BISMARCK CANCER CENTER

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1999

Legal Domicile

Principal Officer

AMY GROSS

Phone

7012226100

Tax Period

2024-01-01 to 2024-12-31

BISMARCK CANCER CENTER, founded in 1999, is a mid-sized nonprofit in the Diseases & Disorders sector that reported $17.2M in total revenue in fiscal year 2024. Expenses of $16.5M left a modest 4% surplus.

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.

Program Service Accomplishments

Program 1

Expenses: $13,222,167 Revenue: $15,569,483

PROVIDE 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 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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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $1,077,644

Program Service Revenue $15,549,927

Investment Income $573,106

Other Revenue $19,556

TOTAL REVENUE $17,220,233

Expense Breakdown

Grants Paid $0

Salaries & Benefits $8,994,184

Fundraising Expenses $0

Program Expenses $13,222,167

Other Expenses $7,508,294

TOTAL EXPENSES $16,502,478

Year-over-Year Comparison

	2024	2023	Change
Revenue	$17,220,233	$16,648,760	+0.0%
Expenses	$16,502,478	$15,019,218	+0.1%
Net Income	$717,755	$1,629,542	-0.6%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

150

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$385,028

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
J'PATRICK FAHN	PRESIDENT	2.00	Officer Director	$0	$0	$0
DR CHRIS MEEKER	VICE PRESIDENT	2.00	Officer Director	$0	$0	$0
WENDY KOPP	SECRETARY	2.00	Officer Director	$0	$0	$0
ANDREW WOOD	TREASURER	2.00	Officer Director	$0	$0	$0
STEPHANIE KAUL EFF 42024	TRUSTEE	2.00	Director	$0	$0	$0
LEIGH ANN THOMPSON EFF 52024	TRUSTEE	2.00	Director	$0	$0	$0
DON KIRK CRISTY TERM 52024	PRESIDENT	2.00	Director	$0	$0	$0
JEFF GUSTAFSON TERM 32024	TRUSTEE	2.00	Director	$0	$0	$0
AMY GROSS	EXECUTIVE DIRECTOR	40.00	Officer	$218,968	$41,613	$260,581
LOLITA DUTTON	FINANCIAL AND SUPPORT SERV	40.00	Officer	$102,334	$22,113	$124,447
DR COLE KREOFSKY	RADIATION ONCOLOGIST	40.00	Highest	$1,078,009	$40,669	$1,118,678
DR ROBERT REYNOLDS	RADIATION ONCOLOGIST	40.00	Highest	$1,315,650	$26,819	$1,342,469
DR JOHN WATKINS	RADIATION ONCOLOGIST	40.00	Highest	$1,212,804	$20,317	$1,233,121
MELISSA KLEIN	RADIATION THERAPY MANAGER	40.00	Highest	$129,930	$29,077	$159,007
SARA KELSCH	DIRECTOR OF MARKETING	40.00	Highest	$131,538	$33,884	$165,422

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$17,220,233	$16,502,478	$43,463,485	$717,755
2023	$16,648,760	$15,019,218	$42,815,380	$1,629,542
2022	$16,020,916	$13,782,754	$41,372,865	$2,238,162
2021	$16,505,322	$12,778,105	$39,722,467	$3,727,217
2020	$18,939,373	$13,528,452	$35,974,835	$5,410,921
2019	$15,982,059	$11,817,216	$29,650,267	$4,164,843
2018	$14,461,019	$11,188,071	$25,753,205	$3,272,948