2025-11-03T08:57:11-06:00 2024-12-31 990 2024-01-01 582130450 Thompson Cancer Survival Ctr Foundation THOM 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 JOSEPH C DOLAN EVP/CFO 8653745329 2025-11-03 0 2024 2025-03-06 01:10:19Z Erin Wakefield Mahan 1915 White Ave Knoxville TN 37916 935842 0 X covenanthealth.com/thompson-cancer-survival-cente X 1994 TN To support Thompson Cancer Survival Center's programs and services through charitable gifts. 9 8 0 65 0 0 362708 732460 0 0 198146 183862 -77982 -76138 482872 840184 2606633 2875862 0 0 0 0 0 0 173329 200325 204809 2806958 3080671 -2324086 -2240487 7480688 4956125 312620 268220 7168068 4687905 X 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. 0 0 1554660 1554660 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. 757056 757056 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. 385947 385947 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. 178199 178199 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. 178199 178199 2875862 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 2 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 TN X Andrew McCreary 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Erin Wakefield Mahan Director/Chair 1.00 0.00 X X 0 0 0 Terry Turner Director/Secretary 1.00 0.00 X X 0 0 0 Robert Baird Director 1.00 0.00 X 0 0 0 Grant Clark MD Director 1.00 0.00 X 0 0 0 Mitch Dickson Director 1.00 0.00 X 0 0 0 Doug Kennedy Director 1.00 0.00 X 0 0 0 Lisa Mellon Director(through Dec 2024) 1.00 0.00 X 0 0 0 Sam Mishu Director 1.00 0.00 X 0 0 0 Jeff Roth Director 1.00 0.00 X 0 0 0 James D VanderSteeg President & CEO 1.00 50.00 X 0 2880556 362274 William R Bryant Jr VP and Chief Philanthrophy Officer 13.00 37.00 X 0 297119 24525 Patrick J Birmingham IV Fmr VP Philanthr. (through Feb 2024) 8.00 42.00 X 0 265432 37651 Benjamin J Devore TCSC President & CAO 1.00 50.00 X 0 268528 40292 0 3711635 464742 0 0 1 0 0 301800 430660 26132 732460 183862 183862 19520 301800 95658 -76138 -76138 840184 0 0 107724 2875862 2875862 198058 27093 170965 217 217 164 164 1684 320 1364 1127 1127 Bank Fees 2387 2387 Dues and Licenses 463 463 Miscellaneous 297 297 Meals & Entertainment 262 262 150 90 60 3080671 2875862 31480 173329 138918 113326 14500 225000 481 195 142061 8399 133662 133662 7193127 4483942 7480688 4956125 2526 0 310094 268220 312620 268220 X 6249606 3521187 918462 1166718 7168068 4687905 7480688 4956125 X -2240487 -189585 -50091 X 0 1 X 1 0 X X 2 Thompson Cancer Survival Center 621250943 3 1 2870934 0 Fort Sanders Regional Medical Center 620528340 3 1 4928 0 2 2875862 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Part IV, Section C, Line 1: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 918462 360606 256 -112606 1166718 1053411 19976 -153625 -1302 918462 1201407 48115 196111 1053411 1170289 388983 186652 171213 1201407 1076047 370631 181104 95285 1170289 0.00000 0.26000 0.74000 0 1 1 133662 133662 8399 8399 0 133662 Annuities Payable 37111 Due to Affiliates, Net 231109 268220 X 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. Race Against Cancer 205563 197883 7680 1035 8373 1116 1700 30082 Game On Against Cancer 115757 103917 11840 10509 12113 2650 28080 321320 301800 19520 1035 18882 13229 4350 58162 95658 -76138 1 Thompson Cancer Survival Ctr 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621250943 501(c)(3) 2870934 0 Operating grants (continued in Part IV) 1 Part I, Line 2: Grants to Thompson Cancer Survival Center ("TCSC") are reviewed and approved through TCSC's annual budget process for planning for the use of charitable dollars. Once approved, as expenses are incurred by TCSC, the Foundation reimburses TCSC for the particular need. If an appropriate Foundation (charitable gift) funding opportunity comes up outside of this process, the CAO approaches Covenant Health's Executive Leadership Team for approval. TCSC then expends the dollars and is reimbursed from the Foundation. The Foundation does not decide how or where to allocate dollars outside of discussion with and approval by TCSC's CAO (and Covenant Health leadership). Part II, Line 1, Column (h): Name of Organization: Thompson Cancer Survival Center (h) Purpose of Grant or Assistance: Operating grants for cancer outreach services, social services, multidisciplinary clinic, clinical trials, radiation oncology research, and patient assistance. 0 1 0 0 0 0 0 0 0 James D VanderSteeg President & CEO 0 1578849 0 1078259 0 223448 0 335103 0 27171 0 3242830 0 0 William R Bryant Jr VP and Chief Philanthrophy Officer 0 262008 0 10000 0 25111 0 0 0 24525 0 321644 0 0 Benjamin J Devore TCSC President & CAO 0 210084 0 36000 0 22444 0 8590 0 31702 0 308820 0 0 Patrick J Birmingham IV Fmr VP Philanthr. (through Feb 2024) 0 187576 0 30000 0 47856 0 10699 0 26952 0 303083 0 0 Part I, Line 3 Covenant Health, the parent company of Thompson Cancer Survival Ctr Foundation, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O. Part I, Line 4b Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg. Employer contributions of $321,903 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2024 earnings of $114,551 are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year. X 7 2330 FMV X Auction Items 92 23802 FMV 0 0 0 0 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. Form 990, Part XI, line 9: Change in Value of Trusts -50,091. Thompson Cancer Survival Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621250943 Cancer support center TN 501(c)(3) Line 3 Covenant Health 0 Covenant Health 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621646734 Supporting organization TN 501(c)(3) Line 12b, II N/A 0 Claiborne Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 464420358 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Covenant HomeCare 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621623114 Home health services TN 501(c)(3) Line 10 Covenant Health 0 Cumberland Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620790132 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Fort Loudoun Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621373691 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Fort Sanders Regional Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620528340 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Fort Sanders Perinatal Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 043760551 High risk obstetrical services TN 501(c)(3) Line 3 Fort Sanders Regional Medical Center 0 LeConte Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621114867 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Methodist Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620636239 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Morristown-Hamblen Hospital Association 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620545814 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Parkwest Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 581897274 Acute care hospital and behavioral health services TN 501(c)(3) Line 3 Covenant Health 0 Roane County Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 680673354 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Thompson Oncology Group 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621619239 Oncology services TN 501(c)(3) Line 3 Thompson Cancer Survival Center 0 Covenant Health Foundation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621748601 Fundraising and patient outreach TN 501(c)(3) Line 12b, II Covenant Health 0 The Dr Robert F Thomas Foundation Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 581537582 Fundraising and patient outreach TN 501(c)(3) Line 12a, I Covenant Health 0 Covenant-AmSurg ASC Ventures LLC 1A Burton Hills Blvd Nashville TN 37215 884134388 Management Company TN N/A 0 0 Covenant-KEC ASC Ventures LLC 1A Burton Hills Blvd Nashville TN 37215 920539400 Management Company TN N/A 0 0 TEC North LLC 1A Burton Hills Blvd Nashville TN 37215 201871076 Physician Services TN N/A 0 0 The Endoscopy Center of Knoxville LLC 1A Burton Hills Blvd Nashville TN 37215 621512837 Physician Services TN N/A 0 0 Boulevard ENT-Surgery Center LLC 9300 Parkwest Blvd Knoxville TN 379234301 921460644 Surgical Services TN N/A 0 0 CHUC LLC 216 Centerview Drive Ste 100 Brentwood TN 37027 621609262 Physician Services TN N/A 0 0 Surgery Center of Oak Ridge LLC 944 Oak Ridge Tpke Ste 200 Oak Ridge TN 378306960 621801416 Surgical Services TN N/A 0 0 D1 Blount LLC 244 Fort Sanders West Blvd Knoxville TN 37922 991820445 Fitness center TN N/A 0 0 Fortress Corporation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621308885 Management company TN N/A C 0 Covenant Medical Group Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621282917 Physician practice management TN N/A C 0 East TN Cardiovascular Surgery Group Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621018541 Cardiovascular surgical practice TN N/A C 0 Knoxville Heart Group 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 271528941 Cardiology medical practice TN N/A C 0 TenHats LLC 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 814563094 Data storage TN N/A C 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 Thompson Cancer Survival Center B 2870934 FMV