Randolph Cancer Center

What it reported doing in 2020

The randolph health cancer center provides screening, diagnosis, and treatment for most malignant cancers as well as hematologic disorders. Individual treatment plans are developed and carried out by a caring, highly skilled, experienced team of cancer care professionals utilizing state-of-the-art equipment and facilities.the cancer center continued its certification with the quality oncology practice initiative program, through the american society of clinical oncology, for which it has maintained since 2012.as part of our commitment to our community, rhcc has continued to provide breast and cervical cancer control program (bcccp) services to the uninsured and under-insured women who need mammograms and screening for breast and cervical cancer.the supportive care team at rhcc provides symptom management and support for a wide range of potential side effects to treatment including pain management, nutritional services, pastoral care, clinical research trials, and financial toxicity support. One of the primary goals of the supportive care team is to reduce utilization of the emergency department for issues that can be handled through the clinic triage system.the infusion center supports nine treatment lounge chairs and three ambulatory treatment rooms for patients requiring additional privacy or comfort. The center is supported by a dedicated pharmacy for preparation of chemotherapy treatments specific to each patient.rehabilitation services are offered for physical, occupational, and hand therapy as well as speech language pathology to oncology patients who have been hospitalized or require these services on an outpatient basis. The services concentrate on strength, balance, coordination, endurance, mobility, range of motion, positioning, transfer training and patient and family education. The following programs are tailored to oncology patients: core therapy the neurocom balance machine developed by nasa is used to assist with balance training to improve balance and reduce the number of falls.speech therapy assesses patients with swallowing and speech problems. Our programs can train patients on the use of a voice box as well as voice and swallowing therapy following head and neck cancer. Modified barium swallow studies can be performed for patients with swallowing problems.occupational therapy evaluates and treats patients with upper extremity lymphedema.comprehensive radiation services are available including patient consultations, follow-up visits, monitoring and management of side effects throughout radiation treatments with daily availability of a board certified radiation oncologist and radiation oncology certified nursing staff.simulations include large bore ct simulator, fabrication of custom immobilization and treatment devices including vacuum molds, head casts, bite blocks, and bolus materials.the treatment planning system has the ability to merge mri, pet and diagnostic ct datasets for patient treatment planning purposes.the treatment planning system also provides isodose planning with full time physics and dosimetry staff, including specialized 3d, and high intensity modulated radiation therapy (imrt) treatment plans.radiation treatments are performed on sophisticated state of the art equipment having "record and verify" for quality assurance with each treatment. Image guided radiation therapy (igrt) capability is achieved with on-board cone beam ct to assure accurate setup on a daily basis. These igrt treatments are checked daily by the therapists and physicians to correlate shifts in treatment position on the treatment table.rhcc served as a sponsor for the 10th annual "bikers for boobs" cycle event held in august and the 4th annual "motorcycles for mammograms" event held in october to raise funds for the patient assistance fund and the mammography fund to help support patients in financial crisis.the randolph health cancer center is a model comprehensive cancer program for a small rural community providing exc

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 100%; rating input score 100
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 16.7%; rating input score 17; 6th percentile among comparable filings
• Governance controls: 6 of 9 controls in place; rating input score 67
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -8.7%; rating input score 8; 8th percentile among comparable filings
• Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 2.2%; rating input score 70; 70th percentile among comparable filings

Growth

• Program expense growth: 2.9% per year; rating input score 100; 38th percentile among comparable filings
• Revenue growth: 1.3% per year; rating input score 100; 19th percentile among comparable filings
• Asset growth: 5.9% per year; rating input score 100; 47th percentile among comparable filings