Thompson Cancer Survival Center (EIN 621250943) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1985

Legal Domicile

Principal Officer

James D VanderSteeg

Phone

8653745329

Tax Period

2023-01-01 to 2023-12-31

Thompson Cancer Survival Center, founded in 1985, is a community nonprofit that reported $8.1M in total revenue in fiscal year 2023. Revenue fell 72% from the prior year — a significant decline worth monitoring. Expenses of $12.7M exceeded revenue, resulting in a 57% operating deficit.

Mission

Thompson Cancer Survival Center is a support center for cancer patients located in Knoxville, TN. It is a member of the Covenant Health system.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $2,620,245

Program Service Revenue $5,083,624

Investment Income $353,983

Other Revenue $0

TOTAL REVENUE $8,057,852

Expense Breakdown

Grants Paid $127,200

Salaries & Benefits $5,580,696

Fundraising Expenses $0

Program Expenses $10,910,300

Other Expenses $6,969,639

TOTAL EXPENSES $12,677,535

Year-over-Year Comparison

	2023	2022	Change
Revenue	$8,057,852	$28,323,238	-0.7%
Expenses	$12,677,535	$10,066,123	+0.3%
Net Income	$-4,619,683	$18,257,115	-1.3%

Key Indicators

✓ Grants to Organizations ✓ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$5,313,753

Total Directors

$3,135,371

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Gerald Boyd	Director	0.00	Director	$0	$0	$977
Willard Campbell MD	Director	0.00	Director	$0	$0	$0
Michael Casey MD	Director	0.00	Director	$0	$0	$0
Ronni Chandler	Fmr Director (through June 2023)	0.00	Director	$0	$0	$0
Mitchell Dickson MD	Director	0.00	Director	$0	$0	$796
Stephanie Flood	Director	0.00	Director	$0	$0	$808
James Gibson	Director	0.00	Director	$0	$0	$1,008
Edgar Gray	Director	0.00	Director	$0	$0	$1,054
Leslye Hartsell	Director	0.00	Director	$0	$0	$1,027
Donald Hickman	Director	0.00	Director	$0	$0	$1,498
Timothy Matthews	Director	0.00	Director	$0	$0	$1,196
Janice McKinley	Director	0.00	Director	$0	$0	$1,222
Dave Miller	Director	0.00	Director	$0	$0	$1,044
Bill Myers	Director	0.00	Director	$0	$0	$0
Alvin Nance	Director	0.00	Director	$0	$0	$1,044
Linda Ogle	Director	0.00	Director	$0	$0	$0
King Purnell	Director/Chair	0.00	Officer Director	$0	$0	$1,630
Jorge Sanabria	Director	0.00	Director	$0	$0	$1,234
William Seale	Director	0.00	Director	$0	$0	$1,321
Cosby Stone	Director	0.00	Director	$0	$0	$1,595
Joe Sutter	Director	0.00	Director	$0	$0	$1,462
James Tramontana MD	Director	0.00	Director	$0	$0	$1,196
James D VanderSteeg	President & CEO	0.00	Officer Director	$0	$352,568	$3,115,259
John T Geppi	Fmr EVP/CFO (through June 2023)	0.00	Officer	$0	$24,345	$995,771
Joseph C Dolan	EVP/CFO	0.00	Officer	$0	$38,564	$397,454
R Scott Warwick	Fmr Pres/CAO (through July 2023)	30.00	Officer	$0	$19,525	$380,237
Benjamin J Devore	President & CAO	30.00	Officer	$214,455	$35,945	$250,400
Mitzi F Anderson	VP - Financial Services	7.00	Officer	$145,611	$27,391	$173,002
Chester R Ramsey	Chief Medical Physicist	5.00	Highest	$245,461	$44,057	$289,518
Jessica N Hodge	Director of Oncology Pharmacy Svcs	50.00	Highest	$157,409	$41,574	$198,983
Carol S Micki	Director of Radiation Oncology	50.00	Highest	$128,210	$30,083	$158,293
Deborah K Bowles	Director of Cancer Support Svcs	50.00	Highest	$113,414	$6,856	$120,270
Nicholeah J Lewallen	Pharmacy Manager	50.00	Highest	$110,755	$37,563	$148,318
Lucas D Johnson Sr	Fmr Pres/CAO; Fmr EVP-Phys Ent	0.00		$0	$12,902	$350,029

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$8,057,852	$12,677,535	$58,441,095	$-4,619,683
2022	$28,323,238	$10,066,123	$59,886,115	$18,257,115
2021	$3,979,971	$7,624,127	$2,363,682	$-3,644,156
2020	$3,643,075	$7,030,548	$2,344,227	$-3,387,473
2019	$3,826,826	$7,336,066	$2,923,243	$-3,509,240
2018	$3,740,890	$7,248,120	$3,326,184	$-3,507,230

Thompson Cancer Survival Center