2013-10-08T14:18:55-05:00 2012-12-31 450310328 BRADY MARTZ & ASSOCIATES PC PO BOX 1297 BISMARCK ND 585021297 990 2012-01-01 450454363 BISMARCK CANCER CENTER BISM 7012226100 500 N 8TH STREET BISMARCK ND 58501 KEN DYKES 7012226114 2013-10-01 1 JOHN SCHELL P00436373 7012231717 2013-10-01 2012 2016-02-25 16:41:14Z KEN DYKES 500 N 8TH STREET BISMARCK ND 58501 9635522 0 X WWW.BISMARCKCANCERCENTER.COM X 1999 ND THE MISSION OF THE BISMARCK CANCER CENTER IS TO PROVIDE THE HIGHEST QUALITY RADIATION THERAPY TO ALL PATIENTS AND COMPASSIONATE SUPPORT TO ALL PATIENTS AND THEIR FAMILIES. OUR PUBLIC AND PROFESSIONAL EDUCATION PROGRAMS, PREVENTION AND EARLY DETECTION PROGRAMS, AND CANCER AWARENESS INITIATIVES ARE FURTHER EVIDENCE OF OUR COMMITMENT TO OUR COMMUNITY AND SERVICE AREA. AS A COLLABORATIVE, NONPROFIT COMMUNITY SERVICE OFFERED BY SANFORD HEALTH AND ST. ALEXIUS MEDICAL CENTER, WE OPERATE IN A FISCALLY SOUND MANNER WHILE ALSO PROVIDING CARE TO MEDICALLY INDIGENT PATIENTS IN OUR COMMUNITY AND SERVICE AREA. 6 6 0 150 0 0 43500 135044 10225359 9468022 -14798 9909 23991 22547 10278052 9635522 0 0 0 0 4496365 4271283 0 0 0 2832397 2886607 7328762 7157890 2949290 2477632 12785030 12669996 3598798 3336132 9186232 9333864 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 5335880 9468022 PROVIDE HIGHEST QUALITY RADIATION THERAPY TO CANCER PATIENTS IN THE COMMUNITY. PROVIDED CHARITY CARE AND SERVICES FOR LESS THAN FULL RATES AT A DISCOUNT OF $11,867,030 DURING THE CURRENT YEAR. DURING THE CURRENT YEAR, THE CENTER PROVIDED SERVICES TO OVER 500 INDIVIDUALS AND FAMILIES. 5335880 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 20 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X CHERIE KRUEGER 7012226100 500 N 8TH STREET BISMARCK ND 58501 X SCOTT BOEHM 4.00 X X 0 0 0 FRANK KILZER 4.00 X X 0 0 0 MICHAEL SCHUMACHER 4.00 X X 0 0 0 SUSAN SISK 4.00 X X 0 0 0 DEWEY SCHLITTENHARD 4.00 X 0 0 0 EVELYN OLSON 4.00 X 0 0 0 KEN DYKES 40.00 X 146383 0 26347 CHERIE KRUEGER 40.00 X 63430 0 21855 209813 0 48202 1 0 1 0 SANFORD HEALTH 300 N 7TH STREET BISMARCK ND 58501 REIMBURSEMENT FOR SALARIES, CONTRACT LAB 4412774 1 135044 135044 MEDICAL FEES 621110 9450481 9450481 PATIENT APARTMENT INCO 624100 11333 11333 SCREENING/PREVENTION P 624100 6208 6208 9468022 9909 9909 MISCELLANEOUS 900099 22547 22547 22547 9635522 9468022 0 32456 258015 258015 3651068 3256259 394809 199877 180509 19368 162323 122005 40318 32952 32952 22586 22586 270486 270486 211011 211011 13534 13534 523 523 126849 126849 890724 632250 258474 110238 81576 28662 MAINTENANCE 466499 411936 54563 PROVISION FOR BAD DEBTS 213427 213427 CONTRACT SERVICE/LABOR 123057 57184 65873 MEDICAL DIRECTOR FEES 103275 103275 301446 277459 23987 7157890 5335880 1822010 0 2050071 2606214 863230 861301 3550541 963081 44500 128995 151951 13972982 6174892 5944873 7798090 202820 289359 12785030 12669996 631634 544715 2797396 2686253 169768 105164 3598798 3336132 X 9186232 9333864 9186232 9333864 12785030 12669996 X 2477632 -2330000 X X 1 X 1 X 1 0 X 8045 1880 34800 43500 135044 223269 7311063 7396376 8746590 10225359 9468022 43147410 7319108 7398256 8781390 10268859 9603066 43370679 0 38914 38914 38914 38914 43331765 12501 5358 6087 2302 9909 36157 12501 5358 6087 2302 9909 36157 7331609 7403614 8787477 10271161 9612975 43406836 0.99830 0.99800 0.00080 0.00200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 706735 706735 4076178 1480220 2595958 8980679 4547870 4432809 209390 146802 62588 7798090 SPECIAL ASSESSMENTS PAYABLE 8094 OBLIGATION UNDER SWAP AGREEMENT 97070 105164 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 X 0 0 0 0 0 0 0 0 0 KEN DYKES 128008 0 18375 0 0 0 5092 0 21255 0 172730 0 0 0 SUPPLEMENTAL INFORMATION PART III KEN DYKES WORKS AT BISMARCK CANCER CENTER BUT IS AN EMPLOYEE OF SANFORD HEALTH, A PUBLIC CHARITY HOSPITAL. HIS COMPENSATION IS REPORTED ON SANFORD HEALTH QUARTERLY AND ANNUAL PAYROLL REPORTS. SANFORD HEALTH IS A 50% MEMBER OF BISMARCK CANCER CENTER. A BURLEIGH COUNTY MIDA BONDS 2007 SERIES A 456002204 NONEAVAIL 2007-05-22 2600000 ACQUISITION AND INSTALLATION OF MEDICAL EQUIPMENT AND BUILDING RENOVATIONS 0 0 0 B BURLEIGH COUNTY MIDA BONDS 2007 SERIES B 456002204 NONEAVAIL 2007-05-22 1515314 FOR THE CURRENT REFUNDING OF THE 2003 SERIES B BONDS 0 0 0 A 1723114 2600000 15000 2539104 45896 2008 0 0 1 1 B 740526 1515314 1515314 2007 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 FORM 990, PART V, LINE 2A. THE EMPLOYEES WHO WORK AT BISMARCK CANCER CENTER ARE EMPLOYEES FOR SANFORD HEALTH AND ARE REPORTED ON SANFORD HEALTH'S QUARTERLY AND ANNUAL PAYROLL REPORTS. FORM 990, PART VI, SECTION A, LINE 2 SUSAN SISK, FRANK KILZER AND DUWAYNE SCHLITTENHARD ARE KEY EMPLOYEES AT ST. ALEXIUS MEDICAL CENTER EVY OLSON, PAUL MORTH 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 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 11 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 MARKET STUDY TO COMPARE SIMILAR POSITIONS WAS CONDUCTED FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEE POSITIONS. A NOTE THAT THIS HAS BEEN DONE IS INCLUDED IN THE REGULAR BOARD MEETING MINUTES AT THAT TIME. SALARY INCREASES ARE BASED ON YEARLY EVALUATIONS AND ARE APPROVED BY THE BOARD. 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 VII, SECTION A FOR PAYROLL REPORTING PURPOSES, KEN DYKES AND CHERIE KRUGER ARE EMPLOYEES OF SANFORD HEALTH THEIR SALARIES ARE INCLUDED IN THE TOTAL IN PART VII, SECTION B, REIMBURSEMENT FOR SALARIES, ETC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: DISTRIBUTIONS TO SANFORD -1,165,000. DISTRIBUTIONS TO ST. ALEXIUS -1,165,000. FORM 990, PART XI, LINE 2D THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. A SEPARATE FINANCIAL STATEMENT IS COMPILED BY AN INDEPENDENT ACCOUNTANT. PART XI, LINE 2(C) THE BOARD OF DIRECTORS OVERSEES THE AUDIT. 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 0 0 0 0 0 0 BISMARCK CANCER CENTER FOUNDATION B 135044 CASH/VALUE OF SERVICES