Liabilities / Assets
16th percentile
Higher debt load relative to assets than 16% of similar nonprofits.
Thompson Cancer Survival Ctr Foundation
990 • Fiscal year 2018 • EIN 58-2130450
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.02x
Liabilities / Revenue
49th percentile
Higher debt load relative to revenue than 49% of similar nonprofits.
Net Margin
3rd percentile
Higher net margin than 3% of similar nonprofits.
Top Officer Pay
99th percentile
Higher top officer pay than 99% of similar nonprofits.
Top officer pay equals 162.4% of source-year revenue.
Asset Growth
6th percentile
Faster asset growth than 6% of similar nonprofits.
Revenue Growth
24th percentile
Faster revenue growth than 24% of similar nonprofits.
Balance Sheet
Assets
Down$15,053,207
Down $2,438,491 (-14%) from 2017
Net Assets
Down$14,808,304
Down $2,454,256 (-14%) from 2017
Liabilities
Up$244,903
Up $15,765 (+6.9%) from 2017
Revenue And Expenses
Revenue
Down$1,090,439
Down $60,364 (-5.2%) from 2017
Expenses
Up$2,175,228
Up $53,573 (+2.5%) from 2017
Net Income
Down-$1,084,789
Down $113,937 (-12%) from 2017
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2018 to Dec 31, 2018
- Signed
- Oct 3, 2019
- Return Version
- 2018v3.1
- Gross Receipts
- $1,248,213
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 | $17,108,512 | $14,695,106 | ▼ $2,413,406 |
| Cash and Non-Interest-Bearing Accounts | $171,794 | $172,005 | ▲ $211 |
| Land, Buildings, and Equipment, Net | $133,746 | $136,695 | ▲ $2,949 |
| Pledges and Grants Receivable | $76,880 | $49,000 | ▼ $27,880 |
| Prepaid Expenses and Deferred Charges | $766 | $401 | ▼ $365 |
| Total Assets | $17,491,698 | $15,053,207 | ▼ $2,438,491 |
| Liabilities | |||
| Other Liabilities | $225,664 | $231,303 | ▲ $5,639 |
| Accounts Payable and Accrued Expenses | $3,474 | $8,600 | ▲ $5,126 |
| Deferred Revenue | - | $5,000 | - |
| Total Liabilities | $229,138 | $244,903 | ▲ $15,765 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $16,177,084 | $13,731,045 | ▼ $2,446,039 |
| Temporarily Rstr Net Assets | $1,085,476 | $1,077,259 | ▼ $8,217 |
| Total Net Assets Fund Balance | $17,262,560 | $14,808,304 | ▼ $2,454,256 |
| Total Liabilities and Net Assets / Fund Balance | $17,491,698 | $15,053,207 | ▼ $2,438,491 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Land | $133,662 | - | $133,662 |
| Equipment | $3,033 | $5,366 | $8,399 |
Endowment Activity
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2018 | $1,085,476 | $469,714 | - | $207,215 | $1,077,259 |
| 2017 | $1,271,877 | $604,642 | - | $318,294 | $1,085,476 |
| 2016 | $1,566,641 | $475,969 | - | $277,583 | $1,271,877 |
| 2015 | $1,834,554 | $558,931 | - | $272,912 | $1,566,641 |
| 2014 | $1,945,234 | $535,042 | - | $247,182 | $1,834,554 |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Charlie Johnson | Director/Chair |
| James D VanderSteeg | President & CEO |
| Lucas D Johnson Sr | TCSC President & CAO |
| Kathy Meacham Webb | Director/Vice-Chair |
| Erin Wakefield | Director |
| Grant Clark MD | Director |
| Jack Maloney | Director |
| Kurt Weigel | Director |
| Lisa Mellon | Director |
| Sam Mishu | Director |
| Thomas Lemond MD | Director |
| Rodney Grugin | Director/Secretary |
| Troy Kimsey MD | Director/TCSC Medical Director |
| Anthony L Spezia | CEO - Emeritus |
| Patrick J Birmingham IV | VP of Philanthropy |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $345,015
- Program Service Revenue
- $0
- Investment Income
- $842,077
- Other Revenue
- $-96,653
- All Other Contributions
- $108,120
- Change in Net Assets
- $-1,084,789
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 |
|---|---|---|---|
| Clothing and Household Goods | - | $25,286 | Fair market value |
| Other Non Cash Contri Table | 54 | $22,762 | Fair market value |
| Food Inventory | 16 | $22,115 | Fair market value |
| Other Non Cash Contri Table | 1 | $12,000 | Fair market value |
| Collectibles | 22 | $3,863 | Fair market value |
| Works of Art | 5 | $1,715 | Fair market value |
| Books and Publications | - | $265 | Fair market value |
| Total Noncash Contributions | 98 | $88,006 | - |
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $2,013,128 |
| Other Expenses | $162,100 |
| Total Fundraising Expense | $132,723 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $2,010,252 | - | - | $2,010,252 |
| Fees for Services Management | - | $21,638 | $123,227 | $144,865 |
| Fees for Services Other | - | $3,250 | $8,049 | $11,299 |
| Grants to Domestic Individuals | $2,876 | - | - | $2,876 |
| Occupancy | - | $1,804 | - | $1,804 |
| Travel | - | $158 | $676 | $834 |
| Conferences and Meetings | - | $715 | - | $715 |
| Depreciation Depletion | - | $550 | - | $550 |
| Other Expenses | - | $268 | $324 | $324 |
| Total Functional Expenses | $2,013,128 | $29,377 | $132,723 | $2,175,228 |
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) | $1,963,692 |
| Fort Sanders Regional Medical Center | Knoxville, TN | 501(c)(3) | Medical equipment purchase for the Laser Center | $27,025 |
| Cancer Support Community of East Tennessee | Knoxville, TN | 501(c)(3) | General support (continued in Part IV) | $15,000 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $157,774 |
| Fundraising Gross Income | $61,121 |
| Professional Fundraising Fees | $0 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Race Against Cancer | $197,507 | $32,927 | $45,346 | $-12,419 |
| Game On Against Cancer | $100,509 | $28,194 | $52,875 | $-24,681 |
| Total Events | $298,016 | $61,121 | $157,774 | $-96,653 |
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 | $181,223 |
| Annuities Payable | $50,080 |
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 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 Compensation Committee of the Covenant Health board of directors, ("the Committee"), which is comprised of independent members of the board. The Committee is guided in its decision-making process by an independent, nationally-recognized executive compensation consultant experienced in advising nonprofit hospital boards. 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
- 8653743140
- Address
- 1420 Centerpoint Blvd Bldg C, Knoxville, TN 37932-1960
Signing Officer
- Name
- John T Geppi
- Title
- Evp/CFO
- Phone
- 8653743140
- Signed
- 2019-10-03
Organization Details
- Principal Officer
- Charlie Johnson
- Formed
- 1994
- Legal Domicile
- Tn
- Voting Board Members
- 11
- Independent Board Members
- 10
- Employees
- 0
- Volunteers
- 326
Supplemental Narrative
Additional Explanations
Form 990, Part XI, line 9:
“Change in Value of Trusts -2,701.”
Financial Statement Notes
Part V, Line 4:
“Endowment funds are intended to be used for the following purposes: - Radiation oncology staff education and training, - Radiation oncology research, - Laser center operating funding, - Cancer outreach services, and - Patient assistance. 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, 2018. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2018, tax returns for 2015 through 2018 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, 2018.”
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| IRS990/Desc | 0 | Multidisciplinary Operating Grant: Thompson Cancer Survival Center Foundation provides grant support for the operations of the Multidisciplinary Treatment Department of the Thompson Cancer Survival Center. Multidisciplinary Treatment facilitates specialty physicians discussing treatment options based on the individuality of one's circumstances. A Multidisciplinary Nurse Navigator schedules a private consultation for each patient with the members of the specialty team. This approach affords the opportunity for the physician to relate one-on-one with the oncology patient and explain treatment choices in layman's terms. Patients in need of this support come from various Covenant Health facilities, as well as outside facilities. Nurse navigators and a department assistant currently organize, oversee, summarize, and provide follow-up for 4 to 5 multidisciplinary cancer conferences per week. A new monthly liver conference was recently created in partnership with the Vanderbilt multidisciplinary team. In 2018, 799 patients were presented at multidisciplinary conferences, with 145 of those patients being seen in our multidisciplinary clinics where a nurse navigator is in attendance with each patient to take notes, educate, offer support to patients and families, and become their liaison between all physicians and services.The 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. Our 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. Working with patients having all solid tumor cancer types, they work diligently to meet the needs of our patients and families. There were 7,368 oncology patient education encounters in 2018, and 485 patients were navigated with complicated issues. For those patients being followed by navigators that have curative treatment, over 200 Survivorship Care Plans were completed by Nurse Navigators and discussed with patients in 2018.Nurse navigators also led the Low Dose CT Lung Screening Program for Fort Sanders Regional and Fort Sanders West until a Registered Medical Assistant was recently added to the program. There were 512 total patients scheduled for screenings in 2018. All Low Dose CT patients are followed by the multidisciplinary treatment department. |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director/TCSC Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TCSC President & CAO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CEO - Emeritus |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP of Philanthropy |
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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 the Thompson Cancer Survival Center. 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 2018, Social Services supported 1,368 new patient referrals and 4,001 follow-up patients. Additionally, there were 807 new patients referred for nutritional counseling and education and 3,040 follow-up patients were also supported. Healing Touch is another service provided by the Social Services Department. Healing Touch offers a space for patients to relax and escape from the stress of cancer treatment. Patients are seen for pain management and anxiety and find the treatment relaxing and helpful. The Social Services Department also offers Genetic Counseling services including breast cancer and hereditary cancer risk assessments. In 2018, the Genetics Clinic provided services for 360 new patients who were in need of counseling, including 143 who pursued genetic testing. Whether patients tested positive or negative for a hereditary cancer syndrome, decided not to pursue testing, or were not appropriate candidates for testing, they and their families were able to make informed decisions regarding their medical management based on the genetic counseling they received. |
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| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | Clinical Trials Operating Grant:The Foundation provides a grant to the Thompson Cancer Survival Center (TCSC) for the operation of its Clinical Trials program. Since the opening of TCSC in 1988, the Clinical Trials Department has enrolled 2,377 patients in clinical trials. The TCSC Clinical Trials Department currently has 14 active treatment patients and 14 patients actively enrolled in registry, data collection and specimen research studies, and 139 patients in follow-up. In 2018, TCSC Clinical Trials Department enrolled 14 patients to oncology clinical trials. To help with screening efforts, 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 locations. 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 2018 for cancer education, prevention and early detection programming; direct patient assistance; esophageal cancer treatment equipment; and community-based patient and family support programs.Thompson Cancer Survival Center Foundation supports the work of Thompson's cancer outreach department which provides hundreds of free and reduced-cost cancer screenings annually in the East Tennessee area. Additionally, more than 1,000 people across 24 East Tennessee counties received skin cancer prevention and sun safety education, and hundreds of men and women participated in smoking cessation programs. Early detection and prevention efforts are the first step to help patients get diagnosed quickly or, if possible, never have to battle the disease at all. The Foundation's Thompson Cares program assisted more than 730 cancer patients in 2018 by helping with life's necessities such as gas and electric bills, medications, prostheses, housing, and more. Also, approximately 260 newly diagnosed patients were are provided with a comfort care basket filled with products to help them through the many and varying side effects of chemotherapy. The baskets include items such as Biotene products, lip balm, lemon hard candies, hand sanitizer, antibacterial hand soaps and wipes, a soft toothbrush, a turban, footies, books of encouragement and a journal to record their thoughts and experiences. In 2018, the Foundation supported the work of the Laser Center (now a department of Fort Sanders Regional Medical Center) with the distribution of donations restricted for the Laser Center's use to fund a new therapeutic gastroscope and a Digitrapper pH/Impedance monitoring system. Both pieces of equipment are used in the screening and treatment of esophageal cancer and precancerous conditions. |
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| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | Thompson Cancer Survival Center Foundation provided gift cards and port pillows for patients to Thompson Cancer Survival Center. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | TCSC Foundation made grants to Fort Sanders Regional Medical Center in 2018. The hospital is controlled by Covenant Health, who also controls TCSC Foundation and its supported organization, Thompson Cancer Survival Center. The hospital has assumed responsibility for the radiation oncology and PET imaging services formerly performed by Thompson Cancer Survival Center at its West and Downtown locations. TCSC Foundation also made a grant to Cancer Support Community of East Tennessee (CSC) in 2018. CSC annually facilitates a number of support groups and educational programs that benefit the patients of Thompson Cancer Survival Center and their families. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 2 | Both Thompson Cancer Survival Center Foundation (the Supporting Organization) and the Thompson Cancer Survival Center (the Supported Organization) are controlled by Covenant Health, who is the sole member of each organization. |
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Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $15,053,207
- Liabilities
- $244,903
- Net assets
- $14,808,304
- Revenue
- $1,090,439
- Expenses
- $2,175,228
- Net income
- -$1,084,789