Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
Thompson Cancer Survival Ctr Foundation
EIN 58-2130450 • 501(c)3 • Knoxville, TN
Profile
Thompson Cancer Survival Center Foundation provides consistent charitable support to Thompson Cancer Survival Center to ensure accessible cancer treatment programs for all people throughout the region regardless of their ability to pay.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.05x
Liabilities / Revenue
74th percentile
Higher debt load relative to revenue than 74% of similar nonprofits.
Net Margin
1st percentile
Higher net margin than 1% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
5th percentile
Faster asset growth than 5% of similar nonprofits.
Revenue Growth
90th percentile
Faster revenue growth than 90% of similar nonprofits.
Balance Sheet
Assets
Down$4,956,125
Down $2,524,563 (-34%) from 2023
Liabilities
Down$268,220
Down $44,400 (-14%) from 2023
Net Assets
Down$4,687,905
Down $2,480,163 (-35%) from 2023
Revenue
Up$840,184
Up $357,312 (+74%) from 2023
Expenses
Up$3,080,671
Up $273,713 (+9.8%) from 2023
Net Income
Up-$2,240,487
Up $83,599 (+3.6%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $4,956,125
- Liabilities
- $268,220
- Net assets
- $4,687,905
- Revenue
- $840,184
- Expenses
- $3,080,671
- Net income
- -$2,240,487
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Nov 3, 2025
- Return Version
- 2024v5.2
- Gross Receipts
- $935,842
Mission and Program Overview
Mission
Thompson Cancer Survival Center Foundation provides consistent charitable support to Thompson Cancer Survival Center to ensure accessible cancer treatment programs for all people throughout the region regardless of their ability to pay.
To support Thompson Cancer Survival Center's programs and services through charitable gifts.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $7,193,127 | $4,483,942 | ▼ $2,709,185 |
| Pledges and Grants Receivable | $14,500 | $225,000 | ▲ $210,500 |
| Land, Buildings, and Equipment, Net | $133,662 | $133,662 | → $0 |
| Cash and Non-Interest-Bearing Accounts | $138,918 | $113,326 | ▼ $25,592 |
| Prepaid Expenses and Deferred Charges | $481 | $195 | ▼ $286 |
| Total Assets | $7,480,688 | $4,956,125 | ▼ $2,524,563 |
| Liabilities | |||
| Other Liabilities | $310,094 | $268,220 | ▼ $41,874 |
| Accounts Payable and Accrued Expenses | $2,526 | $0 | ▼ $2,526 |
| Total Liabilities | $312,620 | $268,220 | ▼ $44,400 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $6,249,606 | $3,521,187 | ▼ $2,728,419 |
| Net Assets With Donor Restrictions | $918,462 | $1,166,718 | ▲ $248,256 |
| Total Net Assets Fund Balance | $7,168,068 | $4,687,905 | ▼ $2,480,163 |
| Total Liabilities and Net Assets / Fund Balance | $7,480,688 | $4,956,125 | ▼ $2,524,563 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Land | $133,662 | - | $133,662 |
| Equipment | $0 | $8,399 | $8,399 |
Endowment Activity
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $918,462 | $360,606 | ▲ $256 | - | $1,166,718 |
| 2023 | $1,053,411 | $19,976 | - | $-1,302 | $918,462 |
| 2022 | $1,201,407 | $48,115 | - | - | $1,053,411 |
| 2021 | $1,170,289 | $388,983 | - | $171,213 | $1,201,407 |
| 2020 | $1,076,047 | $370,631 | - | $95,285 | $1,170,289 |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Erin Wakefield Mahan | Director/Chair |
| James D VanderSteeg | President & CEO |
| Benjamin J Devore | TCSC President & CAO |
| Doug Kennedy | Director |
| Grant Clark MD | Director |
| Jeff Roth | Director |
| Mitch Dickson | Director |
| Robert Baird | Director |
| Sam Mishu | Director |
| Lisa Mellon | Director(through Dec 2024) |
| Terry Turner | Director/Secretary |
| Patrick J Birmingham IV | Fmr VP Philanthr. (through Feb 2024) |
| William R Bryant Jr | VP and Chief Philanthrophy Officer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $732,460
- Program Service Revenue
- $0
- Investment Income
- $183,862
- Other Revenue
- $-76,138
- All Other Contributions
- $430,660
- Change in Net Assets
- $-2,240,487
Noncash Contribution Practices
- Property subject to holding requirements
- No
- Reviewed unusual noncash gifts
- No
- Third parties used for noncash contributions
- No
Noncash Contributions
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Other Non Cash Contri Table | 92 | $23,802 | Fair Market Value (FMV) |
| Food Inventory | 7 | $2,330 | Fair Market Value (FMV) |
| Total Noncash Contributions | 99 | $26,132 | - |
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $2,875,862 |
| Other Expenses | $204,809 |
| Total Fundraising Expense | $173,329 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $2,875,862 | - | - | $2,875,862 |
| Fees for Services Management | - | $27,093 | $170,965 | $198,058 |
| Travel | - | $320 | $1,364 | $1,684 |
| Conferences and Meetings | - | $1,127 | - | $1,127 |
| Other Expenses | - | $463 | $262 | $262 |
| Fees for Services Other | - | - | $217 | $217 |
| Advertising | - | - | $164 | $164 |
| All Other Expenses | - | $90 | $60 | $150 |
| Total Functional Expenses | $2,875,862 | $31,480 | $173,329 | $3,080,671 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Thompson Cancer Survival Ctr | Knoxville, TN | 501(c)(3) | Operating grants (continued in Part IV) | $2,870,934 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $95,658 |
| Fundraising Gross Income | $19,520 |
| Professional Fundraising Fees | $0 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Game On Against Cancer | $115,757 | $11,840 | $28,080 | $-16,240 |
| Race Against Cancer | $205,563 | $7,680 | $30,082 | $-22,402 |
| Total Events | $321,320 | $19,520 | $95,658 | $-76,138 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Due to Affiliates, Net | $231,109 |
| Annuities Payable | $37,111 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- 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
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, line 6
“Thompson Cancer Survival Center Foundation has one member, Covenant Health, a Tennessee nonprofit corporation. Covenant Health is the sole member of Thompson Cancer Survival Center, which is the supported organization of the Foundation.”
Form 990, Part VI, Section A, line 7A
“The members of the board of directors, other than the ex officio members, shall be elected by Covenant Health from a slate of nominees nominated by the board of directors of the Foundation and recommended to the Member for election. The sole member, Covenant Health, has the exclusive right to vote on the election, appointment of, or removal of directors.”
Form 990, Part VI, Section A, line 7B
“The sole member, Covenant Health, must approve all appointments to the board of directors, and any amendments to the bylaws. Subject in all events to the rights of the Member, the policymaking powers of the Corporation are vested in and exercised by the Corporation's board of directors.”
Form 990, Part VI, Section B, line 11B
“A draft Form 990 was presented to and approved by the board of directors. Management reviews and approves the final version of Form 990 prior to filing.”
Form 990, Part VI, Section B, line 12C
“Board members, officers and employees are required to adhere to rules and policies regarding conflicts of interest. The conflict of interest policy is presented before the full board of directors for review on an annual basis. It is part of the orientation process for new Thompson Cancer Survival Center Foundation board members.”
Form 990, Part VI, Section B, line 15
“Overall compensation policies for Covenant Health (Parent Company) and affiliates are set by the Covenant Health Chief Executive Officer (CEO) in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. Individuals reported as key employees for the Foundation are compensated by Covenant Health, and a detailed description of the compensation process is included on Covenant Health's Form 990.”
Form 990, Part VI, Section C, line 19
“Thompson Cancer Survival Center Foundation makes its governing documents and financial statements available to the public upon request. The organization's conflict of interest policy is not made publicly available.”
Filing and Contact Details
Filer
- Filer Name
- Thompson Cancer Survival Ctr Foundation
- EIN
- 58-2130450
- Phone
- 8653745329
- Address
- 1420 Centerpoint Blvd Bldg C, Knoxville, TN 37932-1960
Signing Officer
- Name
- Joseph C Dolan
- Title
- Evp/CFO
- Phone
- 8653745329
- Signed
- 2025-11-03
Organization Details
- Principal Officer
- Erin Wakefield Mahan
- Formed
- 1994
- Legal Domicile
- Tn
- Voting Board Members
- 9
- Independent Board Members
- 8
- Employees
- 0
- Volunteers
- 65
Supplemental Narrative
Additional Explanations
Form 990, Part XI, line 9:
“Change in Value of Trusts -50,091.”
Financial Statement Notes
Part V, Line 4:
“Thompson Cancer Survival Center Foundation maintains eight permanent endowment funds to support the mission of Thompson Cancer Survival Center. The principle of these funds will be kept and invested in perpetuity. The revenue generated by these endowments provides for advancements in cancer care services and nurse navigation programs. Part V, line 1c: The funds currently in the endowment funds are all temporary funds that have not been donor or board requested to earn interest. These funds are pooled with other Foundation funds and any amounts earned are considered unrestricted revenue.”
Part X, Line 2:
“Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Thompson Cancer Survival Center, the supported organization of Thompson Cancer Survival Center Foundation: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2024 and 2023. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2024 and 2023, tax returns for 2021 through 2024 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2024 and 2023.”
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| IRS990/Desc | 0 | Multidisciplinary Operating Grant:The Foundation provides grant support for the operations of the Multidisciplinary Treatment and Nurse Navigation Program of the Thompson Cancer Survival Center ("TCSC"). Multidisciplinary Treatment is a process of individual patient consultation with members of the patient's oncology care team, where treatment options are discussed based on that individual's circumstances. This approach gives the physician the opportunity to relate one-on-one with the oncology patient and explain treatment choices in layperson's language. Patients needing care coordination come from various Covenant Health organizations and other facilities. The program currently consists of 14 nurses, one department assistant and one conference and patient housing coordinator to support oncology patients throughout the Covenant Health system.Nurse navigators and a department assistant currently organize, oversee, summarize, and provide follow-up for four to five multidisciplinary cancer conferences per week. In 2024, 1,165 patients were presented at multidisciplinary conferences, with 140 of those patients seen in our multidisciplinary clinics where a nurse navigator attends with each patient to take notes, educate, offer support to patients and families, and become their liaison between all physicians and services. TCSC's nurse navigators assist oncology patients according to their needs and help them overcome multiple barriers to healthcare. Common barriers include financial, educational, transportation, logistical, linguistic, cultural, and emotional factors, as well as the complicated health care system in general. Navigators guide patients to sources of financial support, help complete paperwork, educate patients on diagnoses and medical procedures, arrange and coordinate appointments with multiple providers, help with transportation, assist with housing, communicate with providers about unique patient needs, ensure medical records arrive at scheduled appointments, direct patients to support groups or counseling services, and attend patient appointments for support. There were 27,121 oncology patient education encounters in 2024, and 3,371 patients were assisted by navigators to address complicated issues. For those patients that have curative treatment options, 126 Survivorship Care Plans were completed by nurse navigators and discussed with patients in 2024. |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VP and Chief Philanthrophy Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Fmr VP Philanthr. (through Feb 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TCSC President & CAO |
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| IRS990/MissionDesc | 0 | Thompson Cancer Survival Center Foundation provides consistent charitable support to Thompson Cancer Survival Center to ensure accessible cancer treatment programs for all people throughout the region regardless of their ability to pay. |
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| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | Social Services Operating Grant:The Foundation provides grant support for the operations of the Social Services Department of TCSC. The Social Services Department receives referrals from Covenant Health facilities when oncology patients are identified that could benefit from the services provided by this department. In 2024, Social Services supported 2,118 new patient referrals and 6,254 follow-up patients. Additionally, there were 2,763 new patients referred for nutritional counseling and education in 2024 with 4,019 follow-up assessments and 3,254 educational encounters to support those patients. The Social Services Department also offers genetic counseling services including breast cancer and hereditary cancer risk assessments. In 2024, the Genetics Clinic provided services for 1,098 new patients who were in need of genetic counseling. Of those patients, 748 were scheduled, 522 completed genetic counseling, and 412 elected to pursue genetic testing. All patients were able to receive full personal and family history reviews, allowing for a thorough risk assessment for the potential of a hereditary cancer syndrome or other familial risk factors possibly not accounted for through genetic testing. The patients received education and counseling regarding their pursuit of genetic testing. When appropriate, patients received information about support resources for individuals in similar circumstances. Finally, all patients received recommendations for risk-reduction strategies personalized for their individual health history, family history, and genetic test results when available. |
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| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | Clinical Trials Operating Grant:The Foundation provides a grant to TCSC for the operation of its Clinical Trials program. Since the opening of TCSC in 1988, the Clinical Trials Department has enrolled 2,772 patients in clinical trials. In 2024, the TCSC Clinical Trials Department had 7 active treatment patients and 94 patients in follow-up studies. Due to the excellent research reputation of the program's medical director and research team, TCSC continues to have new clinical trial opportunities offered to its research team on a weekly basis. To help with screening efforts for potential clinical trial participants, Research Nurse Coordinators are assigned to specific physician schedules for screening and to specific locations for coverage, including Thompson Oncology Group's Oak Ridge, Sevierville, West Knoxville, Downtown Knoxville, and Lenoir City. Opening new studies increases referrals locally and regionally and gives current patients the ability to be treated with state-of-the-art care in their own community. Involvement in prevention, treatment, and data and specimen collection trials offers an improved means of health strategies for individuals at risk for certain cancers, as well as access to proven standard cancer treatments and new, developing cutting edge therapies for those diagnosed with cancer. |
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| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 0 | In addition to the program services detailed above, funding was also provided in 2024 for patient assistance, cancer outreach services, and colon cancer/ostomy education:Patient Assistance:The Thompson Cares Fund, supported by employee and community donations, provides emergency assistance for cancer patients in times of crisis. In 2024, 1,210 patients received assistance with such needs as housing, transportation, utilities, food/nutritional supplements, medical supplies and medications.Cancer Outreach:Thompson Cancer Survival Center Foundation supports the work of TCSC's cancer outreach department that provides free and reduced-cost cancer screenings in the East Tennessee area. In addition to outreach efforts at community health fairs/free clinics, the department provides no-cost mammograms and smoking/vaping cessation education. Early detection and prevention efforts are the first step to help patients be diagnosed quickly or, if possible, never have to battle the disease at all. Colon Cancer/Ostomy Education:In 2022, the foundation began funding a new patient education program focused on colon cancer and ostomy care. Patients benefit from the classes taught both in advance of the following colostomy surgery to prepare patients and their families for successfully living with a colostomy. The classes are taught by a registered nurse and there is no charge to patients. |
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| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | The Thompson Cancer Survival Center Foundation (the Supporting Organization), the Thompson Cancer Survival Center (the Supported Organization), and Fort Sanders Regional Medical Center (the Supported Organization) are all controlled by Covenant Health, who is the sole member of each organization. |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | Thompson Cancer Survival Center Foundation maintains eight permanent endowment funds to support the mission of Thompson Cancer Survival Center. The principle of these funds will be kept and invested in perpetuity. The revenue generated by these endowments provides for advancements in cancer care services and nurse navigation programs. Part V, line 1c: The funds currently in the endowment funds are all temporary funds that have not been donor or board requested to earn interest. These funds are pooled with other Foundation funds and any amounts earned are considered unrestricted revenue. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Thompson Cancer Survival Center, the supported organization of Thompson Cancer Survival Center Foundation: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2024 and 2023. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2024 and 2023, tax returns for 2021 through 2024 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2024 and 2023. |
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| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt | 0 | 197883 |
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