Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 12,730,219 | 15,826,039 | 16,798,105 | 17,334,945 | 23,651,071 | 86,340,379 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 13,617,127 | 12,636,961 | 13,415,299 | 14,787,588 | 17,692,901 | 72,149,876 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | |||||
| 6 | Total. Add lines 1 through 5 | 26,347,346 | 28,463,000 | 30,213,404 | 32,122,533 | 41,343,972 | 158,490,255 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 158,490,255 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 26,347,346 | 28,463,000 | 30,213,404 | 32,122,533 | 41,343,972 | 158,490,255 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 101,098 | 125,839 | 149,433 | 703,373 | 1,096,841 | 2,176,584 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 101,098 | 125,839 | 149,433 | 703,373 | 1,096,841 | 2,176,584 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 37,676 | 862,117 | 899,793 | |||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 26,448,444 | 28,588,839 | 30,362,837 | 32,863,582 | 43,302,930 | 161,566,632 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | DESCRIPTION OF ORGANIZATION MISSION: WE DO THIS THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. TWCGME IS A 501(C)(3) NONPROFIT CORPORATION AND ANCHOR MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) AS THE INDEPENDENT ACGME-ACCREDITED SPONSORING INSTITUTION OF GRADUATE MEDICAL EDUCATION RESIDENCY AND FELLOWSHIP PROGRAMS IN INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY, GERIATRICS, CARDIOVASCULAR DISEASE AND GASTROENTEROLOGY. THE CONSORTIUM ENGAGES ITS PRIMARY AFFILIATE FQHC LOOK-ALIKE, THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), AS WELL AS FOUR PARTNERING NATIONAL FQHCS AS TEACHING HEALTH CENTERS AND ALSO NUMEROUS COMMUNITY-BASED HOSPITAL SYSTEMS, AS WELL AS THE VETERAN AFFAIRS HOSPITAL SYSTEM, IN THE CLINICAL TRAINING OF ITS RESIDENTS AND FELLOWS. THE CONSORTIUM ALSO PROUDLY PARTNERS WITH AND HOSTS INTERPROFESSIONAL STUDENTS FROM NUMEROUS ACADEMIC INSTITUTIONS OF HIGHER EDUCATION, INCLUDING THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM) AND A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (SOMA). BOTH GCSOM AND SOMA HAVE VOTING REPRESENTATION ON TWCGME'S GOVERNING BOARD, AS DOES THE NORTHEAST PENNSYLVANIA AREA HEALTH EDUCATION CENTER. |
| FORM 990, PART III, LINE 1 | ORGANIZATION MISSION: TWCGME'S PASSIONATE PURPOSE IS TO DEMONSTRATE AN "ACHIEVABLE BY ALL" GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) MODEL THAT CO-CREATES TRANSFORMATIONAL HEALTHCARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES, AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH, HEALTHCARE DELIVERY SYSTEMS AND ITS WORKFORCE DEVELOPMENT. WITH INCLUSIVE ENGAGEMENT OF GME STAKEHOLDERS, THE CONSORTIUM ASPIRES TOWARD AN INCLUSIVE COLLECTIVE IMPACT FRAMEWORK TO EFFECTIVELY ADDRESS AMERICA'S PRIMARY CARE WORKFORCE SHORTAGE AND MIS-DISTRIBUTION AND RELATED HEALTH AND HEALTHCARE DISPARITIES. AS A GME CONSORTIUM, TWCGME INTEGRATES GME FEDERAL RESOURCES DIRECTLY FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION'S (HRSA) THCGME PROGRAM AND THE DEPARTMENT OF VETERAN AFFAIRS, AS WELL THROUGH AFFILIATION AGREEMENTS WITH CMS GME-FUNDED PARTNERING HOSPITALS. TWCGME PROUDLY BECAME A PIONEERING THCGME GRANTEE IN 2011 WHEN THE THCGME PROGRAM WAS LAUNCHED BY HRSA AS A RESULT OF THE ENACTMENT OF THE AFFORDABLE CARE ACT. SINCE THEN, THCGME PROGRAMS, INCLUDING TWCGME, HAVE BEEN DEVELOPING AND EXPANDING COMMUNITY-BASED CLINICAL LEARNING ENVIRONMENTS IN COMMUNITY HEALTH CENTERS (CHCS) ACROSS THE NATION TO TRAIN PRIMARY CARE RESIDENT PHYSICIANS IN HISTORICALLY MEDICALLY UNDERSERVED SETTINGS. THE THCGME PROGRAM HAS BEEN AN EFFECTIVE TOOL IN ADDRESSING ONE OF THE MOST CRUCIAL ASPECTS OF THE PRIMARY CARE CLIFF: PRIMARY CARE ACCESS IN UNDERSERVED AREAS DUE TO A NATIONAL PRIMARY CARE PHYSICIAN SHORTAGE AND MIS-DISTRIBUTION. THE NATIONAL CENTER FOR HEALTH WORKFORCE ANALYSIS ESTIMATES THAT THE DEMAND FOR PRIMARY CARE PHYSICIANS WILL GROW BY 38,320 FULL-TIME EQUIVALENTS BETWEEN 2013 AND 2025, AND THAT BY 2025, THERE WILL BE A NATIONAL SHORTAGE OF 23,640 PRIMARY CARE PHYSICIANS. THE GME-SNC PHYSICIAN TRAINING MODEL DEVELOPED BY TWCGME IS DESIGNED TO MITIGATE THE HEALTH AND HEALTHCARE DISPARITIES RESULTING FROM THIS NATIONAL SHORTAGE WHILE INSPIRED BY AND STRIVING FOR THE QUINTUPLE AIM. ADAPTED FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM, THE QUINTUPLE AIM IS A FRAMEWORK TO OPTIMIZE HEALTHCARE SYSTEM PERFORMANCE BY IMPROVING POPULATION HEALTH, PROMOTING AFFORDABILITY, IMPROVING THE GLOBAL EXPERIENCE OF CARE, IMPROVING HEALTHCARE TEAM WELL-BEING, AND ENSURING EQUITY AND ENVIRONMENTAL SUSTAINABILITY. TWCGME'S CURRENT SPONSORING INSTITUTIONAL AND PROGRAMMATIC PRIMARY CARE CURRICULA ARE ROOTED IN COMMUNITY-ORIENTED AND PUBLIC HEALTH NEEDS-RESPONSIVE PRIMARY CARE TRAINING FOR FAMILY MEDICINE, INTERNAL MEDICINE AND PSYCHIATRY RESIDENTS. RESIDENTS ARE, AS A RESULT, DEEPLY IMMERSED IN COMMUNITY-DRIVEN, RESPONSIVE SOLUTIONS TO THE ONGOING COVID-19 PANDEMIC, RELENTLESS OPIOID EPIDEMIC, CONTINUING BATTLES WITH HIV/AIDS AND HEPATITIS C, AND ESCALATING PUBLIC HEALTH CHALLENGES RELATED TO MENTAL HEALTH STRUGGLES, OBESITY, DIABETES, CARDIOVASCULAR DISEASE, CANCER, AND GAPS IN VACCINATIONS FOR PREVENTABLE ILLNESSES. THE COMMUNITY-BASED TRAINING AFFORDED WITHIN ESSENTIAL COMMUNITY PROVIDER NETWORKS LEVERAGES CROSS-INSTITUTIONAL LEARNING AND BROAD EXPOSURE TO INTERPROFESSIONAL TEAM-BASED CARE AND A VARIETY OF HEALTH INFORMATION TECHNOLOGY PLATFORMS. TWCGME'S PARTNERING CLINICAL LEARNING ENVIRONMENTS DEMONSTRATE AND ENGAGE ITS LEARNERS IN VALUE-DRIVEN WORKFLOW REDESIGN THAT PROMOTES PHYSICIAN-LED TEAMS, ENGAGED AND EMPOWERED PATIENTS AND FAMILIES, ROBUST REFERRAL NETWORKS OF COMMUNITY RESOURCES, AND BOTH MEANINGFUL USE AND CONNECTIVITY/INTEROPERABILITY OF HEALTH AND EDUCATIONAL INFORMATION TECHNOLOGY. TOP-LICENSE PRACTICE AT ALL LEVELS WITHIN THESE LEARNING ENVIRONMENTS EFFICIENTLY REDISTRIBUTES WORKFLOW SO THAT EVERY MEMBER OF THE PHYSICIAN-LED CARE TEAM, INCLUDING THE LEARNERS, ENGAGE IN PURPOSEFUL, MEANINGFUL PRACTICE AND ITERATIVE CONTINUOUS QUALITY IMPROVEMENT OF BOTH CARE DELIVERY AND EDUCATIONAL SYSTEMS. TWCGME'S GME-SNC IS A COMMUNITY HEALTH CENTER (CHC) FOCUSED EDUCATIONAL CONSORTIUM WITH HOSPITAL EXPERIENCES THAT EXPOSE TRAINEES TO INTERPROFESSIONAL EDUCATION IN A MULTIDISCIPLINARY ENVIRONMENT, BUILDING THEIR LONGITUDINAL AND TRANSITIONAL CARE SKILLS AND PREPARING THEM FOR MODERN CLINICAL PRACTICE. EVIDENCE DEMONSTRATES THAT PHYSICIANS WHO TRAINED AT CHCS ARE MORE LIKELY TO WORK IN A CHC OR OTHER UNDERSERVED SETTINGS. LIKE OTHER THCGME GRANTEES, TWCGME NOW HAS DEMONSTRABLE OUTCOMES OF TRAINING HIGHER THAN AVERAGE NUMBERS OF PRIMARY CARE PHYSICIANS WHO CHOOSE TO PRACTICE IN HISTORICALLY UNDERSERVED SETTINGS, INCLUDING FQHCS AND RURAL COMMUNITIES. |
| FORM 990, PART III, LINE 2 | NEW PROGRAM SERVICES: EFFECTIVE JULY 1, 2020, TWCGME OPERATIONALIZED AND LAUNCHED ITS ACGME-ACCREDITED GERIATRICS FELLOWSHIP. AS PART OF ITS EXPANSION OF THE SUCCESSFUL THCGME PROGRAM, HRSA ISSUED A NOTICE OF FUNDING OPPORTUNITY TO INVITE COMPETITIVE APPLICATIONS TO SECURE GME FUNDING FOR PRIMARY CARE RESIDENCY AND FELLOWSHIP PROGRAMS. AS A VESTED PARTNER IN THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S INITIATIVE TO BUILD AN "AGE FRIENDLY HEALTH SYSTEM," AS WELL AS UCLA'S HARTFORD FOUNDATION FUNDED ALZHEIMER'S AND DEMENTIA CARE PROGRAM NETWORK, TWCGME DEVELOPED AND LAUNCHED ITS GERIATRICS FELLOWSHIP TO ELEVATE THE AGE-RELATED WORKFORCE COMPETENCIES, NOT ONLY OF THE ENGAGED FELLOWS BUT ALSO OF OUR INCUMBENT AND FUTURE PRIMARY CARE WORKFORCE. TWCGME APPLIED FOR AND WAS AWARDED 3 FTES OF FUNDING BY THE HRSA THCGME PROGRAM FOR ITS GERIATRICS FELLOWSHIP. THE CURRICULUM IS DESIGNED TO PROMOTE THE WORKFORCE'S SKILL SETS TO HELP PATIENTS AND THEIR FAMILIES, ESPECIALLY THE MOST VULNERABLE ELDERLY, STRUGGLING WITH AGE- RELATED CHALLENGES OF COMPLEX MEDICAL, BEHAVIORAL AND SOCIAL HEALTH NEEDS. THE LAUNCH OF THE GERIATRICS FELLOWSHIP SUPPORTED AFFILIATED ENTITY TWCCH'S COMPETITIVE SELECTION FOR PARTICIPATION IN A ROBERT WOOD JOHNSON FOUNDATION-SUPPORTED DESIGN SPRINT FACILITATED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE ASSOCIATION OF ASIAN PACIFIC COMMUNITY HEALTH ORGANIZATIONS (AAPCHO). THE INITIATIVE FOCUSED ON THE ROBERT WOOD JOHNSON FOUNDATION'S THEORY OF CHANGE ALIGNMENT FRAMEWORK FOR CROSS-SECTOR ORGANIZATIONS TO ALIGN AROUND A SHARED VISION AND TO ENGAGE IN A COLLECTIVE IMPACT INITIATIVE TO SOLVE COMPLEX SOCIAL PROBLEMS. TWCCH WAS SELECTED, AND INVITED TWCGME, TELESPOND SENIOR DAY SERVICES, LACKAWANNA COUNTY AREA AGENCY ON AGING AND THE UNITED WAY OF LACKAWANNA AND WAYNE COUNTIES TO COLLABORATE TO CO-CREATE A VISION FOR IMPROVED, SUSTAINABLE PROGRAMS FOR SENIORS AND THEIR CAREGIVERS AND ENHANCED COMMUNITY PARTNERSHIPS TO MAKE THIS VISION POSSIBLE. AS A RESULT, TWCGME AND THESE PARTNERS ARE MAJOR PARTICIPATING STAKEHOLDERS IN THE EMERGING REGIONAL GERIATRICS CENTER OF EXCELLENCE IN NORTHEAST PENNSYLVANIA. TWCCH ALSO NOTABLY HIRED THE FIRST GRADUATE OF TWCGME'S GERIATRICS FELLOWSHIP AS A FULL TIME PROVIDER OF HEALTH SERVICES, AND SHE IS PASSIONATELY ENGAGED IN GERIATRICS EDUCATION OF THE FELLOWS, RESIDENTS, STUDENTS, AND CLINICAL STAFF. EFFECTIVE JULY 1, 2020, TWCGME EXPANDED ITS PSYCHIATRY RESIDENCY PROGRAM BY 4 FTES AS A RESULT OF ANOTHER SUCCESSFUL COMPETITIVE GRANT APPLICATION TO HRSA FOR THCGME FUNDING. TWCGME'S APPLICATION TO GROW ITS COMMUNITY-BASED PSYCHIATRY RESIDENCY PROGRAM IS A DIRECT RESPONSE TO THE CONTINUED INTENSIFICATION OF THE SHORTAGE OF PSYCHIATRISTS IN NORTHEAST PENNSYLVANIA, PARALYZING PATIENT ACCESS TO CRITICALLY NEEDED MENTAL AND BEHAVIORAL HEALTH SERVICES, AND ALSO TO THE ESCALATING MENTAL AND BEHAVIORAL HEALTH NEEDS RESULTING FROM THE COVID-19 PANDEMIC. IN ACADEMIC YEAR 2020, TWCGME ALSO FORMALLY SUPPORTED TWCCH'S SUCCESSFUL ENGAGEMENT AS A CLINICAL LEARNING ENVIRONMENT FOR ADDICTION FELLOWS FROM GEISINGER'S HRSA-FUNDED ADDICTION FELLOWSHIP AND ALSO NYU LANGONE'S NATIONAL ADVANCED EDUCATION GENERAL DENTISTRY RESIDENCY PROGRAM ACCREDITED BY THE COMMISSION ON DENTAL ACCREDITATION. GIVEN THE ESSENTIAL COMMUNITY PROVIDER IDENTITY OF ITS NUMEROUS CONSORTIUM PARTNERS, TWCGME'S RESIDENTS AND FELLOWS FOUND THEMSELVES IN THE INTENSELY TRAUMATIC EYE OF THE UNPRECEDENTED GLOBAL COVID-19 PANDEMIC AS PUBLIC SERVANTS. THEIR STRESS WAS UNPARALLELED AS NEW PHYSICIANS IN TRAINING WITHIN ESSENTIAL COMMUNITY PROVIDER ENVIRONMENTS THAT REMAINED OPEN AND OPERATIONAL THROUGH THE ENTIRE PANDEMIC TO DATE. NOTABLY, THE PRIMARY CARE RESIDENTS AND GERIATRICS FELLOWS PLAYED AN UNDENIABLY SIGNIFICANT ROLE IN AND MADE MANY MEANINGFUL CONTRIBUTIONS TO THE COVID-19 PANDEMIC RESPONSE IN THEIR RESPECTIVE COMMUNITIES. THEY COURAGEOUSLY SERVED IN BOTH AMBULATORY CLINICS AND COVID-19 SPECIFIC UNITS AND ALSO IN HOSPITAL-BASED SETTINGS, INCLUSIVE OF EMERGENCY ROOMS, GENERAL HOSPITAL FLOORS AND INTENSIVE CARE UNITS. THEY PASSIONATELY ENGAGED IN MULTIDIMENSIONAL SERVICE PROVISION INCLUSIVE OF PUBLIC HEALTH EDUCATION, PPE PROVISION, AS WELL AS COVID-19 TESTING, VACCINATION, AND TREATMENT INITIATIVES, INCLUSIVE OF MONOCLONAL ANTIBODY INFUSIONS. THEY ALSO VOLUNTEERED FOR MANY COMMUNITY SERVICE EVENTS INCLUDING FOOD DISTRIBUTION INITIATIVES, MOBILE UNIT DEPLOYMENT TO ELDERLY HIGH RISES TO DEPLOY RESOURCES, AND ALSO TWCCH'S ENGAGEMENT IN THE PA DEPARTMENT OF HEALTH'S EDUCATION AND CLINICAL COACHING PROGRAM TO OFFER SUPPORT TO NURSING HOMES AND LONG-TERM CARE FACILITIES. |
| FORM 990, PART III, LINE 2 CONTINUED | NEW PROGRAM SERVICES CONTINUED: THE PRIMARY CARE RESIDENTS AND GERIATRIC FELLOWS WERE A CRUCIAL COMPONENT OF THE HEALTH WORKFORCE IN NORTHEAST PENNSYLVANIA SERVING IN TWCCH'S FQHC LOOK-ALIKE, A DESIGNATION ACHIEVED BY THAT CARE DELIVERY ORGANIZATION JUST PRIOR TO THE PANDEMIC IN 2019. COVID-19 VACCINES BECAME AVAILABLE TO TWCCH IN DECEMBER 2020. DURING THE FIRST THREE MONTHS OF THE VACCINE ROLL-OUT, TWCGME EXPERIENCED A MYRIAD OF UNIQUE CHALLENGES RELATED TO THE INTENTIONAL PUBLIC HEALTH-CENTERED STRATEGY TWCCH ADOPTED TO CONDUCT PRIMARY HEALTH VISITS ASSOCIATED WITH THE COVID-19 VACCINE, WHILE OTHER PROVIDERS ORGANIZED DRIVE BY VACCINE ONLY EVENTS. TWCCH'S STRATEGY AIMED TO ADDRESS WELL RECOGNIZED, UNDIAGNOSED, AND UNCONTROLLED CHRONIC MEDICAL CONDITIONS, STARTING WITH HYPERTENSION, AS WELL AS ESCALATING, PANDEMIC-RELATED PRIMARY HEALTH CARE GAPS PARTICULARLY RELATED TO PREVENTATIVE CARE NEEDS, MENTAL HEALTH CHALLENGES, SUBSTANCE ABUSE, AND INSUFFICIENT VACCINATIONS FOR PREVENTABLE ILLNESS. TWCCH TRANSPARENTLY COMMUNICATED ITS DEPLOYMENT OF A PUBLIC HEALTH ORIENTED PATIENT-CENTERED VISIT-BASED STRATEGY BOTH INTERNALLY AND EXTERNALLY, INCLUDING BUT NOT LIMITED TO FEDERAL, STATE AND COUNTY AGENCIES, INSURANCE COMPANIES, NUMEROUS PARTNERING COMMUNITY RESOURCE AGENCY STAKEHOLDERS, AND THE LOCAL MEDIA. IT WAS A LEADING STAKEHOLDER IN SEVERAL COMMUNITY TASK FORCE MEETINGS AND A RELATED LOCAL MEDIA OP-ED CALLING FOR A RISK STRATIFIED REGIONAL COMMUNITY-WIDE VACCINE DISTRIBUTION STRATEGY. TWCCH'S COMMITMENT TO THE STRATEGY WAS NOTABLY MADE WITH FULL AWARENESS AND FRANK DISCUSSIONS THAT THE MEDICAL NECESSITY OF VISITS WOULD POSSIBLY BE DENIED BY INSURANCE COMPANIES WITH WHICH TWCCH WAS NEGOTIATING. HOWEVER, A LOCAL MEDIA JOURNALIST PUBLISHED COMPLAINTS ABOUT TWCCH'S VISIT-BASED STRATEGY. IN LATE FEBRUARY 2021, MORE THAN TWO MONTHS AFTER TWCCH BEGAN ITS PUBLIC HEALTH-ORIENTED VISIT-BASED COVID-19 VACCINE DEPLOYMENT, THE CDC ISSUED NEW GENERAL GUIDANCE THAT CALLED THE PERMISSIBILITY OF TWCCH'S MANDATORY VISIT-BASED STRATEGY INTO QUESTION. DURING THIS SAME TIME FRAME, RESIDENT LEADERS OF ONE RESIDENCY PROGRAM EXPRESSED THEIR CONCERN ABOUT THE LACK OF EDUCATIONAL VALUE ENGAGING IN THE VISIT-BASED VACCINATION EFFORTS AND SUBSEQUENTLY OUTREACHED TO THE ACGME. UPON LEARNING OF THE NEWLY ISSUED CDC GUIDANCE, TWCCH LEADERSHIP IMMEDIATELY REACHED OUT TO THE PENNSYLVANIA DEPARTMENT OF HEALTH, HRSA AND THE CDC FOR CLARIFICATION AND DIRECTION. ADDITIONALLY, THE PRESIDENT & CEO, TOGETHER WITH THE CHAIR OF TWCCH BOARD OF DIRECTORS AND TWCCH COO, SHARED THESE CIRCUMSTANCES WITH TWCCH'S HRSA FQHC-LAL PROJECT OFFICER AND A DEPUTY DIRECTOR OF HRSA. BEFORE RECEIVING A SUBSTANTIVE RESPONSE FROM THE CDC, TWCCH INDEPENDENTLY ELECTED TO REMEDIATE THE CHAOTIC AND TRAUMATIC SITUATION, GIVEN THE STRESS OF THE PANDEMIC, TOXIC MEDIA DYNAMICS AND THE RESULTING CONFUSION IN THE LOCAL COMMUNITY, WHICH TWCCH BELIEVED WOULD IMPAIR ACHIEVEMENT OF HERD IMMUNITY. TWCCH, THEREFORE, COMMITTED PUBLICLY TO, AND HAS, RETURNED ALL PAYMENTS FROM PATIENTS RELATED TO SERVICES RECEIVED THAT WERE PRIMARILY PURSUED FOR THE PURPOSE OF GETTING VACCINATED. TWCCH ALSO RETURNED REVENUES AND ADJUSTED ALL RELATED CLAIMS SUBMITTED TO INSURANCE COMPANIES FOR SUCH VISITS. THESE MEASURES, AS WELL AS THE ADDITIONAL MEASURES OF HIRING A DIRECTOR OF HEALTH HUMANITIES AND A WELLNESS AND RESILIENCY SPECIALIST, WERE COMMUNICATED TO THE ACGME, WHICH THEN CONSIDERED THE MATTER CLOSED AS IT RELATES TO THE SPONSORING INSTITUTION. THE RESIDENT LEADERS WHO ORGANIZED THE OUTREACH TO THE ACGME HAVE SUCCESSFULLY GRADUATED AND MOVED ON TO SPECIALTY FELLOWSHIPS. TWCCH BELIEVES THAT ITS REMEDIATION PLAN OVERCORRECTED ANY POSSIBLE BILLING ISSUES RELATED TO ITS PUBLIC HEALTH-ORIENTED VISIT-BASED STRATEGY, AND CONTINUED, AT THE RECOMMENDATION OF THE CDC, TO PROMOTE AND ENCOURAGE A PUBLIC HEALTH-ORIENTED VISIT-BASED VACCINATION STRATEGY THROUGH IMPLEMENTATION OF A MORE PROACTIVE, METICULOUSLY DETAILED COVID-19 TESTING, TREATMENT AND VACCINATION INFORMED CONSENT PROCESSES AND PROCEDURES. TWCGME RESIDENTS CONTINUE TO BE AN INTEGRAL PART OF TWCCH'S ROBUST RESPONSE TO THE COVID-19 PANDEMIC, AND THEY PROUDLY SHARED IN THE AWARD OF FIVE HRSA COMMUNITY HEALTH QUALITY RECOGNITION BADGES THAT TWCCH RECEIVED FOR ITS PANDEMIC PERFORMANCE. BOTH TWCCH'S AND TWCGME'S INTENSE ORGANIZATIONAL LEARNING AND TRAUMA PROCESSING THROUGH THIS EXPERIENCE WAS FORCE-MULTIPLIED FOR EVERYONE WHO SERVED DURING THE INTENSE, UBIQUITOUS TRAUMA OF THE COVID-19 PANDEMIC. THE SUBSEQUENT ORGANIZATIONAL INVESTMENTS IN THE WELL-BEING OF TWCGME'S LEARNERS VIA THE HIRING OF THE AFOREMENTIONED POSITIONS WHO HAVE IMPLEMENTED WELLNESS-FOCUSED ACTIVITIES, ALONG WITH SEVERAL ORGANIZATION-WIDE INITIATIVES TO HEAL AND NURTURE TRUST AND ENHANCED COMMUNICATION, HAVE DEMONSTRATED TWCGME'S AND TWCCH'S LEGACY OF COMMUNITY-FOCUSED MISSION DELIVERY RESILIENCY, WHILE ALSO EMERGING ITS NEWLY ENHANCED RECOVERY-ORIENTED CULTURE. |
| FORM 990, PART III, LINE 4A | PROGRAM SERVICES CONTINUED: TWCGME IS AN INDEPENDENT, ACGME-ACCREDITED SPONSORING INSTITUTION OF RESIDENCY AND FELLOWSHIP PROGRAMS IN INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY, GERIATRICS, CARDIOVASCULAR DISEASE AND GASTROENTEROLOGY. TWCGME SPONSORS PUBLIC HEALTH-FOCUSED INTERNAL MEDICINE, FAMILY MEDICINE AND PSYCHIATRY RESIDENCY PROGRAMS REGIONALLY IN NORTHEAST PENNSYLVANIA AND ALSO SPONSORS A PIONEERING, UNIQUE AND GROUNDBREAKING ACGME-ACCREDITED NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM THAT SERVES COMMUNITIES IN WASHINGTON, D.C., OHIO, ARIZONA, AND WASHINGTON STATE THROUGH ITS PARTNERSHIPS WITH UNITY HEALTH CARE, HEALTHSOURCE OF OHIO, EL RIO HEALTH, AND HEALTHPOINT FQHCS RESPECTIVELY. TWCGME ALSO OFFERS MEDICAL FELLOWSHIPS IN CARDIOVASCULAR DISEASE, GASTROENTEROLOGY AND GERIATRICS IN NORTHEAST PENNSYLVANIA. TWCGME'S REGIONAL FAMILY MEDICINE RESIDENCY AND NATIONAL FAMILY MEDICINE RESIDENCY PROGRAMS, THE INTERNAL MEDICINE PROGRAM, PSYCHIATRY AND GERIATRICS ARE WHOLLY OR PARTIALLY FUNDED BY THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) THROUGH THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) PROGRAM, WHICH FUNDS ONLY PRIMARY CARE MEDICAL AND DENTAL RESIDENCY PROGRAMS. THESE HRSA-FUNDED THCGME PROGRAMS OFFER AMPLE OPPORTUNITY FOR PHYSICIAN TRAINEES TO BE IMMERSED IN FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FQHC LOOK-ALIKES (FQHC-LALS) AS THEIR PRIMARY AMBULATORY CLINICAL LEARNING ENVIRONMENTS. AS THE LARGEST HRSA-FUNDED THC GME-SNC IN THE U.S., TWCGME PROUDLY ENGAGED EACH FQHC AND FQHC-LAL PARTNER WITH AN EMPOWERING VOICE ON OUR GOVERNING BOARD OF DIRECTORS. TWCGME'S CLINICAL LEARNING ENVIRONMENT PARTNER SITES INCLUDE TWCCH'S CLINICAL LOCATIONS ACROSS NORTHEAST PENNSYLVANIA, HEALTHSOURCE OF OHIO IN NEW RICHMOND AND HILLSBORO, OH, EL RIO HEALTH IN TUCSON, AZ, HEALTHPOINT COMMUNITY HEALTH CENTER IN AUBURN, WA, AND UNITY HEALTH CARE IN WASHINGTON, D.C. THESE HEALTH CENTERS SHARE A PUBLIC HEALTH ORIENTED PARTNERSHIP WITH THE NACHC INSPIRED A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA, SUPPORTING ITS HOMETOWN SCHOLAR PIPELINE PROGRAM THAT STRIVES TO ENHANCE THE DIVERSITY OF THE PHYSICIAN WORKFORCE AND ITS CONGRUENCE WITH THE POPULATION SERVED BY RECRUITING FROM, RETAINING IN, THEREBY RESTORING COMMUNITIES. |
| FORM 990, PART III, LINE 4B | PROGRAM SERVICE CONTINUED: TWCGME IS A 501(C)(3) NONPROFIT CORPORATION AND ANCHOR MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) AS THE INDEPENDENT ACGME-ACCREDITED SPONSORING INSTITUTION OF RESIDENCY AND FELLOWSHIP PROGRAMS IN INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY, GERIATRICS, CARDIOVASCULAR DISEASE AND GASTROENTEROLOGY. IN NORTHEAST PENNSYLVANIA, TWCGME'S RESIDENT AND FELLOW PHYSICIAN LEARNERS TRAIN EXPERIENTIALLY IN FIVE REGIONAL HOSPITALS OPERATED BY COMMONWEALTH HEALTH, GEISINGER HEALTH SYSTEM, OR THE WILKES-BARRE VETERANS AFFAIRS MEDICAL CENTER (WBVAMC). TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, AND PSYCHIATRY RESIDENCY PROGRAMS ARE ALSO PARTIALLY FUNDED BY THE HRSA TEACHING HEALTH CENTER GME PROGRAM AS DESCRIBED IN LINE 4A ABOVE; TWCGME'S NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM AND GERIATRIC FELLOWSHIP PROGRAM ARE WHOLLY FUNDED BY HRSA'S TEACHING HEALTH CENTER GME PROGRAM AND RECEIVE NO RESOURCES FROM CMS GME AFFILIATES OR THE VA. NON-HRSA GME FUNDING IS PROVIDED TO TWCGME DIRECTLY BY THE WBVAMC AND CMS-FUNDED HOSPITALS VIA AFFILIATION AGREEMENTS. THE CONSORTIUM TRACKS AND REPORTS ROTATIONAL FTES BY PROGRAM ACROSS SPECIFIED FEDERAL COST CENTERS. |
| FORM 990, PART III, LINE 4C | PROGRAM SERVICE CONTINUED: TWCGME, IN PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA) AS SUB-AWARDEE, AUGMENTED TRAINING ACROSS THE PRIMARY CARE CONTINUUM BY INTEGRATING INTERPROFESSIONAL TEAM-BASED, PATIENT-CENTERED HEALTH PROFESSIONS EDUCATION WITHIN NATIONALLY DISTRIBUTED COMMUNITY HEALTH CENTER TRAINING SITES SEEKING TO IMPROVE ACCESS TO QUALITY HEALTHCARE FOR HIGHLY VULNERABLE AND HISTORICALLY UNDERSERVED POPULATIONS. THROUGH THIS PROJECT, TWCGME AND ATSU-SOMA CREATED ENHANCED PRIMARY CARE DIDACTICS, CONTEXTUAL CLINICAL LEARNING ACTIVITIES AND ASSESSMENTS, AND LEADERSHIP CONTENT TO PREPARE TRAINEES FOR PRACTICE IN EVOLVING HEALTHCARE SYSTEMS AND FUTURE CAREERS AS PUBLIC HEALTH CHAMPIONS AND SERVANT LEADERS FOR THEIR COMMUNITIES. TOGETHER, TWCGME AND ATSU-SOMA CREATED A MULTI-STATE COMMUNITY CARE TRAINING ALLIANCE THAT BRINGS TOGETHER LEADERSHIP FROM COMMUNITY HEALTH CENTERS, MEDICAL SCHOOLS AND GME SPONSORING INSTITUTIONS TO EXPLORE HOW TO BEST EVOLVE THE LONGITUDINAL MEDICAL EDUCATION CONTINUUM IN ORDER TO BETTER SERVE MEDICALLY UNDERSERVED COMMUNITIES. |
| FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES: TWCGME OPERATES AN INSTITUTIONAL REVIEW BOARD (IRB). THE MISSION OF THE TWCGME IRB IS TO PROTECT THE RIGHTS, WELFARE AND KNOWLEDGE-BASED EMPOWERMENT OF HUMAN PARTICIPANTS RECRUITED TO ENGAGE IN RESEARCH ACTIVITIES OCCURRING IN TWCGME CLINICAL LEARNING ENVIRONMENTS, PARTNERING ORGANIZATIONS' CLINICAL LEARNING ENVIRONMENTS AND/OR WITH TWCGME RESIDENTS, FELLOWS AND/OR FACULTY. PHYSICIANS, EDUCATORS, ACADEMIC AND CLINICAL RESEARCH EXPERTS AND COMMUNITY MEMBERS SERVE ON THE IRB (EXPENSES $29,847; REVENUE $8,115). TWCGME SERVES AS THE COMMON PAYMASTER FOR TWCCH. IN OPERATIONALIZING THE COMMON PAYMASTER FUNCTIONALITY, TWCGME HAS ENTERED INTO LEASE AGREEMENTS WITH TWCCH FOR THE PROVISION OF CERTAIN ADMINISTRATIVE AND EXECUTIVE SERVICES, FOR WHICH TWCCH PAYS TWCGME THROUGH INTERCOMPANY ALLOCATION METHODOLOGIES. THROUGH THESE LEASE AGREEMENTS, TWCCH LEASES MANAGEMENT SERVICES AND BACK OFFICE SUPPORT SERVICES FROM TWCGME INCLUDING, BUT NOT LIMITED TO, HUMAN RESOURCES, INFORMATION TECHNOLOGY, MARKETING & COMMUNICATIONS, FINANCE, GRANTS, GOVERNANCE SUPPORT, GOVERNMENTAL RELATIONS, LEGAL AND OTHER ADMINISTRATIVE SERVICES. LINE 2B ON THE STATEMENT OF REVENUE REPRESENTS THE REVENUE RECORDED FOR THESE SUPPORT SERVICES THAT TWCGME PERFORMS ON BEHALF OF TWCCH. THE COSTS ASSOCIATED WITH THIS REVENUE, IN ADDITION TO COSTS SUPPORTING TWCGME MANAGEMENT AND GENERAL EXPENSES, ARE RECORDED AS MANAGEMENT AND GENERAL EXPENSES ON TWCGME. |
| FORM 990, PART V, LINE 2 | COMMON PAYMASTER: TWCGME IS AFFILIATED WITH TWCCH (EIN: 23-2772504). TO INCREASE ORGANIZATIONAL EFFICIENCIES, TWCGME IS A COMMON PAY AGENT FOR W-2 REPORTING OF BOTH ENTITIES, WITH THE NOTABLE EXCEPTION THAT TWCCH DIRECTLY EMPLOYS ITS CHIEF EXECUTIVE OFFICER, CHIEF MEDICAL OFFICER AND CHIEF OPERATING OFFICER. TWCGME REPORTS ALL OTHER EMPLOYEES ON ITS FORM W-3; HOWEVER, EACH ENTITY'S RESPECTIVE EMPLOYEE FTES ARE ALLOCATED APPROPRIATELY TO EACH ENTITY WITHOUT DUPLICATION BASED ON A SERIES OF AGREEMENTS BETWEEN THE ORGANIZATIONS. PER IRS INSTRUCTIONS, EMPLOYEES INCLUDED ON PART V, LINE 2A, ARE THOSE DEEMED TO BE THE FTE EQUIVALENT OF EMPLOYEES ALLOCATED TO TWCGME. |
| FORM 990, PART VI, SECTION A, LINE 6 | ORGANIZATION MEMBERS: YES, TWCGME IS A NONPROFIT MEMBERSHIP CORPORATION WITH TWO CLASSES OF MEMBERS. CLASS I MEMBERS ARE HEALTH SYSTEMS WITH WHICH THE CORPORATION HAS AN EXECUTED AFFILIATION AGREEMENT FOR RESIDENT AND/OR FELLOW TRAINING AND WHICH HAVE AN ACTIVE PRESENCE IN THE NORTHEAST PENNSYLVANIA REGION AS DETERMINED SOLELY BY TWCGME. CURRENTLY, GEISINGER HEALTH SYSTEM AND COMMONWEALTH HEALTH SYSTEMS ARE CLASS I MEMBERS. CLASS II MEMBERS CURRENTLY INCLUDE CLASS I DIRECTORS AND CLASS III DIRECTORS AS DEFINED IN TWCGME'S BYLAWS. CLASS II MEMBERS CURRENTLY INCLUDE REPRESENTATIVES OF TWCGME'S AFFILIATED CORPORATIONS, INCLUDING TWCCH, A HRSA-DESIGNATED FQHC LOOK-ALIKE. OTHER CLASS II MEMBERS INCLUDE REPRESENTATIVES OF CONSUMERS/PATIENTS, REGIONAL EMPLOYERS, OSTEOPATHIC, ALLOPATHIC AND INTER-PROFESSIONAL (NON-PHYSICIAN) HEALTH CARE AND EDUCATIONAL STAKEHOLDERS, COMMUNITY LEADERS, COMMUNITY-GOVERNED NON-PROFIT SERVICE ORGANIZATIONS, AND OTHER PERSONS WHOM THE MEMBER BELIEVES WILL CONTRIBUTE VALUE TO THE BOARD OF DIRECTORS. IN 2019-2020, TWCGME WELCOMED TO THE BOARD THE EMPOWERED VOICE OF REPRESENTATIVE MEMBERS FROM ITS NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM'S PARTNERING FQHCS (UNITY HEALTH CARE, HEALTHSOURCE OF OHIO, HEALTHPOINT AND EL RIO HEALTH) AS WELL AS NORTHEAST PA AHEC AND A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE AS CLASS II MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBER POWERS: CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATE TWCGME SPONSORING INSTITUTIONAL CONSORTIUM FOR AT LEAST TEN RESIDENT AND/OR FELLOW FTES SHALL HAVE THE RIGHT TO APPOINT ONE CLASS II-A DIRECTOR TO TWCGME'S BOARD. CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATE TWCGME SPONSORING INSTITUTIONAL CONSORTIUM FOR AT LEAST TWENTY-FIVE RESIDENT AND/OR FELLOW FTES SHALL HAVE THE RIGHT TO APPOINT TWO CLASS II-A DIRECTORS TO TWCGME'S BOARD. NO CLASS I MEMBER SHALL APPOINT MORE THAN TWO VOTING DIRECTORS ON TWCGME'S BOARD AT ANY GIVEN TIME, AND NO CLASS I MEMBER MAY APPOINT DIRECTORS TO ANY CLASS OTHER THAN CLASS II-A. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW: TWCGME'S FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT WITH INPUT FROM THE CEO AND SENIOR EXECUTIVES ACROSS ALL DEPARTMENTS, AND IT IS THEN REVIEWED BY AN OUTSIDE CPA FIRM. THE FORM 990 IS DISTRIBUTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS AND TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. UPON COMPLETION OF THIS REVIEW AND ANY NECESSARY REVISIONS, THE FORM 990 IS FINALIZED AND SIGNED BY THE ORGANIZATION'S PRESIDENT & CEO AND FILED WITH THE IRS. TWCGME'S THREE MOST RECENTLY FILED 990S ARE AVAILABLE ON LOCATION BY REQUEST CONSISTENT WITH IRS APPLICABLE LAWS, RULES AND REGULATIONS AND ALSO IN DOWNLOADABLE FORMAT ON OUR WEBSITE. |
| FORM 990, PART VI, SECTION B, LINE 12A, 12B, 12C | CONFLICT OF INTEREST POLICY: A WRITTEN CONFLICT OF INTEREST POLICY HAS BEEN APPROVED BY THE BOARD OF DIRECTORS AND IS REVIEWED AND UPDATED, IF NECESSARY OR APPROPRIATE, ANNUALLY. AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED ANNUALLY BY THE DIRECTORS, OFFICERS AND ALL STAFF INCLUDING KEY EMPLOYEES OF THE ORGANIZATION. SHOULD A CONFLICT OF POTENTIAL CONFLICT ARISE DURING THE YEAR, THE CONFLICT OF INTEREST DISCLOSURE FORM IS UPDATED AND REVIEWED. POTENTIAL CONFLICTS OF DIRECTORS, IF ANY, ARE FULLY DISCLOSED, VETTED BY THE AUDIT COMMITTEE AND REVIEWED BY THE BOARD WITH OUTSIDE ETHICS CONSULTATION OBTAINED WHEN APPROPRIATE. EDUCATION ON CONFLICTS OF INTEREST IS PROVIDED TO THE BOARD ANNUALLY DURING REVIEW AND RENEWAL OF THE CONFLICT OF INTEREST POLICY. DIRECTORS' COMPLIANCE WITH THE POLICY IS MONITORED BY THE AUDIT COMMITTEE AND SUPPORTED BY THE GOVERNANCE OFFICER. COMPLIANCE OF STAFF WITH THE CONFLICT OF INTEREST POLICY IS MONITORED BY MANAGERS WITH SUPPORT OF THE HUMAN RESOURCES AND LEGAL DEPARTMENTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION DETERMINATION: TWCGME CONTRACTS WITH THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), ITS AFFILIATED ENTITY, FOR THE SERVICES OF TWCGME'S CHIEF EXECUTIVE AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TWCGME, AND THEREFORE DOES NOT COMPENSATE THE CHIEF EXECUTIVE OFFICER DIRECTLY. NONETHELESS, TWCGME AND TWCCH JOINTLY ENGAGE A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT REGULARLY (GENERALLY EVERY THREE TO FIVE YEARS) TO PROVIDE A COMPREHENSIVE, OBJECTIVE COMPENSATION STUDY TO ENSURE THAT TWCGME'S PAYMENT TO TWCCH FOR CHIEF EXECUTIVE SERVICES REFLECTS FAIR MARKET VALUE. IN ADDITION, TWCGME'S EXECUTIVE COMMITTEE PERFORMS A ROBUST AND COMPREHENSIVE REVIEW OF THE CHIEF EXECUTIVE'S PERFORMANCE AND THE ORGANIZATION'S PERFORMANCE IN DETERMINING WHETHER PAYMENT ADJUSTMENTS TO TWCCH FOR FUTURE SERVICES ARE APPROPRIATE AND, IF SO, FAIR MARKET VALUE BASED ON ALL CIRCUMSTANCES. THE EXECUTIVE COMMITTEE'S DELIBERATIONS, CONSIDERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMMITTEE MEETING MINUTES WITHIN 60 DAYS OF THE DECISION. |
| FORM 990, PART VI, SECTION B, LINE 15B | COMPENSATION DETERMINATION: COMPENSATION OF OFFICERS, KEY EMPLOYEES AND EXECUTIVES IS DETERMINED BY THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND HUMAN RESOURCES DEPARTMENT. A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT IS ENGAGED TO PERFORM AN ORGANIZATION-WIDE COMPENSATION STUDY AND ANALYSIS PERIODICALLY (USUALLY EVERY THREE TO FIVE YEARS), WHICH IS PRESENTED TO THE CHIEF EXECUTIVE AS WELL AS THE EXECUTIVE AND PERSONNEL/COMPENSATION COMMITTEES OF THE BOARD OF DIRECTORS. MOREOVER, ADDITIONAL DATA MAY BE CONSIDERED, SUCH AS INFORMATION FROM THE AMERICAN JOB CENTER NETWORK WEBSITE, MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), FORM 990S OF COMPARABLE ORGANIZATIONS AND OTHER REGIONAL AND NATIONAL SOURCES MAY BE CONSULTED WHEN NECESSARY TO PROVIDE ADDITIONAL COMPARABLE SALARY RANGES FOR VARIOUS POSITIONS WITHIN THE ORGANIZATION, INCLUDING BUT NOT LIMITED TO EXECUTIVES, OFFICERS AND KEY EMPLOYEES. AS WITH THE SERVICES OF TWCGME'S CHIEF EXECUTIVE, TWCGME ALSO LEASES THE SERVICES OF TWCCH'S CHIEF MEDICAL OFFICER AS A KEY EMPLOYEE/EXECUTIVE FOR TWCGME IN THE POSITION OF SENIOR VICE PRESIDENT OF CLINICAL EDUCATIONAL INTEGRATION. THE THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT JOINTLY ENGAGED BY TWCGME AND TWCCH ALSO INCLUDES THE SERVICES OF THIS EXECUTIVE IN ITS COMPENSATION STUDY ANALYSIS PERFORMED PERIODICALLY (TYPICALLY EVERY THREE TO FIVE YEARS). |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENT AVAILABLITY: TWCGME'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION BY APPOINTMENT DURING BUSINESS HOURS AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE IN SCRANTON, WITH COPIES PROVIDED UPON REQUEST. TWCGME'S THREE MOST RECENTLY FILED 990S ARE AVAILABLE ON LOCATION BY REQUEST CONSISTENT WITH IRS APPLICABLE LAWS, RULES AND REGULATIONS AND ALSO IN DOWNLOADABLE FORMAT ON OUR WEBSITE. |
| FORM 990, PART VIII, LINE 2B | STATEMENT OF REVENUE: LINE 2B ON THE STATEMENT OF REVENUE REPRESENTS THE REVENUE RECORDED FOR SUPPORT SERVICES THAT TWCGME PERFORMS ON BEHALF OF TWCCH, AN AFFILIATED ORGANIZATION, PURSUANT TO INTERCOMPANY LEASE AGREEMENTS. TWCGME SERVES AS THE COMMON PAYMASTER FOR TWCCH. IN OPERATIONALIZING THE COMMON PAYMASTER FUNCTIONALITY, TWCGME HAS ENTERED INTO LEASE AGREEMENTS WITH TWCCH FOR THE PROVISION OF CERTAIN ADMINISTRATIVE AND EXECUTIVE SERVICES, FOR WHICH TWCCH PAYS TWCGME THROUGH WELL-VALIDATED FTE-BASED INTERCOMPANY ALLOCATION METHODOLOGIES. THROUGH THESE LEASE AGREEMENTS, TWCCH LEASES MANAGEMENT SERVICES AND BACK OFFICE SUPPORT SERVICES FROM TWCGME INCLUDING, BUT NOT LIMITED TO, HUMAN RESOURCES, INFORMATION TECHNOLOGY, MARKETING & COMMUNICATIONS, FINANCE, GRANTS, GOVERNANCE SUPPORT, GOVERNMENTAL RELATIONS, LEGAL AND OTHER ADMINISTRATIVE SERVICES. THE COSTS ASSOCIATED WITH THIS REVENUE, IN ADDITION TO COSTS SUPPORTING TWCGME MANAGEMENT AND GENERAL EXPENSES, ARE RECORDED AS MANAGEMENT AND GENERAL EXPENSES ON TWCGME. |
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