Thompson Oncology Group

What it reported doing in 2024

Thompson Oncology Group ("TOG") provides oncology services to cancer patients in seven counties in East Tennessee. Physicians employ a multidisciplinary team approach to cancer care. The goal is to give each patient the best possibility for success in the fight against cancer. The medical oncologists utilize the latest technology and treatment methods available, including chemotherapy, immunotherapy, clinical trials, and more. TOG provided 54,015 patient visits in 2024.TOG is a leader in medical oncology services and provides patients access to proven drug-based treatments and the latest clinical trial medicines. TOG's team of board-certified, fellowship-trained medical oncologists and certified advanced practice providers deliver on-site care and treatment including chemotherapy, immunotherapy, targeted therapy, and hormone therapy at eight affiliated cancer and infusion centers throughout the region.TOG physicians work closely with medical professionals at Thompson Cancer Survival Center in ongoing research for more effective ways to prevent, treat, and cure cancer. The physicians and staff are committed to the community and determined to deliver cancer care with integrity and compassion, and to keep the patient at the center of everything they do. TOG physicians and clinicians also assist in education for the general public by promoting and supporting community outreach programs relating to the treatment and prevention of cancer.TOG also employs two gynecologic oncologists. These are obstetrician/gynecologists who specialize in the diagnosis and treatment of cancers of the female reproductive system. Gynecologic cancers are complex, and treatment often involves multiple modalities such as surgery, chemotherapy, and radiation. Gynecologic oncologists are specially trained to diagnose and treat these types of cancers, as well as premalignant conditions that lead to gynecologic cancer. The physicians are also trained in providing comprehensive, multidisciplinary care. TOG provided these services to 521 new patients in 2024 and performed 569 surgical procedures.In 2022, TOG joined with Thompson Cancer Survival Center to provide proton therapy as part of Covenant Health's umbrella of cancer services offered at Thompson Cancer Survival Center locations throughout the region and the Covenant Cancer Network. One of only 45 proton therapy facilities in the United States, Thompson Proton Center offers an advanced form of radiation therapy that uses beams of high-energy protons to treat various forms of cancer while protecting nearby healthy tissue and vital organs from unnecessary radiation. The Thompson Proton Center treated 345 patients in 2024. COVENANT HEALTH TOG is a member of Covenant Health. Covenant Health is a community-owned, clinically integrated healthcare enterprise dedicated to being the region's premier healthcare network through service, community, and innovation. Our mission is to improve the quality of life in our region through better health. Covenant Health provides patient-centered care that inspires clinical and service excellence and strives to be the first and best choice for the communities we serve. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors composed of community leaders and medical professionals. With more than 11,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named a top employer by Forbes and Becker's Hospital Review. Covenant Health serves a 25-county area and includes nine acute care hospitals in East Tennessee: Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Methodist Medical Center of Oak Ridge, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Cent

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 99.6%; rating input score 100
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd 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: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 95%; rating input score 95; 28th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • 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: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -75.5%; rating input score 1; 1st percentile among comparable filings
• Total-asset coverage ratio: 0.25; rating input score 6; 6th percentile among comparable filings
• Liabilities to assets ratio: 0.39; rating input score 37; 37th percentile among comparable filings
• Officer compensation ratio: 13.3%; rating input score 11; 11th percentile among comparable filings

Growth

• Program expense growth: 9.5% per year; rating input score 100; 69th percentile among comparable filings
• Revenue growth: 2.7% per year; rating input score 100; 23rd percentile among comparable filings
• Asset growth: 16.2% per year; rating input score 100; 83rd percentile among comparable filings