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 | |||||
|
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.") . | 1,614,090 | 2,044,877 | 3,016,314 | 8,016,717 | 7,748,993 | 22,440,991 |
| 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 | 16,415,737 | 16,298,289 | 17,363,071 | 26,424,414 | 43,074,261 | 119,575,772 |
| 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 | 18,029,827 | 18,343,166 | 20,379,385 | 34,441,131 | 50,823,254 | 142,016,763 |
| 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.) | 142,016,763 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 18,029,827 | 18,343,166 | 20,379,385 | 34,441,131 | 50,823,254 | 142,016,763 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 86,350 | 94,591 | 133,673 | 181,950 | 62,936 | 559,500 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 86,350 | 94,591 | 133,673 | 181,950 | 62,936 | 559,500 |
| 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.) .. | 25,604 | 27,714 | 51,244 | 13,275 | 95,029 | 212,866 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 18,141,781 | 18,465,471 | 20,564,302 | 34,636,356 | 50,981,219 | 142,789,129 |
| 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): |
|||||
| 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 | ORGANIZATION'S MISSION: WE DO THIS THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. WE DELIVER COMPREHENSIVE, WHOLE-PERSON, NON-DISCRIMINATORY PRIMARY HEALTH SERVICES WITHIN A PATIENT CENTERED MEDICAL HOME (PCMH) MODEL FRAMEWORK FOR PATIENTS AND FAMILIES FROM OUR REGIONAL COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY, WHILE EDUCATING CURRENT AND FUTURE INTERPROFESSIONAL PRIMARY CARE WORKFORCE. WE PROVIDE FULL-SCOPE INTEGRATED PRIMARY HEALTH CARE DELIVERY, INCLUSIVE OF MEDICAL, MENTAL, BEHAVIORAL, ADDICTION, OBESITY, INFECTIOUS DISEASE/RYAN WHITE, RHEUMATOLOGICAL, AND LIFESTYLE SERVICES. TWCCH'S PASSIONATE PURPOSE IS TO PROVIDE COMPREHENSIVE, NON-DISCRIMINATORY PRIMARY HEALTH SERVICES, ADDRESS HEALTH AND HEALTHCARE ACCESS DISPARITIES, AND CO-CREATE TRANSFORMATIONAL HEALTHCARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH. OUR NICHE IS WORLD CLASS INNOVATIVE AND RESPONSIVE PRIMARY HEALTHCARE THROUGH COMMUNITY-CENTRIC, INCUMBENT AND FUTURE WORKFORCE RENEWAL. |
| FORM 990, PART III, LINE 1 | ORGANIZATION MISSION: ORIGINALLY INCORPORATED AS A TAX-EXEMPT PROFESSIONAL CORPORATION AFFILIATED WITH NONPROFIT ENTITY THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) WHICH IS A TEACHING HEALTH CENTER GME CONSORTIUM THAT INTEGRATES FEDERAL GME FUNDING FROM U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION, THE VETERAN AFFAIRS, AND CENTERS FOR MEDICARE AND MEDICAID AFFILIATED HOSPITALS, THE WRIGHT CENTER MEDICAL GROUP, PC INTENTIONALLY TRANSFORMED ITS CORPORATE IDENTITY IN 2019 INTO AN AUTONOMOUS, COMMUNITY OWNED AND GOVERNED INDEPENDENT 501(C)(3) NONPROFIT CORPORATION ELIGIBLE TO PURSUE DESIGNATION AS A U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE. THIS WAS ACHIEVED THROUGH THE SELFLESS, UNANIMOUS VOTES OF PHYSICIAN AND NON-PHYSICIAN PRIMARY CARE PROVIDER STAKEHOLDERS (THEN BOARD MEMBERS) TO REMOVE THEMSELVES FROM GOVERNANCE ENTIRELY TO ALLOW ROOM FOR COMMUNITY MEMBERS, PRIMARILY PATIENTS AND CONSUMERS OF THE ENTITY'S HEALTH SERVICES, TO ASSUME THOSE BOARD SEATS AND TO GAIN EMPOWERED OFFICIAL VOICE IN THE FIDUCIARY STEWARDSHIP AND DIRECTIONAL OVERSIGHT OF THE ORGANIZATION. AS MENTIONED, THIS INTENTIONAL AND COMMUNITY EMPOWERING GOVERNANCE TRANSFORMATION ALLOWED THE ENTITY TO APPLY FOR AND SUCCESSFULLY EARN THE DESIGNATION AS A HRSA-RECOGNIZED AUTONOMOUS, INDEPENDENT, COMMUNITY AND PATIENT GOVERNED FQHC LOOK-ALIKE ESSENTIAL COMMUNITY PROVIDER OF PRIMARY HEALTH AND CONTINUED RYAN WHITE SERVICES DBA THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). PROUDLY, 94% OF CURRENT GOVERNING BOARD MEMBERS ARE CONSUMERS OF OUR PRIMARY HEALTH CARE SERVICES. WE SERVED 44,782 UNIQUE PATIENTS AND ENGAGED IN 163,289 VISITS (AS RECORDED IN OUR ELECTRONIC HEALTH RECORD) BETWEEN JUNE 2020 AND JUNE 2021. WE OPERATE LEVEL 3 NCQA DESIGNATED PATIENT CENTERED MEDICAL HOMES WITH NCQA PRIMARY CARE/BEHAVIORAL HEALTH RECOGNITION. WE HAVE MEMORANDA OF UNDERSTANDING AND SHARED CARE COMPACTS WITH NUMEROUS PRIMARY AND SPECIALTY MEDICAL, DENTAL AND MENTAL HEALTH PROVIDERS, HOSPITALS, INTEGRATED DELIVERY SYSTEMS AND SOCIAL SERVICE RESOURCE AGENCIES COMPRISING AN EXTENSIVE, ENRICHED NONDISCRIMINATORY COMMUNITY RESOURCE NETWORK. WE ARE A PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE (COE), A PENNSYLVANIA COORDINATING CENTER FOR MEDICATION ASSISTED TREATMENT (PACMAT) AND THE CONVENING, PRIMARY ORGANIZATION OF A MULTI-INSTITUTION HEALTHY MATERNAL OPIATE MEDICAL SUPPORTS (MOMS) PROGRAM. WE OFFER ROBUST PRIMARY PHYSICAL, MENTAL, BEHAVIORAL, DENTAL AND RYAN WHITE HEALTH SERVICES WITHIN A PATIENT CENTERED MEDICAL HOME (PCMH) FRAMEWORK, COORDINATING A FULL SPECTRUM OF HEALTH SERVICES FOR OUR PATIENTS WITHIN AN ENRICHED COMMUNITY RESOURCE NETWORK. WE ARE DEEPLY INVESTED IN COMMUNITY-BASED LIVING AND AGING IN PLACE, AND OFFER EMPOWERING SERVICES OF COMMUNITY HEALTH WORKERS, CERTIFIED RECOVERY SPECIALISTS, SPIRITUAL AIDE, CASE WORKERS AND NURSE CARE MANAGERS. WE PROVIDE HOUSE CALLS AS WELL AS HOSPITALIST, SKILLED NURSING FACILITY AND INPATIENT ACUTE REHABILITATION SERVICES FOR OUR PATIENTS IN PARTNERING COMMUNITY-BASED INSTITUTIONS, INCLUSIVE OF GERIATRIC SERVICES. WE ARE PASSIONATE CHAMPIONS FOR EMR/EHR MEANINGFUL USE, HEALTH INFORMATION EXCHANGES AND CONNECTIVITY/INTEROPERABILITY, AND THE ACTIVE, EMPOWERED ENGAGEMENT OF PATIENTS AND FAMILIES IN THEIR HEALTHCARE AND PRIMARY CARE WORKFORCE DEVELOPMENT. WE ARE A FUNDAMENTAL CLINICAL LEARNING ENVIRONMENT FOR TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY RESIDENTS AND GERIATRICS FELLOWS AS WELL AS FOR ADDICTION FELLOWS TRAINING IN THE AFFILIATED GEISINGER ADDICTION FELLOWSHIP AND IN THE REPORTING YEAR WERE PLANNING TO BECOME A SITE FOR ADVANCED EDUCATION GENERAL DENTISTRY RESIDENTS FROM NYU LANGONE DENTAL. WE TRAIN OVER 250 INTERPROFESSIONAL STUDENTS ANNUALLY IN PARTNERSHIP WITH OVER A DOZEN ACADEMIC INSTITUTIONS, INCLUDING THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE AND THE A.T. STILL SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA. WE ARE AN ACTIVE PARTICIPATING PARTNER IN THE KEYSTONE ACCOUNTABLE CARE ORGANIZATION, THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE NORTHEAST PENNSYLVANIA AREA FOR HEALTH EDUCATION CENTER. |
| FORM 990, PART III, LINE 2 | NEW PROGRAM SERVICES: IN RESPONSE TO THE GLOBAL HEALTH EMERGENCY OF THE COVID-19 PANDEMIC HITTING NORTHEAST PENNSYLVANIA IN MARCH 2020, AS AN FQHC LOOK-ALIKE ESSENTIAL COMMUNITY PROVIDER, TWCCH LAUNCHED A MULTI-DIMENSIONAL COVID-19 RESPONSE PLAN. FROM THE OUTSET, TWCCH OFFERED COVID-19 TESTING AND TREATMENT SERVICES, AND SIGNIFICANTLY EXPANDED TELEHEALTH SERVICES TO ENSURE CONTINUED ACCESS AND CONTINUITY OF CARE IN ALL OF OUR PRIMARY HEALTH SERVICE LINES. OTHER THAN ONE SMALL CLINICAL SITE WITHIN A MENTAL HEALTH FACILITY WHICH CLOSED IN RESPONSE TO THE PANDEMIC PRECLUDING OUR CONTINUED OPERATIONS FOR A BRIEF TIME, WE PROUDLY MAINTAINED ONSITE (UP TO 83 HOURS AT OUR LARGEST CLINIC) OPERATIONS WITH 24/7 ON-CALL ACCESS FOR ALL SERVICE LINES AT ALL LOCATIONS THROUGHOUT THE COVID-19 PANDEMIC. WE ACTIVELY PARTICIPATED IN COUNTLESS STATE AND REGIONAL STRATEGIC PLANNING PANDEMIC RESPONSE INITIATIVES. AS SOON AS THE COVID-19 VACCINES BECAME AVAILABLE, TWCCH WAS ONE OF THE FIRST AND ONLY INITIAL OUTPATIENT HEALTHCARE FACILITIES IN OUR REGION TO OFFER VACCINATIONS, FIRST TO BOTH INTERNAL AND EXTERNAL HEALTHCARE PERSONNEL IN ALIGNMENT WITH GOVERNOR WOLF'S VACCINATION ELIGIBILITY PARADIGM. WE FULLY ENGAGED IN METICULOUS VACCINE ADMINISTRATION REPORTING WITHIN THE PENNSYLVANIA VACCINE REGISTRY AND RELIABLY REPORTED ADVERSE EVENTS AND POTENTIAL SIDE EFFECTS TO VACCINES, EVEN IF DELIVERED BY AN ALTERNATIVE PROVIDER, TO THE FEDERAL VACCINE ADVERSE EVENTS REPORTING SYSTEM. AT EVERY ELIGIBILITY PHASE OF THE VACCINE INITIATIVE, TWCCH OFFERED VACCINES TO THE REGIONAL COMMUNITY, FROM FIRST RESPONDERS TO HIGH-RISK PATIENTS TO PUBLIC AND PRIVATE EMPLOYERS AND THE LARGER COMMUNITY. IN THE SPIRIT OF FULL TRANSPARENCY, WE SHARE SOME OF THE CHALLENGES WE EXPERIENCED DURING THE FIRST THREE MONTHS OF THE VACCINE ROLL-OUT BEGINNING IN DECEMBER 2020, ALONG WITH THE DETAILS OF OUR RECENTLY COMPLETED REMEDIATION PLAN. IN LARGE PART, OUR CHALLENGES WERE RELATED TO OUR INTENTIONAL PUBLIC-HEALTH CENTERED STRATEGY TO CONDUCT PRIMARY HEALTH VISITS ASSOCIATED WITH THE COVID-19 VACCINE BECAUSE OF OUR KNOWLEDGE OF ESCALATING PRIMARY HEALTH CARE GAPS RESULTING FROM THE PANDEMIC. 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. DESPITE TRANSPARENTLY SHARING OUR GOVERNING BOARD SUPPORTED STRATEGY FROM THE OUTSET WITH FEDERAL AND STATE AGENCIES, INSURANCE COMPANIES, NUMEROUS PARTNERING COMMUNITY RESOURCE AGENCY STAKEHOLDERS AND THE MEDIA, IN LATE FEBRUARY 2021, THE CDC ISSUED NEW GUIDANCE THAT CALLED THE PERMISSIBILITY OF OUR VISIT-BASED PUBLIC HEALTH-ORIENTED STRATEGY INTO QUESTION. UPON LEARNING OF THE NEWLY-ISSUED GUIDANCE, WE IMMEDIATELY REACHED OUT TO THE PENNSYLVANIA DEPARTMENT OF HEALTH, HRSA AND THE CDC FOR CLARIFICATION AND DIRECTION. ADDITIONALLY, OUR PRESIDENT & CEO, TOGETHER WITH THE CHAIR OF OUR BOARD OF DIRECTORS AND OUR COO, SHARED THESE CIRCUMSTANCES WITH OUR PROJECT OFFICER AND THE DEPUTY DIRECTOR OF HRSA. BEFORE RECEIVING A SUBSTANTIVE RESPONSE FROM THE CDC, TWCCH INDEPENDENTLY ELECTED TO REMEDIATE THE SITUATION GIVEN THE STRESS OF THE PANDEMIC, TOXIC MEDIA DYNAMICS AND THE RESULTING CONFUSION IN OUR COMMUNITY, WHICH TWCCH BELIEVED WOULD IMPAIR ACHIEVEMENT OF HERD IMMUNITY, BY RETURNING 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. TWCCH BELIEVES THAT ITS REMEDIATION PLAN OVERCORRECTED ANY POSSIBLE BILLING ISSUES RELATED TO THE PUBLIC HEALTH-ORIENTED VISIT-BASED STRATEGY. NOTABLY, AT THE RECOMMENDATION OF THE CDC, TWCCH CONTINUED TO PROMOTE AND ENCOURAGE A PUBLIC HEALTH-ORIENTED VISIT-BASED VACCINATION STRATEGY THROUGH A METICULOUSLY DETAILED REFINEMENT OF THE COVID-19 TESTING, TREATMENT AND VACCINATION INFORMED CONSENT PROCESSES AND PROCEDURES. TWCCH ALSO EXPANDED ITS OUTREACH WITHIN THE COMMUNITIES IT SERVES WHEN, IN SEPTEMBER 2020, IT LAUNCHED ITS MEDICAL/DENTAL MOBILE UNIT ("DRIVING BETTER HEALTH"), WHICH WAS ACQUIRED WITH EXPANDED CAPACITY FOR CORONAVIRUS TESTING (ECT) FUNDING PROVIDED BY HRSA. DRIVING BETTER HEALTH ALSO PROVIDED ADDITIONAL ACCESS POINTS TO DELIVER PRIMARY HEALTH SERVICES, INCLUDING BUT NOT LIMITED TO "CATCH-UP TO GET AHEAD" IMMUNIZATION CLINICS FOR SCHOOL-AGED CHILDREN, COVID-19 TESTING AND VACCINE CLINICS AT SENIOR CITIZEN HIGH-RISES AND DROP-IN SHELTERS FOR PEOPLE WHO LACK ACCESS TO STABLE HOUSING. TWCCH EXPANDED ITS DEPLOYMENT OF TELEHEALTH SERVICES FOR ALL SERVICE LINES WITH THE CERTIFICATION OF MANY TWCCH'S PROVIDERS IN TELEHEALTH, FUNDED BY GRANTS FROM THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND DIRECT RELIEF. TWCCH ALSO JOINED IN THE PENNSYLVANIA DEPARTMENT OF HEALTH'S INITIATIVE WITH LATINO CONNECTION, HIGHMARK BLUE SHIELD AND THE INDEPENDENCE BLUE CROSS FOUNDATION TO PROVIDE CLINICAL SUPPORT FOR THE STATE'S FIRST MOBILE TESTING AND RESOURCE UNIT, THE LATINO CONNECTION OWNED CATE (COMMUNITY-ACCESSIBLE TESTING AND EDUCATION FOR COVID-19). TWCCH WAS SELECTED AS ONE OF EIGHT CLINICAL PARTNERS TO VOLUNTEER WITH THE PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES' EDUCATIONAL SUPPORT AND CLINICAL COACHING PROGRAM (ESCCP) FOR WHICH IT REPURPOSED A LEARNING CENTER AND MOBILIZED OUR PROVIDERS AND RESIDENTS TO PROACTIVELY OUTREACH AND OFFER COLLABORATIVE, EDUCATIONAL SUPPORT TO NURSING HOMES AND LONG-TERM CARE FACILITIES DURING THE COVID-19 PANDEMIC. GUIDED AND SUPPORTED BY THE CDC'S COVID-19 TREATMENT TEAM, TWCCH BECAME ONE OF THE FIRST AND ONLY OUTPATIENT PROVIDERS TO REPURPOSE PHYSICAL FACILITIES AND STAFF TO OFFER COVID-19 MONOCLONAL ANTIBODY INFUSION THERAPY TO OUR LARGER COMMUNITY IN AN EFFORT TO PREVENT COVID-19-RELATED HOSPITAL ADMISSIONS AND DEATH IN A REGION WHERE THE ACUTE CARE HOSPITAL EMERGENCY ROOMS AND INPATIENT AND ESPECIALLY INTENSIVE CARE UNITS WERE EXPERIENCING DANGEROUS CAPACITY DEMANDS AND CONSTRAINTS. THROUGHOUT THE COVID-19 PANDEMIC (AND CONTINUING TODAY), TWCCH'S PHYSICIAN FACULTY AND INTERPROFESSIONAL PROVIDER TEAMS PLAYED A SIGNIFICANT LEADERSHIP ROLE IN ORGANIZING AND DELIVERING CRUCIAL COMPONENTS OF THE REGION'S PUBLIC HEALTH COVID-19 RESPONSE IN BOTH THE AMBULATORY CARE AND HOSPITAL-BASED SETTINGS. THIS INCLUDES OUR TIRELESS DELIVERY OF OPEN ACCESS TO COMPREHENSIVE PRIMARY HEALTH SERVICES, AS WELL AS OUR WELL-INTENDED, PUBLIC HEALTH-ORIENTED VISIT-BASED TESTING, VACCINE DEPLOYMENT, AND MONOCLONAL ANTIBODY INFUSION SERVICES, AS WELL AS OUR ONGOING RELENTLESS EFFORTS TO ADDRESS COVID-19 VACCINE HESITANCY. ENGINED BY OUR COMMITMENT TO PRIMARY CARE AND PUBLIC HEALTH, WE ALSO CONTINUE TO COMPASSIONATELY AND AGGRESSIVELY ADDRESS THE MULTITUDE OF PANDEMIC RELATED HEALTH CARE GAPS THAT UNFORTUNATELY CONTINUE TO ESCALATE, INCLUDING THE CDC'S CATCH UP AND GET AHEAD CAMPAIGN TO ADDRESS THE UNMET PRIMARY SERIES VACCINATION NEEDS OF OUR CHILDREN. |
| FORM 990, PART III, LINE 2 CONTINUED | NEW PROGRAM SERVICES CONTINUED: IN SUPPORT OF TWCCH'S EFFORTS TO HELP BUILD A REGIONAL GERIATRIC CENTER OF EXCELLENCE AND WITHIN THE SECOND FUNDED YEAR OF A THREE-YEAR GRANT FROM THE ALLONE FOUNDATION DESCRIBED BELOW, TWCCH EXPANDED ALIGNED OPERATIONAL ACTIVITIES THAT SHARED PURPOSE IN A MULTI-ORGANIZATIONAL COLLABORATION TO HELP SUSTAIN TELESPOND SENIOR SERVICES, INC., A LEGACY GERIATRICS ORGANIZATION IN OUR COMMUNITY, THAT IS A PROVIDER OF ADULT DAYCARE PROGRAMMING, A FEDERALLY SUPPORTED SENIOR COMPANIONSHIP PROGRAM AND AN IN-HOME PERSONAL CARE PROGRAM. TWCCH ALSO HIRED A PRACTICING GERIATRICIAN AND BECAME A CLINICAL LEARNING ENVIRONMENT FOR THREE GERIATRIC FELLOW PHYSICIANS TRAINING WITHIN THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION'S (TWCGME) HRSA TEACHING HEALTH CENTER NEWLY FUNDED GERIATRICS FELLOWSHIP. NOTABLY, TWCCH BECAME THE 8TH HEALTHCARE SYSTEM IN THE COUNTRY TO ADOPT UCLA'S JOHN A. HARTFORD FOUNDATION FUNDED, AWARD-WINNING ALZHEIMER'S AND DEMENTIA CARE (ADC) PROGRAM MODEL AND LAUNCHED ADC SERVICES FOR THE REGIONAL COMMUNITY. A DIRECTOR OF THE GERIATRICS SERVICE LINE, A SECOND GERIATRICIAN AND TWO GERIATRIC NURSE PRACTITIONERS WERE HIRED TO MEET THE COMPLEX CARE NEEDS OF PATIENTS WHO ENGAGED IN THE ADC CENTERS OF EXCELLENCE AND ALSO THE LARGER, WELL RECOGNIZED GERIATRICS POPULATION IN OUR NOTABLY AGED AND INCREASINGLY AGED REGIONAL COMMUNITY. TWCCH ALSO CONGRUENTLY IMPLEMENTED THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "AGE FRIENDLY HEALTH SYSTEM" IN ALL OF ITS PRIMARY HEALTH SERVICES SITES FOR SENIORS THROUGH AN ORGANIZATION-WIDE ROLL-OUT OF THE IHI'S "4MS" (WHAT MATTERS, MENTATION, MOBILITY, AND MEDICATION), WHICH ARE NOW ASSIMILATED INTO TWCCH'S WELCOME TO MEDICARE AND ANNUAL MEDICARE WELL VISIT EHR-GUIDED, TEAM-BASED DAILY WORKFLOWS. TWCCH EXPANDED CHRONIC CARE MANAGEMENT SERVICES WITH THE DEPLOYMENT OF HOME HEALTH MONITORING KITS DEPLOYED TO PATIENTS AND ALSO THE INTEGRATION OF A NEW CARE MANAGEMENT IT INFRASTRUCTURE CALLED HUMHEALTH. TWCCH CONTINUED TO EXPAND ITS GENERAL, MULTI-COUNTY OPIOID CENTER OF EXCELLENCE MEDICATION ASSISTED TREATMENT AND RECOVERY SUPPORT SERVICES AND ALSO EXPANDED ITS HEALTHY MOMS (MATERNAL OPIATE MEDICAL SUPPORT) PROGRAM WITH FEDERAL AND STATE GRANT FUNDS, NOTABLY EXPANDING SERVICES INTO NEIGHBORING RURAL WAYNE AND PIKE COUNTIES. TWCCH NOTABLY SYSTEMATIZED AND EXPANDED HIV AND HEPATITIS C SCREENING EFFORTS AND TREATMENT SERVICE LINES WITH THE HIRING OF AN INFECTIOUS DISEASE SPECIALIST. PROUDLY, TWCCH JOINED THE APPALACHIAN REGIONAL COMMISSION'S INSPIRE INITIATIVE TO SUPPORT RECOVERY-TO-WORK EFFORTS IN NORTHEAST PENNSYLVANIA FOR PATIENTS RECOVERING FROM SUBSTANCE USE DISORDERS THROUGH PROVIDING FUNDING FOR TRAINING FOR CERTIFIED RECOVERY SPECIALISTS WITH LUZERNE COUNTY COMMUNITY COLLEGE AND THE ALLONE RECOVERY EDUCATION INSTITUTE AND TRAINING FOR COMMUNITY HEALTH WORKERS THROUGH THE NORTHEAST PA AHEC. IN AUGUST 2020, TWCCH WAS HONORED, AFTER NEARLY TWO YEARS OF PREPARATION, TO BECOME A CLINICAL TRAINING ROTATION SITE FOR ITS FIRST GROUP OF SECOND YEAR MEDICAL STUDENTS FROM A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA). THROUGH THIS ENDEAVOR, WE JOYFULLY WELCOMED HOME OUR FIRST HOMETOWN SCHOLAR, AN ATSU-SOMA MEDICAL STUDENT RECRUITED FROM THE PATIENT POPULATION WE SERVE, WHILE CELEBRATING THE SUCCESSFUL IDENTIFICATION AND ENGAGEMENT OF OUR SECOND FUTURE PHYSICIAN HOMETOWN SCHOLAR FROM THE COMMUNITY WE SERVE. TWCCH ALSO BROADENED ITS STRATEGIC COLLABORATION WITH GEISINGER TO BECOME A CLINICAL LEARNING ENVIRONMENT FOR ITS HRSA-FUNDED EXPANSION OF ITS ACGME-ACCREDITED ADDICTION MEDICINE FELLOWSHIP, EVENTUALLY HIRING THE PROGRAM'S FIRST GRADUATE, A NOW BOARD-CERTIFIED ADDICTION MEDICINE PHYSICIAN LEADER IN OUR OPIOID COE AND HEALTHY MOMS PROGRAMS. IN JULY OF 2020, TWCCH OPENED A NEW FQHC LOOK-ALIKE CLINICAL LOCATION IN THE MEDICALLY UNDERSERVED, CMS AND HRSA RURAL-DESIGNATED COMMUNITY OF HAWLEY, PA. TWCCH CLOSED ITS OLD RIVER ROAD PRACTICE IN NOVEMBER OF 2020, AFTER CONSOLIDATION OF ITS CLINICAL OPERATIONS INTO TWCCH'S KINGSTON FQHC LOOK-ALIKE PRACTICE. TWCCH ALSO CO-LOCATED A NEW FQHC LOOK-ALIKE PATIENT CENTERED MEDICAL HOME (PCMH) CLINICAL LOCATION WITHIN THE NEWLY CONSTRUCTED SCRANTON COUNSELING CENTER MENTAL AND BEHAVIORAL HEALTH FACILITY IN SCRANTON, PA TO OFFER ON-SITE PHYSICAL HEALTH SERVICES AND COORDINATION OF COMPREHENSIVE PRIMARY HEALTH SERVICES WITHIN THIS LEGACY COMMUNITY OWNED AND GOVERNED MENTAL HEALTH SERVICE AGENCY. |
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE ACCOMPLISHMENTS: TWCCH DELIVERS CARE THROUGH PRIMARY CARE TEACHING HEALTH CENTER FQHC LOOK-ALIKE AMBULATORY CARE CENTERS, A MEDICAL/DENTAL MOBILE UNIT AND ALSO IN LOCAL HOSPITAL SYSTEMS. TWO OF THESE CLINICAL ENVIRONMENTS ARE CO-LOCATED WITHIN REGIONAL, COMMUNITY OWNED AND GOVERNED, LEGACY MENTAL HEALTH SERVICE AGENCIES AND ANOTHER IS CO-LOCATED IN A PUBLIC SCHOOL DISTRICT BASED SETTING WITH SERVICES OPEN TO THE LARGER COMMUNITY. PRIMARY HEALTH SERVICES OFFERED ACROSS THE LIFESPAN INCLUDE PRIMARY MEDICAL CARE, WOMEN'S HEALTH, HEPATITIS C AND INFECTIOUS DISEASE SERVICES, PRIMARY AND SECONDARY PREVENTION AND TREATMENT OF HIV, NUTRITION COUNSELING, CARE AND CASE MANAGEMENT, MENTAL/BEHAVIORAL HEALTH, DENTAL, AND ADDICTION AND RECOVERY SERVICES. TWCCH IS A PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE AND COORDINATING CENTER FOR MEDICATION-ASSISTED TREATMENT AND RECOVERY SERVICES. TWCCH'S CLINICAL PRACTICE LOCATIONS SERVE AS TEACHING HEALTH CENTER CLINICAL LEARNING ENVIRONMENTS FOR THE AFFILIATED TWCGME ORGANIZATION'S FAMILY MEDICINE, INTERNAL MEDICINE AND PSYCHIATRY RESIDENTS AS WELL AS GERIATRICS FELLOWS, GEISINGER'S ADDICTION MEDICINE FELLOWS, ALLOPATHIC AND OSTEOPATHIC MEDICAL STUDENTS AND DIVERSE INTERPROFESSIONAL STUDENTS FROM OVER A DOZEN REGIONAL AND NATIONAL ACADEMIC AFFILIATED INSTITUTIONS. TWCCH PRACTICING PHYSICIANS SERVE AS FACULTY EDUCATORS TRAINING OUR INCUMBENT AND FUTURE INTERPROFESSIONAL PRIMARY HEALTH CARE DELIVERY WORKFORCE. TWCCH'S PASSIONATE PURPOSE IS TO PROVIDE COMPREHENSIVE, NON-DISCRIMINATORY PRIMARY HEALTH SERVICES, ADDRESS HEALTH AND HEALTHCARE ACCESS DISPARITIES, AND CO-CREATE TRANSFORMATIONAL HEALTHCARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH. OUR NICHE IS WORLD CLASS INNOVATIVE AND RESPONSIVE PRIMARY HEALTHCARE THROUGH COMMUNITY-CENTRIC, INCUMBENT AND FUTURE WORKFORCE RENEWAL. |
| FORM 990, PART III, LINE 4B | PROGRAM SERVICE CONTINUED: WE VET ALL POTENTIAL MISSION-ALIGNED GRANT INITIATIVES FOR OUTCOMES ACHIEVABILITY AND SUSTAINABILITY. WITH FERVENT COMMITMENT TO AUTHENTICITY AND THE HIGHEST INTEGRITY STANDARDS, THROUGH ACTIVE PARTNERSHIPS WITH A WIDE VARIETY OF LOCAL, REGIONAL, STATE AND NATIONAL FUNDERS, WE STRIVE TO PROMOTE UNPRECEDENTED, HIGH-IMPACT, CROSS-ORGANIZATIONAL COLLABORATION; FOSTER SHARED PURPOSE, COLLECTIVE IMPACT-ORIENTED ACTION STRATEGIES; AND TO DEMONSTRATE TRUSTED TRANSFORMATIONAL STEWARDSHIP OF PUBLIC RESOURCES TO PROMOTE COMMUNITY HEALTH AND ADDRESS COMMUNITY HEALTH NEEDS. THE FOLLOWING DETAILED INFORMATION OF MATERIAL GRANT-FUNDED PROGRAMS SUPPORTS THOSE GRANTS LISTED ON SCHEDULE B IS AS FOLLOWS: UNITED WAY OF WYOMING VALLEY ($816,270) PURPOSE OF GRANT ASSISTANCE: THE UNITED WAY OF WYOMING VALLEY (UWWV), IN WILKES-BARRE, PA, DIRECTED FUNDS TO TWCCH FOR FOUR PURPOSES. THE FIRST AWARD ($640,920) ALLOWS TWCCH, AS A RYAN WHITE PART B PROGRAM SUB-RECIPIENT, TO OFFER CASE MANAGEMENT SERVICES ACROSS A SEVEN-COUNTY AREA TO INDIVIDUALS WHO ARE INFECTED WITH/AFFECTED BY HIV/AIDS. SUPPORT SERVICES INCLUDE: MEDICAL TRANSPORTATION, HEALTH CARE REFERRALS, HOUSING ASSISTANCE, HOME DELIVERED MEALS, AND OTHER SUPPORT SERVICES, AND SUBSTANCE ABUSE TREATMENT SERVICES. THE SECOND AWARD ($170,141) IS FOR PATIENT SERVICES FUNDING, WHICH SUPPORTS PRIMARY CARE AND SUPPORT SERVICES FOR PEOPLE WITH HIV/AIDS TO IMPROVE HEALTH OUTCOMES AND REDUCE HIV TRANSMISSION. THE THIRD AWARD ($284) IS FOR PREVENTION SERVICES, WHICH ENABLES TWCCH TO IMPROVE PATIENT-PROVIDER COMMUNICATION ABOUT SAFER SEX, DISCLOSURE OF HIV STATUS AND HIV PREVENTION. THE FOURTH AWARD ($4,925) ALLOCATED FUNDS FOR THE "SEE TO SUCCEED'' PROGRAM THAT COORDINATES PARTNERSHIPS AND ESTABLISHED AN EYE CARE CLINIC THAT ROTATES AMONG SITES WITHIN THE WILKES-BARRE AREA PUBLIC SCHOOL DISTRICT (IN LUZERNE COUNTY, PA) TO ENSURE THAT EVERY STUDENT WHO NEEDS AN EYE EXAM RECEIVES ONE IN ACCORDANCE WITH STATE MANDATES. A BUDGET LINE IS INCLUDED TO COVER COSTS OF ASSOCIATED EXAMS AND PRESCRIPTION GLASSES FOR STUDENTS WHO ARE UNINSURED OR UNDERINSURED. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH ($247,139) PURPOSE OF GRANT ASSISTANCE: THROUGH THE PA DEPARTMENT OF HEALTH, THE COMMONWEALTH OF PA AWARDED A PA COORDINATED MEDICATION ASSISTED TREATMENT (PAC-MAT) GRANT TO TWCCH FOR ACTIVITIES THAT INCREASE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER THROUGHOUT NORTHEAST PA. TWCCH, ACTING AS A PAC-MAT HUB, PARTNERED WITH 10 SPOKE SITES TO IMPLEMENT THE ORGANIZATION'S MAT WORKFLOW AND HUB REFERRAL PROCESS SUPPORT. IN 2020, THE PA DEPARTMENT OF HEALTH AWARDED TWCCH A SECOND PAC-MAT GRANT TO ENGAGE AND TRAIN AN ADDITIONAL 10 SPOKE SITES. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HUMAN SERVICES ($374,640) PURPOSE OF GRANT ASSISTANCE: THROUGH THE DEPARTMENT OF HUMAN SERVICES, THE COMMONWEALTH OF PA AWARDED TWCCH A "SUPPORT SERVICES NAVIGATION AND HOUSING SERVICES" GRANT FOR INDIVIDUALS LIVING WITH OPIOID USE DISORDER (OUD). THIS FUNDING EXTENDED A PILOT PROGRAM TO SUPPORT THE RECOVERY OF INDIVIDUALS WITH OUD IN LACKAWANNA AND LUZERNE COUNTIES VIA THE PROVISION OF SOCIAL AND CARE SERVICES NAVIGATION AND DIRECT HOUSING ASSISTANCE. DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS, COMMONWEALTH OF PENNSYLVANIA ($444,242) PURPOSE OF GRANT ASSISTANCE: THROUGH THE PA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (DDAP), THE COMMONWEALTH OF PA AWARDED TWCCH A PREGNANCY SUPPORT SERVICES GRANT TO EXTEND THE REACH OF ITS HEALTHY MATERNAL OPIATE MEDICAL SUPPORT (MOMS) PROGRAM INTO LUZERNE, WAYNE, AND SUSQUEHANNA COUNTIES. IN CONCERT WITH ITS PARTNERS, TWCCH IS COORDINATING THE DELIVERY OF MEDICATION-ASSISTED TREATMENT (MAT) AS WELL AS PREGNANCY AND POST-PARTUM MATERNAL AND CHILD RECOVERY SUPPORT SERVICES IN COMMUNITIES IN ORDER TO BUILD AND SUSTAIN A STRONG NETWORK OF COLLABORATING HEALTH AND SOCIAL SERVICE AGENCIES TO ADDRESS THE COMPLEX NEEDS OF THIS POPULATION. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ($449,657) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES PROVIDES IMPORTANT OPERATIONAL FUNDING FOR TWCCH'S RYAN WHITE HIV/AIDS PROGRAM, WHICH DELIVERS RYAN WHITE HEALTHCARE SERVICES TO PATIENTS FROM ACROSS SEVEN-COUNTIES IN OUR SERVICE AREA. TOTAL FUNDING UNDER THE RYAN WHITE (PART C) GRANT AMOUNTED TO $383,344. ADDITIONALLY, HRSA AWARDED TWCCH A COVID-19 SUPPLEMENT ($66,313 EXPENDED THIS YEAR) FOR PREVENTING, PREPARING FOR AND RESPONDING TO COVID-19 AS NEEDS EVOLVED FOR ITS RYAN WHITE HIV/AIDS PROGRAM RECIPIENTS. FEDERAL COMMUNICATIONS COMMISSION ($240,863) PURPOSE OF GRANT ASSISTANCE: THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AWARDED TWCCH A COVID-19 TELEHEALTH PROGRAM GRANT TO PURCHASE AND INSTALL TELEHEALTH EQUIPMENT, MONITORS AND SOFTWARE. FUNDS WERE ALSO AWARDED FOR THE DEVELOPMENT OF 50 TELEHEALTH KITS, AND SUPPORTING PROTOCOLS, FOR PATIENTS TO USE FROM THEIR OWN HOMES FOR PRIMARY MEDICAL CARE, REMOTE MONITORING AND MANAGEMENT OF CHRONIC MEDICAL CONDITIONS. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA-RURAL MAT) ($335,752) PURPOSE OF GRANT ASSISTANCE: HRSA AWARDED TWCCH A RURAL COMMUNITIES OPIOID RESPONSE PROGRAM IMPLEMENTATION (RCORP-I) GRANT TO ESTABLISH A MULTI-INSTITUTIONAL COMMUNITY CONSORTIUM AIMED AT ADDRESSING THE COMPLEX OPIOID EPIDEMIC. THROUGH THIS FUNDING, TWCCH IS ENGAGING COMMUNITY RESOURCES AND STAKEHOLDERS THROUGHOUT RURAL NORTHEAST PA TO MAXIMIZE ACCESS AND IMPACT MEDICATION-ASSISTED TREATMENT (MAT) DELIVERED THROUGH A TEAM-BASED CARE INFRASTRUCTURE SPECIFICALLY TARGETED TOWARD ADDICTION AND RECOVERY SERVICES FOR RURAL POPULATIONS LIVING WITH OPIOID USE DISORDER (OUD). SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION ($453,476) PURPOSE OF GRANT ASSISTANCE: THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) AWARDED TWCCH A "TARGETED CAPACITY EXPANSION: MEDICATION-ASSISTED TREATMENT (MAT) PRESCRIPTION DRUG AND OPIOID ADDICTION" GRANT. THIS FUNDING ENABLED TWCCH'S OPIOID USE DISORDER CENTER OF EXCELLENCE TO PROVIDE ADDICTION AND RECOVERY SERVICES, INCLUSIVE OF MEDICATION-ASSISTED TREATMENT AND BEHAVIORAL/MENTAL/RECOVERY SUPPORT HEALTH SERVICES, TO JUSTICE-INVOLVED INDIVIDUALS, VETERANS, AND HEALTHY MOMS PARTICIPANTS. A.T. STILL UNIVERSITY-SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA ($17,000) PURPOSE OF GRANT ASSISTANCE: A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA SUPPORTED TWCCH WITH A SUBAWARD OF A HRSA-FUNDED PRIMARY CARE TRAINING AND ENHANCEMENT (PCTE) GRANT. THIS SUPPORTED CLINICAL AND ADMINISTRATIVE LEADERSHIP TO BUILD AND NURTURE THE INTEGRATION OF PRIMARY CARE WITH BEHAVIORAL AND MENTAL HEALTH SERVICES TO SUPPORT FULLY-INTEGRATED, "WHOLE PERSON" CARE DELIVERY AND CLINICAL LEARNING ENVIRONMENTS FOR ATSU-SOMA MEDICAL STUDENTS. ALLONE FOUNDATION ($149,407) PURPOSE OF GRANT ASSISTANCE: ALLONE FOUNDATION AWARDED TWO GRANTS TO TWCCH. THE FIRST AWARD IN COLLABORATION WITH TELESPOND SENIOR SERVICES (TELESPOND), PROVIDES FUNDING THAT SUPPORTS THE ABILITY FOR OLDER ADULTS WHO RESIDE IN LACKAWANNA AND LUZERNE COUNTIES TO LIVE INDEPENDENTLY AND AGE IN PLACE, WHILE AVOIDING THE POTENTIAL NEGATIVE PHYSICAL, SOCIAL AND MENTAL HEALTH CONSEQUENCES OF SOCIAL ISOLATION. TWCCH, ACTING AS THE FISCAL AGENT, USED THE FUNDING TO ENSURE THE ONGOING DELIVERY OF CRITICAL ADMINISTRATIVE AND OPERATIONAL PROGRAMMING OF SENIOR DAY AND SENIOR COMPANION SERVICES CURRENTLY OFFERED BY TELESPOND. THE FUNDS WERE USED TO SUPPORT TELESPOND GOVERNANCE AND OPERATIONAL EVOLUTION TO RECOVER, EXPAND AND SUSTAIN SERVICES TO SOCIALLY ISOLATED SENIORS WHO HAVE INCREASED RISK OF DEVELOPING BEHAVIORAL HEALTH ISSUES, SUCH AS SUBSTANCE USE DISORDER, ANXIETY, DEPRESSION AND MEMORY IMPAIRMENT. THIS AWARD WAS RELEASED FROM RESTRICTIONS IN FY21, AND IS REFLECTED AS NET ASSETS RELEASED FROM RESTRICTIONS IN THE AMOUNT OF $210,151 AND IS NOT REFLECTED ON SCHEDULE B AS IT WAS RECORDED AS A CONTRIBUTION IN A PRIOR YEAR. THE SECOND AWARD PROVIDED FUNDING ($149,407) FOR COMMUNITY OUTREACH INITIATIVES FOR DELIVERY OF COVID-19 VACCINES AND OTHER CHILDHOOD CATCH-UP PRIMARY SERIES AND OVERDUE IMMUNIZATIONS. |
| FORM 990, PART III, LINE 4B CONTINUED | PROGRAM SERVICE CONTINUED: ROCKEFELLER PHILANTHROPY ADVISORS, INC. ($294) PURPOSE OF GRANT ASSISTANCE: THROUGH THE FUND FOR SHARED INSIGHT, ROCKEFELLER PHILANTHROPY ADVISORS AWARDED TWCCH GRANT FUNDING TO CLOSE THE FEEDBACK LOOP WITHIN THE "TOGETHER IN HEALTH" SCHOOL-BASED HEALTH CENTER SERVICE LINE. FUNDS FOR THIS REPORTING PERIOD REPRESENT THE FINAL EXPENSES OF THE MULTI-YEAR GRANT AND WERE USED TO ADMINISTER SATISFACTION SURVEYS TO PATIENTS AND PARENTS ENGAGED IN OUR SCHOOL-BASED HEALTH SERVICES. MOSES TAYLOR FOUNDATION ($3,965) PURPOSE OF GRANT ASSISTANCE: THE MOSES TAYLOR FOUNDATION AWARDED THREE GRANTS TO TWCCH. THE FIRST GRANT ($1,200) WAS A MINI-GRANT TO SUPPORT PARTICIPATION IN MENTAL HEALTH WEEK WEBINARS HOSTED BY THE MOSES TAYLOR FOUNDATION. A SECOND GRANT ($2,157) SUPPORTED THE DEVELOPMENT AND INTRODUCTION OF A GERIATRICS SERVICE LINE TO SUPPORT SENIORS AND PHYSICALLY CHALLENGED INDIVIDUALS IN LACKAWANNA COUNTY. THE GOAL OF THIS PROJECT IS, IN PART, TO ALLEVIATE THE DETRIMENTAL MENTAL AND PHYSICAL EFFECTS OF PROLONGED ISOLATION. THE THIRD GRANT ($608) WAS FOR NALOXONE DISTRIBUTION, A LIFE-SAVING DRUG USED TO REVERSE THE LETHAL EFFECTS OF AN ACUTE OPIOID OVERDOSE. DIRECT RELIEF ($6,858) PURPOSE OF GRANT ASSISTANCE: THE FUNDING SUPPORTED TELEHEALTH CERTIFICATION TRAINING FOR 145 MEDICAL RESIDENTS AND FACULTY TO CREATE AND PROVIDE A TELEHEALTH PLATFORM FOR A CONTINUUM OF CARE THAT PREVENTS DISRUPTIONS IN COMPREHENSIVE HEALTH SERVICES BY ELIMINATING LONG-DISTANCE COMMUTES AND INCREASING ACCESS TO BEHAVIORAL HEALTHCARE FOR PATIENTS WITH OPIOID USE DISORDER (OUD) IN THE RURAL COUNTIES OF WAYNE AND SUSQUEHANNA IN NORTHEAST PA. FUNDING AS REPORTED FOR THIS PERIOD REFLECTS EXPENDITURES FOR THIS PROJECT DURING THE REPORTING YEAR. VILLAUME FOUNDATION ($23,824) PURPOSE OF GRANT ASSISTANCE: THE VILLAUME FOUNDATION AWARDED TWCCH GRANT FUNDING TO SUPPORT DELIVERY OF ADDICTION AND RECOVERY SERVICES, INCLUSIVE OF THE DELIVERY OF MEDICATION-ASSISTED TREATMENT (MAT), IN WAYNE COUNTY, HELPING TO ADDRESS THE ONGOING OPIOID CRISIS. THE HARRY AND JEANETTE WEINBERG FOUNDATION ($50,000) PURPOSE OF GRANT ASSISTANCE: THE HARRY AND JEANETTE WEINBERG FOUNDATION AWARDED THREE GRANTS TO ASSIST WITH THE STARTUP OF THE NEW SCRANTON PRACTICE. THE FIRST AWARD WAS A CAPITAL GRANT ($450,000) FOR THAT SITE THAT SUPPORTED THE BUILD-OUT OF THE PRIMARY HEALTH SERVICES CLINICAL DELIVERY SPACE FOR THE INTEGRATION OF MEDICAL, DENTAL, MENTAL AND BEHAVIORAL, ADDICTION AND RECOVERY HEALTH SERVICES, AS WELL AS RYAN WHITE HIV/AIDS PROGRAM SERVICES. THIS GRANT WAS RECOGNIZED IN FY20 UPON COMPLETION AND MOVE INTO THE FACILITY AT 501 S. WASHINGTON AVE. THE SECOND AWARD ($50,000) WAS USED FOR OFFSETTING EXPENSES RELATED TO THE NEW CONSTRUCTION OF OUR FQHC LOOK-ALIKE PATIENT CENTERED MEDICAL HOME (PCMH) IN THE NEWLY CONSTRUCTED SCRANTON COUNSELING CENTER. THIS AWARD WAS RECOGNIZED UPON PROJECT COMPLETION AS A CURRENT YEAR CONTRIBUTION ON SCHEDULE B. THE THIRD AWARD WAS AN OPERATING GRANT ($487,224) THAT PARTIALLY SUPPORTED THE INITIAL SALARY AND BENEFITS OF SCRANTON PRACTICE PRIMARY CARE PROVIDERS AND PERSONNEL AND SUPPORTED OPERATIONS DURING PROVIDER CREDENTIALING AND UNTIL THEIR POSITIONS COULD BECOME FULLY SUSTAINABLE THROUGH FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE AND OUT OF SCOPE COMMERCIAL CLINICAL REVENUES. THIS AWARD WAS RELEASED FROM RESTRICTIONS IN FY21, AND IS REFLECTED AS NET ASSETS RELEASED FROM RESTRICTIONS IN THE AMOUNT OF $487,224 AND IS NOT REFLECTED ON SCHEDULE B AS IT WAS RECORDED AS A CONTRIBUTION IN A PRIOR YEAR. HRSA LOOK-ALIKE EXPANDING CAPACITY FOR CORONAVIRUS TESTING ($372,002) PURPOSE OF GRANT ASSISTANCE: THE MAJORITY OF THE HRSA LOOK-ALIKE EXPANDING CAPACITY COVID-19 GRANT WAS UTILIZED TO PURCHASE A STATE-OF-THE-ART MOBILE CLINIC CALLED DRIVING BETTER HEALTH, FOR THE PURPOSE OF EXTENDING THE REACH OF OUR COMMUNITY WIDE COVID-19 TESTING EFFORTS. SOME FUNDS WERE USED TO PURCHASE SUPPLIES, ADMINISTER AND TO REPURPOSE SPACE TO EXPAND CAPACITY FOR TESTING TO DETECT, MONITOR AND SUPPRESS THE CIRCULATION OF COVID-19 IN THE GENERAL BUT SPECIFICALLY UNDERSERVED, VULNERABLE POPULATIONS. CDC FOUNDATION ($48,424) PURPOSE OF GRANT ASSISTANCE: THE FUNDING SUPPORTS EFFORTS TO PROVIDE A COORDINATED COVID-19 RESPONSE IN GREATER HAZLETON, A HARD HIT, EARLY COVID-19 HOT SPOT IN LUZERNE COUNTY, PA. THIS PUBLIC HEALTH-ORIENTED INITIATIVE INCLUDED ENGAGING AN INCLUSIVE, COMMUNITY-BASED STEERING COMMITTEE TO GUIDE THE STRATEGIC DEPLOYMENT OF OUR DRIVING BETTER HEALTH MOBILE CLINIC. THE VEHICLE IS STAFFED BY AN INTERPROFESSIONAL PRIMARY CARE PROVIDER TEAM TO PROVIDE COVID-19 EDUCATION, SYMPTOM SCREENING/TESTING AND ALSO COVID-19 VACCINES, AS WELL AS CATCH-UP CHILDHOOD PRIMARY SERIES AND OVERDUE IMMUNIZATIONS THAT WERE POSTPONED DURING THE PANDEMIC. TARGETED SITES INCLUDE NON-PROFIT COMMUNITY CENTERS, SCHOOL DISTRICTS, AND SOCIAL SERVICE ORGANIZATIONS. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH ($130,544) PURPOSE OF GRANT ASSISTANCE: THE FUNDING WILL SUPPORT THE TWCCH HAWLEY PRACTICE, LOCATED AT 103 SPRUCE ST., HAWLEY, PA, WHICH IS WITHIN A HRSA AND CMS DESIGNATED RURAL AND HRSA DESIGNATED MEDICALLY UNDERSERVED AREA. THE PROJECT SUPPORTED START-UP EXPENSES AND THE COSTS OF CLINICAL STAFF WHO WORK AT THE PRACTICE TO INCREASE ACCESS TO PRIMARY MEDICAL, MENTAL, BEHAVIORAL, ADDICTION AND RECOVERY HEALTH SERVICES, AND SPECIFICALLY MEDICATION ASSISTED TREATMENT FOR PATIENTS IN WAYNE COUNTY. THE LUZERNE FOUNDATION ($3,795) PURPOSE OF GRANT ASSISTANCE: TWCCH RECEIVED FUNDING FROM THE LUZERNE FOUNDATION'S YOUTH ADVISORY COMMITTEE TO BUY A SUBSCRIPTION TO A LANGUAGE TRANSLATION APPLICATION (APP) FOR USE WITH HEARING-IMPAIRED PATIENTS AT ITS FQHC LOOK-ALIKE PATIENT CENTERED MEDICAL HOME (PCMH) CLINICAL DELIVERY SITES. HRSA POSTDOCTORAL TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTRY ($136,476) PURPOSE OF GRANT ASSISTANCE: THE PURPOSE OF THIS PROJECT IS TO COLLABORATE WITH NYU LANGONE IN BECOMING A FQHC LOOK-ALIKE TRAINING SITE FOR ITS COMMISSION ON DENTAL ACCREDITATION (CODA) ACCREDITED ADVANCED EDUCATION IN GENERAL DENTISTRY (AEGD) RESIDENCY PROGRAM NETWORK. THE TWCCH NYU LANGONE AEGD RESIDENCY WILL FOCUS ON VULNERABLE AND MEDICALLY COMPLEX POPULATIONS INCLUDING OLDER ADULTS, HOMELESS INDIVIDUALS, VICTIMS OF ABUSE AND/OR TRAUMA, INDIVIDUALS WITH MENTAL HEALTH AND/OR SUBSTANCE-RELATED DISORDERS, INDIVIDUALS WITH DISABILITIES, AND INDIVIDUALS WITH HIV/AIDS AND HCV. THE AEGD RESIDENCY WILL BE EMBEDDED IN TWCCH'S NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) CERTIFIED PATIENT CENTERED MEDICAL HOME (PCMH) FOR COMPREHENSIVE INTEGRATION OF ORAL HEALTH WITH PHYSICAL, MENTAL, BEHAVIORAL HEALTH AND ADDICTION AND RECOVERY SERVICES. PENNSYLVANIA DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT-NEIGHBORHOOD ASSISTANCE PROGRAM ($10,000) PURPOSE OF GRANT ASSISTANCE: THE PA DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT AWARDED TWCCH A NEIGHBORHOOD ASSISTANCE PROGRAM (NAP) GRANT WITH SPECIAL PROGRAM PRIORITIES. FUNDS ENABLED TWCCH'S SCRANTON BASED FQHC LOOK-ALIKE PATIENT CENTERED MEDICAL HOME (PCMH) TO INCORPORATE AND EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES, ALONG WITH ACCESS TO DENTAL SERVICES, FOR INDIVIDUALS AFFECTED BY OPIOID USE DISORDER (OUD). SPITZ FOUNDATION ($3,600) PURPOSE OF GRANT ASSISTANCE: THE ROBERT H. SPITZ FOUNDATION (ADMINISTERED BY THE SCRANTON AREA COMMUNITY FOUNDATION) AWARDED FUNDING TO SUPPORT TWCCH'S NEWLY FORMED COMMUNITY HEALTH WORKERS (CHWS) TEAM. THE TEAM REQUIRES FUNDS TO STOCK NECESSITIES SUCH AS CLOTHES, PERSONAL HYGIENE ITEMS, ETC., FOR EMERGENCY DISTRIBUTION TO PATIENTS IN DIRE SITUATIONS. THE CHWS SUPPLY THESE BASICS AS NEEDED, THEN GUIDE ELIGIBLE INDIVIDUALS TO APPLY FOR HEALTH INSURANCE AND FOOD ASSISTANCE PROGRAMS, AND CONNECT WITH COMMUNITY RESOURCES (E.G., GED PROGRAMS AND JOB TRAINING). THE GOAL IS TO HELP PATIENTS IDENTIFY, REPORT AND OVERCOME PRESSING ECONOMIC HARDSHIPS SO THAT THEY CAN GAIN THE FOCUS AND FINANCIAL ABILITY TO PROPERLY ADDRESS THEIR COMPLEX HEALTH ISSUES. HRSA RCORP-NAS ($126,000) PURPOSE OF GRANT ASSISTANCE: THE HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) NEONATAL ABSTINENCE SYNDROME (NAS) GRANT PROJECT IS DESIGNED TO REDUCE THE MORBIDITY AND MORTALITY OF SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER (OUD), IN RURAL COMMUNITIES AT THE HIGHEST RISK FOR SUD. THESE FUNDS ARE TARGETED FOR PATIENTS WHO RESIDE IN WAYNE AND SUSQUEHANNA COUNTIES, FOCUSING ON FEMALES IN THEIR CHILD-BEARING YEARS WHO ARE AT RISK FOR HAVING A BABY EXPOSED TO HARMFUL SUBSTANCES. FUNDS ARE UTILIZED FOR PERSONNEL, SUBCONTRACTED SERVICES FOR TRAVEL/TRANSPORTATION, OTHER COSTS, AND PREVENTION EDUCATION. |
| FORM 990, PART III, LINE 4B CONTINUED 1 | PROGRAM SERVICE ACCOMPLISHMENTS: PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS ($35,833) PURPOSE OF GRANT ASSISTANCE: THE PA ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE PA DEPARTMENT OF HEALTH AWARDED TWCCH HRSA TITLE V FUNDING TO SUPPORT ENGAGEMENT AMONG PENNSYLVANIA'S FEDERALLY QUALIFIED HEALTH CENTERS, CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. THE PROJECT AIMS TO INCREASE ACCESS TO QUALITY HEALTHCARE FOR LOW-INCOME MOTHERS AND THEIR CHILDREN INCLUDING PREVENTIVE HEALTH SERVICES, REHABILITATIVE SERVICES AND COMMUNITY-BASED SYSTEMS OF COORDINATED HEALTH SERVICES AND SYSTEM OF CARE. PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION ($7,644) PURPOSE OF GRANT ASSISTANCE: THE DEPARTMENT OF ENVIRONMENTAL PROTECTION (DEP) AWARDED A FOOD RECOVERY INFRASTRUCTURE GRANT TO TWCCH TO PURCHASE FOOD RECOVERY EQUIPMENT FOR THE PROPER MANAGEMENT AND OPERATION OF DISTRIBUTED FOOD SAFETY, AS WELL AS FOOD WASTE REDUCTION AND RECOVERY. PENNSYLVANIA CHAPTER, AMERICAN ACADEMY OF PEDIATRICS ($3,495) PURPOSE OF GRANT ASSISTANCE: THE GRANT WAS AWARDED FROM THE PA CHAPTER, AMERICAN ACADEMY OF PEDIATRICS THROUGH THE PA DEPARTMENT OF HEALTH'S "FIRST FOODS CONTRACT." FUNDING WILL SUPPORT THE IMPROVED BREASTFEEDING INITIATION AMONG HEALTHY MOMS PARTICIPANTS WITH SUBSTANCE USE DISORDER PROJECT TO IMPROVE BREASTFEEDING INITIATION AND DURATION RATES. ENROLLEES WILL BE CONNECTED WITH BREASTFEEDING PEER SUPPORT AND PROVIDED WITH BREASTFEEDING-RELATED SUPPLIES. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (COVID-19 TESTING) ($444,126) PURPOSE OF GRANT ASSISTANCE: THE FUNDING WAS AWARDED TO TWCCH FOR COVID-19 TESTING AND TESTING-RELATED EXPENSES. THE FUNDS AUGMENTED OUR DRIVING BETTER HEALTH MOBILE CLINIC. FUNDS WERE USED FOR PROVIDER TEAM MEMBER STAFFING, TRAVEL EXPENSES FOR MOBILE TESTING, PERSONAL PROTECTIVE EQUIPMENT (PPE), TEST KITS AND INFRASTRUCTURE FOR TESTING. MARGARET BRIGGS FOUNDATION ($12,255) PURPOSE OF GRANT ASSISTANCE: THE MARGARET BRIGGS FOUNDATION AWARDED TWCCH A GRANT FOR THE USE OF A VACCINE STORAGE SYSTEM THAT INTERFACES WITH TWCCH'S ELECTRONIC HEALTH RECORD TO PROVIDE INVENTORY TRACKING AND SAFE ADMINISTRATION OF VACCINES. |
| FORM 990, PART III, LINE 4C | HOWEVER, WITH THE JUNE 1, 2019 DESIGNATION OF TWCCH AS A FQHC LOOK-ALIKE, THE 340B DRUG PRICING PROGRAM ENGAGEMENT WAS EXPANDED ACROSS ALL PRIMARY HEALTH SERVICES AS WELL. THIS IMPORTANT FEDERAL PROGRAM PROVIDES OUTPATIENT DRUGS TO SAFETY-NET COMMUNITY PROVIDERS SUCH AS TWCCH AT SIGNIFICANTLY REDUCED PRICES FOR REINVESTMENT INTO TWCCH COMPREHENSIVE HEALTH SERVICES AND SOCIAL SERVICE PROGRAMS AND ALSO FOR INCREASING ACCESS TO AND EXPANDING HEALTH AND SOCIAL NEEDS-RESPONSIVE HEALTH SERVICES. SOME OF THE SERVICES THAT HAVE BEEN MADE POSSIBLE BY 340B FUNDING INCLUDE: (1) FREE HEALTH SCREENINGS (E.G., BLOOD SUGAR, BLOOD PRESSURE, BODY MASS INDEX AND CHOLESTEROL); (2) EXPANDED CARE THROUGH RURAL HEALTH FQHC LOOK-ALIKE PATIENT CENTERED MEDICAL HOME (PCMH) CLINICS; (3) VIRTUAL HEALTHCARE OPTIONS THAT OFFER CARE ONLINE; AND (4) RESOURCES AND EDUCATION TO HELP PUT PATIENTS WITH CHRONIC DISEASES SUCH AS SUBSTANCE USE DISORDER, HIV/AIDS, HEPATITIS C, OBESITY, DIABETES AND HEART DISEASE ON A PATH TO A HEALTHIER, MORE ACTIVE LIFESTYLE. SIMILARLY, TWCCH HAS EXTENDED HOURS AT THE KINGSTON PRACTICE TO BE OPEN SATURDAYS, AND OPENED A NEW FQHC LOOK-ALIKE CLINICAL LOCATION IN RURAL HAWLEY, PENNSYLVANIA, GIVING PATIENTS ADDITIONAL AMBULATORY, COMMUNITY-BASED ALTERNATIVES TO EMERGENCY ROOMS. THIS INCREASED ACCESS TO PRIMARY HEALTH SERVICES, IN TURN, REDUCES COSTS AND GIVES PATIENTS NON-DISCRIMINATORY ACCESS TO COMPREHENSIVE PRIMARY HEALTH CARE UNDER ONE ROOF IN A PATIENT CENTERED MEDICAL HOME. LIKEWISE, INVESTMENTS HAVE BEEN MADE IN NEW TECHNOLOGY, HEALTHCARE INFORMATION TECHNOLOGY INTEROPERABILITY, UPGRADED MEDICAL AND INFORMATION TECHNOLOGY EQUIPMENT, AND RENOVATED FACILITIES. THE 340B PROGRAM IS AN IMPORTANT SOURCE OF FINANCIAL AND RESOURCE SUPPORT TO HELP ENSURE PATIENTS AND FAMILIES RECEIVE THE HEALTH CARE THEY DESERVE TO ADDRESS THEIR COMPLEX HEALTH NEEDS, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY. |
| FORM 990, PART IV, LINE 28 | BUSINESS TRANSACTIONS: IN NOVEMBER 2017, TWCCH AND ITS AFFILIATED ORGANIZATION, TWCGME, EXECUTED A LEASE AGREEMENT WITH WYOMING AVENUE DEVELOPMENT, LLC TO RENT A 36,500 SQ. FT. FLAGSHIP CLINICAL, EDUCATIONAL AND ADMINISTRATIVE HUB AT 501 S. WASHINGTON AVENUE, SCRANTON, PENNSYLVANIA. JOSEPH FERRARIO WAS A VOLUNTEER DIRECTOR ON THE BOARD OF DIRECTORS OF TWCCH AS WELL AS TWCGME UNTIL JULY 12, 2019 WHEN HE RESIGNED FROM TWCCH'S BOARD OF DIRECTORS AND FROM ALL BOARDS OF DIRECTORS OF TWCCH'S AFFILIATED ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO TWCGME. AT THE TIME THE TRANSACTION WAS CONSUMMATED, MR. FERRARIO OWNED MORE THAN 35% OF WYOMING AVENUE DEVELOPMENT, LLC. MR. FERRARIO'S CONFLICT OF INTEREST WAS FULLY DISCLOSED AND APPROVED BY TWCCH'S BOARD OF DIRECTORS PRIOR TO ENTERING INTO THE TRANSACTION. THE CONFLICT OF INTEREST POLICY DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 12C WAS FOLLOWED AND A LEGAL ETHICS OPINION APPROVING AND OFFERING BEST PRACTICES FOR ADDRESSING AND MANAGING A CONFLICT OF INTEREST ON A NON-PROFIT BOARD WAS OBTAINED FROM OUTSIDE LEGAL COUNSEL, WITH ALL GUIDANCE BEING FOLLOWED. ON JULY 25, 2019, THE 15 YEAR LEASE AGREEMENT WAS AMENDED FOR PURPOSES OF COMPLYING WITH THE FEDERAL NEW MARKETS TAX CREDIT PROGRAM REQUIREMENTS, AND TWCCH'S AFFILIATED ENTITY, TWCGME, BECAME THE SOLE LESSEE OF THE RENTED SPACE. TWCGME SUBLEASES SPACE TO TWCCH AT 501 S. WASHINGTON AVENUE FOR FQHC LOOK-ALIKE CLINICAL AND ADMINISTRATIVE OPERATIONS. THE LEASE WENT INTO EFFECT ON NOVEMBER 26, 2019, CLARIFYING THAT TWCGME WAS THE PRIMARY LESSEE OF 41,990 SQ. FT. OF SPACE. RENOVATIONS OF THE DEMISED PREMISES ON THE FIRST AND SECOND FLOORS OF THE BUILDING OCCURRED BETWEEN EARLY 2018 AND DECEMBER OF 2019, WITH THE COMMENCEMENT DATE OF THE AMENDED AND RESTATED LEASE AGREEMENT FOR THE FIRST FLOOR OCCURRING ON NOVEMBER 26, 2019. FORM 990, PART V, LINE 2 COMMON PAYMASTER: TWCCH IS AFFILIATED WITH TWCGME (EIN: 23-2007832). 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 TWCCH. |
| FORM 990, PART VI, SECTON B, LINE 11B | FORM 990 REVIEW: TWCCH'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 CEO AND FILED WITH THE IRS. TWCCH'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, B, & C | 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 OR 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: THE PROCESS FOR DETERMINING THE COMPENSATION OF TWCCH'S TOP MANAGEMENT OFFICIAL, THE CHIEF EXECUTIVE OFFICER (CEO) IS LED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE ENGAGES A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT WHO IS RETAINED TO PROVIDE A COMPREHENSIVE OBJECTIVE COMPENSATION STUDY, ASSESSMENT AND ANALYSIS EACH TIME THE CEO'S CONTRACT, SALARY, AND COMPENSATION ARE NEGOTIATED. ADDITIONALLY, THE EXECUTIVE COMMITTEE OF THE BOARD PERFORMS A DETAILED, REGULAR INTERVAL, COMPREHENSIVE PERFORMANCE EVALUATION OF THE CEO'S AND ORGANIZATION'S PERFORMANCE. ULTIMATELY, COMPENSATION IS DETERMINED BASED ON A ROBUST PERFORMANCE ASSESSMENT OF THE CEO AND OVERALL PERFORMANCE OF THE ORGANIZATION, WITH DUE CONSIDERATION OF THE THIRD-PARTY COMPENSATION STUDY AND AFFORDABILITY. THE EXECUTIVE COMMITTEE'S DELIBERATIONS, CONSIDERATIONS AND DECISIONS REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN COMMITTEE MEETING MINUTES WITHIN 60 DAYS OF THE COMPENSATION DECISION. |
| FORM 990, PART VI, SECTION B, LINE 15B | COMPENSATION DETERMINATION: THE CHIEF MEDICAL OFFICER AND CHIEF OPERATING OFFICER ARE DIRECTLY EMPLOYED BY TWCCH. THE SERVICES OF ALL OTHER TWCCH STAFF ARE CONTRACTED FROM TWCGME, TWCCH'S AFFILIATED ENTITY AND THE COMMON PAYMASTER FOR THE WRIGHT CENTER MULTI-ORGANIZATION ENTERPRISE AS OUTLINED IN ORGANIZATIONAL AGREEMENTS. COMPENSATION OF ALL OTHER EMPLOYEES INCLUDING BUT NOT LIMITED TO EXECUTIVES, OFFICERS, KEY EMPLOYEES AND THE HIGHEST COMPENSATED EMPLOYEES AND STAFF ARE DETERMINED BY THE ORGANIZATION'S CEO AND HUMAN RESOURCES DEPARTMENT. TO SUPPORT THE INTEGRITY OF THESE DETERMINATIONS, A THIRD-PARTY EXTERNAL CONSULTANT IS ENGAGED TO PERFORM A COMPREHENSIVE ORGANIZATIONAL COMPENSATION STUDY AND ANALYSIS PERIODICALLY (TYPICALLY EVERY THREE TO FIVE YEARS), WHICH IS PRESENTED TO THE CEO, EXECUTIVE MANAGEMENT TEAM, AND ALSO THE PERSONNEL AND FINANCE COMMITTEES OF THE BOARDS OF DIRECTORS. MOREOVER, DATA 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 FROM TIME TO TIME TO PROVIDE ADDITIONAL COMPARABLE SALARY RANGES FOR VARIOUS POSITIONS WITHIN THE ORGANIZATION, INCLUDING BUT NOT LIMITED TO EXECUTIVES, OFFICERS, PHYSICIANS, INTERPROFESSIONAL PROVIDER TEAM MEMBERS, AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENT AVAILABILITY: TWCCH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION BY APPOINTMENT DURING BUSINESS HOURS, WITH COPIES PROVIDED UPON REQUEST. TWCCH'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 XI, LINE 9 | OTHER CHANGES IN NET ASSETS: $697,375 NET ASSETS RELEASED FROM RESTRICTION |
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