2024-11-13T12:35:55-06:00 2023-12-31 990 2023-01-01 621619239 Thompson Oncology Group THOM 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Joseph C Dolan EVP/CFO 8653746872 2024-11-13 1 2023 2024-10-15 13:58:12Z James D VanderSteeg 244 Ft Sanders W Blvd Knoxville TN 37922 22215085 0 X www.covenanthealth.com/ X 1995 TN Thompson Oncology Group is a multi-location physician practice focused on cancer care throughout East Tennessee. It is a member of the Covenant Health system. 22 21 198 21 0 0 303096 0 12434560 22215080 69 5 65 0 12737790 22215085 0 0 0 0 16142165 19822773 0 0 0 10169720 15404127 26311885 35226900 -13574095 -13011815 11719543 11317682 3872219 4001315 7847324 7316367 X Thompson Oncology Group provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay. 0 0 34687452 22215080 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 53,523 patient visits in 2023. 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 569 new patients in 2023 and performed 667 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 354 patients in 2023. COVENANT HEALTHTOG 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. 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 comprised 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 Best Employer multiple times by Forbes. Covenant Health 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 Center in Harriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula, a division of Parkwest Medical Center, a behavioral health hospital in Blount County, Tennessee. The health system also includes Covenant Medical Group, which includes more than 200 physicians and advanced practice clinicians in office locations throughout East Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Philanthropic organizations include Fort Sanders Foundation and the Thompson Cancer Survival Center Foundation in Knoxville, Methodist Medical Center Foundation in Oak Ridge, Dr. Robert F. Thomas Foundation in Sevierville, and Morristown-Hamblen Hospital Foundation in Morristown. Funds raised by the foundations provide services, equipment and other resources for excellence in patient care.TOG, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served. 34687452 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 26 0 1 198 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Andrew McCreary 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Gerald Boyd Director 0.00 1.00 X 0 977 0 Willard Campbell MD Director 0.00 1.00 X 0 0 0 Michael Casey MD Director 0.00 1.00 X 0 0 0 Ronni Chandler Fmr Director (through June 2023) 0.00 1.00 X 0 0 0 Mitchell Dickson MD Director 0.00 1.00 X 0 796 0 Stephanie Flood Director 0.00 1.00 X 0 808 0 James Gibson Director 0.00 1.00 X 0 1008 0 Edgar Gray Director 0.00 1.00 X 0 1054 0 Leslye Hartsell Director 0.00 1.00 X 0 1027 0 Donald Hickman Director 0.00 1.00 X 0 1498 0 Timothy Matthews Director 0.00 1.00 X 0 1196 0 Janice McKinley Director 0.00 1.00 X 0 1222 0 Dave Miller Director 0.00 1.00 X 0 1044 0 Bill Myers Director 0.00 1.00 X 0 0 0 Alvin Nance Director 0.00 1.00 X 0 1044 0 Linda Ogle Director 0.00 1.00 X 0 0 0 King Purnell Director/Chair 0.00 1.00 X X 0 1630 0 Jorge Sanabria Director 0.00 1.00 X 0 1234 0 William Seale Director 0.00 1.00 X 0 1321 0 Cosby Stone Director 0.00 1.00 X 0 1595 0 Joe Sutter Director 0.00 1.00 X 0 1462 0 James Tramontana MD Director 0.00 1.00 X 0 1196 0 James D VanderSteeg President & CEO 0.00 50.00 X X 0 2762691 352568 John T Geppi Fmr EVP/CFO (through June 2023) 0.00 50.00 X 0 971426 24345 Joseph C Dolan EVP/CFO 0.00 50.00 X 0 358890 38564 R Scott Warwick Fmr Pres & CAO (through July 2023) 20.00 30.00 X 0 360712 19525 Benjamin J Devore President & CAO 20.00 30.00 X 0 214455 35945 Mitzi F Anderson VP - Financial Services 35.00 15.00 X 0 145611 27391 Thomas B Repine MD Physician - Oncologist 50.00 0.00 X 975422 0 47901 Namratha R Vontela MD Physician - Oncologist 50.00 0.00 X 802588 0 19032 Farrukh Ashraf MD Physician - Oncologist 50.00 0.00 X 703496 0 36661 David D Chism MD Physician - Oncologist 50.00 0.00 X 697227 0 51841 Michael R Thompson MD Physician - Oncologist 50.00 0.00 X 678498 0 37914 Lucas D Johnson Sr Fmr Pres/CAO; Fmr EVP-Phys Ent 0.00 50.00 X 0 337127 12902 3857231 5171024 704589 28 1 1 0 IBA Proton Therapy Inc 470 Spring Park Place Ste 700 Herndon VA 20170 Equipment Maintenance Contract 3833042 Excelsior Physicians 6755 Mira Mesa Blvd 123-269 San Diego CA 92121 Physician Services 1375534 Provision Medical Group PLLC 1400 Dowell Springs Blvd Ste 350 Knoxville TN 37909 Management Fees 574787 Staff Care PO Box 281923 Atlanta GA 30384 Physician Services 522702 RaySearch Americas Inc 350 5th Ave Suite 5000 New York NY 10118 Equipment Maintenance Contract 500096 10 Net Patient Revenue 622110 22215080 22215080 22215080 5 5 22215085 22215080 0 5 X 17143926 17143926 432022 432022 1357767 1354746 3021 889058 889058 134902 134902 10614 10614 3965623 3965623 352228 352228 595665 559908 35757 3094521 3094521 23997 23997 63471 63471 890765 890765 67880 67880 Minor Equipment 4794774 4794774 Medical Supplies 931549 931549 Subscriptions 219456 219456 Bad Debt 101398 101398 157284 154358 2926 35226900 34687452 539448 0 1160 1170 -333525 -168184 1898031 1592619 203820 134450 14922645 5349155 9669665 9573490 280392 184137 11719543 11317682 3588776 3814696 283443 186619 3872219 4001315 X 7847324 7316367 7847324 7316367 11719543 11317682 X -13011815 12480858 X 0 1 X 1 1 1 X 41639 32796 8843 14815888 5316359 9499529 65118 65118 9573490 Due to Affiliates, Net 2482 Operating Leases 184137 186619 X Part X, Line 2: Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Thompson Oncology Group: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2023 and 2022. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2023 and 2022, tax returns for 2020 through 2023 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2023 and 2022. 1 1 0 0 0 0 0 0 0 James D VanderSteeg President & CEO 0 1523002 0 1039500 0 200189 0 322565 0 30003 0 3115259 0 0 Thomas B Repine MD Physician - Oncologist 669725 0 303765 0 1932 0 18300 0 29601 0 1023323 0 0 0 John T Geppi Fmr EVP/CFO (through June 2023) 0 349550 0 292063 0 329813 0 12200 0 12145 0 995771 0 0 Namratha R Vontela MD Physician - Oncologist 636432 0 165400 0 756 0 18300 0 732 0 821620 0 0 0 David D Chism MD Physician - Oncologist 647467 0 48500 0 1260 0 18300 0 33541 0 749068 0 0 0 Farrukh Ashraf MD Physician - Oncologist 355498 0 347481 0 517 0 15877 0 20784 0 740157 0 0 0 Michael R Thompson MD Physician - Oncologist 546219 0 126735 0 5544 0 18300 0 19614 0 716412 0 0 0 Joseph C Dolan EVP/CFO 0 284875 0 60000 0 14015 0 29667 0 8897 0 397454 0 0 R Scott Warwick Fmr Pres & CAO (through July 2023) 0 132894 0 45000 0 182818 0 1572 0 17953 0 380237 0 0 Lucas D Johnson Sr Fmr Pres/CAO; Fmr EVP-Phys Ent 0 0 0 221781 0 115346 0 12200 0 702 0 350029 0 0 Benjamin J Devore President & CAO 0 157263 0 47000 0 10192 0 6335 0 29610 0 250400 0 0 Mitzi F Anderson VP - Financial Services 0 94250 0 19000 0 32361 0 6072 0 21319 0 173002 0 0 Part I, Line 3 Covenant Health, the parent company of Thompson Oncology Group, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O. Part I, Lines 4a-b Scott Warwick, Former President and CAO, received a severance payment of $101,220 during 2023. The amount is included in taxable compensation. His termination date was July 28,2023. Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, and EVP and CFO, Joseph C. Dolan (plan effective 8-1-2023). Employer contributions of $340,032 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2023 earnings of $92,131 are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year. Form 990, Part VI, Section A, line 6 Covenant Health is the sole member of Thompson Oncology Group. Form 990, Part VI, Section A, line 7a Covenant Health's board of directors also serves as the board of directors for Thompson Oncology Group. Form 990, Part VI, Section A, line 7b Governance decisions of Thompson Oncology Group are subject to approval of the sole member, Covenant Health. Form 990, Part VI, Section B, line 11b The Covenant Health board of directors has delegated to its Finance Committee the full power and authority of the board to receive, review, approve, authorize the filing of, address and resolve audit or review issues, and otherwise take all action required or appropriate relative to IRS Forms 990 and other applicable tax filings. Prior to filing Form 990, management reviews with the committee the returns, discusses any material variations in the Form 990 as compared to those to be filed by the organization's affiliates, and answers any questions. At the conclusion of review and discussion, the Finance Committee approves the Form 990. Form 990, Part VI, Section B, line 12c Board members, officers, and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health distributes a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest, and requires disclosure and resolution of employee conflicts of interest. Additionally, officers, employed physicians, and highly compensated employees are required to complete and sign an annual conflict of interest disclosure statement. Board members' conflicts of interests are addressed in the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity-Compliance Office maintains records that contain conflict of interest information obtained from board members, officers, and employees. These records are available to be queried prior to engaging in business transactions. The Chief Compliance Officer reviews conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected, board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. Officers and other employees are expected to report conflicts to the Chief Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Chief Compliance Officer, senior leadership, or the board of directors may review the conflict of interest. When appropriate, these parties may also consult legal counsel. Restrictions imposed on persons with a conflict of interest are determined on a case by case basis. For Covenant Health employees, the Chief Compliance Officer in conjunction with Covenant Health Executive Leadership determines how to appropriately manage the conflict. In any conflict involving a board member, such member is expected to recuse himself or herself from voting on matters related to the conflict. Form 990, Part VI, Section B, line 15 Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Thompson Oncology Group, Covenant Health (Parent Company), and affiliates are set by the Covenant Health Chief Executive Officer (CEO) in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. The Covenant Health CEO is compensated by Covenant Health, and a detailed description of the compensation process is included on Covenant Health's Form 990. The process for TOG's CEO is included in response to Part VI, Section B, line 15b. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Scott Warwick, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation is reasonable and within a fair market value range. Salary ranges are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and reviewed with the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary for the CAO is initially targeted at the 25th percentile and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salaries and annual bonus opportunities for other officers and key employees are based on targets established by historical compensation consultant data and the Covenant Health Compensation department. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0 - 20% of base salary based upon system performance and accomplishment of certain targets established by Executive Leadership. Form 990, Part VI, Section C, line 19 Per its tax exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available. Form 990, Part IX, line 11g Physician Services - Program: Program service expenses 1,822,445. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,822,445. Temporary Services - Program: Program service expenses 1,521,042. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,521,042. Other Purchased Services: Program service expenses 622,136. Management and general expenses 0. Fundraising expenses 0. Total expenses 622,136. Form 990, Part XI, line 9: Transfers of Capital 12,480,858. 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