Civic Intelligence

Thompson Oncology Group

EIN 62-1619239 • 501(c)3 • Knoxville, TN

Profile

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.

1420 Centerpoint Blvd Bldg CKnoxville, TN 37932-1960

www.covenanthealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

69th percentile

0.39x

Higher debt load relative to assets than 69% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

43rd percentile

0.17x

Higher debt load relative to revenue than 43% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

4th percentile

-75%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

8th percentile

-14%

Faster asset growth than 8% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

35th percentile

0.6%

Faster revenue growth than 35% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$9,789,324

Down $1,528,358 (-14%) from 2023

Liabilities

Down

$3,858,605

Down $142,710 (-3.6%) from 2023

Net Assets

Down

$5,930,719

Down $1,385,648 (-19%) from 2023

Revenue

Up

$22,352,552

Up $137,467 (+0.6%) from 2023

Expenses

Up

$39,222,652

Up $3,995,752 (+11%) from 2023

Net Income

Down

-$16,870,100

Down $3,858,285 (-30%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0-$5.0MAssets 2010: $3,244,339Liabilities 2010: $4,056,872Net Assets 2010: -$812,5332010Assets 2011: $2,517,892Liabilities 2011: $3,683,647Net Assets 2011: -$1,165,7552011Assets 2012: $1,777,408Liabilities 2012: $3,844,025Net Assets 2012: -$2,066,6172012Assets 2013: $1,400,221Liabilities 2013: $4,801,272Net Assets 2013: -$3,401,0512013Assets 2014: $1,431,668Liabilities 2014: $4,312,386Net Assets 2014: -$2,880,7182014Assets 2015: $1,381,536Liabilities 2015: $3,659,198Net Assets 2015: -$2,277,6622015Assets 2016: $1,491,540Liabilities 2016: $1,920,663Net Assets 2016: -$429,1232016Assets 2017: $1,283,081Liabilities 2017: $1,995,834Net Assets 2017: -$712,7532017Assets 2018: $1,362,372Liabilities 2018: $2,754,224Net Assets 2018: -$1,391,8522018Assets 2019: $3,149,892Liabilities 2019: $1,666,589Net Assets 2019: $1,483,3032019Assets 2020: $3,236,070Liabilities 2020: $3,131,660Net Assets 2020: $104,4102020Assets 2021: $3,058,413Liabilities 2021: $2,902,000Net Assets 2021: $156,4132021Assets 2022: $11,719,543Liabilities 2022: $3,872,219Net Assets 2022: $7,847,3242022Assets 2023: $11,317,682Liabilities 2023: $4,001,315Net Assets 2023: $7,316,3672023Assets 2024: $9,789,324Liabilities 2024: $3,858,605Net Assets 2024: $5,930,7192024

Highlighted filing

2024

Assets$9,789,324
Liabilities$3,858,605
Net Assets$5,930,719

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$20M$0-$20MExpenses 2010: $28,685,0832010Revenue 2011: $14,126,929Expenses 2011: $23,556,455Net Income 2011: -$9,429,5262011Expenses 2012: $21,960,4382012Revenue 2013: $6,595,450Expenses 2013: $16,853,849Net Income 2013: -$10,258,3992013Revenue 2014: $6,118,669Expenses 2014: $15,824,489Net Income 2014: -$9,705,8202014Revenue 2015: $6,242,376Expenses 2015: $16,310,975Net Income 2015: -$10,068,5992015Revenue 2016: $5,826,496Expenses 2016: $14,992,443Net Income 2016: -$9,165,9472016Revenue 2017: $5,886,540Expenses 2017: $13,507,776Net Income 2017: -$7,621,2362017Revenue 2018: $6,001,565Expenses 2018: $13,965,486Net Income 2018: -$7,963,9212018Revenue 2019: $5,854,904Expenses 2019: $15,674,742Net Income 2019: -$9,819,8382019Revenue 2020: $5,776,441Expenses 2020: $16,270,803Net Income 2020: -$10,494,3622020Revenue 2021: $6,910,649Expenses 2021: $17,062,943Net Income 2021: -$10,152,2942021Revenue 2022: $12,737,790Expenses 2022: $26,311,885Net Income 2022: -$13,574,0952022Revenue 2023: $22,215,085Expenses 2023: $35,226,900Net Income 2023: -$13,011,8152023Revenue 2024: $22,352,552Expenses 2024: $39,222,652Net Income 2024: -$16,870,1002024

Highlighted filing

2024

Revenue$22,352,552
Expenses$39,222,652
Net Income-$16,870,100

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.79$3.86$5.93$22.4$39.2$16.9
2023Detailed filing. Detailed filing data is available for this year.$11.3$4.00$7.32$22.2$35.2$13.0
2022Detailed filing. Detailed filing data is available for this year.$11.7$3.87$7.85$12.7$26.3$13.6
2021Detailed filing. Detailed filing data is available for this year.$3.06$2.90$0.16$6.91$17.1$10.2
2020Detailed filing. Detailed filing data is available for this year.$3.24$3.13$0.10$5.78$16.3$10.5
2019Detailed filing. Detailed filing data is available for this year.$3.15$1.67$1.48$5.85$15.7$9.82
2018Detailed filing. Detailed filing data is available for this year.$1.36$2.75$1.39$6.00$14.0$7.96
2017Detailed filing. Detailed filing data is available for this year.$1.28$2.00$0.71$5.89$13.5$7.62
2016Detailed filing. Detailed filing data is available for this year.$1.49$1.92$0.43$5.83$15.0$9.17
2015Detailed filing. Detailed filing data is available for this year.$1.38$3.66$2.28$6.24$16.3$10.1
2014Detailed filing. Detailed filing data is available for this year.$1.43$4.31$2.88$6.12$15.8$9.71
2013Detailed filing. Detailed filing data is available for this year.$1.40$4.80$3.40$6.60$16.9$10.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.78$3.84$2.07$22.0
2011Summary only. Only limited summary data is available for this year.$2.52$3.68$1.17$14.1$23.6$9.43
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.24$4.06$0.81$28.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$22,352,552
Mission and Program Overview

Mission

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.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,573,490$9,043,509▼ $529,981
Accounts Receivable$1,592,619$1,500,934▼ $91,685
Prepaid Expenses and Deferred Charges$134,450$93,243▼ $41,207
Cash and Non-Interest-Bearing Accounts$1,170$1,150▼ $20
Savings and Temporary Cash Investments$-168,184$-851,707▼ $683,523
Total Assets$11,317,682$9,789,324▼ $1,528,358
Other Assets Total$184,137$2,195▼ $181,942
Liabilities
Accounts Payable and Accrued Expenses$3,814,696$3,853,871▲ $39,175
Other Liabilities$186,619$4,734▼ $181,885
Total Liabilities$4,001,315$3,858,605▼ $142,710
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,316,367$5,930,719▼ $1,385,648
Total Net Assets Fund Balance$7,316,367$5,930,719▼ $1,385,648
Total Liabilities and Net Assets / Fund Balance$11,317,682$9,789,324▼ $1,528,358

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$8,778,225$6,354,512$15,132,737
Other Land Buildings$261,925-$261,925
Leasehold Improvements$3,359$38,280$41,639
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas B Repine MDPhysician - OncologistFT$777,692$494,065$1,271,757
Namratha R Vontela MDPhysician - OncologistFT$574,385$414,469$988,854
Anthony T Desalvo MDPhysician - OncologistFT$637,859$253,419$891,278
David D Chism MDPhysician - OncologistFT$661,575$149,456$811,031
Michael R Thompson MDPhysician - OncologistFT$617,251$113,027$730,278
Leslye HartsellDirector--$1,124$1,124
Cosby StoneDirector--$1,113$1,113
James Tramontana MDDirector--$1,086$1,086
William SealeDirector--$1,060$1,060
Stephanie FloodDirector--$964$964
King PurnellDirector/Chair--$935$935
Joe SutterDirector--$881$881
Edgar GrayDirector--$844$844
Jorge SanabriaDirector--$807$807
Donald HickmanDirector--$675$675
Timothy MatthewsDirector--$657$657
Alvin NanceDirector--$648$648

Board Members and Trustees

NameTitle
Benjamin J DevorePresident & CAO
James D VanderSteegPresident & CEO
Bill MyersDirector
Cletus McMahon MDDirector
Dave MillerDirector
James GibsonDirector
Janice McKinleyDirector
Linda OgleDirector
Mitchell Dickson MDDirector
Joseph C DolanEvp/CFO
Mitzi F AndersonVP - Financial Services

Highest Paid Contractors

ContractorServicesLocationCompensation
IBA Proton Therapy IncEquipment Maintenance Contract400 Spring Park Place Ste 700, Herndon, VA 20170$4,655,137
Excelsior Physicians PCPhysician Services6755 Mira Mesa Blvd 123-269, San Diego, CA 92121$1,490,434
Weatherby Locums IncTraveler Temp HelpPO Box 972633, Dallas, TX 72397$1,166,000
AMN Locum Tenens IncPhysician ServicesPO Box 281923, Atlanta, GA 30384$842,045
MPLT Healthcare LLCPhysician ServicesPO Box 737086, Dallas, TX 75373$735,402
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$22,352,552
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-16,870,100
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$22,117,379
Other Expenses$17,105,273
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$18,749,005--$18,749,005
Fees for Services Other$5,756,795--$5,756,795
Occupancy$3,010,134--$3,010,134
Other Employee Benefits$1,816,070$2,780-$1,818,850
Depreciation Depletion$1,043,636--$1,043,636
Payroll Taxes$986,071--$986,071
Office Expenses$538,200$45,189-$583,389
Pension Plan Contributions$563,453--$563,453
All Other Expenses$192,948$3,715-$196,663
Other Expenses$161,076--$161,076
Fees for Services Management-$95,951-$95,951
Insurance$66,938--$66,938
Conferences and Meetings$56,117--$56,117
Travel$23,032--$23,032
Fees for Services Legal-$430-$430
Total Functional Expenses$39,074,587$148,065$0$39,222,652
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates, Net$2,539
Deferred Compensation$2,195
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 makes available 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 the Covenant Health Executive Leadership Team 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 Benjamin Devore, 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.

Filing and Contact Details

Filer

Filer Name
Thompson Oncology Group
EIN
62-1619239
Phone
8653745329
Address
1420 Centerpoint Blvd Bldg C, Knoxville, TN 37932-1960
Doing Business As
Covenant Health Oncology Group

Signing Officer

Name
Joseph C Dolan
Title
Evp/CFO
Phone
8653746872
Signed
2025-11-12

Organization Details

Principal Officer
James D VanderSteeg
Formed
1995
Legal Domicile
Tn
Voting Board Members
20
Independent Board Members
19
Employees
213
Volunteers
19
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Physician services: Program service expenses 1,868,888. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,868,888. Temporary services: Program service expenses 3,019,077. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,019,077. Other Purchased services: Program service expenses 868,830. Management and general expenses 0. Fundraising expenses 0. Total expenses 868,830.

Form 990, Part XI, line 9:

Transfers of Capital 15,484,452.

Financial Statement Notes

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, 2024 and 2023. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2024 and 2023, tax returns for 2021 through 2024 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, 2024 and 2023.

Raw XML AppendixShowing 400 of 1,086 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Thompson 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
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IRS990/Form990PartVIISectionAGrp/PersonNm0Mitchell Dickson MD
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