CENTER FOR FAMILY MEDICINE

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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

1972

Legal Domicile

Principal Officer

DR BRAD KAMSTRA

Phone

6053391783

Tax Period

2023-07-01 to 2024-06-30

CENTER FOR FAMILY MEDICINE, founded in 1972, is a community nonprofit in the Education sector that reported $4.9M in total revenue in fiscal year 2023. Expenses of $12.3M exceeded revenue, resulting in a 153% operating deficit.

Mission

THE CENTER FOR FAMILY MEDICINE IS DEVOTED TO PROVIDING EXCELLENT FAMILY MEDICAL CARE IN AN EDUCATIONAL ENVIRONMENT.

Program Service Accomplishments

Program 1

Expenses: $11,275,538 Revenue: $3,723,410

EDUCATION OF FAMILY PRACTICE DOCTORS - THE CENTER OPERATES A RESIDENT PROGRAM FOR APPROXIMATELY 36 RESIDENT DOCTORS. THE CENTER IS A CORPORATE EXTENSION OF AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER AND SANFORD USD MEDICAL CENTER. THE CENTER'S PURPOSE IS TO FOSTER BETTER HOSPITAL, MEDICAL AND HEALTH SERVICES IN THE SURROUNDING COMMUNITIES THROUGH THE ESTABLISHMENT OF FACILITIES FOR RESEARCH, MEDICAL EDUCATION, PERSONNEL TRAINING AND COORDINATION OF MEDICAL EDUCATION, AND TO ENGAGE IN THE RECRUITING, TRAINING AND EDUCATION OF MEDICAL INTERNS, RESIDENTS AND OTHER ALLIED HEALTH SERVICES, PROVIDING TRAINING IN SIOUX FALLS AND PIERRE, SOUTH DAKOTA.

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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 (2023)

Revenue Breakdown

Contributions & Grants $1,105,314

Program Service Revenue $3,723,410

Investment Income $33,228

Other Revenue $0

TOTAL REVENUE $4,861,952

Expense Breakdown

Grants Paid $0

Salaries & Benefits $9,967,867

Fundraising Expenses $0

Program Expenses $11,275,538

Other Expenses $2,314,310

TOTAL EXPENSES $12,282,177

Year-over-Year Comparison

	2023	2022	Change
Revenue	$4,861,952	$4,859,625	+0.0%
Expenses	$12,282,177	$11,530,733	+0.1%
Net Income	$-7,420,225	$-6,671,108	+0.1%

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

115

Volunteers

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

$422,350

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DR BRAD KAMSTRA	PROGRAM DIRECTOR	40.00	Officer	$284,076	$18,835	$302,911
DR MARJORIE HEIER	PHYSICIAN	40.00	Highest	$293,696	$7,624	$301,320
DR CHARLIE SHAFER	MEDICAL DIRECTOR	40.00	Highest	$272,822	$18,835	$291,657
DR MARK HUNTINGTON	FORMER PROGRAM DIRECTOR	40.00		$271,289	$18,835	$290,124
DR HEATHER CLOUSE	ASSOCIATE DIRECTOR	36.00	Highest	$264,100	$18,835	$282,935
DR TARA GEIS	PHYSICIAN	40.00	Highest	$263,835	$18,835	$282,670
DR STACEY LEBER	PHYSICIAN	40.00	Highest	$274,578	$7,624	$282,202
DENISA ARAPOVIC	CLINIC MANAGER	40.00	Officer	$111,815	$7,624	$119,439
DR JOSHUA CRABTREE	BRD MBR THEN PRESIDENT BEG 12/2023	1.00	Officer Director	$0	$0	$0
MARK VORTHERMS	PRESIDENT THEN SEC/TREAS BEG 12/2023	1.00	Officer Director	$0	$0	$0
JEFFREY POPPEN	SEC/TREAS THEN VP BEG 12/2023	1.00	Officer Director	$0	$0	$0
AMY BIALAS	VP THEN BOARD MEMBER BEG 12/2023	1.00	Officer Director	$0	$0	$0
DR CAROLYN GILBERTSON	BOARD MEMBER BEG 03/2024	1.00	Director	$0	$0	$0
DR SUSAN ANDERSON	BOARD MEMBER UNTIL 02/2024	1.00	Director	$0	$0	$0
DR ALISA REINDL	BOARD MEMBER	1.00	Director	$0	$0	$0
DR JASON KNUTSON	BOARD MEMBER	1.00	Director	$0	$0	$0
DR KATE BOOS	BOARD MEMBER	1.00	Director	$0	$0	$0
DR JENNIFER SCHRIEVER	BOARD MEMBER	1.00	Director	$0	$0	$0

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
2025	No data	No data	No data	No data
2024	$4,861,952	$12,282,177	$7,190,161	$-7,420,225
2023	$4,859,625	$11,530,733	$8,046,066	$-6,671,108
2022	$4,668,420	$11,197,273	$2,083,617	$-6,528,853
2021	$5,259,064	$10,436,609	$1,453,687	$-5,177,545
2020	$3,782,713	$10,124,374	$1,638,174	$-6,341,661
2019	$3,823,585	$9,918,390	$1,269,255	$-6,094,805
2018	$3,505,869	$9,332,036	$1,623,843	$-5,826,167