2023-10-18T11:08:13-05:00 2022-12-31 450310328 BRADY MARTZ & ASSOCIATES PC PO BOX 1297 BISMARCK ND 585021297 990 2022-01-01 450454363 BISMARCK CANCER CENTER BISM 7012226100 500 N 8TH STREET BISMARCK ND 58501 AMY GROSS EXECUTIVE DIRECTOR 7012226114 2023-07-25 1 AMY GROSS 999009999 1 LANCE RAMBOUSEK P01212867 7012231717 2023-07-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z AMY GROSS 500 N 8TH STREET BISMARCK ND 58501 16020916 0 X WWW.BISMARCKCANCERCENTER.COM X 1999 ND 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. 5 5 61 150 0 0 1272063 1279798 15178947 14673160 37151 55015 17161 12943 16505322 16020916 0 0 0 0 7273255 7094264 0 0 0 5504850 6688490 12778105 13782754 3727217 2238162 39722467 41372865 1951098 1363334 37771369 40009531 X 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. 0 0 10383323 14686103 PROVIDE RADIATION THERAPY TREATMENTS FOR ALL 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. 10383323 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 30 0 1 61 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X LOLLY DUTTON 7012226100 500 N 8TH STREET BISMARCK ND 58501 DON KIRK CRISTY PRESIDENT 2.00 1.00 X X 0 0 0 J'PATRICK FAHN EFF JAN 2022 VICE PRESIDESNT 2.00 1.00 X X 0 0 0 DR CHRIS MEEKER SECRETARY 2.00 1.00 X X 0 0 0 JEFF GUSTAFSON EFF AUG 2022 TRUSTEE 2.00 1.00 X 0 0 0 WENDY KOPP TRUSTEE 2.00 1.00 X 0 0 0 KURT SCHLEY TERM FEB 2022 TRUSTEE 2.00 1.00 X 0 0 0 ELLEN HOLT TERM JULY 2022 TRUSTEE 2.00 1.00 X 0 0 0 AMY GROSS EXECUTIVE DIRECTOR 40.00 5.00 X 210826 0 36035 LOLITA DUTTON FINANCIAL AND SUPPORT SERV 40.00 5.00 X 97673 0 18706 DR COLE KREOFSKY RADIATION ONCOLOGIST 40.00 X 1014902 0 36378 DR ROBERT REYNOLDS RADIATION ONCOLOGIST 40.00 X 1062973 0 24171 DR JOHN WATKINS RADIATION ONCOLOGIST 40.00 X 1046450 0 28148 DR SHRIKANT KUBSAD DIRECTOR OF MEDICAL PHYSIC 40.00 X 313925 0 43342 JAY RISK BIO ENGINEER 40.00 X 104103 0 18732 MELISSA KLEIN RADIATION THERAPY MANAGER 40.00 X 126523 0 25986 TARA SCHILKE DIRECTOR OF NURSING 40.00 X 131698 0 7795 SARA KELSCH DIRECTOR OF MARKETING 40.00 X 113528 0 20634 CHARITY ROGSTAD CERTIFIED MEDICAL DOSIMETR 40.00 X 156233 0 8886 4378834 0 268813 10 0 1 0 0 1274273 5525 1279798 MEDICAL FEES 621110 14632553 14632553 PATIENT APARTMENT INCOME 624100 40607 40607 14673160 55015 55015 MISCELLANEOUS 621110 12943 12943 12943 16020916 14686103 0 55015 X 3933529 3570289 363240 2290868 1739560 551308 584841 399122 185719 285026 219130 65896 77575 77575 27313 27313 289172 289172 253988 253988 26049 26049 109774 109774 2120319 1404658 715661 223373 118946 104427 MAINTENANCE 861535 670610 190925 PHYSICIAN/MEDICAL CONTR 576417 576417 PROVISION FOR BAD DEBTS 379622 379622 MEDICAL SUPPLIES 328199 328199 1415154 950721 464433 13782754 10383323 3399431 0 5711545 6344698 10080291 11519092 2083190 2425853 961095 685176 34906332 15340740 20023687 19565592 862659 832454 39722467 41372865 1827806 1324150 123292 39184 1951098 1363334 X 37771369 40009531 37771369 40009531 39722467 41372865 2238162 0 X X 1 X 1 X 1 0 X 524494 558096 1225178 1267493 1273966 4849227 13874462 15227686 16454266 15082887 14637039 75276340 14398956 15785782 17679444 16350380 15911005 80125567 0 380131 398457 1033557 1097300 1114613 4024058 380131 398457 1033557 1097300 1114613 4024058 76101509 37332 178149 114640 37151 55015 422287 37332 178149 114640 37151 55015 422287 14436288 15963931 17794084 16387531 15966020 80547854 0.94480 0.95240 0.00520 0.00490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 727135 727135 16297506 4195062 12102444 17881691 11145678 6736013 19565592 EQUIPMENT/MAINTENANCE PAYABLE 16500 SPECIAL ASSESSMENT PAYABLE 22684 39184 X 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. X X 0 0 0 0 0 0 0 0 0 DR ROBERT REYNOLDS RADIATION ONCOLOGIST 1062973 0 0 0 0 0 15250 0 8921 0 1087144 0 0 0 DR JOHN WATKINS RADIATION ONCOLOGIST 1046450 0 0 0 0 0 15250 0 12898 0 1074598 0 0 0 DR COLE KREOFSKY RADIATION ONCOLOGIST 1014902 0 0 0 0 0 15250 0 21128 0 1051280 0 0 0 DR SHRIKANT KUBSAD DIRECTOR OF MEDICAL PHYSIC 313925 0 0 0 0 0 15250 0 28092 0 357267 0 0 0 AMY GROSS EXECUTIVE DIRECTOR 210826 0 0 0 0 0 10541 0 25494 0 246861 0 0 0 CHARITY ROGSTAD CERTIFIED MEDICAL DOSIMETR 156233 0 0 0 0 0 7812 0 1074 0 165119 0 0 0 MELISSA KLEIN RADIATION THERAPY MANAGER 126523 0 0 0 0 0 6326 0 19660 0 152509 0 0 0 PART I, LINE 3 THE HR DEPARTMENT PREPARES A COMPREHENSIVE SALARY STUDY ON AN ANNUAL BASIS FOR THE EXECUTIVE DIRECTOR, THEN PRESENTS THIS INFORMATION TO THE BOARD. THE BOARD REVIEWS AND MAKES THE FINAL DECISION ON THE SALARY ADJUSTMENTS. BISMARCK CANCER CENTER FOUNDATION TRUSTEES/OFFICERS OF BISMARCK CANCER CENTER ALSO SERVE FOR THE FOUNDATION 775561 RECEIVABLE AT YEAR-END FOR REIMBURSEMENT OF EXPENSES. 0 FORM 990, PART VI, SECTION A, LINE 2 J'PATRICK FAHN AND JEFF GUSTAFSON ARE OFFICERS AT CHI ST. ALEXIUS MEDICAL CENTER DON KIRK CRISTY, CHRIS MEEKER AND WENDY KOPP 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 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. FORM 990, PART IX, LINE 24E CONTRACT SERVICE/LABOR: PROGRAM SERVICE EXPENSES 82,903. MANAGEMENT AND GENERAL EXPENSES 227,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 310,362. SURVIVORSHIP PROGRAMS: PROGRAM SERVICE EXPENSES 195,982. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,982. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 140,140. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,140. PATIENT HOUSING/TRANSPORTATION: PROGRAM SERVICE EXPENSES 114,634. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,634. PEEDS SCREENING/PREVENTION PROGRAMS: PROGRAM SERVICE EXPENSES 108,311. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,311. COUNSELING: PROGRAM SERVICE EXPENSES 100,812. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,812. JANITORIAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 85,075. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,075. THERAPY EXPENSES: PROGRAM SERVICE EXPENSES 73,590. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,590. LICENSES AND FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 60,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,215. CHARITY CARE: PROGRAM SERVICE EXPENSES 37,521. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,521. PHYSICIAN EDUCATION ALLOWANCE: PROGRAM SERVICE EXPENSES 34,217. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,217. BOOKS/MAGAZINES/NEWSLETTER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,144. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,144. EMPLOYEE DEVELOPMENT: PROGRAM SERVICE EXPENSES 28,134. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,134. LAUNDRY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,309. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,309. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 15,217. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,217. WELLNESS PROGRAM: PROGRAM SERVICE EXPENSES 10,329. MANAGEMENT AND GENERAL EXPENSES 3,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,993. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,951. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,951. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,416. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,416. OUTREACH SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,392. MINOR EQUIP/SUPPLIES: PROGRAM SERVICE EXPENSES 1,730. MANAGEMENT AND GENERAL EXPENSES 5,363. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,093. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,971. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,971. PHYSICIAN RECRUITMENT/LICENSE: PROGRAM SERVICE EXPENSES 3,784. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,784. SCHOLARSHIP FUND EXPENSE: PROGRAM SERVICE EXPENSES 2,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,500. GRANT EXPENSES: PROGRAM SERVICE EXPENSES 875. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 875. REFERRAL DEVELOPMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 825. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 825. BUSINESS MEALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 649. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 649. DONATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 500. PHYSICIAN/MEDICAL RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 500. VOLUNTEER PROGRAM: PROGRAM SERVICE EXPENSES 42. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42. 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. BISMARCK CANCER CENTER FOUNDATION 500 N 8TH STREET BISMARCK ND 58501 260466647 PROVIDE SUPPORT TO THE CHARITABLE WORK OF THE BISMARCK CANCER CENTER ND 501(C)(3) 11(A) TYPE I N/A 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 BISMARCK CANCER CENTER FOUNDATION C 1274273 CASH VALUE BISMARCK CANCER CENTER FOUNDATION Q 838837 CASH VALUE