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Tennessee · Nonprofit

Covenant Health Foundation

Covenant Health Foundation (Tennessee) receives grants from 18 organizations whose IRS filings report $1,085,680 to it, the largest being THE ROBERT H BRETHEN FOUNDATION ($300,000). 12 of them have funded it in more than one year.

Revenue FY2024
$2.0M
Funders on record
18
Grants received
$1.1M
Net assets
$18M
12/18 repeat funderspeak grant-dependency 12%
01What it does

What Covenant Health Foundation does

Mission

Covenant Health Foundation raises and distributes funds in support of patient care, equipment, programs, services and staff not otherwise funded by Covenant Health and its affiliates. The Foundation's mission is to provide charitable support to further Covenant Health's mission to serve the community by improving the quality of life through better health.

As stated on its FY2024 Form 990.

Programs

  1. Patricia Neal Rehabilitation Hospitals & Outpatient Clinics:Distributions to support Patricia Neal therapy programs and services in 2024 were led by $850,000 to fund capital improvements and expansion at the outpatient therapy clinic in West Knoxville. Approximately $331,000 was distributed for patients in need of care who do not have insurance coverage or any other ability to pay for treatment, $26,400 for staff education and advanced certifications, $15,000 for the annual operating and equipment expenses of the Innovative Recreation Cooperative which provides adaptive sports and recreation opportunities throughout the community, as well as $6,000 in funding for several patient support groups and community brain injury and concussion education/prevention programs.

    $1,228,528 spentof which $1,228,528 as grants
    52% of program spending
  2. Covenant HomeCare & Hospice:Donors to Covenant Health Foundation provide funding for a partnership between Covenant HomeCare and Knoxville Area Rescue Mission (KARM) to reduce frequent hospitalizations among the homeless community. In 2024, $214,776 was distributed to support that project which provides onsite medical care, clinic facilities, medication management and case management at the KARM shelter. Since opening in 2019, the program has served 330 patients. Following participation in these services, patients show a 40% reduction in emergency department visits and the avoidance of 13,116 inpatient hospitalization days. As a result of these shelter-based services, the patients at KARM are leading healthier lives. Another $34,214 was distributed to underwrite professional education opportunities for staff, fund membership in the National Hospice and Palliative Care organization, provide medical/hospice housing for indigent patients, provide patient education materials, fund grief counseling services, and conduct the annual memorial service for families of deceased Hospice patients.Covenant Hospice's annual Katerpillar Kids Camp programming continued to be funded by the…

    $294,690 spentof which $294,690 as grants
    12% of program spending
  3. Patient & Employee Emergency Assistance :Each year funds are contributed, primarily through Covenant Health's annual WeCare Employee Giving Campaign, to assist employees and patients in times of crisis. Support includes assistance with housing, transportation, food, clothing, medicines/medical supplies, utilities, childcare, disaster recovery (employees affected by hurricane, tornado, flood, etc.), and unexpected funeral expenses. In 2024, assistance was distributed to assist 4,803 individuals at Claiborne Medical Center (14), Covenant parent company (110), Covenant HomeCare (150), Cumberland Medical Center (23), Fort Sanders Regional Medical Center (139), Fort Loudoun Medical Center (52), LeConte Medical Center (38), Methodist Medical Center (78), Morristown-Hamblen Healthcare System (29), Parkwest Medical Center (153), Peninsula (52), Roane Medical Center (24), and Thompson Cancer Survival Center (1,210).

    $290,572 spentof which $290,572 as grants
    12% of program spending
  4. The Foundation supports a variety of other programs and services throughout Covenant Health. The most significant distributions in 2024, which were directed to the Covenant parent company, Peninsula behavioral health programs, Parkwest Medical Center, the Fellowship outpatient lodging program, Fort Sanders Regional Medical Center, Cumberland Medical Center, systemwide outpatient cardiac rehabilitation programs, the Fort Sanders Dept. of Nursing at Tennessee Wesleyan College, Fort Loudoun Medical Center, and Roane Medical Center are outlined below:In 2024, the Foundation supported the Covenant Health parent company by underwriting a $300,000 portion of the new vice president of philanthropy salary costs for the first year of that position. Some $140,000 in funds raised through the annual Artsclamation! fine art sale and other donations supported behavioral health care at Peninsula. Funds supported Peninsula's emergency room diversion project which places a team of behavioral specialists in Covenant Health emergency departments to assess patients who make repeated non-emergency visits to the emergency room. These specialists develop a personalized treatment plan for patients,…

    $548,885 spentof which $548,885 as grants
    23% of program spending

The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $2,362,675.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($1.9M) Expenses 100 ($1.4M) Net assets 100 ($16M)2018 Revenue 92 ($1.7M) Expenses 117 ($1.6M) Net assets 93 ($15M)2019 Revenue 91 ($1.7M) Expenses 111 ($1.5M) Net assets 107 ($17M)2020 Revenue 107 ($2.0M) Expenses 229 ($3.1M) Net assets 103 ($17M)2021 Revenue 79 ($1.5M) Expenses 92 ($1.3M) Net assets 109 ($17M)2022 Revenue 99 ($1.8M) Expenses 95 ($1.3M) Net assets 96 ($15M)2023 Revenue 81 ($1.5M) Expenses 91 ($1.2M) Net assets 108 ($17M)2024 Revenue 105 ($2.0M) Expenses 192 ($2.6M) Net assets 111 ($18M)
'17'18'19'20'21'22'23'24
Revenue (105)Expenses (192)Net assets (111)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2018 to 2019, from $15M to $18M (+15%).

$16M
$15M
$18M
$17M
$17M
$16M
$17M
$18M
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

75% of Covenant Health Foundation’s revenue is contributions — more donation-reliant than the typical peer (51% for the typical peer).

This organization
Typical peer · 8,632 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 8 reported years ran a deficit.

$489k
’17
$102k
’18
$173k
’19
−$1.1M
’20
$202k
’21
$542k
’22
$261k
’23
−$658k
’24
2.4
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

James D VanderSteeg

President & CEO

Board chair

Kathy May-Martin

Director/Chair (through Dec 2024)

As listed on its FY2024 Form 990.

'17'18'19'20'21'22'23'24
Listed1816151515171312
Joined·+0+0+2+1+3+0+3
No longer listed·2121144
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 6 funders to 7 funders, grant income rose $81k → $186k.

3 of 18 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 11% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $363k from 5 payers (the payer shares this organization's board, largest Covenant Health). These are real filings, and they are not money Covenant Health Foundation raised.

From the IRS filings of Covenant Health Foundation’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Covenant Health Foundation has a broad base — no single funder exceeds 28% of grant income, and it takes 3 funders to reach half.

the vertical line marks half of all grant income — 3 funders to its left

61% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Covenant Health Foundation.

28%
largest funder
62%
top three
~6
effective funders

Largest funder’s share by year: 2017 62% · 2018 64% · 2019 45% · 2020 44% · 2021 41% · 2022 32% · 2023 54% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

64% of Covenant Health Foundation's funders are still giving 3 years after their first grant; 67% give in more than one year at all.

first grant+1y+2y+3y+4y+5y+6y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

71% of Covenant Health Foundation's grant income comes from Tennessee funders.

IL
WI
MI
CA
TN
DC
GA
FL

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Tennessee out of state home

Funder states come from each funder’s own filing. $121k arriving through sponsors registered in 3 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Covenant Health Foundation's funding base is broadening — from 6 funders to 7 as grant income climbed.

Operating margin−34% · bottom quartile
Months of reserve2.4mo · below the median
Revenue growth (annualized)1% · bottom quartile

this organization peer median middle 50% of peers· 8,126 health nonprofits $1M–$10M, FY2024

Organizations like Covenant Health Foundation

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Tennessee

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

91% of spending goes to programs.

Program 91%Management 3%Fundraising 7%

Governance

9
board members
89%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention–Board reviewed the 990✓Audited financials

Footprint & structure

Files a return copy in 1 state

TN

Part of a family of 29 related entities

  • Covenant Health · exempt
  • LeConte Medical Center · exempt
  • Fort Sanders Regional Medical Center · exempt
  • Parkwest Medical Center · exempt
  • Methodist Medical Center · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Covenant Health Foundation: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Covenant Health Foundation?
Covenant Health Foundation (Tennessee) receives grants from 18 organizations whose IRS filings report $1,085,680 to it, the largest being THE ROBERT H BRETHEN FOUNDATION ($300,000). 12 of them have funded it in more than one year.
How many funders does Covenant Health Foundation have?
IRS filings report 18 organizations giving $1,085,680 in grants to Covenant Health Foundation, 12 of which have funded it in more than one year.
Who is the largest funder of Covenant Health Foundation?
THE ROBERT H BRETHEN FOUNDATION is the largest funder on record, with $300,000 in grants. The full list of funders is on this page.
How can an organization like Covenant Health Foundation find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Tennessee. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 18 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 22, 2026. What this page cannot tell you · view filing