Thompson Cancer Survival Ctr Foundation

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 93.4%; rating input score 93
• Fundraising efficiency: $4.23 raised per $1 spent on fundraising; rating input score 14; 14th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 99.8%; rating input score 100; 51st percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 88.9%; rating input score 89; 22nd percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -266.7%; rating input score 0; 0th percentile among comparable filings
• Total-asset coverage ratio: 1.61; rating input score 58; 58th percentile among comparable filings
• Liabilities to assets ratio: 0.05; rating input score 51; 51st percentile among comparable filings
• Officer compensation ratio: 15.1%; rating input score 23; 23rd percentile among comparable filings

Growth

• Program expense growth: 7.4% per year; rating input score 100; 53rd percentile among comparable filings
• Revenue growth: -4.5% per year; rating input score 0; 6th percentile among comparable filings
• Asset growth: -6.6% per year; rating input score 0; 5th percentile among comparable filings