
Return Version
2016v3.0
Gross Receipts
$14,501,747
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$7,525,886$7,746,007▲ $220,121
Cash and Non-Interest-Bearing Accounts$7,935,609$5,742,275▼ $2,193,334
Savings and Temporary Cash Investments$1,617,353$3,372,978▲ $1,755,625
Accounts Receivable$2,542,907$1,921,017▼ $621,890
Prepaid Expenses and Deferred Charges$717,787$536,392▼ $181,395
Total Assets$21,173,709$20,212,795▼ $960,914
Other Assets Total$834,167$894,126▲ $59,959
Liabilities
Accounts Payable and Accrued Expenses$908,158$1,025,089▲ $116,931
Mortgage Notes Payable Secured by Investment Property$1,176,997$674,748▼ $502,249
Other Liabilities$7,894$1,463▼ $6,431
Total Liabilities$2,093,049$1,701,300▼ $391,749
Net Assets / Fund Balance
Unrestricted Net Assets$19,080,660$18,511,495▼ $569,165
Total Net Assets Fund Balance$19,080,660$18,511,495▼ $569,165
Total Liabilities and Net Assets / Fund Balance$21,173,709$20,212,795▼ $960,914

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,866,795$8,551,525$11,418,320
Buildings$3,420,118$2,232,165$5,652,283
Land$706,735-$706,735
Other Land Buildings$690,171-$690,171
Leasehold Improvements$62,188$147,202$209,390
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Tarek DufanRadiation OncologistFT$1,733,695$40,937$1,774,632
Dr James Kyle RussoRadiation OncologistFT$1,551,301$35,556$1,586,857
Dr Shrikant KubsadDirector of Medical PhysicsFT$311,875$34,368$346,243
Michael SiglerMedical PhysicistFT$150,884$11,208$162,092
Amy GrossExecutive DirectorFT$138,287$12,435$150,722
Ken DykesExecutive Director (to 6-16)FT$122,508$14,901$137,409
Kate HansonLead Certified Medical DosimetristFT$129,095$6,879$135,974
Denise KaelbererCertified Medical DosimetristFT$116,169$6,183$122,352
Lolita DuttonFinancial and Support Services ManagerFT$77,148$4,934$82,082

Board Members and Trustees

NameTitle
Scott BoehmPresident
Dewey SchlittenhardVice President
Chris JonesTrustee
Jan KamphuisTrustee
Don Kirk CristySecretary
Rosanne SchmidtTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$566,154
Program Service Revenue
$13,868,295
Investment Income
$5,625
Other Revenue
$61,673
All Other Contributions
$566,154
Change in Net Assets
$3,766,124
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,320,261
Other Expenses$4,415,362
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$4,128,150$370,212-$4,498,362
Other Salaries and Wages$932,632$376,809-$1,309,441
Depreciation Depletion$858,072$272,005-$1,130,077
All Other Expenses$750,160$228,899-$979,059
Advertising-$292,483-$292,483
Payroll Taxes$173,345$68,412-$241,757
Other Employee Benefits$67,911$114,436-$182,347
Insurance$85,714$88,638-$174,352
Other Expenses$104,998$51,025-$156,023
Occupancy-$151,572-$151,572
Office Expenses-$145,204-$145,204
Pension Plan Contributions$78,646$9,708-$88,354
Fees for Services Accounting-$60,135-$60,135
Interest-$30,101-$30,101
Fees for Services Other-$21,325-$21,325
Total Functional Expenses$8,424,325$2,311,298$0$10,735,623
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$882,388
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Special Assessments Payable$762
Obligation Under Swap Agreement$701
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 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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Dewey schlittenhard, chris jones & roseanne schmidt are officers at chi st. Alexius medical center jan kamphuis, don kirk cristy and scott boehm 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 B, Line 11B

A copy of the form 990 is emailed 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 and approves 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
2017-09-05
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
51
Volunteers
9

Preparer

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

Additional Explanations

FORM 990, PART XI, LINE 9:

Distributions to public charity 501(c)(3) hospitals -4,335,289.

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 XII, LINE 2C:

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 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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6EXECUTIVE DIRECTOR (TO 6-16)
IRS990/Form990PartVIISectionAGrp/TitleTxt7EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8FINANCIAL AND SUPPORT SERVICES MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt9RADIATION ONCOLOGIST
IRS990/Form990PartVIISectionAGrp/TitleTxt10RADIATION ONCOLOGIST
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR OF MEDICAL PHYSICS
IRS990/Form990PartVIISectionAGrp/TitleTxt12LEAD CERTIFIED MEDICAL DOSIMETRIST
IRS990/Form990PartVIISectionAGrp/TitleTxt13CERTIFIED MEDICAL DOSIMETRIST
IRS990/Form990PartVIISectionAGrp/TitleTxt14MEDICAL PHYSICIST
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt151025
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IRS990/OtherExpensesGrp/ProgramServicesAmt1400713
IRS990/OtherExpensesGrp/ProgramServicesAmt2161196
IRS990/OtherExpensesGrp/ProgramServicesAmt3104998
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IRS990/OtherExpensesGrp/TotalAmt2161196
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IRS990/PayrollTaxesGrp/ProgramServicesAmt0173345
IRS990/PayrollTaxesGrp/TotalAmt0241757
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IRS990/ProgramServiceRevenueGrp/Desc1PATIENT APARTMENT INCOME
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt130577
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IRS990/PYExcessBenefitTransInd00
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IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt03766124
IRS990/RegularMonitoringEnfrcInd01
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IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
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IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0602145
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0199501
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0135044
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01952605
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt05625
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt01650
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt01855
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt02547
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt09909
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt013868295
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt013442785
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt011711619
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt011520119
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt09468022
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt082279
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt09603066
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Filings

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