TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) LINDA THOMAS-HEMAK MD...................................................................... PRESIDENT & CEO	15.0 ................. 40.0	X	X			187,001	561,002	39,016
(2) JIGNESH SHETH MD...................................................................... SVP CLINICAL OPERATIONS/PHYSIC	15.0 ................. 40.0			X		123,017	369,052	39,016
(3) WILLIAM DEMPSEY MD...................................................................... ASSOCIATE PROGRAM DIRECTOR/PHY	5.0 ................. 50.0				X	32,694	294,246	36,531
(4) JUMEE BAROOAH MD...................................................................... DIO AND PHYSICIAN/ NON VOTING	25.0 ................. 30.0			X		136,453	180,880	39,003
(5) ENRIQUE SAMONTE MD...................................................................... PROGRAM DIRECTOR/PHYSICIAN	5.0 ................. 50.0			X		33,457	270,698	36,213
(6) TIMOTHY BURKE DO...................................................................... PROGRAM DIRECTOR/PHYSICIAN	20.0 ................. 35.0			X		107,450	182,955	36,757
(7) MAUREEN LITCHMAN MD...................................................................... PROGRAM DIRECTOR/PHYSICIAN	15.0 ................. 40.0			X		88,022	205,386	29,171
(8) RAJIV BANSAL MD...................................................................... DIRECTOR OF HOSPITAL SERVICES	5.0 ................. 50.0			X		33,178	243,307	35,631
(9) JENNIFER WALSH ESQ...................................................................... CGO & SVP PUBLIC POLICY	55.0 ................. 0.0			X		284,938	0	25,902
(10) RONALD DANIELS CPA...................................................................... CFO	55.0 ................. 0.0		X			267,404	0	27,027
(11) DOUGLAS KLAMP MD...................................................................... ASSOCIATE PROGRAM DIRECTOR/PHY	5.0 ................. 50.0				X	30,862	226,323	34,863
(12) MARIA ALEXIES SAMONTE MD...................................................................... ASSOCIATE PROGRAM DIRECTOR/PHY	5.0 ................. 50.0				X	31,425	254,256	5,546
(13) DEBORAH SPRING MD...................................................................... ASSOCIATE PROGRAM DIRECTOR/PHY	5.0 ................. 50.0				X	30,731	225,359	31,583
(14) VINOD SHARMA MD...................................................................... ASSOCIATE PROGRAM DIRECTOR/PHY	5.0 ................. 50.0				X	28,730	232,450	21,285
(15) MEAGHAN RUDDY PHD...................................................................... CHIEF R&D OFFICER & SVP ACADEM	40.0 ................. 15.0			X		147,919	49,306	25,386
(16) HAROLD BAILLIE PHD...................................................................... CHAIRMAN	5.0 ................. 0.0	X	X			0	0	0
(17) JAMES GAVIN...................................................................... VICE CHAIR	5.0 ................. 1.0	X	X			0	0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) JOHN KEARNEY........................................................................ TREASURER	5.0 .......................0.0	X	X
(19) CAROL RUBEL........................................................................ DIRECTOR; SECRETARY BEG 12/21	5.0 .......................1.0	X	X
(20) LIA RICHARDS-PALMITER PHD........................................................................ DIRECTOR	1.0 .......................0.0	X
(21) MICHAEL PAGLIA MD PHD........................................................................ DIRECTOR	1.0 .......................0.0	X
(22) JUDY FEATHERSTONE MD........................................................................ DIRECTOR	1.0 .......................0.0	X
(23) KIM PATTON........................................................................ DIRECTOR	1.0 .......................0.0	X
(24) DOUGLAS SPEGMAN MD........................................................................ DIRECTOR	1.0 .......................0.0	X
(25) THOMAS BISIGNANI........................................................................ DIRECTOR	1.0 .......................0.0	X
(26) SHARON OBADIA DO........................................................................ DIRECTOR	1.0 .......................0.0	X
(27) PATRICK CONABOY MD........................................................................ DIRECTOR	1.0 .......................0.0	X
(28) KEVIN SULLIVAN........................................................................ DIRECTOR	1.0 .......................0.0	X
(29) RONALD BUKOWSKI........................................................................ DIRECTOR	1.0 .......................0.0	X
(30) TERI OOMS........................................................................ DIRECTOR	1.0 .......................0.0	X
(31) DEBRA YOUNGFELT........................................................................ DIRECTOR	1.0 .......................0.0	X
(32) GERTRUDE MCGOWAN ESQ........................................................................ DIRECTOR	1.0 .......................0.0	X
(33) ELENI O'DONOVAN MD........................................................................ DIRECTOR BEG 06/22	1.0 .......................0.0	X
(34) ROBERT NAISMITH PHD........................................................................ SECRETARY END 12/21	5.0 .......................0.0	X	X
(35) VINCENT KEANE........................................................................ DIRECTOR END 03/22	1.0 .......................0.0	X
(36) LAUREN HAZZOURI PSYD........................................................................ DIRECTOR END 03/22	1.0 .......................0.0	X

(A) Name and business address	(B) Description of services	(C) Compensation
AT STILL UNIVERSITY OF HEALTH SCI, 800 W JEFFERSON STREET KIRKSVILLE,MO63501	PROFESSIONAL FEES	339,642
UNITY HEALTH CARE INC, 1100 NEW JERSEY AVENUE SE SUITE 5 WASHINGTON,DC20003	PROFESSIONAL FEES	268,891
HEALTH SOURCE OF OHIO, 424 WARDS CORNER ROAD SUITE 200 LOVELAND,OH45140	PROFESSIONAL FEES	260,706
BLANK ROME LLP, ONE LOGAN SQUARE 130 NORTH 18TH ST PHILADELPHIA,PA19103	PROFESSIONAL FEES	233,165
PAYLOCITY CORPORATION, 1400 AMERICAN LANE SCHAUMBURG,IL60173	PROFESSIONAL FEES	210,151
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 8

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	15,826,039	16,798,105	17,334,945	23,651,071	19,850,852	93,461,012
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	12,636,961	13,415,299	14,787,588	17,692,901	17,576,749	76,109,498
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	28,463,000	30,213,404	32,122,533	41,343,972	37,427,601	169,570,510
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.)						169,570,510

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...	28,463,000	30,213,404	32,122,533	41,343,972	37,427,601	169,570,510
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	125,839	149,433	703,373	1,096,841	1,131,212	3,206,698
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	125,839	149,433	703,373	1,096,841	1,131,212	3,206,698
11	Net income from unrelated business activities not included on 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	1,226,144	2,125,937
13	Total support. (Add lines 9, 10c, 11, and 12.)..	28,588,839	30,362,837	32,863,582	43,302,930	39,784,957	174,903,145

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

96.951 %

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

98.096 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

1.833 %

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

1.347 %

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
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)
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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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 2021 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-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION		Employer identification number 23-2007832

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION			Employer identification number 23-2007832
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	79,484
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	79,484
d	Other exempt purpose expenditures ...............................................................................	24,875,501
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	24,954,985
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount		1,000,000	1,000,000	1,000,000	3,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					4,500,000

c	Total lobbying expenditures		125,409	90,360	79,484	295,253

d	Grassroots nontaxable amount		250,000	250,000	250,000	750,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,125,000

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-A, LINE 1B	POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES: TWCGME ENGAGES THE FIRM OF COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR PUBLIC HEALTH AND PRIMARY CARE SERVICES AND WORKFORCE DEVELOPMENT RELATED POLICIES AND PROGRAMS, INCLUDING THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION LEGISLATION. TWCGME PAID COZEN $45,000 FOR THESE SERVICES. IN ADDITION TO COZEN'S SERVICES, THREE PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR FEDERALLY-FUNDED PRIMARY CARE WORKFORCE DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE WORKFORCE AND PUBLIC HEALTH PROGRAMS AND RELATED LEGISLATION. DUE TO COVID-19, THERE WAS LIMITED IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2021-2022. IN ALL, TWCGME SPENT $1,484 ON REPORTABLE INTERNAL ACTIVITIES RELATED TO LOBBYING AND ADVOCACY ACTIVITIES. COZEN WAS ALSO ENGAGED BY TWCCH, A FQHC-LOOK-ALIKE AND TWCGME'S AFFILIATED ORGANIZATION, TO ADVOCATE FOR PUBLIC HEALTH AND PRIMARY CARE SERVICES AND WORKFORCE DEVELOPMENT RELATED POLICIES AND PROGRAMS, INCLUDING LEGISLATION SUPPORTING THE FUNDING OF FEDERALLY QUALIFIED HEALTH CENTERS AND LOOK-ALIKES AND THE NATIONAL HEALTH SERVICE CORPS (NHSC) LOAN REPAYMENT PROGRAM (COLLECTIVELY, "PUBLIC HEALTH PROGRAMS"). IN ADDITION TO COZEN'S SERVICES, THREE PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR THE FEDERALLY FUNDED THC GME PROGRAM. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING THE THC GME PROGRAM. DUE TO COVID-19, THERE WAS NO IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2021-2022. TWCCH PAID COZEN $45,000 FOR THESE SERVICES, WHICH AMOUNTS ARE REFLECTED ON ITS OWN FORM 990. IN ALL, TWCCH SPENT $823 ON REPORTABLE INTERNAL ACTIVITIES RELATED TO LOBBYING AND ADVOCACY ACTIVITIES, WHICH IS ALSO REPORTED ON ITS FORM 990. TWCGME ALSO PAID $33,000 IN DUES TO THE AMERICAN ASSOCIATION OF TEACHING HEALTH CENTERS, A TAX EXEMPT ORGANIZATION THAT CONDUCTS SIGNIFICANT LOBBYING AND ADVOCACY ACTIVITIES IN RELATION TO THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM.

Return Reference

Explanation

PART II-A, LINE 1B

POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES: TWCGME ENGAGES THE FIRM OF COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR PUBLIC HEALTH AND PRIMARY CARE SERVICES AND WORKFORCE DEVELOPMENT RELATED POLICIES AND PROGRAMS, INCLUDING THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION LEGISLATION. TWCGME PAID COZEN $45,000 FOR THESE SERVICES. IN ADDITION TO COZEN'S SERVICES, THREE PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR FEDERALLY-FUNDED PRIMARY CARE WORKFORCE DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE WORKFORCE AND PUBLIC HEALTH PROGRAMS AND RELATED LEGISLATION. DUE TO COVID-19, THERE WAS LIMITED IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2021-2022. IN ALL, TWCGME SPENT $1,484 ON REPORTABLE INTERNAL ACTIVITIES RELATED TO LOBBYING AND ADVOCACY ACTIVITIES. COZEN WAS ALSO ENGAGED BY TWCCH, A FQHC-LOOK-ALIKE AND TWCGME'S AFFILIATED ORGANIZATION, TO ADVOCATE FOR PUBLIC HEALTH AND PRIMARY CARE SERVICES AND WORKFORCE DEVELOPMENT RELATED POLICIES AND PROGRAMS, INCLUDING LEGISLATION SUPPORTING THE FUNDING OF FEDERALLY QUALIFIED HEALTH CENTERS AND LOOK-ALIKES AND THE NATIONAL HEALTH SERVICE CORPS (NHSC) LOAN REPAYMENT PROGRAM (COLLECTIVELY, "PUBLIC HEALTH PROGRAMS"). IN ADDITION TO COZEN'S SERVICES, THREE PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR THE FEDERALLY FUNDED THC GME PROGRAM. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING THE THC GME PROGRAM. DUE TO COVID-19, THERE WAS NO IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2021-2022. TWCCH PAID COZEN $45,000 FOR THESE SERVICES, WHICH AMOUNTS ARE REFLECTED ON ITS OWN FORM 990. IN ALL, TWCCH SPENT $823 ON REPORTABLE INTERNAL ACTIVITIES RELATED TO LOBBYING AND ADVOCACY ACTIVITIES, WHICH IS ALSO REPORTED ON ITS FORM 990. TWCGME ALSO PAID $33,000 IN DUES TO THE AMERICAN ASSOCIATION OF TEACHING HEALTH CENTERS, A TAX EXEMPT ORGANIZATION THAT CONDUCTS SIGNIFICANT LOBBYING AND ADVOCACY ACTIVITIES IN RELATION TO THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements	4,010,550	763,447	3,247,103
d	Equipment ....	4,378,908	2,083,693	2,295,215
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				5,542,318

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES				6,138,518
(2)RESTRICTED CASH				152,799
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				6,291,317

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,071,542
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	38,805,634
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-1,105,305
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	-1,105,305
3	Subtract line 2e from line 1..................			3	39,910,939
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	36,898
b	Other (Describe in Part XIII.) ...........	4b	-341,823
c	Add lines 4a and 4b....................			4c	-304,925
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	39,606,014

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	38,570,831
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	341,823
e	Add lines 2a through 2d....................			2e	341,823
3	Subtract line 2e from line 1...................			3	38,229,008
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	36,898
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	36,898
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	38,265,906

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART X, LINE 2	THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2022 AND 2021.
SCHEDULE D, PART XI, LINE 4B	REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT LINE 1: $ (341,823) RENTAL EXPENSES
SCHEDULE D, PART XII, LINE 2D	EXPENSES INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 341,823 RENTAL EXPENSES

Schedule D (Form 990) 2021

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number
23-2007832

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVEL 85 S MAIN ST STE 201 WILKESBARRE,PA18701	24-0795506	501(C)(3)	6,000	SEE NARRATIVES
(2) UNITED WAY OF LACKAWANNA AND WAYNE COUNTIES 615 JEFFERSON AVE SCRANTON,PA18501	24-0824164	501(C)(3)	10,000	SEE NARRATIVES
(3) AT STILL SCHOOL OF OSTEOPATHIC MEDICINE 5850 E STILL CIRCLE MESA,AZ85206	43-0356250	501(C)(3)	22,106	SEE NARRATIVES

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

SCHEDULE I, PART I, LINE 2:

GRANT MONITORING: THE ORGANIZATION HAS A GRANTS DEPARTMENT THAT MONITORS THE USE OF GRANT FUNDS THROUGH ITS COMPREHENSIVE COMPLIANCE PROGRAM. APPROPRIATE MONITORING IS IN PLACE TO METICULOUSLY TRACK AND REPORT TO GRANTORS AS REQUIRED BY THE TERMS OF EACH RESPECTIVE GRANT. THE GRANTS DEPARTMENT HAS CREATED A VETTING MATRIX THAT IS USED TO DETERMINE MISSION FIT, ACHIEVABILITY, AND SUSTAINABILITY FOR ANY POTENTIAL OPPORTUNITY. STRATEGIC STAGE- GATE ANALYSES, PROJECT PLANNING AND MANAGEMENT ENSURES FEASIBILITY, READINESS, SUSTAINABILITY, AND HIGH-INTEGRITY STEWARDSHIP OF PUBLIC AND PRIVATE FUNDING. TWCGME COMPLETES ALL REQUIRED GRANT-RELATED AUDITING AND EVEN ELECTS TO ENGAGE IN A YEARLY OPTIONAL SINGLE AUDIT EQUIVALENT FOR ITS THCGME PROGRAM, DESPITE FEDERAL PROGRAMMATIC EXEMPTION, TO ENSURE THE HIGHEST COMPLIANCE AND STEWARDSHIP AUTHENTICITY. THE GRANTS DEPARTMENT SPUN OFF A PROJECT MANAGEMENT OFFICE IN APRIL OF 2021 TO FOCUS ON SPONSORED PROJECT MONITORING AND COMPLIANCE, UTILIZING SMARTSHEET PROJECT MANAGEMENT SOFTWARE FOR TRACKING AND DASHBOARD VISUALIZATIONS OF GRANT OUTCOMES AND EXPENSE TRACKING. TWCGME IS COMPLIANT WITH ALL FEDERAL, STATE, COUNTY, AND PRIVATE PHILANTHROPY REPORTING REQUIREMENTS FOR ALL GRANTS. FOR ALL COVID-19 PANDEMIC-RELATED FUNDING, TWCCH AND TWCGME UTILIZE A NATIONALLY ESTABLISHED FUNDING MATRIX CROSS-WALK THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND A WELL-RESPECTED NATIONAL ACCOUNTING FIRM.

SCHEDULE I, PART II, LINE 1, COLUMN H

A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE: A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA) IS, FOR THIS REPORTING PERIOD, A SUBAWARD RECIPIENT FROM TWCGME FOR A U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) PRIMARY CARE TRAINING AND ENHANCEMENT (PCTE) GRANT PROJECT TITLED "SERVING, TEACHING AND LEARNING WHERE THE NEED IS GREATEST" WHEREBY ATSU-SOMA WORKS WITH TWCGME LEADERS TO: 1) PREPARE PATIENT-CENTERED MEDICAL HOME CHAMPIONS FOR CARE TEAMS FOCUSED ON PROFESSIONALISM, LEADERSHIP, AND PRACTICE; 2) IMPLEMENT A COMMUNITY HEALTH CENTER MODEL FOR HEALTH CARE DELIVERY SCIENCE TRAINING; 3) EXPLORE FEASIBILITY OF EXTENDING THE ENHANCED NATIONAL FAMILY MEDICINE RESIDENCY TO NEW LOCATIONS; AND 4) EVALUATE AND DISSEMINATE PROJECT OUTCOMES. THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT: AS AN ACADEMIC PARTNER MEMBER OF THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT, TWCGME IS PROUDLY THE PRIMARY SPONSOR OF ITS ANNUAL INDICATORS EVENT, DEDICATED TO REVIEWING AND ILLUMINATING DASHBOARD METRICS AND TRENDS OF THE HEALTH AND WELFARE OF THE NORTHEAST PENNSYLVANIA REGION. UNITED WAY OF LACKAWANNA AND WAYNE COUNTIES: TWCGME MADE A DONATION TO THE UNITED WAY OF LACKAWANNA AND WAYNE COUNTIES, A MISSION-ALIGNED COMMUNITY-BASED ORGANIZATION THAT SUPPORTS OUR PATIENTS, FAMILIES AND THE COMMUNITIES WE SERVE IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH BY FIGHTING FOR THE EDUCATION, FINANCIAL STABILITY AND HEALTH OF EVERY PERSON.

Schedule I (Form 990) 2021

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1LINDA THOMAS-HEMAK MD PRESIDENT & CEO	(i) (ii)	182,014 ------------- 546,041	0 ------------- 0	4,987 ------------- 14,961	5,800 ------------- 17,400	3,954 ------------- 11,862	196,755 ------------- 590,264	0 ------------- 0
2RONALD DANIELS CPA CFO	(i) (ii)	247,052 ------------- 0	0 ------------- 0	20,352 ------------- 0	13,877 ------------- 0	13,150 ------------- 0	294,431 ------------- 0	0 ------------- 0
3WILLIAM DEMPSEY MD ASSOCIATE PROGRAM DIRECTOR/PHY	(i) (ii)	29,916 ------------- 269,251	580 ------------- 5,216	2,198 ------------- 19,779	2,320 ------------- 20,880	1,333 ------------- 11,998	36,347 ------------- 327,124	0 ------------- 0
4MARIA ALEXIES SAMONTE MD ASSOCIATE PROGRAM DIRECTOR/PHY	(i) (ii)	30,443 ------------- 246,307	0 ------------- 0	982 ------------- 7,949	465 ------------- 3,765	145 ------------- 1,171	32,035 ------------- 259,192	0 ------------- 0
5VINOD SHARMA MD ASSOCIATE PROGRAM DIRECTOR/PHY	(i) (ii)	28,177 ------------- 227,972	0 ------------- 0	553 ------------- 4,478	905 ------------- 7,325	1,436 ------------- 11,619	31,071 ------------- 251,394	0 ------------- 0
6DOUGLAS KLAMP MD ASSOCIATE PROGRAM DIRECTOR/PHY	(i) (ii)	30,358 ------------- 222,626	350 ------------- 2,564	154 ------------- 1,133	2,358 ------------- 17,292	1,826 ------------- 13,387	35,046 ------------- 257,002	0 ------------- 0
7DEBORAH SPRING MD ASSOCIATE PROGRAM DIRECTOR/PHY	(i) (ii)	29,871 ------------- 219,051	563 ------------- 4,129	297 ------------- 2,179	2,439 ------------- 17,883	1,351 ------------- 9,910	34,521 ------------- 253,152	0 ------------- 0
8JUMEE BAROOAH MD DIO AND PHYSICIAN/ NON VOTING	(i) (ii)	122,902 ------------- 162,918	5,040 ------------- 6,680	8,511 ------------- 11,282	9,976 ------------- 13,224	6,795 ------------- 9,008	153,224 ------------- 203,112	0 ------------- 0
9ENRIQUE SAMONTE MD PROGRAM DIRECTOR/PHYSICIAN	(i) (ii)	30,312 ------------- 245,254	908 ------------- 7,343	2,237 ------------- 18,101	2,439 ------------- 19,731	1,545 ------------- 12,498	37,441 ------------- 302,927	0 ------------- 0
10MAUREEN LITCHMAN MD PROGRAM DIRECTOR/PHYSICIAN	(i) (ii)	80,091 ------------- 186,879	1,338 ------------- 3,123	6,593 ------------- 15,384	6,496 ------------- 15,158	2,255 ------------- 5,262	96,773 ------------- 225,806	0 ------------- 0
11TIMOTHY BURKE DO PROGRAM DIRECTOR/PHYSICIAN	(i) (ii)	97,144 ------------- 165,407	2,983 ------------- 5,079	7,323 ------------- 12,469	7,955 ------------- 13,545	5,645 ------------- 9,612	121,050 ------------- 206,112	0 ------------- 0
12JENNIFER WALSH ESQ CGO & SVP PUBLIC POLICY	(i) (ii)	254,739 ------------- 0	10,250 ------------- 0	19,949 ------------- 0	20,531 ------------- 0	5,371 ------------- 0	310,840 ------------- 0	0 ------------- 0
13RAJIV BANSAL MD DIRECTOR OF HOSPITAL SERVICES	(i) (ii)	32,237 ------------- 236,403	918 ------------- 6,732	23 ------------- 172	2,448 ------------- 17,952	1,828 ------------- 13,403	37,454 ------------- 274,662	0 ------------- 0
14MEAGHAN RUDDY PHD CHIEF R&D OFFICER & SVP ACADEM	(i) (ii)	128,852 ------------- 42,950	4,305 ------------- 1,435	14,762 ------------- 4,921	10,582 ------------- 3,527	8,458 ------------- 2,819	166,959 ------------- 55,652	0 ------------- 0
15JIGNESH SHETH MD SVP CLINICAL OPERATIONS/PHYSIC	(i) (ii)	113,993 ------------- 341,981	4,100 ------------- 12,300	4,924 ------------- 14,771	5,800 ------------- 17,400	3,954 ------------- 11,862	132,771 ------------- 398,314	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

SCHEDULE J, PART I, LINE 3

PROCEDURES USED TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: TWCGME CONTRACTS WITH THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), ITS AFFILIATED ENTITY, FOR THE SERVICES OF PRESIDENT & 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 PRESIDENT & CEO 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. COMPENSATION OF ALL OTHER EMPLOYEES, INCLUDING BUT NOT LIMITED TO EXECUTIVE EMPLOYEES, KEY EMPLOYEES, THE HIGHEST COMPENSATED EMPLOYEES AND ALL STAFF, IS DETERMINED BY THE ORGANIZATION'S CHIEF EXECUTIVE AND HUMAN RESOURCES DEPARTMENT, WHO RELY ON A PERIODIC ORGANIZATION-WIDE COMPENSATION ASSESSMENT BY AN OBJECTIVE THIRD-PARTY VENDOR, TYPICALLY EVERY THREE TO FIVE YEARS.

SCHEDULE J, PART I, LINE 7

NONFIXED PAYMENTS: ALL EMPLOYEES MAY BE ELIGIBLE FOR AN ANNUAL, PERFORMANCE-BASED INCENTIVE BONUS CONTINGENT UPON EXECUTIVE MANAGEMENT RECOMMENDATION, BOARD APPROVAL, SUCCESSFUL PERFORMANCE EVALUATIONS BY MANAGEMENT, AND AFFORDABILITY. THERE ARE SEVERAL THRESHOLD REQUIREMENTS FOR PERFORMANCE-BASED BONUS ELIGIBILITY, INCLUDING BUT NOT LIMITED TO SPECIFIED, ACTIVE PARTICIPATION IN TWCGME'S PLAN/DO/STUDY/ACT (PDSA) QUALITY IMPROVEMENT PROGRAM, SAFE EVENT REPORTING, AND ENGAGEMENT IN COMMUNITY VOLUNTEER SERVICE EXPERIENCES. ONCE DETERMINED TO BE AFFORDABLE, THE MERIT-BASED PERFORMANCE BONUS PAYMENT TO ELIGIBLE EMPLOYEES CORRELATES TO INDIVIDUAL JOB PERFORMANCE SCORES. EMPLOYEES IN A NEW EMPLOYMENT PROBATIONARY STATUS OR THOSE WHO HAVE NOTIFIED TWCGME OF THEIR RESIGNATIONS ARE INELIGIBLE FOR MERIT-BASED PERFORMANCE BONUSES. THE ELIGIBILITY OF THOSE ON A PERFORMANCE IMPROVEMENT PLAN IS AT THE DISCRETION OF THE DIRECT SUPERVISOR. THE 2021-2022 INCENTIVE PLAN CONSISTED OF A PERFORMANCE BONUS RANGING BETWEEN 0% AND 7% OF BASE SALARY. THE TOTAL BONUS POOL WAS BUDGETED AT 5% OF PAYROLL. ADDITIONALLY, TWCGME MAY, FROM TIME TO TIME, AWARD BONUSES TO ELIGIBLE EMPLOYEES TO ACKNOWLEDGE ORGANIZATIONAL STAFF ENGAGEMENT IN RESPONSE TO SPECIAL CIRCUMSTANCES, AND TO PROMOTE RETENTION.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

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, GASTROENTEROLOGY AND PHYSICAL MEDICINE & REHABILITATION. THE CONSORTIUM ENGAGES ITS PRIMARY AFFILIATED FQHC LOOK-ALIKE, THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), AS WELL AS FOUR PARTNERING NATIONAL FQHCS AS TEACHING HEALTH CENTERS AND ALSO THEIR NUMEROUS COMMUNITY-BASED HOSPITAL SYSTEMS, AS WELL AS THE WILKES-BARRE, PA VETERAN AFFAIRS MEDICAL CENTER, IN THE CLINICAL TRAINING OF ITS RESIDENTS AND FELLOWS. THE GME-SNC AS AN INSTITUTION 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). ALL PARTNERING FQHCS, ENGAGED HOSPITAL SPONSORS OF GME PROGRAMS, AND BOTH GEISINGER 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 THEIR INTERPROFESSIONAL HEALTH CARE WORKFORCE. WITH INCLUSIVE ENGAGEMENT OF GME STAKEHOLDERS, OUR GME-SNC ASPIRES TOWARD AN INCLUSIVE COLLECTIVE IMPACT FRAMEWORK TO EFFECTIVELY ADDRESS AMERICA'S PRIMARY CARE WORKFORCE SHORTAGE AND MIS-DISTRIBUTION, AND RELATED HEALTH AND HEALTHCARE DELIVERY 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, AND MOST RECENTLY, A CMS GME-FUNDED INPATIENT REHABILITATION FACILITY (IRF) AS WELL. TWCGME PROUDLY BECAME A PIONEERING HRSA 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 OUR NATION TO TRAIN COMMUNITY-MINDED PRIMARY CARE RESIDENT PHYSICIANS IN HISTORICALLY MARGINALIZED POPULATIONS AND 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 HEALTH SERVICES 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. TWCGME'S GME-SNC MODEL IS DESIGNED TO MITIGATE THE HEALTH AND HEALTHCARE ACCESS DISPARITIES RESULTING FROM THIS GROWING NATIONAL SHORTAGE WHILE STRIVING TO ACCELERATE AND SPREAD INSPIRATION 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 HEALTH EQUITY, CLINICIAN WELL-BEING, AND THE PURSUIT OF BETTER HEALTHCARE, IMPROVED HEALTH OUTCOMES, AND LOWER COSTS. TWCGME'S CURRENT SPONSORING INSTITUTIONAL AND PROGRAMMATIC PRIMARY HEALTH SERVICES CURRICULA ARE ROOTED IN COMMUNITY-ORIENTED AND PUBLIC HEALTH NEEDS-RESPONSIVE, WHOLE PERSON PRIMARY CARE TRAINING FOR FAMILY MEDICINE, INTERNAL MEDICINE, AND PSYCHIATRY RESIDENTS AS WELL AS FUTURE SPECIALTY PHYSICIANS. DURING FISCAL YEAR 2021-2022, RESIDENTS WERE, 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 CHILDHOOD AND ADULT VACCINATIONS FOR PREVENTABLE ILLNESSES. OUR COMMUNITY-BASED TRAINING MODEL WITHIN ESSENTIAL COMMUNITY PROVIDER NETWORKS LEVERAGES CROSS-INSTITUTIONAL COLLABORATIVE LEARNING AND BROAD EXPOSURE TO INTERPROFESSIONAL TEAM-BASED CARE AS WELL AS A VARIETY OF HEALTH INFORMATION TECHNOLOGY PLATFORMS FOR BOTH CARE DELIVERY AND INSTITUTIONAL OUTCOMES REPORTING. TWCGME'S PARTNERING CLINICAL LEARNING ENVIRONMENTS DEMONSTRATE AND ENGAGE ITS LEARNERS IN VALUE-DRIVEN WORKFLOW REDESIGN THAT PROMOTES PATIENT-CENTERED MEDICAL HOME PHYSICIAN-LED CARE TEAMS, ENGAGED AND EMPOWERED PATIENTS AND FAMILIES, ROBUST REFERRAL NETWORKS OF COMMUNITY RESOURCE AGENCIES, AND BOTH MEANINGFUL USE AND CONNECTIVITY/INTEROPERABILITY OF HEALTH AND EDUCATION INFORMATION TECHNOLOGY PLATFORMS. MISSION-DRIVEN, TOP-LICENSE FACULTY PRACTICE AND ROLE-MODELING WITHIN THESE INCLUSIVE, SAFETY-NET LEARNING ENVIRONMENTS EFFICIENTLY OPTIMIZES WORKFLOW REDISTRIBUTION SO THAT EVERY TEAM MEMBER, INCLUDING FRONT-LINE STAFF AND LEARNERS, ENGAGE IN PURPOSEFUL, MEANINGFUL PRACTICE WHILE CONTRIBUTING TO ITERATIVE CONTINUOUS QUALITY IMPROVEMENT OF BOTH CARE DELIVERY AND EDUCATIONAL SYSTEMS. TWCGME'S GME-SNC IS A COMMUNITY HEALTH CENTER (CHC) FOCUSED EDUCATIONAL CONSORTIUM DEEPLY INVESTED IN COMMUNITY-CENTERED HOSPITAL EXPERIENCES THAT EXPOSE TRAINEES TO A SEAMLESS, CROSS-INSTITUTIONAL, INTERPROFESSIONAL MULTIDISCIPLINARY ENVIRONMENT THAT EXERCISES AND NURTURES THEIR LONGITUDINAL AND TRANSITIONAL CARE SKILLS, 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, A FINDING VALIDATED BY TWCGME'S HISTORICAL GRADUATE PRACTICE PATTERN OUTCOMES, SHOWING A HIGHER-THAN-NATIONAL-AVERAGE NUMBERS OF PRIMARY CARE PHYSICIANS SELECTING CAREERS IN HISTORICALLY UNDERSERVED SETTINGS, INCLUDING FQHCS AND RURAL COMMUNITIES.
FORM 990, PART III, LINE 2	NEW PROGRAM SERVICES: TWCGME IS PROUD TO SHARE TESTIMONY OF ITS MISSION DELIVERY WITH SECURED EMPLOYMENT COMMITMENTS OF THREE FAMILY MEDICINE RESIDENTS TO BECOME FACULTY ATTENDINGS WHO WILL PROVIDE COMPREHENSIVE PRIMARY HEALTH SERVICES DELIVERY AT TWCCH WHILE TEACHING TWCGME'S FAMILY MEDICINE RESIDENT PHYSICIANS. ADDING THESE GRADUATES TO OUR PROVIDER CARE TEAMS AS TEACHERS OF THE NEXT GENERATION OF FAMILY MEDICINE PHYSICIANS AND INTERPROFESSIONAL CARE TEAMS IS TRULY A TESTAMENT THAT OUR PHYSICIAN WORKFORCE PIPELINE IS DELIVERING CRUCIAL WORKFORCE DEVELOPMENT OUTCOMES, HELPING TO CLOSE THE GAP IN THE SHORTAGE OF PRIMARY CARE PHYSICIANS IN NORTHEASTERN PENNSYLVANIA. SIMILAR EMPLOYMENT OF OUR GRADUATES BY PARTNERING FQHCS IN FOUR STATES PARTICIPATING IN OUR NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM VALIDATES OUR NATIONAL IMPACT ON PRIMARY CARE WORKFORCE DEVELOPMENT AS WELL. TWCGME, IN COLLABORATION WITH ALLIED SERVICES INTEGRATED HEALTH SYSTEM, PROUDLY LAUNCHED ITS LONG-AWAITED NEWEST RESIDENCY PROGRAM IN PHYSICAL MEDICINE & REHABILITATION (PM&R). THIS PROGRAM WILL TRAIN RESIDENT PHYSICIANS TO DIAGNOSE, MANAGE AND TREAT CONDITIONS OF THE BONES, MUSCLES, JOINTS, AND CENTRAL AND PERIPHERAL NERVOUS SYSTEMS TO GUIDE REHABILITATIVE MANAGEMENT PLANS TO HELP PATIENTS RECOVER THEIR FUNCTIONAL WELL-BEING. OVER THE COURSE OF THE 4-YEAR TRAINING PROGRAM, WE EXPECT 5 RESIDENTS PER YEAR, FOR A FULL COMPLEMENT OF 20 PM&R RESIDENTS IN ACADEMIC YEAR 2025-2026. OUR ROBUST GME-SNC CONSORTIUM NOW INCLUDES ALLIED SERVICES AND THE JOHN HEINZ INSTITUTE FOR REHABILITATION MEDICINE, NORTHEAST REHABILITATION ASSOCIATES AND EXPANDED CLINICAL LEARNING ENVIRONMENTS AT TWCCH AND REGIONAL HOSPITAL OF SCRANTON, AS WELL AS OTHER CLINICAL LEARNING ENVIRONMENT PARTNERS TO PROMOTE THE RENEWAL OF THE PHYSIATRIST WORKFORCE IN NORTHEASTERN PENNSYLVANIA. DURING FISCAL YEAR 2021-2022, TWCGME TRAINED MORE THAN 220 RESIDENT AND FELLOW PHYSICIANS IN MULTIPLE DISCIPLINES. TWCGME EXPANDED ITS ACGME-ACCREDITED GERIATRICS FELLOWSHIP BY 3 ADDITIONAL FULL-TIME EQUIVALENTS (FTES) AS A RESULT OF A SUCCESSFUL COMPETITIVE GRANT APPLICATION TO THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) THROUGH THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THC GME PROGRAM). THE IMPORTANCE OF DEVELOPING AN AGE FRIENDLY HEALTH SYSTEM AND QUALIFIED, COMPASSIONATE GERIATRICIANS HAS NEVER BEEN SO URGENT: PENNSYLVANIA RANKS 9TH OUT OF THE 50 STATES FOR THE PERCENTAGE OF THE STATE POPULATION 65 AND OLDER, AND LACKAWANNA AND LUZERNE COUNTIES HAVE A SIGNIFICANTLY HIGHER NUMBERS OF PERSONS 65 YEARS AND OVER COMPARED TO STATE AND NATIONAL AVERAGES. THE DEVELOPMENT OF GERIATRICS COMPETENCIES SUPPORTS THE SHIFT INTO AGE-FRIENDLY HEALTH SERVICES BY HELPING PRIMARY CARE DOCTORS ALIGN WITH WHAT MATTERS TO OLDER ADULTS. DESPITE THE EXPECTED NATIONAL SHORTAGE OF NEARLY 30,000 FULL-TIME GERIATRICIANS BY 2025, THERE ARE NATIONAL RECRUITMENT CHALLENGES IN GERIATRICS: IN THE 2022 NRMP MATCH, THERE WERE 411 GERIATRIC MEDICINE FELLOWSHIPS SLOTS AVAILABLE, AND JUST 210 (51%) OF THESE FELLOWSHIPS WERE FILLED. TWCGME UNFORTUNATELY EXPERIENCED RECRUITMENT CHALLENGES DESPITE IDENTIFYING QUALIFIED AND INTERESTED CANDIDATES DUE TO LICENSING BARRIERS WITH THE PENNSYLVANIA BOARD OF MEDICINE RELATED TO OUTDATED REGULATORY REQUIREMENTS. NEVERTHELESS, TWCGME CONTINUES TO ADVOCATE WITH BOTH THE STATE LICENSING AND ACCREDITING AGENCIES TO INCREASE THE APPLICANT POOL BY REMOVING THESE BARRIERS GIVEN THE CRUCIAL NEED FOR GERIATRIC SERVICE PROVIDERS IN OUR COUNTRY. NOTABLY, TWCCH, 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, CONTINUED TO OFFER ADC SERVICES FOR THE REGIONAL COMMUNITY AND IMPLEMENTED THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "AGE FRIENDLY HEALTH SYSTEM" IN ALL OF ITS PRIMARY HEALTH SERVICES SITES FOR SENIORS, THEREBY ENRICHING THE GERIATRIC-SENSITIVE PREPARATION OF ALL WORKFORCE TRAINING AT TWCGME. EFFECTIVE JULY 1, 2021, RESPONSIVE TO THE NEEDS OF OUR REGIONAL AND NATIONAL COMMUNITIES, TWCGME ALSO EXPANDED ITS PSYCHIATRY RESIDENCY PROGRAM BY 3 ADDITIONAL FTES (FROM 22 TO 25 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. IN FISCAL YEAR 2021-2022, TWCGME ALSO FORMALLY SUPPORTED TWCCH'S SUCCESSFUL ENGAGEMENT AS A CLINICAL LEARNING ENVIRONMENT FOR ADDICTION FELLOWS FROM GEISINGER'S HRSA-FUNDED ADDICTION FELLOWSHIP GME PROGRAM. TWCGME'S GASTROENTEROLOGY CONSORTIUM WITH COMMONWEALTH HEALTH EXPANDED ITS FELLOWSHIP FROM 3 TO 4 FTES TO MEET THE INCREASING NEED FOR GI WORKFORCE IN NORTHEAST PENNSYLVANIA. AS A RECIPIENT OF A HRSA FIVE-YEAR DENTAL RESIDENCY AND CARE DELIVERY PLANNING GRANT, TWCGME FORMALLY SUPPORTED TWCCH AS A CLINICAL LEARNING ENVIRONMENT AND COLLABORATING PARTNER IN NYU LANGONE'S HRSA-FUNDED ADVANCED EDUCATION IN GENERAL DENTISTRY (AEGD) RESIDENCY PROGRAM IN FISCAL YEAR 2021-2022. TWO DENTAL RESIDENTS TRAINED IN PUBLIC HEALTH DENTAL ENVIRONMENTS DURING THE FISCAL YEAR, AND TWCCH WELCOMED TWO ADDITIONAL TRAINEES FOR FISCAL YEAR 2022-2023. THE AEGD PROGRAM IS FULLY ACCREDITED BY THE COMMISSION ON DENTAL ACCREDITATION (CODA) OF THE AMERICAN DENTAL ASSOCIATION (ADA), AND ADVANCES A RESIDENT'S SKILLS IN PUBLIC HEALTH-ORIENTED GENERAL DENTISTRY. DENTAL RESIDENTS ARE GUIDED AND MENTORED ON-SITE BY FACULTY MEMBERS WHILE DELIVERING ORAL HEALTH SERVICES AND PERFORMING PROCEDURES ON ETHNICALLY-DIVERSE VULNERABLE POPULATIONS, INCLUDING THE POPULATION SERVED BY TWCCH'S OPIATE AND STIMULANT USE DISORDER CENTER OF EXCELLENCE AND RYAN WHITE SERVICE LINES. IT IS NYU LANGONE'S GOAL THAT, UPON SUCCESSFUL COMPLETION OF THE PROGRAM, RESIDENTS GRADUATE AS HIGHLY SKILLED AND CONFIDENT PUBLIC HEALTH DENTAL PRACTITIONERS, EQUIPPED TO SERVE THE MOST VULNERABLE POPULATIONS AND MEET THE CHALLENGES OF THE COMPLEX WORLD OF MODERN DENTISTRY.
FORM 990, PART III, LINE 2 CONTINUED	NEW PROGRAM SERVICES CONTINUED: TWCGME FORMALLY SUPPORTED TWCCH'S CLINICAL TRAINING PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE (SOMA), WHICH GREW TO HOST 31 OSTEOPATHIC MEDICAL STUDENTS COMPLETING THEIR MEDICAL SCHOOL TRAINING IN SCRANTON, PENNSYLVANIA. OF THOSE, TWO WERE HOMETOWN SCHOLARS RECRUITED THROUGH THEIR ENGAGEMENT WITH TWCCH AND/OR TWCGME, WITH ANOTHER STUDENT IN THE PIPELINE, PROMOTING THE DEVELOPMENT AND RETENTION OF OUR REGIONAL PHYSICIAN WORKFORCE. THE HOMETOWN SCHOLARS PROGRAM IS DIRECTLY ALIGNED WITH OUR WORKFORCE PIPELINE DEVELOPMENT MISSION, AND WE WILL CONTINUE TO ENCOURAGE QUALIFIED, COMPASSIONATE LOCAL STARS TO ENTER THE MEDICAL FIELD AND OTHER HEALTH PROFESSIONS. OUR PARTNERSHIP WITH THE NORTHEAST PENNSYLVANIA AREA HEALTH EDUCATION CENTER (AHEC) FOSTERS AND MULTIPLIES OUR COMMITMENT TO TRAIN THE FUTURE INTERPROFESSIONAL HEALTHCARE WORKFORCE. ADDITIONALLY, TWCGME FORMALLY SUPPORTED TWCCH'S LAUNCH OF A NEW PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF HEALTH SCIENCES, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), AND THE COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST IN CALIFORNIA AS A CLINICAL TRAINING SITE FOR A NEW PHYSICIAN'S ASSISTANT (PA) PROGRAM. TWCCH IS BLESSED TO BE CURRENTLY TRAINING EIGHT AMAZING PA STUDENTS WHO RELOCATED TO OUR REGION. WE LOOK FORWARD TO RECRUITING LOCAL STUDENTS INTO THIS PIPELINE PROGRAM TO RETAIN OUR TALENT FOR THE BENEFIT OF THE PATIENTS, FAMILIES AND COMMUNITIES WE SERVE. TWCGME HAS BEEN ACTIVELY EXPLORING THE FEASIBILITY OF REPLICATING OUR PIONEERING ACGME-ACCREDITED NATIONAL FAMILY MEDICINE RESIDENCY (NFMR) FRAMEWORK WITH OTHER FQHC PARTNERS. TWCGME WAS THE RECIPIENT OF A HRSA TEACHING HEALTH CENTER GME PLANNING AND DEVELOPMENT GRANT (THCGME PD) WITH A PARTNER IN NEW YORK. TWCGME WAS ALSO THE PRIMARY GRANTEE OF A HRSA RURAL RESIDENCY PLANNING AND DEVELOPMENT GRANT (RRPD) WITH A RURAL HOSPITAL AND AFFILIATED FQHC PARTNER IN NORTHEAST PENNSYLVANIA. AS A THCGME PD GRANTEE, WE HAVE BEEN ACTIVELY PARTICIPATING IN HRSA-LEAD TECHNICAL ASSISTANCE WEBINARS FOR THCGME PD GRANTEES AND HAVE BEEN REGARDED BY PARTICIPANTS AS A SUBJECT MATTER EXPERT REGARDING TEACHING HEALTH CENTER PROGRAMS AND PARTICULARLY THE CONSORTIUM MODEL. DURING THE 2021-2022 FISCAL YEAR, TWCGME WAS COMMUNICATING WITH VARIOUS FEDERAL AGENCIES VOCALLY ADVOCATING FOR THE NEED TO INVEST AT THE FEDERAL LEVEL IN A SHARED MENTAL MODEL OF THE COMMUNITY BENEFIT IMPACT OF THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM. CAPTURING THE LOCAL, REGIONAL AND NATIONAL TANGIBLE BENEFITS OF THE THCGME PROGRAM WOULD SIGNIFICANTLY INCREASE THE LIKELIHOOD OF DELIBERATE, PERMANENT FEDERAL FUNDING FOR A PROVEN PROGRAM WITH UNDENIABLY POWERFUL AND COMPELLING OUTCOMES TO SOLVE AMERICA'S PRIMARY CARE SHORTAGE, MIS-DISTRIBUTION, AND RELATED HEALTH AND HEALTH CARE ACCESS DISPARITIES. INVESTING IN THIS WORK TO ARTICULATE OUTCOMES-DEMONSTRATION WOULD VALIDATE AN "ACHIEVABLE BY ALL" OPPORTUNITY, INSPIRING INCREASED CONFIDENCE LEVELS TO ESTABLISH NEW THCGME PROGRAMS AND FQHC-BASED GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUMS ACROSS OUR NATION. TWCGME IS FULLY COMMITTED TO EVOLVING THE WAY WE WORK TO PROMOTE AN INCREASED AWARENESS OF THE IMPORTANCE OF JUSTICE, EQUITY, DIVERSITY AND INCLUSION (JEDI) IN HEALTH PROFESSIONS TRAINING. WITH THE CREATION OF A VICE PRESIDENT OF DIVERSITY, EQUITY AND INCLUSION (DEI) PHYSICIAN LEADERSHIP POSITION, WE LAUNCHED IN-PERSON AND VIRTUAL MONTHLY DEI ACTIVITIES ACROSS OUR SPONSORING INSTITUTION, AND IMPLEMENTED A DEI BLOG ON OUR WEBSITE WITH MONTHLY TOPICS PROMOTING AWARENESS AND A SHARED UNDERSTANDING OF DEI ISSUES. THERE IS ALSO A DEI WORKGROUP IN PLACE TO PLAN AND CHAMPION VARIOUS INITIATIVES, BOTH FOR STAFF, RESIDENTS AND FELLOWS AS WELL AS FOR COLLABORATIVE WORK WITH PATIENTS, FAMILIES AND LIKE-MINDED COMMUNITY PARTNERS. ADDITIONALLY, TWCGME AND TWCCH, TOGETHER WITH THE NORTHEAST PENNSYLVANIA AREA HEALTH EDUCATION COUNCIL (AHEC), WERE SELECTED IN A COMPETITIVE APPLICATION TO PARTICIPATE IN A ROBERT WOOD JOHNSON FOUNDATION DESIGN SPRINT ACTIVITY FACILITATED BY NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE ASSOCIATION OF ASIAN PACIFIC COMMUNITY HEALTH ORGANIZATIONS (AAPCHO). DESIGN SPRINTS ARE FOCUSED ON BUILDING CROSS-SECTOR PARTNERSHIPS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, AND TWCGME'S FOCUS IN THAT PROJECT WAS THE DEVELOPMENT OF A SHARED MODEL FOR INTEGRATING JEDI INTO THE INSTITUTION'S PHYSICIAN AND INTERPROFESSIONAL HEALTH EDUCATION CURRICULA AS A SYSTEMATIC METHOD TO COMBAT STRUCTURAL BIAS IN HEALTHCARE. TWCGME HAS BEEN AUGMENTING THE DEVELOPMENT AND INTEGRATION OF A DEI CURRICULUM ACROSS ALL RESIDENCY AND FELLOWSHIP PROGRAMS BY PROMOTING THE DEVELOPMENT AND SHARING TRAINING MATERIALS ACROSS INCUMBENT CARE TEAMS AND EMPLOYEES THROUGH OUR LEARNING MANAGEMENT SYSTEM. TWCGME HAS RELEASED AN ENTERPRISE-WIDE DEI SURVEY TO HELP GATHER BASELINE AND FUTURE DATA TO INFORM OUR DEI WORKFORCE DEVELOPMENT STRATEGIES MOVING FORWARD. DURING FISCAL YEAR 2021-2022, TWCGME'S ACGME-ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS (INTERNAL MEDICINE, PSYCHIATRY, NATIONAL FAMILY MEDICINE, GERIATRICS, GASTROENTEROLOGY AND CARDIOLOGY) BOASTED CONTINUING ACCREDITATION STATUS, AND PM&R, IN ITS FIRST YEAR AS A NEW PROGRAM, ENJOYED INITIAL ACCREDITATION. REGIONAL FAMILY MEDICINE AND THE SPONSORING INSTITUTION WERE BOTH HUMBLY PLACED ON PROBATIONARY ACCREDITATION. DURING FISCAL YEAR 2021-2022, THE REGIONAL FAMILY MEDICINE RESIDENCY PROGRAM WAS IN THE MIDST OF A RESPONSIVE PROGRAM DIRECTOR TRANSITION AND ACTIVE REMEDIATION STRATEGY TO IMPROVE HISTORICALLY CHALLENGED ACGME RESIDENT SATISFACTION SURVEYS, WHICH YIELDED SIGNIFICANT IMPROVEMENT ON SUBSEQUENT INTERNAL CLIMATE SURVEYS AND THE ACGME SURVEY ITSELF. CONFIRMING THE LEGITIMACY OF THE INITIAL POSITIVE INTERNAL FEEDBACK REGARDING THE REMEDIATION STRATEGY, THE REGIONAL FAMILY MEDICINE RESIDENCY PROGRAM RESIDENT SATISFACTION SURVEY SCORES JUMPED FROM 36% TO AN IMPRESSIVE 84% ON THE FORMAL ACGME SURVEY, A TRIBUTE TO THE WORK OF THE PROGRAM AND SPONSORING INSTITUTION LEADERSHIP THAT CONTRIBUTED TO THE ELEVATION OF THE PROGRAM FROM PROBATIONARY ACCREDITATION STATUS TO CONTINUED ACCREDITATION WITH WARNING IN EARLY FEBRUARY 2023 WITH NOTABLE RESOLUTION OF ALL CITATIONS. IN JANUARY 2022, TWCGME'S SPONSORING INSTITUTION WAS PLACED ON PROBATIONARY ACCREDITATION STATUS BY THE INSTITUTIONAL REVIEW COMMITTEE (IRC) OF THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, ALTHOUGH TWCGME WAS ALREADY IN THE PROCESS OF ADDRESSING DIPPING RESIDENT SURVEY TRENDS IN ITS INTERNAL MEDICINE RESIDENCY PROGRAM, WHICH TRIGGERED AN EARLY AND UNANTICIPATED SITE VISIT DURING THE ONGOING COVID-19 HEALTH PANDEMIC. GIVEN THE ESSENTIAL COMMUNITY PROVIDER IDENTITY OF ITS NUMEROUS GME-SNC PARTNERS, TWCGME'S FACULTY ATTENDINGS ALONG WITH RESIDENTS AND FELLOWS FOUND THEMSELVES IN THE INTENSELY TRAUMATIC EYE OF THE UNPRECEDENTED GLOBAL COVID-19 PANDEMIC AS PUBLIC SERVANTS. AMONGST ALL WHO SERVED IN THE TRENCHES, LEARNER STRESS WAS PARTICULARLY UNPARALLELED AS EARLY CAREER PHYSICIANS IN TRAINING SOMEWHAT RELUCTANTLY BUT COURAGEOUSLY IMMERSED WITHIN OUR ESSENTIAL COMMUNITY PROVIDER ENVIRONMENTS THAT REMAINED FULLY OPEN AND OPERATIONAL THROUGH THE ENTIRE PANDEMIC - OFTEN SERVING AS THE ONLY POINT OF ACCESS TO CARE FOR ENTIRE COMMUNITIES. THIS STRESS WAS AMPLIFIED WHEN AN ANONYMOUS COMPLAINT BY SOMEONE WITHIN OUR INTERNAL MEDICINE RESIDENCY PROGRAM WAS ALSO SHARED ANONYMOUSLY WITH A LOCAL NEWSPAPER, CONTRIBUTING TO A MEDIA CRISIS RELATED TO OUR SUBOPTIMALLY UNDERSTOOD, PUBLIC HEALTH ORIENTED VISIT-BASED COVID-19 VACCINE STRATEGY. TWCGME WELCOMED NUMEROUS OPPORTUNITIES AFFORDED BY THESE EVENTS TO BETTER ENGAGE OUR PHYSICIAN LEARNERS IN MISSION-FOCUSED, FRANK DIALOGUE AND MEANINGFUL CONTRIBUTIONS TO RESPONSIVE QUALITY IMPROVEMENT INITIATIVES ACROSS OUR INSTITUTION. IMPROVING INTERNAL CLIMATE AND ACGME RESIDENT AND FELLOW SURVEY RESPONSES VALIDATES THEIR ENGAGEMENT.
FORM 990, PART III, LINE 2 CONTINUED	NEW PROGRAM SERVICES CONTINUED: ALTHOUGH TWCGME WAS NOT THE ONLY SPONSORING INSTITUTION TO BE PLACED ON PROBATIONARY ACCREDITATION STATUS DURING THE COVID-19 PANDEMIC, WE WELCOMED THE DECISION WITHOUT APPEAL, DEMONSTRATING OUR CORE VALUE OF STRIVING FOR EXCELLENCE, AND WE HAVE WORKED DILIGENTLY TO FORMULATE A COMPREHENSIVE CORRECTIVE ACTION PLAN THAT DEMONSTRATES ABSOLUTE COMPLIANCE WITH ACGME'S HIGHEST ACCREDITATION STANDARDS. OUR COLLABORATIVE APPROACH TO RESTORE FULL SPONSORING INSTITUTIONAL ACCREDITATION HAS BEEN AN INCREDIBLE JOURNEY, FILLED WITH MANY VALUABLE LEARNING EXPERIENCES THAT HAVE EMPOWERED OUR COLLECTIVE RECOVERY THROUGH THE TRAUMA OF TIRELESSLY SERVING AS AN ESSENTIAL COMMUNITY PROVIDER THROUGHOUT THE PANDEMIC. TWCGME'S RESPONSE TO THE ACGME'S DECISION HAS LED TO IMPROVED INSTITUTIONAL AND PROGRAMMATIC PROCESSES, POLICIES, REPORTING AND MUCH MORE AS WE REINVIGORATE OUR COMMITMENT TO EDUCATIONAL AND CLINICAL EXCELLENCE. FOR EXAMPLE, CONCERNED ABOUT THE RISING INFLATIONARY COSTS OF LIVING, RESIDENTS REQUESTED SALARY INCREASES WHICH WE WERE PRIVILEGED TO BE ABLE TO IMPLEMENT. TWCGME WAS ALSO ABLE TO ADVOCATE SUCCESSFULLY WITH OUR INSURANCE CARRIERS FOR IMMEDIATE ACTIVATION OF FULL RESIDENTS'/FELLOWS' HEALTH AND DISABILITY INSURANCE BENEFITS AS OF THE FIRST DAY OF EMPLOYMENT RATHER THAN WAITING UNTIL THE FIRST DAY OF THE FOLLOWING MONTH. RESIDENTS AND FELLOWS HAVE ALSO BEEN MORE INTENTIONALLY AND PROACTIVELY ENGAGED IN PROBLEM-SOLVING IMPLEMENTATION AND MANAGEMENT OF BOTH CLINICAL AND EDUCATIONAL SYSTEMATIC IMPROVEMENT INITIATIVES. ADDITIONALLY, TWCGME CREATED POSITIONS FOR A WELLNESS AND RESILIENCY SPECIALIST (WRS) TO ACT AS AN OMBUDSMAN WITH RESIDENTS AND FELLOWS, AS WELL AS A DIRECTOR OF ARTISTIC SERVICES TO ENGAGE THEM IN RECOVERY-ORIENTED THERAPEUTIC PROJECTS SUCH AS PROFESSIONAL IDENTITY EXPLORATION THROUGH MASKING AND MURALING. CONSISTENT WITH ACGME GUIDANCE, TWCGME IMPLEMENTED A MORE FORMAL SPECIAL REVIEW PROCESS COMMITTEE (SRPC) AS APPROVED BY THE GRADUATE MEDICAL EDUCATION COMMITTEE (GMEC) OF THE GOVERNING BOARD. THE SPRC HAS ILLUMINATED AND IGNITED NUMEROUS OPPORTUNITIES TO ENHANCE EFFECTIVE, CASCADING COMMUNICATION BETWEEN GOVERNANCE, INSTITUTIONAL AND PROGRAMMATIC LEADERSHIP, AS WELL AS FACULTY, AND TRAINEES ACROSS ALL PROGRAMS OF THE SPONSORING INSTITUTION. THE IMPLEMENTATION OF NEW INITIATIVES SUCH AS A MONTHLY FACULTY AND PROGRAM LEADERSHIP DEVELOPMENT SERIES, ADDING TWO ADDITIONAL INTERNAL REPORTING MECHANISMS FOR TRAINEES TO THE DESIGNATED INSTITUTIONAL OFFICIAL (DIO), AND MONTHLY RESIDENT AND FELLOW TOWN HALL MEETINGS WHERE RESIDENTS AND FELLOWS FROM ALL PROGRAMS ARE FREE TO ATTEND AND VOICE THEIR CONCERNS TO INSTITUTIONAL LEADERSHIP IN A SOLUTION-FOCUSED FRAMEWORK TO PROMOTE COLLABORATION AND PROFESSIONAL PROBLEM-SOLVING. ALL CHIEF AND RESIDENT LEADER JOB DESCRIPTIONS HAVE BEEN UPDATED AND FINALIZED TO REFLECT THE IMPORTANCE OF THEIR ROLE IN LEADING PUBLIC HEALTH INITIATIVES AS PUBLICLY-FUNDED TRAINEES. RESIDENT AND FELLOW TRAINING PROGRAMS ARE THE ONLY PRE-PROFESSIONAL TRAINING PROGRAMS THAT ARE FUNDED BY FEDERAL TAX-PAYER DOLLARS. EDUCATION ABOUT THE FUNDAMENTAL IDENTITY OF ESSENTIAL COMMUNITY PROVIDERS SUCH AS TEACHING HEALTH CENTER GME-SNCS AND THEIR IMPORTANCE IN SERVING VULNERABLE AND MARGINALIZED POPULATIONS IS CRITICAL TO HONORING THE ROLE OF RESIDENT/FELLOW PHYSICIANS AS PUBLIC HEALTH AGENTS. TWCGME ALSO IMPLEMENTED CHIEF AND RESIDENT LEADER POSITIONS TO SERVE ON THE BOARD OF DIRECTORS FOR THE WRIGHT CENTER FOR PATIENT AND COMMUNITY ENGAGEMENT (TWCPCE), THEREBY LINKING THE ORGANIZATION'S CRITICALLY-NEEDED, RESPONSIVE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH WORK TO TWCGME'S RESIDENT LEADERS IN TRAINING TO DEVELOP THEIR PERSPECTIVE AND COMMITMENT TO REMAIN COMMUNITY HEALTH NEEDS-RESPONSIVE IN THEIR CAREERS. IN RESPONSE TO THE ABOVE CHALLENGES IN THE WAKE OF THE COVID-19 PANDEMIC AND ITS CONTINUING NEGATIVE IMPACT ON AND BURN-OUT OF PHYSICIANS AND HEALTHCARE PROVIDER TEAMS, DURING FISCAL YEAR 2021-2022, TWCGME CONTINUED ITS WORK TO PROGRESS SANCTUARY MODEL CERTIFICATION TO BECOME A TRAUMA-INFORMED EMPLOYER. THE SANCTUARY MODEL IS A BLUEPRINT FOR CLINICAL AND ORGANIZATIONAL CHANGE WHICH, AT ITS CORE, PROMOTES SAFETY AND RECOVERY FROM ADVERSITY THROUGH THE ACTIVE CREATION OF A TRAUMA-INFORMED COMMUNITY. A RECOGNITION THAT TRAUMA IS PERVASIVE IN THE EXPERIENCE OF HUMAN BEINGS FORMS THE BASIS FOR THE SANCTUARY MODEL'S FOCUS, NOT ONLY FOR THE PEOPLE WHO SEEK TREATMENT BUT EQUALLY FOR THE PEOPLE AND SYSTEMS WHO PROVIDE THAT TREATMENT. "CREATING 'SANCTUARY' IN AN ORGANIZATION IS NOT A TEXTBOOK OR MANUALIZED PROTOCOL, BUT AN ORGANIC PROCESS THAT HAPPENS OVER THE COURSE OF TIME TO MOVE AN ORGANIZATION TOWARD CREATING A TRAUMA-INFORMED CULTURE. A TRAUMA-INFORMED ORGANIZATION IS ONE THAT RECOGNIZES THE INHERENT VULNERABILITY OF ALL HUMAN BEINGS TO THE EFFECTS OF TRAUMA AND ORGANIZES SYSTEM-WIDE INTERVENTIONS AIMED AT MITIGATING THE NEGATIVE EFFECTS OF ADVERSITY AND STRESS THAT ARE MANIFESTED IN THE CLIENTS SERVED AND THE ORGANIZATION ITSELF." THE TRAUMA IMPOSED BY THE GLOBAL HEALTH PANDEMIC COMPOUNDED THE PRE-EXISTING, TOO OFTEN UNADDRESSED, VICARIOUS AND EXPERIENTIAL TRAUMA OF THE SUBOPTIMALLY PREPARED AND UNDER-RESOURCED PRIMARY HEALTHCARE WORKFORCE THAT IS RELATED TO THE HEALTH AND WELFARE CHALLENGES OF THE PATIENTS, FAMILIES AND COMMUNITIES THEY SERVE, FORCE-MULTIPLIED BY NON-ENABLING BUREAUCRACIES AND INADEQUACIES OF THE HISTORICAL HEALTHCARE DELIVERY SYSTEM TO RESPONSIVELY AND EFFECTIVELY ADDRESS THEM. IT IS OUR MORAL AND ETHICAL RESPONSIBILITY TO ADDRESS THIS ONGOING , NOW EXACERBATED TRAUMA THROUGH RELENTLESS PROMOTION OF WELLNESS AND RESILIENCY, AND PROVISION OF A SAFE SPACE FOR OUR FACULTY, PROVIDER TEAMS, STAFF, AND LEARNERS TO MEANINGFULLY PROCESS THIS AS WELL AS OTHER TRAUMATIC EXPERIENCES THEY HAVE ENDURED.
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, PHYSICAL MEDICINE & REHABILITATION, 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 FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PARTNERSHIPS WITH UNITY HEALTH CARE, HEALTHSOURCE OF OHIO, EL RIO HEALTH, AND HEALTHPOINT RESPECTIVELY. TWCGME ALSO OFFERS 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 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 TRAINING SITES INCLUDE THE ESSENTIAL COMMUNITY PROVIDER BASE AND ENRICHED COMMUNITY RESOURCE NETWORKS OF 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, PHYSICAL MEDICINE & REHABILITATION, GERIATRICS, CARDIOVASCULAR DISEASE AND GASTROENTEROLOGY. IN NORTHEAST PENNSYLVANIA, TWCGME'S RESIDENT AND FELLOW PHYSICIAN LEARNERS TRAIN EXPERIENTIALLY IN FIVE REGIONAL HOSPITALS OPERATED BY EITHER COMMONWEALTH HEALTH SYSTEMS OR GEISINGER HEALTH SYSTEM, AS WELL AS AT THE WILKES-BARRE VETERANS AFFAIRS MEDICAL CENTER (VA). TWCGME'S INTERNAL MEDICINE, REGIONAL 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 VA AND CMS-FUNDED HOSPITALS VIA AFFILIATION AGREEMENTS. TWCGME'S GME-SNC METICULOUSLY TRACKS AND REPORTS ROTATIONAL FTES BY PROGRAM ACROSS SPECIFIED FEDERAL GME FUNDING COST CENTERS.
FORM 990, PART III, LINE 4D	OTHER PROGRAM SERVICES: TWCGME SERVES AS THE COMMON PAYMASTER FOR TWCCH. IN OPERATIONALIZING THE COMMON PAYMASTER FUNCTIONALITY, TWCGME HAS ENTERED INTO LEASE AGREEMENTS WITH TWCCH FOR 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. 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'S FINANCIAL STATEMENTS.
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, AN ECONOMICALLY DISTRESSED CITY. 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 THE BOARD OF DIRECTORS OF TWCCH AND TWCGME 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 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: 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: DURING FISCAL YEAR 2021-2022, TWCGME WAS A NONPROFIT MEMBERSHIP CORPORATION WITH TWO CLASSES OF MEMBERS. CLASS I MEMBERS WERE 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. DURING FISCAL YEAR 2021-2022, GEISINGER HEALTH SYSTEM AND COMMONWEALTH HEALTH SYSTEMS WERE CLASS I MEMBERS. CLASS II MEMBERS INCLUDED CLASS I DIRECTORS AND CLASS III DIRECTORS AS DEFINED IN TWCGME'S BYLAWS. CLASS II MEMBERS INCLUDED THE PRESIDENT AND CEO OF TWCGME, AND REPRESENTATIVES OF TWCGME'S AFFILIATED CORPORATIONS, INCLUDING TWCCH, A HRSA-DESIGNATED FQHC LOOK-ALIKE. OTHER CLASS II MEMBERS INCLUDED 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 BELIEVED WILL CONTRIBUTE VALUE TO THE BOARD OF DIRECTORS. NOTABLY, DIRECTORS INCLUDE LEADERSHIP OF THE NORTHEAST PENNSYLVANIA AHEC, TWCGME'S FOUR PARTNERING FQHCS OF OUR NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM, AND A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBER POWERS: CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATED TWCGME FOR AT LEAST TEN RESIDENT AND/OR FELLOW FTES HAD THE RIGHT TO APPOINT ONE CLASS II-A DIRECTOR TO TWCGME'S BOARD. CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATED TWCGME FOR AT LEAST TWENTY-FIVE RESIDENT AND/OR FELLOW FTES HAD THE RIGHT TO APPOINT TWO CLASS II-A DIRECTORS TO TWCGME'S BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW: TWCGME'S FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND ENTERPRISE INTEGRITY DEPARTMENT WITH INPUT FROM THE PRESIDENT & CEO, AND IS THEN REVIEWED BY AN OUTSIDE CPA FIRM. THE FORM 990 IS DISTRIBUTED TO THE AUDIT AND EXECUTIVE COMMITTEES OF THE BOARD OF DIRECTORS AND THEN 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 TRANSPARENTLY AVAILABLE ON OUR WEBSITE IN A DOWNLOADABLE FORMAT, AND THEY MAY BE REVIEWED IN EVERY LOCATION BY REQUEST CONSISTENT WITH IRS APPLICABLE LAWS, RULES, AND REGULATIONS.
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 INTEREST 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 INTERNAL COUNSEL AND 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 THE 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 THE 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 PRESIDENT & 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 PRESIDENT & CHIEF EXECUTIVE OFFICER SERVICES REFLECTS FAIR MARKET VALUE. IN ADDITION, TWCGME'S EXECUTIVE COMMITTEE ANNUALLY PERFORMS A ROBUST AND COMPREHENSIVE REVIEW OF THE CHIEF EXECUTIVE'S PERFORMANCE AND THE ORGANIZATION'S PERFORMANCE IN DETERMINING WHETHER BASE CHANGES OR MERIT BONUS PAYMENT ADJUSTMENTS TO TWCCH FOR FUTURE PRESIDENT & CEO 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 & CHIEF EXECUTIVE OFFICER AND HUMAN RESOURCES DEPARTMENT. A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT IS ENGAGED BY HUMAN RESOURCES 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 TWCGME'S AND TWCCH'S BOARDS 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 AND COMPENSATION RANGES FOR VARIOUS POSITIONS WITHIN THE ORGANIZATION, INCLUDING BUT NOT LIMITED TO EXECUTIVES 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 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'S FINANCIAL STATEMENTS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)THE WRIGHT CENTER MEDICAL GROUP 501 S WASHINGTON AVENUE 1000 SCRANTON,PA18505 23-2772504	SEE NARRATIVE	PA	501(C)(3)	10	NA		No
(2)COMMUNITY HEALTH HUB 501 S WASHINGTON AVENUE 1000 SCRANTON,PA18505 27-3582779	SEE NARRATIVE	PA	501(C)(3)	10	NA		No
(3)THE WRIGHT CENTER ALLIANCE 501 S WASHINGTON AVENUE 1000 SCRANTON,PA18505 81-2982874	SEE NARRATIVE	PA	501(C)(3)	12AI	TWCGME	Yes
(4)PATIENT ENGAGEMENT COUNCIL 501 S WASHINGTON AVENUE 1000 SCRANTON,PA18505 81-3053323	SEE NARRATIVE	PA	501(C)(3)	7	TWCCH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference

Explanation

SCHEDULE R, PART II

NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER MEDICAL GROUP DBA THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) PRIMARY ACTIVITY: OPERATES AS AN FQHC LOOK-ALIKE ESSENTIAL COMMUNITY PROVIDER PROVIDING SAFETY-NET, NONDISCRIMINATORY PRIMARY HEALTHCARE AND RYAN WHITE/INFECTIOUS DISEASE SERVICES WITHOUT REGARD FOR INSURANCE STATUS OR ABILITY TO PAY. TWCCH SERVES AS A TEACHING HEALTH CENTER, AMBULATORY CLINICAL LEARNING ENVIRONMENT FOR TWCGME'S RESIDENT AND FELLOW PHYSICIAN TRAINEES, AS WELL AS MEDICAL STUDENTS FROM THE GEISINGER SCHOOL OF MEDICINE AND A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (SOMA) AND INTERPROFESSIONAL HEALTHCARE LEARNERS FROM A MULTITUDE OF ACADEMIC INSTITUTIONS. NAME OF RELATED ORGANIZATION: COMMUNITY HEALTH HUB PRIMARY ACTIVITY: PROMOTES THE HEALTH AND WELFARE OF OUR COMMUNITIES AND OUR NATION. HOWEVER, EFFECTIVE JULY 23, 2021, COMMUNITY HEALTH HUB AMENDED ITS BYLAWS, WHICH TRANSFERRED CONTROL OF THE COMMUNITY HEALTH HUB BOARD OF DIRECTORS TO THE AMERICAN ASSOCIATION OF TEACHING HEALTH CENTERS. AS OF THAT DATE, COMMUNITY HEALTH HUB WAS NO LONGER A RELATED ORGANIZATION TO TWCGME. NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER ALLIANCE PRIMARY ACTIVITY: CREATED AS SUPPORTING PARENT ORGANIZATION TO TWCGME AND TO ALIGN NON-PROFIT WRIGHT CENTER-AFFILIATED ORGANIZATIONS IN OPTIMIZING THE COMMUNITY BENEFIT IMPACT OF SHARED MISSION DELIVERY ACHIEVEMENT. NAME OF RELATED ORGANIZATION: PATIENT ENGAGEMENT COUNCIL DBA THE WRIGHT CENTER FOR PATIENT & COMMUNITY ENGAGEMENT PRIMARY ACTIVITY: EMPOWERS PATIENTS, EMPLOYEES, LEARNERS, AND MEMBERS OF THE LARGER COMMUNITY TO MAKE MEANINGFUL CONTRIBUTIONS TO THE DELIVERY, ENHANCEMENT AND TRANSFORMATION OF HEALTH CARE SERVICES AND INTER-PROFESSIONAL WORKFORCE DEVELOPMENT AND IMPROVES THE HEALTH OF THE COMMUNITY THROUGH EDUCATION, ADVOCACY, PATIENT-CENTERED SERVICES AND EFFORTS DIRECTED TOWARD THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) IS TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE. SEE SCHEDULE O FOR MORE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	408
6	Total number of volunteers (estimate if necessary) .............	6	21
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	23,651,071	19,850,852
9	Program service revenue (Part VIII, line 2g) .........	17,692,901	17,576,749
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	608,892	293,345
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,521,041	1,885,068
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	43,473,905	39,606,014
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	72,007	38,106
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	24,628,097	26,350,776
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	14,582,528	11,877,024
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	39,282,632	38,265,906
19	Revenue less expenses. Subtract line 18 from line 12.......	4,191,273	1,340,108
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	28,350,277	27,756,136
21	Total liabilities (Part X, line 26).............	15,269,596	14,440,652
22	Net assets or fund balances. Subtract line 21 from line 20.....	13,080,681	13,315,484

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 13,967,627 including grants of $ ) (Revenue $ )
	TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) FUNDING: A COMMUNITY-BASED, PHYSICIAN-LED, 501(C)(3) NONPROFIT ORGANIZATION, TWCGME IS THE ANCHORING MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) STRIVING TO ADDRESS OUR NATION'S PRIMARY CARE PHYSICIAN SHORTAGE AND MIS-DISTRIBUTION, AND RELATED HEALTH AND HEALTHCARE DISPARITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4b	(Code: ) (Expenses $ 10,727,218 including grants of $ ) (Revenue $ 12,500,510 )
	CMS AND VA FUNDING FOR GRADUATE MEDICAL EDUCATION: AS A COMMUNITY-BASED, PHYSICIAN-LED NONPROFIT ORGANIZATION STRIVING TO ADDRESS OUR NATION'S PRIMARY CARE PHYSICIAN SHORTAGE AND RELATED HEALTH AND HEALTHCARE DISPARITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4c	(Code: ) (Expenses $ 142,362 including grants of $ ) (Revenue $ 6,385 )
	INSTITUTIONAL REVIEW BOARD: TWCGME OPERATES AN INSTITUTIONAL REVIEW BOARD (IRB). THE MISSION OF TWCGME'S IRB IS TO PROTECT THE RIGHTS, WELFARE AND KNOWLEDGE-BASED EMPOWERMENT OF HUMAN PARTICIPANTS RECRUITED TO ENGAGE IN RESEARCH ACTIVITIES OCCURRING IN TWCCH 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.

	(Code: ) (Expenses $ 38,294 including grants of $ 38,106 ) (Revenue $ 5,069,854 )
	SEE NARRATIVE

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 38,294 including grants of $ 38,106 ) (Revenue $ 5,069,854 )
4e	Total program service expenses24,875,501

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,563,281	3,295,220	462,930

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	126,000
e	Government grants (contributions)		1e	19,722,852

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,000

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		19,850,852

		Business Code
2a	RESIDENCY PROGRAM REV	611310	12,500,510	12,500,510
b	SUPPORT SERVICE REVENUE	561000	4,893,338	4,893,338
c	IRB AND RESEARCH FEES	611310	6,385	6,385
d	OTHER REVENUE	611310	176,516	176,516
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		17,576,749

3 Investment income (including dividends, interest, and othersimilar amounts) ......			130,465			130,465
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,000,747	6a
b	Less: rental expenses		341,823	6b
c	Rental income or (loss)	0	658,924	6c
d	Net rental income or (loss).......			658,924			658,924
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		1,257,880	7a
b	Less: cost or other basis and sales expenses		1,095,000	7b
c	Gain or (loss)		162,880	7c
d	Net gain or (loss).........			162,880			162,880
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	INCOME ON EQUITY INVESTEE		900099	1,226,144			1,226,144
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,226,144
12	Total revenue. See instructions.....			39,606,014	17,576,749		2,178,413

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	38,106	38,106
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	1,652,372	505,974	1,146,398
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	20,016,929	14,127,212	5,889,717
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	782,674	316,781	465,893
9	Other employee benefits .......	2,308,920	1,603,410	705,510
10	Payroll taxes ...........	1,589,881	803,653	786,228
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	251,214	21,090	230,124
c	Accounting ...........	147,427		147,427
d	Lobbying ...........	79,484		79,484
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	36,898		36,898
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	2,560,983	1,834,307	726,676
12	Advertising and promotion ....	127,341	10,520	116,821
13	Office expenses .......	280,254	16,071	264,183	0
14	Information technology ......	449,957	83,271	366,686
15	Royalties ..	0
16	Occupancy ...........	129,071	206	128,865
17	Travel ............	137,204	84,797	52,407
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	537,921	355,811	182,110
20	Interest ...........	165,207		165,207
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	1,070,995		1,070,995
23	Insurance ...	900,564	871,917	28,647
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Learning Environments - THC	3,990,594	3,990,594
b	Repairs and Maintenance	538,145	1,927	536,218
c	Dues and Memberships	220,184	133,808	86,376
d	Recruitment Expense	177,248	69,125	108,123
e	All other expenses	76,333	6,921	69,412
25	Total functional expenses. Add lines 1 through 24e	38,265,906	24,875,501	13,390,405	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			2,229,657	1	4,613,370
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			1,840,287	3	244,912
4	Accounts receivable, net .............			1,208,781	4	2,084,048
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			0	8	0
9	Prepaid expenses and deferred charges ......			620,640	9	212,345
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	8,389,458
b	Less: accumulated depreciation	10b	2,847,140	6,535,636	10c	5,542,318
11	Investments—publicly traded securities .			9,076,475	11	8,404,682
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			403,698	13	363,144
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			6,435,103	15	6,291,317
16	Total assets. Add lines 1 through 15 (must equal line 33)...			28,350,277	16	27,756,136

17	Accounts payable and accrued expenses .....	4,353,747	17	3,748,466
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	8,571,456	23	8,620,644
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	2,344,393	25	2,071,542
26	Total liabilities. Add lines 17 through 25..	15,269,596	26	14,440,652

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	13,080,681	27	13,315,484
28	Net assets with donor restrictions ...........	0	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	13,080,681	32	13,315,484
33	Total liabilities and net assets/fund balances ........	28,350,277	33	27,756,136