Civic Intelligence

Thompson Cancer Survival Ctr Foundation

990 • Fiscal year 2023 • EIN 58-2130450

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 13, 2024

Organization Profilewww.tcscfoundation.org
1420 Centerpoint Blvd Bldg CKnoxville, TN 37932-1960

(865) 374-5329

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

33rd percentile

0.04x

Higher debt load relative to assets than 33% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Liabilities / Revenue

77th percentile

0.65x

Higher debt load relative to revenue than 77% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Net Margin

1st percentile

-481%

Higher net margin than 1% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Top Officer Pay

100th percentile

$3,115,259

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 645.2% of source-year revenue.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Asset Growth

5th percentile

-20%

Faster asset growth than 5% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2023

Revenue Growth

9th percentile

-38%

Faster revenue growth than 9% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Down

$7,480,688

Down $1,832,342 (-20%) from 2022

Net Assets

Down

$7,168,068

Down $1,838,202 (-20%) from 2022

Liabilities

Up

$312,620

Up $5,860 (+1.9%) from 2022

Revenue And Expenses
Liabilities / Revenue77th percentileNet Margin1st percentile

Revenue

Down

$482,872

Down $291,478 (-38%) from 2022

Expenses

Up

$2,806,958

Up $167,676 (+6.4%) from 2022

Net Income

Down

-$2,324,086

Down $459,154 (-25%) from 2022

Historical Trend

Balance Sheet Trend

Asset Growth5th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $20,438,824Liabilities 2010: $127,175Net Assets 2010: $20,311,6492010Assets 2011: $20,109,271Liabilities 2011: $742,592Net Assets 2011: $19,366,6792011Assets 2012: $19,839,298Liabilities 2012: $176,150Net Assets 2012: $19,663,1482012Assets 2013: $19,969,694Liabilities 2013: $191,966Net Assets 2013: $19,777,7282013Assets 2014: $19,216,077Liabilities 2014: $177,882Net Assets 2014: $19,038,1952014Assets 2015: $18,637,669Liabilities 2015: $187,745Net Assets 2015: $18,449,9242015Assets 2016: $17,940,529Liabilities 2016: $306,813Net Assets 2016: $17,633,7162016Assets 2017: $17,491,698Liabilities 2017: $229,138Net Assets 2017: $17,262,5602017Assets 2018: $15,053,207Liabilities 2018: $244,903Net Assets 2018: $14,808,3042018Assets 2019: $15,604,978Liabilities 2019: $241,828Net Assets 2019: $15,363,1502019Assets 2020: $14,824,334Liabilities 2020: $225,315Net Assets 2020: $14,599,0192020Assets 2021: $13,217,499Liabilities 2021: $242,338Net Assets 2021: $12,975,1612021Assets 2022: $9,313,030Liabilities 2022: $306,760Net Assets 2022: $9,006,2702022Assets 2023: $7,480,688Liabilities 2023: $312,620Net Assets 2023: $7,168,0682023Assets 2024: $4,956,125Liabilities 2024: $268,220Net Assets 2024: $4,687,9052024

Highlighted filing

2023

Assets$7,480,688
Liabilities$312,620
Net Assets$7,168,068
Open 2023 Filing

Operations Trend

Revenue Growth9th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0M$2.0M$0-$2.0M-$4.0MExpenses 2010: $3,591,9112010Revenue 2011: $1,551,533Expenses 2011: $1,678,572Net Income 2011: -$127,0392011Expenses 2012: $1,705,0792012Revenue 2013: $1,047,247Expenses 2013: $1,602,871Net Income 2013: -$555,6242013Revenue 2014: $1,195,665Expenses 2014: $1,428,399Net Income 2014: -$232,7342014Revenue 2015: $1,183,694Expenses 2015: $1,362,018Net Income 2015: -$178,3242015Revenue 2016: $629,419Expenses 2016: $1,670,473Net Income 2016: -$1,041,0542016Revenue 2017: $1,150,803Expenses 2017: $2,121,655Net Income 2017: -$970,8522017Revenue 2018: $1,090,439Expenses 2018: $2,175,228Net Income 2018: -$1,084,7892018Revenue 2019: $1,123,004Expenses 2019: $2,330,864Net Income 2019: -$1,207,8602019Revenue 2020: $828,960Expenses 2020: $2,081,338Net Income 2020: -$1,252,3782020Revenue 2021: $588,264Expenses 2021: $2,283,601Net Income 2021: -$1,695,3372021Revenue 2022: $774,350Expenses 2022: $2,639,282Net Income 2022: -$1,864,9322022Revenue 2023: $482,872Expenses 2023: $2,806,958Net Income 2023: -$2,324,0862023Revenue 2024: $840,184Expenses 2024: $3,080,671Net Income 2024: -$2,240,4872024

Highlighted filing

2023

Revenue$482,872
Expenses$2,806,958
Net Income-$2,324,086
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 13, 2024
Return Version
2023v5.1
Gross Receipts
$580,714
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
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$9,051,767$7,193,127▼ $1,858,640
Cash and Non-Interest-Bearing Accounts$125,368$138,918▲ $13,550
Land, Buildings, and Equipment, Net$133,895$133,662▼ $233
Pledges and Grants Receivable-$14,500-
Prepaid Expenses and Deferred Charges$2,000$481▼ $1,519
Total Assets$9,313,030$7,480,688▼ $1,832,342
Liabilities
Other Liabilities$297,050$310,094▲ $13,044
Accounts Payable and Accrued Expenses$9,710$2,526▼ $7,184
Total Liabilities$306,760$312,620▲ $5,860
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,952,858$6,249,606▼ $1,703,252
Net Assets With Donor Restrictions$1,053,412$918,462▼ $134,950
Total Net Assets Fund Balance$9,006,270$7,168,068▼ $1,838,202
Total Liabilities and Net Assets / Fund Balance$9,313,030$7,480,688▼ $1,832,342

Asset Categories

AssetBook ValueDepreciationBasis
Land$133,662-$133,662
Equipment$0$8,399$8,399

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
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
2019$1,077,259$469,042-$191,983$1,076,047
Compensation and Service Providers
Top Officer Pay100th percentile

Board Members and Trustees

NameTitle
Charlie JohnsonFmr Dir/Chair(through Dec 2023)
James D VanderSteegPresident & CEO
Benjamin J DevoreTCSC President & CAO
Kathy Meacham WebbFmr Dir/Vice-Chair(through Dec 2023)
Doug KennedyDirector
Erin Wakefield MahanDirector
Grant Clark MDDirector
Jeff RothDirector
Lisa MellonDirector
Sam MishuDirector
Terry TurnerDirector
Jack MaloneyDirector(through Dec 2023)
Rodney GruginFmr Dir/Secretary(through Dec 2023)
Lucas D Johnson SrFmr Pres/CAO; Fmr EVP-Phys Ent
R Scott WarwickFmr TCSC Pres/CAO(through July 2023)
Patrick J Birmingham IVVP of Philanthropy
Revenue and Support

Revenue Composition

Contributions and Grants
$362,708
Program Service Revenue
$0
Investment Income
$198,146
Other Revenue
$-77,982
All Other Contributions
$77,207
Change in Net Assets
$-2,324,086
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$2,606,633
Other Expenses$200,325
Total Fundraising Expense$168,159
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$2,606,633--$2,606,633
Fees for Services Management-$26,175$165,465$191,640
Conferences and Meetings-$1,434-$1,434
Travel-$260$1,109$1,369
Other Expenses-$463$287$463
All Other Expenses--$352$352
Depreciation Depletion-$233-$233
Advertising--$189$189
Fees for Services Other--$164$164
Total Functional Expenses$2,606,633$32,166$168,159$2,806,958
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Thompson Cancer Survival CtrKnoxville, TN501(c)(3)Operating grants (continued in Part IV)$2,601,250
Fort Sanders Regional Medical CtrKnoxville, TN501(c)(3)Assist Ostomy Clinic Patients.$5,383
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$97,842
Fundraising Gross Income$19,860
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Game On Against Cancer$121,849$13,620$36,104$-22,484
Race Against Cancer$183,512$6,240$26,453$-20,213
Total Events$305,361$19,860$97,842$-77,982
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates, Net$270,011
Annuities Payable$40,083
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
2024-11-13

Organization Details

Principal Officer
Charlie Johnson
Formed
1994
Legal Domicile
Tn
Voting Board Members
8
Independent Board Members
7
Employees
0
Volunteers
61
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

“Change in Value of Trusts -2,164.”

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 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, 2023 and 2022. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2023 and 2022, tax returns for 2020 through 2023 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, 2023 and 2022.”

Raw XML AppendixShowing 400 of 1,008 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm0Charlie Johnson
IRS990/Form990PartVIISectionAGrp/PersonNm1Rodney Grugin
IRS990/Form990PartVIISectionAGrp/PersonNm2Kathy Meacham Webb
IRS990/Form990PartVIISectionAGrp/PersonNm3Grant Clark MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Doug Kennedy
IRS990/Form990PartVIISectionAGrp/PersonNm5Jack Maloney
IRS990/Form990PartVIISectionAGrp/PersonNm6Lisa Mellon
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IRS990/Form990PartVIISectionAGrp/PersonNm12Patrick J Birmingham IV
IRS990/Form990PartVIISectionAGrp/PersonNm13R Scott Warwick
IRS990/Form990PartVIISectionAGrp/PersonNm14Benjamin J Devore
IRS990/Form990PartVIISectionAGrp/PersonNm15Lucas D Johnson Sr
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Fmr Dir/Chair(through Dec 2023)
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IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director(through Dec 2023)
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IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director
IRS990/Form990PartVIISectionAGrp/TitleTxt11President & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP of Philanthropy
IRS990/Form990PartVIISectionAGrp/TitleTxt13Fmr TCSC Pres/CAO(through July 2023)
IRS990/Form990PartVIISectionAGrp/TitleTxt14TCSC President & CAO
IRS990/Form990PartVIISectionAGrp/TitleTxt15Fmr Pres/CAO; Fmr EVP-Phys Ent
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IRS990/MissionDesc0Thompson 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/Desc0Social 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 2023, Social Services supported 2,585 new patient referrals and 7,064 follow-up patients. Additionally, there were 3,641 new patients referred for nutritional counseling and education in 2023 with 5,725 follow-up assessments and 4,934 educational encounters to support those patients. The Social Services Department also offers genetic counseling services including breast cancer and hereditary cancer risk assessments. In 2023, the Genetics Clinic provided services for 930 new patients who were in need of genetic counseling. Of those patients, 760 were scheduled, 576 completed genetic counseling, and 457 elected to pursue 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. All patients received education, counseling and guidelines based on recommendations informed by their personal health history, family health history, and genetic testing results.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0715980
IRS990/ProgSrvcAccomActy2Grp/GrantAmt0715980
IRS990/ProgSrvcAccomActy3Grp/Desc0Clinical 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 2,713 patients in clinical trials. The TCSC Clinical Trials Department currently has 12 active treatment patients and 96 patients in follow-up studies. In 2023, TCSC Clinical Trials Department opened 16 new oncology clinical trials. 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 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. In October 2023, the department hosted its second annual Clinical Trials Symposium featuring four excellent speakers addressing advances in breast cancer trials.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0241337
IRS990/ProgSrvcAccomActy3Grp/GrantAmt0241337
IRS990/ProgSrvcAccomActyOtherGrp/Desc0In addition to the program services detailed above, funding was also provided in 2023 for patient assistance, cancer outreach services, and colon cancer/ostomy education:The Thompson Cares Fund, supported by employee and community donations, provides emergency assistance for cancer patients in times of crisis. In 2023, 1,196 patients received assistance with such needs as housing, transportation, utilities, food/nutritional supplements, medical supplies and medications.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. In 2022, the foundation began funding a new patient education program focused on colon cancer and ostomy care. In 2023, 27 patients benefited from the classes taught both in advance of and 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/ExplanationTxt0Both 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part IV, Section C, Line 1:
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Thompson Cancer Survival Center
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1Fort Sanders Regional Medical Center
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Document Assets

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Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$7,480,688
Liabilities
$312,620
Net assets
$7,168,068
Revenue
$482,872
Expenses
$2,806,958
Net income
-$2,324,086
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4.96$0.27$4.69$0.84$3.08$2.24
2023Detailed filing. Detailed filing data is available for this year.$7.48$0.31$7.17$0.48$2.81$2.32
2022Detailed filing. Detailed filing data is available for this year.$9.31$0.31$9.01$0.77$2.64$1.86
2021Detailed filing. Detailed filing data is available for this year.$13.2$0.24$13.0$0.59$2.28$1.70
2020Detailed filing. Detailed filing data is available for this year.$14.8$0.23$14.6$0.83$2.08$1.25
2019Detailed filing. Detailed filing data is available for this year.$15.6$0.24$15.4$1.12$2.33$1.21
2018Detailed filing. Detailed filing data is available for this year.$15.1$0.24$14.8$1.09$2.18$1.08
2017Detailed filing. Detailed filing data is available for this year.$17.5$0.23$17.3$1.15$2.12$0.97
2016Detailed filing. Detailed filing data is available for this year.$17.9$0.31$17.6$0.63$1.67$1.04
2015Detailed filing. Detailed filing data is available for this year.$18.6$0.19$18.4$1.18$1.36$0.18
2014Detailed filing. Detailed filing data is available for this year.$19.2$0.18$19.0$1.20$1.43$0.23
2013Detailed filing. Detailed filing data is available for this year.$20.0$0.19$19.8$1.05$1.60$0.56
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.8$0.18$19.7$1.71
2011Summary only. Only limited summary data is available for this year.$20.1$0.74$19.4$1.55$1.68$0.13
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.4$0.13$20.3$3.59
Peer Organizations

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