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 / PHYSICIAN	40.0 ................. 15.0		X				561,002	187,001	39,016
(2) JIGNESH SHETH MD...................................................................... CMO / PHYSICIAN	40.0 ................. 15.0		X				369,052	123,017	39,016
(3) WILLIAM DEMPSEY MD...................................................................... DEPUTY CMO/PHYSICIAN	50.0 ................. 5.0			X			294,246	32,694	36,531
(4) JUMEE BAROOAH MD...................................................................... PHYSICIAN	30.0 ................. 25.0				X		180,880	136,453	39,003
(5) MARY LOUISE DECKER MD...................................................................... MEDICAL DIRECTOR/PHYSICIAN	55.0 ................. 0.0			X			329,662	0	12,928
(6) ENRIQUE SAMONTE MD...................................................................... MEDICAL DIRECTOR/PHYSICIAN	50.0 ................. 5.0			X			270,698	33,457	36,213
(7) TIMOTHY BURKE DO...................................................................... PHYSICIAN	35.0 ................. 20.0				X		182,955	107,450	36,757
(8) MAUREEN LITCHMAN MD...................................................................... MEDICAL DIRECTOR/PHYSICIAN	40.0 ................. 15.0			X			205,386	88,022	29,171
(9) RAJIV BANSAL MD...................................................................... PHYSICIAN	50.0 ................. 5.0				X		243,307	33,178	35,631
(10) JENNIFER WALSH ESQ...................................................................... FORMER SVP / GENERAL COUNSEL	0.0 ................. 55.0					X	0	284,938	25,901
(11) RONALD DANIELS CPA...................................................................... CFO	0.01 ................. 55.0		X				0	267,404	27,027
(12) ERIN MCFADDEN MD...................................................................... MEDICAL DIRECTOR/PHYSICIAN	55.0 ................. 0.0			X			260,845	0	31,822
(13) DOUGLAS KLAMP MD...................................................................... PHYSICIAN	50.0 ................. 5.0				X		226,323	30,862	34,863
(14) MARIA ALEXIES SAMONTE MD...................................................................... MEDICAL DIRECTOR/PHYSICIAN	50.0 ................. 5.0			X			254,256	31,425	5,546
(15) DEBORAH SPRING MD...................................................................... PHYSICIAN	50.0 ................. 5.0				X		225,359	30,731	31,583
(16) VINOD SHARMA MD...................................................................... MEDICAL DIRECTOR / PHYSICIAN	50.0 ................. 5.0			X			232,450	28,730	21,285
(17) GERARD GEOFFROY...................................................................... CHAIRMAN	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) WILLIAM WATERS PHD........................................................................ VICE CHAIRMAN	5.0 .......................0.0	X	X
(19) MARY MARRARA........................................................................ SECRETARY	5.0 .......................1.0	X	X
(20) DEBORAH KOLSOVSKY........................................................................ TREASURER	5.0 .......................0.0	X	X
(21) JAMES GAVIN........................................................................ DIRECTOR	1.0 .......................5.0	X
(22) MARY ANN CHINDEMI RN........................................................................ DIRECTOR	1.0 .......................0.0	X
(23) PATRICIA DESOUZA........................................................................ DIRECTOR	1.0 .......................0.0	X
(24) LEE ANN ESCHBACH PHD........................................................................ DIRECTOR	1.0 .......................1.0	X
(25) FRANCIS STEVENS........................................................................ DIRECTOR END 06/22	1.0 .......................0.0	X
(26) MELISSA SIMRELL........................................................................ DIRECTOR	1.0 .......................0.0	X
(27) JODY CORDARO........................................................................ DIRECTOR END 05/22	1.0 .......................0.0	X
(28) KIM HERITSKO........................................................................ DIRECTOR	1.0 .......................0.0	X
(29) LEWIS MARCUS........................................................................ DIRECTOR	1.0 .......................0.0	X
(30) TRACY HUNT........................................................................ DIRECTOR	1.0 .......................0.0	X
(31) ELLEN WALKO........................................................................ DIRECTOR	1.0 .......................1.0	X
(32) KRISTEN HILL........................................................................ DIRECTOR	1.0 .......................0.0	X
(33) RICHARD KREBS........................................................................ DIRECTOR	1.0 .......................0.0	X
(34) JASON KAVULICH........................................................................ DIRECTOR	1.0 .......................0.0	X
(35) CATHERINE GENCO........................................................................ DIRECTOR BEG 06/22	1.0 .......................1.0	X
(36) JEFFREY METZ........................................................................ DIRECTOR END 05/22	1.0 .......................0.0	X

(A) Name and business address	(B) Description of services	(C) Compensation
COASTAL CALLNET, 1908 EASTWOOD ROAD SUITE 330 WILMINGTON,NC28403	PROFESSIONAL FEES	686,702
MYERS BRIER KELLY LLP, 425 BIDEN STREET SUITE 200 SCRANTON,PA18503	PROFESSIONAL FEES	390,524
MATERNAL FAMILY HEALTH SERVICES, 15 PUBLIC SQUARE SUITE 600 WILKESBARRE,PA18701	PROFESSIONAL FEES	345,963
COMMUNITY COMPUTER SERVICE INC, 15 HULBERT STREET PO BOX 980 AUBURN,NY13021	PROFESSIONAL FEES	307,688
TELESPOND SENIOR SERVICES, 1200 SAGINAW STREET SCRANTON,PA18505	PROFESSIONAL FEES	276,295
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 12

- 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 MEDICAL GROUP

Employer identification number

23-2772504

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.") .	2,044,877	3,016,314	8,016,717	8,092,274	7,402,844	28,573,026
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	16,298,289	17,363,071	26,424,414	44,801,585	50,829,701	155,717,060
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....						0
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge						0
6	Total. Add lines 1 through 5	18,343,166	20,379,385	34,441,131	52,893,859	58,232,545	184,290,086
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.)						184,290,086

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...	18,343,166	20,379,385	34,441,131	52,893,859	58,232,545	184,290,086
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	94,591	133,673	181,950	62,936	63,058	536,208
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	94,591	133,673	181,950	62,936	63,058	536,208
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.) ..	27,714	51,244	13,275	92,706	66,659	251,598
13	Total support. (Add lines 9, 10c, 11, and 12.)..	18,465,471	20,564,302	34,636,356	53,049,501	58,362,262	185,077,892

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)) .........

99.574 %

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

99.470 %

Section D. Computation of Investment Income Percentage

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

0.290 %

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

0.392 %

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 MEDICAL GROUP

Employer identification number

23-2772504

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 MEDICAL GROUP

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 MEDICAL GROUP		Employer identification number 23-2772504

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 MEDICAL GROUP			Employer identification number 23-2772504
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 MEDICAL GROUP

Employer identification number

23-2772504

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) ........................	47,073
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	47,073
d	Other exempt purpose expenditures ...............................................................................	43,020,778
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	43,067,851
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		68,750	58,728	47,073	174,551

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
FORM 990, SCHEDULE C, PART IV, SUPPLEMENTAL INFORMATION	TWCCH ENGAGES THE FIRM OF COZEN O'CONNOR PUBLIC STRATEGIES (COZEN), TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR PUBLIC HEALTH POLICY 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"). TWCCH PAID COZEN $45,000 THROUGH TWCGME, ITS AFFILIATED ENTITY AND COMMON PAYMASTER, 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 AND PUBLIC HEALTH AND PRIMARY CARE WORKFORCE PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC PRIMARY CARE AND PUBLIC-HEALTH ORIENTED LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND PRIMARY CARE AND PUBLIC HEALTH-ORIENTED LEGISLATION. DUE TO COVID-19, THERE WAS LIMITED IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2021-2022. IN ALL, TWCCH SPENT $823 ON REPORTABLE INTERNAL ACTIVITIES RELATED TO LOBBYING AND ADVOCACY ACTIVITIES. THE ORGANIZATION ALSO PAID $1,250 TO THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) SPECIFICALLY TO SUPPORT PACHC'S ADVOCACY EFFORTS TO PROMOTE PRIMARY CARE AND PUBLIC HEALTH INITIATIVES AND LEGISLATION. TWCGME ALSO ENGAGES COZEN TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION APPROPRIATIONS, LEGISLATION, AND OTHER FEDERAL PUBLIC HEALTH WORKFORCE 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 FEDERALLY-FUNDED PRIMARY CARE AND PUBLIC HEALTH WORKFORCE DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC PRIMARY CARE AND PUBLIC-HEALTH ORIENTED LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND PRIMARY CARE AND PUBLIC HEALTH-ORIENTED LEGISLATION. DUE TO COVID-19, THERE WAS NO IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2021-2022. TWCGME PAID COZEN $45,000 FOR THESE SERVICES, WHICH AMOUNTS ARE REFLECTED ON TWCGME'S FORM 990. ADDITIONALLY, TWCGME SPENT $1,484 ON REPORTABLE INTERNAL ACTIVITIES RELATED TO LOBBYING AND ADVOCACY ACTIVITIES, WHICH IS ALSO REPORTED ON ITS FORM 990.

Return Reference

Explanation

FORM 990, SCHEDULE C, PART IV, SUPPLEMENTAL INFORMATION

TWCCH ENGAGES THE FIRM OF COZEN O'CONNOR PUBLIC STRATEGIES (COZEN), TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR PUBLIC HEALTH POLICY 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"). TWCCH PAID COZEN $45,000 THROUGH TWCGME, ITS AFFILIATED ENTITY AND COMMON PAYMASTER, 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 AND PUBLIC HEALTH AND PRIMARY CARE WORKFORCE PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC PRIMARY CARE AND PUBLIC-HEALTH ORIENTED LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND PRIMARY CARE AND PUBLIC HEALTH-ORIENTED LEGISLATION. DUE TO COVID-19, THERE WAS LIMITED IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2021-2022. IN ALL, TWCCH SPENT $823 ON REPORTABLE INTERNAL ACTIVITIES RELATED TO LOBBYING AND ADVOCACY ACTIVITIES. THE ORGANIZATION ALSO PAID $1,250 TO THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) SPECIFICALLY TO SUPPORT PACHC'S ADVOCACY EFFORTS TO PROMOTE PRIMARY CARE AND PUBLIC HEALTH INITIATIVES AND LEGISLATION. TWCGME ALSO ENGAGES COZEN TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION APPROPRIATIONS, LEGISLATION, AND OTHER FEDERAL PUBLIC HEALTH WORKFORCE 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 FEDERALLY-FUNDED PRIMARY CARE AND PUBLIC HEALTH WORKFORCE DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC PRIMARY CARE AND PUBLIC-HEALTH ORIENTED LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND PRIMARY CARE AND PUBLIC HEALTH-ORIENTED LEGISLATION. DUE TO COVID-19, THERE WAS NO IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2021-2022. TWCGME PAID COZEN $45,000 FOR THESE SERVICES, WHICH AMOUNTS ARE REFLECTED ON TWCGME'S FORM 990. ADDITIONALLY, TWCGME SPENT $1,484 ON REPORTABLE INTERNAL ACTIVITIES RELATED TO LOBBYING AND ADVOCACY ACTIVITIES, WHICH IS ALSO REPORTED ON ITS FORM 990.

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 MEDICAL GROUP

Employer identification number

23-2772504

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 .....	172,800		172,800
b	Buildings ....	6,569,998	1,968,480	4,601,518
c	Leasehold improvements	559,900	367,238	192,662
d	Equipment ....	2,165,707	1,220,167	945,540
e	Other .....	430,651	304,658	125,993
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				6,038,513

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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.)	6,138,518
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	59,158,719
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	799,957
e	Add lines 2a through 2d .....................			2e	799,957
3	Subtract line 2e from line 1..................			3	58,358,762
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
b	Other (Describe in Part XIII.) ...........	4b	3,500
c	Add lines 4a and 4b....................			4c	3,500
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	58,362,262

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	51,097,438
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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3	51,097,438
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
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	51,097,438

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
FORM 990, SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: 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.
FORM 990, SCHEDULE D, PART XI, LINE 2D	AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 799,957 NET ASSETS RELEASED FROM RESTRICTION
FORM 990, SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 3,500 TEMPORARILY RESTRICTED CONTRIBUTIONS

Schedule D (Form 990) 2021

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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 MEDICAL GROUP

Employer identification number
23-2772504

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) ENDLESS MOUNTAINS HEALTH SYSTEMS 100 HOSPITAL DRIVE MONTROSE,PA18801	23-2720289	501(C)(3)	15,000	SEE PART IV
(2) MATERNAL & FAMILY HEALTH SERVICES 15 PUBLIC SQUARE SUITE 600 WILKES BARRE,PA18701	23-1856766	501(C)(3)	236,766	SEE PART IV
(3) OUTREACH CENTER FOR COMMUNITY RESOURCES 431 N 7TH AVENUE SCRANTON,PA18503	25-1562285	501(C)(3)	52,750	SEE PART IV
(4) TELESPOND SENIOR SERVICES 1200 SAGINAW STREET SCRANTON,PA18505	23-7353444	501(C)(3)	293,807	SEE PART IV
(5) TREHAB 36 PUBLIC AVENUE MONTROSE,PA18801	23-1729514	501(C)(3)	20,000	SEE PART IV
(6) WAYNE COUNTY DRUG AND ALCOHOL COMMISSION 318 TENTH STREET HONESDALE,PA18431	24-6000758	501(C)(3)	46,250	SEE PART IV
(7) WAYNE MEMORIAL COMMUNITY HEALTH CENTER 601 PARK STREET HONESDALE,PA18431	23-2180889	501(C)(3)	20,000	SEE PART IV
(8) THE WRIGHT CENTER GRADUATE MEDICAL EDUCATION 501 S WASHINGTON AVENUE SCRANTON,PA18505	23-2007832	501(C)(3)	126,000	SEE PART IV
(9) THE WRIGHT CENTER PATIENT AND COMMUNITY ENGAGEMENT 501 S WASHINGTON AVENUE SCRANTON,PA18505	81-3053323	501(C)(3)	50,000	SEE PART IV

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) UNITED WAY	295	612,942
(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
FORM 990, 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. TWCCH COMPLETES ALL REQUIRED GRANT-RELATED AUDITING, AND TWCGME, ITS AFFILIATED ENTITY, 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. TWCCH 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.
FORM 990, PART II, LINE 1 COLUMN (H)	ENDLESS MOUNTAINS HEALTH SYSTEMS - $15,000 TWCCH PROVIDES FUNDING TO ENDLESS MOUNTAIN HEALTH SYSTEMS TO INCREASE MEDICATION-ASSISTED TREATMENT (MAT) CARE IN NORTHEAST PENNSYLVANIA AND PROVIDE ADDITIONAL TRAINING TO STAFF IN THE ADMINISTRATION OF NARCAN THROUGH THE PENNSYLVANIA COORDINATED MEDICATION-ASSISTED TREATMENT GRANT AWARDED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH. MATERNAL & FAMILY HEALTH SERVICES - $236,766 TWCCH PROVIDES FUNDING TO MATERNAL & FAMILY HEALTH SERVICES TO ENABLE PERSONNEL AND SUPPORT OF THE HEALTHY MATERNAL OPIATE MEDICAL SUPPORT (HEALTHY MOMS) PROGRAM AND OPIOID SUPPORT PROGRAMS UNDER THE PENNSYLVANIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (PA DDAP), SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) AND RURAL COMMUNITIES OPIOID RESPONSE PROGRAM IMPLEMENTATION (RCORP-I). OUTREACH CENTER FOR COMMUNITY RESOURCES - $52,750 TWCCH PROVIDES FUNDING TO THE OUTREACH CENTER FOR COMMUNITY RESOURCES TO ENABLE PERSONNEL AND SUPPORT OF THE HEALTHY MATERNAL OPIATE MEDICAL SUPPORT (HEALTHY MOMS) PROGRAM AND OPIOID SUPPORT PROGRAMS UNDER THE PENNSYLVANIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (PA DDAP). TELESPOND SENIOR SERVICES - $293,807 TWCCH ACTED AS THE FISCAL AGENT FOR A GRANT FROM THE ALLONE FOUNDATION TO SUPPORT TELESPOND SENIOR SERVICES IN ENSURING THE ONGOING DELIVERY OF CRITICAL PROGRAMMING CURRENTLY OFFERED TO OLDER ADULTS IN NORTHEAST PENNSYLVANIA, INCLUDING INDIVIDUALS WHO MAY BE SOCIALLY ISOLATED AND THEREFORE PRONE TO DEVELOPING BEHAVIORAL HEALTH ISSUES SUCH AS SUBSTANCE USE DISORDER, ANXIETY, AND DEPRESSION. TREHAB - $20,000 TWCCH PROVIDED FUNDING TO TREHAB TO SUPPORT THE EMPLOYMENT OF A CERTIFIED RECOVERY SPECIALIST. THIS INDIVIDUAL WORKED TO ENGAGE INDIVIDUALS WITH OPIOID AND SUBSTANCE USE DISORDER IN RECOVERY AND HELP THEM TO STAY IN RECOVERY. THE FUNDING ALSO INCLUDES THE COMPLETION OF GOALS FOR A HRSA-FUNDED RURAL COMMUNITIES OPIOID RESPONSE PROGRAM GRANT (IMPLEMENTATION). WAYNE COUNTY DRUG AND ALCOHOL COMMISSION - $46,250 TWCCH PROVIDES FUNDING TO THE WAYNE COUNTY DRUG AND ALCOHOL COMMISSION TO PRESENT NALOXONE TRAINING (A MEDICATION TO REVERSE OPIOID OVERDOSE) TO COMMUNITY GROUPS BY CERTIFIED TRAINERS AND TO REDUCE THE OCCURRENCE AND ASSOCIATED RISK OF OPIOID USE DISORDER AMONG NEW AND AT-RISK USERS, INCLUDING POLYSUBSTANCE USERS. FUNDING ALSO SUPPORTS EFFORTS TO REDUCE FATAL OPIOID-RELATED OVERDOSES, AND PROMOTE INFECTIOUS DISEASE DETECTION AND TREATMENT THROUGH ACTIVITIES SUCH AS COMMUNITY, PROVIDER AND PATIENT EDUCATION, HARM REDUCTION STRATEGIES, AND REFERRALS/REFERRAL TRACKING. FUNDING FOR THESE SERVICES ORIGINATES FROM A HRSA-FUNDED RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (IMPLEMENTATION). WAYNE MEMORIAL COMMUNITY HEALTH CENTER - $20,000 TWCCH PROVIDES FUNDING TO WAYNE MEMORIAL COMMUNITY HEALTH CENTER TO SUPPORT A LICENSED CLINICAL SOCIAL WORKER POSITION SPECIFICALLY TO SUPPORT THE REDUCTION OF THE OCCURRENCE AND ASSOCIATED RISKS OF OPIOID USE DISORDER (OUD) AMONG NEW AND AT-RISK USERS, INCLUDING POLYSUBSTANCE USERS. FUNDING ALSO SUPPORTS EFFORTS TO REDUCE FATAL OPIOID-RELATED OVERDOSES, AND PROMOTE INFECTIOUS DISEASE DETECTION AND TREATMENT THROUGH ACTIVITIES SUCH AS COMMUNITY, PROVIDER AND PATIENT EDUCATION, HARM REDUCTION STRATEGIES, AND REFERRALS/REFERRAL TRACKING. FUNDING FOR THESE SERVICES ORIGINATES FROM A HRSA-FUNDED RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (IMPLEMENTATION). THE WRIGHT CENTER GRADUATE MEDICAL EDUCATION - $126,000 TWCCH COMPENSATED TWCGME TO FACILITATE LEASEHOLD IMPROVEMENTS FOR TWCCH'S BENEFIT AT THE CLINICAL, EDUCATIONAL, AND ADMINISTRATIVE HUB AT 501 S. WASHINGTON AVE, SCRANTON, PA TO COMPLY WITH REQUIREMENTS RELATED TO THE NEW MARKET TAX CREDIT PROJECT AT THAT LOCATION. THE WRIGHT CENTER PATIENT AND COMMUNITY ENGAGEMENT - $50,000 TWCCH PROVIDES FUNDING TO THE WRIGHT CENTER PATIENT AND COMMUNITY ENGAGEMENT TO SUPPORT COMMUNITY NEEDS-RESPONSIVE ASSISTANCE TO PATIENTS, FAMILIES AND THE COMMUNITIES TWCCH SERVES AS A RESULT OF THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, SUCH AS TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS, CLOTHING AND FOOD DRIVES, PATIENT EDUCATION, AND COMMUNITY OUTREACH ACTIVITIES.
FORM 990, PART III	UNITED WAY: TWCCH PROVIDED ASSISTANCE TO 295 INDIVIDUALS AS A SUBRECIPIENT OF A GRANT RECEIVED FROM THE UNITED WAY OF WYOMING VALLEY, WITH FUNDING UNDER THE RYAN WHITE COMPREHENSIVE AIDS RESOURCES EMERGENCY ACT. NUMBER OF RECIPIENTS: 295 AMOUNT OF GRANT: $612,942

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 MEDICAL GROUP

Employer identification number

23-2772504

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 / PHYSICIAN	(i) (ii)	546,041 ------------- 182,014	0 ------------- 0	14,961 ------------- 4,987	17,400 ------------- 5,800	11,862 ------------- 3,954	590,264 ------------- 196,755	0 ------------- 0
2JIGNESH SHETH MD CMO / PHYSICIAN	(i) (ii)	341,981 ------------- 113,993	12,300 ------------- 4,100	14,771 ------------- 4,924	17,400 ------------- 5,800	11,862 ------------- 3,954	398,314 ------------- 132,771	0 ------------- 0
3RONALD DANIELS CPA CFO	(i) (ii)	0 ------------- 247,052	0 ------------- 0	0 ------------- 20,352	0 ------------- 13,877	0 ------------- 13,150	0 ------------- 294,431	0 ------------- 0
4JUMEE BAROOAH MD PHYSICIAN	(i) (ii)	162,918 ------------- 122,902	6,680 ------------- 5,040	11,282 ------------- 8,511	13,224 ------------- 9,976	9,008 ------------- 6,795	203,112 ------------- 153,224	0 ------------- 0
5TIMOTHY BURKE DO PHYSICIAN	(i) (ii)	165,407 ------------- 97,144	5,079 ------------- 2,983	12,469 ------------- 7,323	13,545 ------------- 7,955	9,612 ------------- 5,645	206,112 ------------- 121,050	0 ------------- 0
6RAJIV BANSAL MD PHYSICIAN	(i) (ii)	236,403 ------------- 32,237	6,732 ------------- 918	172 ------------- 23	17,952 ------------- 2,448	13,403 ------------- 1,828	274,662 ------------- 37,454	0 ------------- 0
7DOUGLAS KLAMP MD PHYSICIAN	(i) (ii)	222,626 ------------- 30,358	2,564 ------------- 350	1,133 ------------- 154	17,292 ------------- 2,358	13,387 ------------- 1,826	257,002 ------------- 35,046	0 ------------- 0
8DEBORAH SPRING MD PHYSICIAN	(i) (ii)	219,051 ------------- 29,871	4,129 ------------- 563	2,179 ------------- 297	17,883 ------------- 2,439	9,910 ------------- 1,351	253,152 ------------- 34,521	0 ------------- 0
9MARY LOUISE DECKER MD MEDICAL DIRECTOR/PHYSICIAN	(i) (ii)	315,823 ------------- 0	0 ------------- 0	13,839 ------------- 0	10,662 ------------- 0	2,266 ------------- 0	342,590 ------------- 0	0 ------------- 0
10WILLIAM DEMPSEY MD DEPUTY CMO/PHYSICIAN	(i) (ii)	269,251 ------------- 29,916	5,216 ------------- 580	19,779 ------------- 2,198	20,880 ------------- 2,320	11,998 ------------- 1,333	327,124 ------------- 36,347	0 ------------- 0
11ENRIQUE SAMONTE MD MEDICAL DIRECTOR/PHYSICIAN	(i) (ii)	245,254 ------------- 30,312	7,343 ------------- 908	18,101 ------------- 2,237	19,731 ------------- 2,439	12,498 ------------- 1,545	302,927 ------------- 37,441	0 ------------- 0
12MAUREEN LITCHMAN MD MEDICAL DIRECTOR/PHYSICIAN	(i) (ii)	186,879 ------------- 80,091	3,123 ------------- 1,338	15,384 ------------- 6,593	15,158 ------------- 6,496	5,262 ------------- 2,255	225,806 ------------- 96,773	0 ------------- 0
13MARIA ALEXIES SAMONTE MD MEDICAL DIRECTOR/PHYSICIAN	(i) (ii)	246,307 ------------- 30,443	0 ------------- 0	7,949 ------------- 982	3,765 ------------- 465	1,171 ------------- 145	259,192 ------------- 32,035	0 ------------- 0
14VINOD SHARMA MD MEDICAL DIRECTOR / PHYSICIAN	(i) (ii)	227,972 ------------- 28,177	0 ------------- 0	4,478 ------------- 553	7,325 ------------- 905	11,619 ------------- 1,436	251,394 ------------- 31,071	0 ------------- 0
15ERIN MCFADDEN MD MEDICAL DIRECTOR/PHYSICIAN	(i) (ii)	257,277 ------------- 0	3,373 ------------- 0	195 ------------- 0	20,260 ------------- 0	11,562 ------------- 0	292,667 ------------- 0	0 ------------- 0
16JENNIFER WALSH ESQ FORMER SVP / GENERAL COUNSEL	(i) (ii)	0 ------------- 254,739	0 ------------- 10,250	0 ------------- 19,949	0 ------------- 20,531	0 ------------- 5,370	0 ------------- 310,839	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

FORM 990, SCHEDULE J, PART I, LINE 3

COMPENSATION DETERMINATION: THE PROCESS FOR DETERMINING THE COMPENSATION OF TWCCH'S TOP MANAGEMENT OFFICIAL, THE CHIEF EXECUTIVE OFFICER (CEO) IS LED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE ENGAGES A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT PERIODICALLY TO PROVIDE A COMPREHENSIVE OBJECTIVE COMPENSATION STUDY, ASSESSMENT, AND ANALYSIS EACH TIME THE CEO'S CONTRACT, SALARY, AND COMPENSATION ARE NEGOTIATED. ADDITIONALLY, THE EXECUTIVE COMMITTEE OF THE BOARD PERFORMS A DETAILED, COMPREHENSIVE ANNUAL PERFORMANCE EVALUATION OF THE CEO'S AND ORGANIZATION'S PERFORMANCE. ANY ADJUSTMENTS TO THE CEO'S COMPENSATION IN BETWEEN CONTRACT TERMS ARE ASSESSED AGAINST PUBLICLY AVAILABLE COMPARABLE DATA. ULTIMATELY, THE OVERALL COMPENSATION OF THE CEO IS DETERMINED BASED ON A ROBUST PERFORMANCE ASSESSMENT AND THE OVERALL PERFORMANCE OF THE ORGANIZATION, WITH DUE CONSIDERATION OF THE THIRD-PARTY COMPENSATION STUDY, COMPARABILITY, AND AFFORDABILITY. THE EXECUTIVE COMMITTEE'S DELIBERATIONS, CONSIDERATIONS, AND DECISIONS REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN COMMITTEE MEETING MINUTES WITHIN 60 DAYS OF THE COMPENSATION DECISION. 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 CEO AND HUMAN RESOURCES DEPARTMENT, WHO RELY ON A FORMAL, PERIODIC ORGANIZATION-WIDE COMPENSATION ASSESSMENT BY AN OBJECTIVE THIRD-PARTY VENDOR, TYPICALLY EVERY THREE TO FIVE YEARS.

FORM 990, SCHEDULE J, PART I, LINE 7

NON FIXED PAYMENTS: ALL EMPLOYEES MAY BE ELIGIBLE FOR AN ANNUAL, PERFORMANCE-BASED INCENTIVE BONUS CONTINGENT UPON 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 TWCCH'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 BONUS PAYMENT TO ELIGIBLE EMPLOYEES CORRELATES TO INDIVIDUAL JOB PERFORMANCE SCORES. EMPLOYEES IN A NEW EMPLOYMENT PROBATIONARY STATUS OR THOSE WHO HAVE NOTIFIED TWCCH OF THEIR RESIGNATIONS ARE INELIGIBLE FOR 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.

Schedule J (Form 990) 2021

Additional Data

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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.
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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 MEDICAL GROUP

Employer identification number

23-2772504

Return Reference	Explanation
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION: WE DO THIS THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. WE DELIVER COMPREHENSIVE, WHOLE-PERSON, NONDISCRIMINATORY PRIMARY HEALTH SERVICES IN A PATIENT CENTERED MEDICAL HOME (PCMH) FRAMEWORK FOR PATIENTS AND FAMILIES REGARDLESS OF THEIR ABILITY TO PAY, WHILE EDUCATING THE CURRENT AND FUTURE PHYSICIAN AND INTERPROFESSIONAL PRIMARY CARE WORKFORCE. WE PROVIDE FULL-SCOPE INTEGRATED PRIMARY HEALTH CARE SERVICES, INCLUSIVE OF MEDICAL, GENERAL DENTAL, MENTAL AND BEHAVIORAL, ADDICTION TREATMENT AND RECOVERY, OBESITY, INFECTIOUS DISEASE/RYAN WHITE, RHEUMATOLOGICAL, AND LIFESTYLE MEDICINE SERVICES. AS AN ESSENTIAL COMMUNITY PROVIDER, TWCCH'S PASSIONATE PURPOSE IS TO DEMONSTRATE AN "ACHIEVABLE BY ALL" GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM MODEL THAT CO-CREATES TRANSFORMATIONAL HEALTH CARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES, AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH, HEALTH CARE DELIVERY SYSTEMS AND THEIR INTERPROFESSIONAL HEALTH CARE WORKFORCE. OUR NICHE IS WORLD CLASS INNOVATIVE AND RESPONSIVE PRIMARY HEALTH SERVICES THROUGH COMMUNITY-CENTRIC, INCUMBENT AND FUTURE WORKFORCE RENEWAL.
FORM 990, PART III, LINE 1	ORGANIZATION MISSION: TWCCH WAS ORIGINALLY INCORPORATED IN 1994 AS THE WRIGHT CENTER MEDICAL GROUP, PC, A TAX-EXEMPT PROFESSIONAL CORPORATION (PC) AND THE AMBULATORY PRACTICE PLAN AFFILIATED WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME). TWCGME IS A NONPROFIT ACGME-ACCREDITED SPONSORING INSTITUTION AND THE FOUNDING EDUCATIONAL MEMBER OF A TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (THC GME-SNC). TWCGME INTEGRATES FEDERAL GME FUNDING FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), THE VETERAN ADMINISTRATION (VA), AND THE CENTERS FOR MEDICARE AND MEDICAID (CMS) FUNDED HOSPITALS AND INPATIENT REHABILITATION FACILITIES. THE WRIGHT CENTER MEDICAL GROUP, PC INTENTIONALLY CONVERTED ITS CORPORATE STRUCTURE FROM A PC TO A NONPROFIT CORPORATION IN 2018, AND TRANSFORMED ITS IDENTITY INTO AN AUTONOMOUS, COMMUNITY-OWNED AND GOVERNED, INDEPENDENT 501(C)(3) ENTITY THAT WAS ELIGIBLE TO PURSUE HRSA DESIGNATION AS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE (FQHC LOOK-ALIKE). THIS WAS ACHIEVED THROUGH THE SELFLESS, UNANIMOUS VOTES OF PHYSICIAN AND NON-PHYSICIAN PRIMARY CARE PROVIDER STAKEHOLDERS (THEN BOARD MEMBERS) TO REMOVE THEMSELVES FROM GOVERNANCE ENTIRELY TO ALLOW ROOM FOR COMMUNITY MEMBERS, PRIMARILY PATIENTS AND CONSUMERS OF THE ENTITY'S HEALTH SERVICES, TO ASSUME THOSE BOARD SEATS AND TO GAIN EMPOWERED OFFICIAL VOICE IN THE FIDUCIARY STEWARDSHIP AND DIRECTIONAL OVERSIGHT OF THE ORGANIZATION. AS MENTIONED, THIS INTENTIONAL AND COMMUNITY EMPOWERING GOVERNANCE TRANSFORMATION ALLOWED THE ENTITY TO APPLY FOR AND SUCCESSFULLY EARN THE DESIGNATION AS A HRSA-RECOGNIZED AUTONOMOUS, INDEPENDENT, COMMUNITY AND PATIENT-GOVERNED FQHC LOOK-ALIKE ESSENTIAL COMMUNITY PROVIDER OF PRIMARY HEALTH AND CONTINUED RYAN WHITE SERVICES. PROUDLY, AT THE CLOSE OF THE FISCAL YEAR ENDING JUNE 30, 2022, 93% OF THE GOVERNING BOARD MEMBERS WERE "USERS" OF TWCCH'S PRIMARY HEALTH SERVICES AS DEFINED IN THE HRSA COMPLIANCE MANUAL. TWCCH SERVED 41,203 UNIQUE PATIENTS AND ENGAGED IN 127,032 TOTAL BILLABLE VISITS BETWEEN JULY 2021 AND JUNE 2022, WHICH INCLUDED 76,824 MEDICAL VISITS, 17,473 BEHAVIORAL HEALTH VISITS, 10,533 DENTAL VISITS, AND 22,202 INPATIENT VISITS. WE OPERATE LEVEL 3 NCQA-DESIGNATED PATIENT-CENTERED MEDICAL HOMES (PCMH) WITH NCQA PRIMARY CARE/BEHAVIORAL HEALTH RECOGNITION. WE HAVE MEMORANDA OF UNDERSTANDING AND SHARED CARE CONTRACTS WITH NUMEROUS PRIMARY AND SPECIALTY MEDICAL, DENTAL, AND MENTAL HEALTH PROVIDERS, HOSPITALS, INTEGRATED DELIVERY SYSTEMS, AND SOCIAL SERVICE RESOURCE AGENCIES COMPRISING AN EXTENSIVE, ENRICHED NONDISCRIMINATORY COMMUNITY RESOURCE NETWORK. WE ARE A PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE (COE), A PENNSYLVANIA COORDINATING CENTER FOR MEDICATION ASSISTED TREATMENT (PACMAT), AND THE CONVENING, PRIMARY ORGANIZATION OF A MULTI-INSTITUTION HEALTHY MATERNAL OPIATE MEDICAL SUPPORTS (MOMS) PROGRAM. WE OFFER ROBUST PRIMARY PHYSICAL, MENTAL, BEHAVIORAL, DENTAL, AND RYAN WHITE HEALTH SERVICES WITHIN THE PCMH FRAMEWORK, COORDINATING A FULL SPECTRUM OF HEALTH SERVICES FOR OUR PATIENTS. WE ARE DEEPLY INVESTED IN COMMUNITY-BASED LIVING AND AGING IN PLACE AND OFFER EMPOWERING SERVICES OF COMMUNITY HEALTH WORKERS, CERTIFIED RECOVERY SPECIALISTS, SPIRITUAL AIDES, CASE WORKERS, AND NURSE CARE MANAGERS. WE OPERATE NINE FQHC LOOK-ALIKE TEACHING HEALTH CENTERS THAT ALSO PROVIDE HOUSE CALLS AND HOSPITALIST, SKILLED NURSING FACILITY, AND INPATIENT ACUTE REHABILITATION SERVICES FOR OUR PATIENTS IN PARTNERING COMMUNITY-BASED INSTITUTIONS, INCLUDING GERIATRIC SERVICES. WE ARE PASSIONATE CHAMPIONS FOR ELECTRONIC MEDICAL RECORD (EMR)/ELECTRONIC HEALTH RECORD (EHR) MEANINGFUL USE, HEALTH INFORMATION EXCHANGES AND CONNECTIVITY/HEALTH INFORMATION INTEROPERABILITY, AND THE ACTIVE, EMPOWERED ENGAGEMENT OF PATIENTS AND FAMILIES IN THEIR HEALTH CARE AND PRIMARY CARE WORKFORCE DEVELOPMENT. WE ARE A FUNDAMENTAL CLINICAL LEARNING ENVIRONMENT FOR TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY RESIDENTS, AND GERIATRICS FELLOWS AND ADDICTION FELLOWS TRAINING IN THE AFFILIATED HRSA-FUNDED GEISINGER ADDICTION FELLOWSHIP. ADDITIONALLY, IN 2021, TWCCH BECAME A TRAINING SITE FOR ADVANCED EDUCATION GENERAL DENTISTRY RESIDENTS IN COLLABORATION WITH NYU LANGONE DENTAL. DURING THE FISCAL YEAR 2021-2022, TWCCH TRAINED 275 INTERPROFESSIONAL STUDENTS IN PARTNERSHIP WITH MORE THAN A DOZEN ACADEMIC INSTITUTIONS, INCLUDING THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE AND THE A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA. WE ARE AN ACTIVE PARTICIPATING PROVIDER IN THE KEYSTONE ACCOUNTABLE CARE ORGANIZATION, A MEMBER OF THE PENNSYLVANIA AND NATIONAL ASSOCIATIONS OF COMMUNITY HEALTH CENTERS, AND A COLLABORATING PARTNER OF THE NORTHEAST PENNSYLVANIA AREA FOR HEALTH EDUCATION CENTER (AHEC).
FORM 990, PART III, LINE 2	NEW PROGRAM SERVICES: IN APRIL 2022, TWCCH OPENED ITS NEWEST LOCATION IN COVINGTON TOWNSHIP, PENNSYLVANIA (THE "NORTH POCONO PRACTICE"), BROADENING ITS OPERATIONAL FOOTPRINT TO NINE BRICK-AND-MORTAR LOCATIONS AND ONE MOBILE MEDICAL/DENTAL UNIT ("DRIVING BETTER HEALTH"). TWCCH OFFERS CLINICAL SERVICES UP TO 83 HOURS PER WEEK AT ITS LARGEST CLINIC, WITH 24/7 ON-CALL ACCESS FOR ALL SERVICE LINES AT ALL LOCATIONS, INCLUDING BOTH AMBULATORY AND HOSPITAL VENUES. DURING THE FISCAL YEAR, TWCCH WAS NOTIFIED THAT OUR EDUCATIONAL AFFILIATE COMMONWEALTH HEALTH SYSTEMS (CHS) WAS CLOSING ITS PSYCHIATRIC HOSPITAL IN KINGSTON, A FACILITY WHERE OUR TWCCH KINGSTON CLINIC IN LUZERNE COUNTY LEASED SPACE FOR MORE THAN TWENTY YEARS, SERVING JUST UNDER 5,000 PATIENTS. ALTHOUGH TWCCH HAD BEGUN THE FEASIBILITY STUDY PROCESS TO ASSESS MOVING THAT CLINIC TO A NEW LARGER LOCATION, THE UNANTICIPATED CLOSURE OF THE BUILDING CREATED AN URGENCY TO RESPONSIBLY RELOCATE BOTH CLINICAL AND EDUCATIONAL SERVICES. TWCCH QUICKLY IDENTIFIED AN AMAZING LOCATION IN WILKES-BARRE AND CREATED THE STAGE-GATE STRATEGIC BUSINESS PLAN AND LOGIC MODEL FOR THE TRANSITION, WHICH WAS PRESENTED TO AND APPROVED BY THE BOARD OF DIRECTORS. THAT ANALYSIS INCLUDES PROJECTIONS FOR LONG-TERM SUSTAINABILITY AND COMMUNITY BENEFIT IMPACT. AS OF JANUARY 2023, WE ARE PROUD TO SHARE THAT THE NEW CLINIC IS A STATE-OF-THE-ART CLINICAL AND EDUCATIONAL SPACE, AND IS ALREADY OPEN TO PATIENTS AND FAMILIES. AS PART OF ITS RESPONSIBILITY AS AN FQHC LOOK-ALIKE, TWCCH ENGAGED TRIPP UMBACH AND THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT THROUGH A REQUEST FOR PROPOSALS PROCESS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT TO INFORM AND IMPROVE THE DELIVERY OF HEALTH CENTER SERVICES. THE NEEDS ASSESSMENT UTILIZES THE MOST RECENTLY AVAILABLE DATA FOR THE SERVICE AREA TO ASSESS THE FOLLOWING: FACTORS ASSOCIATED WITH ACCESS TO CARE AND HEALTH CARE UTILIZATION; THE MOST SIGNIFICANT CAUSES OF MORBIDITY AND MORTALITY AS WELL AS ANY ASSOCIATED HEALTH DISPARITIES; AND ANY OTHER UNIQUE HEALTH CARE NEEDS OR CHARACTERISTICS THAT IMPACT HEALTH STATUS OR ACCESS TO, OR UTILIZATION OF, PRIMARY CARE. THE HEALTH NEEDS ASSESSMENT WILL SUPPORT TWCCH'S FUTURE STRATEGIC OPERATIONS WITH DATA RELATING TO THE HEALTH RESOURCES AVAILABLE IN RELATION TO THE SIZE OF THE AREA AND ITS POPULATION, HEALTH INDICES FOR THE POPULATION OF THE AREA, AND ECONOMIC FACTORS AFFECTING THE POPULATION'S ACCESS TO HEALTH SERVICES. TWCCH ALSO ACTIVELY PARTICIPATES IN LARGER COMMUNITY-BASED MULTI-INSTITUTIONAL REGIONAL HEALTH NEEDS ASSESSMENTS TO ASSURE OUR ACCESS TO BROADER COMMUNITY DATA THAT INFORMS DECISIONS RELATED TO HEALTH CENTER SERVICES AND STRATEGIC PLANNING. TWCCH CONTINUED ITS ACTIVE PARTICIPATION IN RESPONSE TO THE GLOBAL HEALTH EMERGENCY OF THE COVID-19 PANDEMIC AS AN FQHC LOOK-ALIKE ESSENTIAL COMMUNITY PROVIDER. AS PREVIOUSLY REPORTED, WE EXPERIENCED SOME CHALLENGES DURING THE FIRST THREE MONTHS OF THE COVID-19 VACCINE ROLL-OUT BEGINNING IN DECEMBER 2020 THAT WE FULLY REMEDIATED DURING THE FISCAL YEAR 2021-2022. OUR CHALLENGES WERE RELATED, IN LARGE PART, TO OUR INTENTIONAL PUBLIC-HEALTH-CENTERED STRATEGY TO CONDUCT PRIMARY HEALTH VISITS ASSOCIATED WITH THE COVID-19 VACCINE BECAUSE OF ESCALATING PRIMARY HEALTH CARE GAPS RESULTING FROM THE PANDEMIC. TWCCH'S COMMITMENT TO THE STRATEGY WAS NOTABLY MADE WITH FULL AWARENESS AND FRANK DISCUSSIONS THAT THE MEDICAL NECESSITY OF VISITS WOULD POSSIBLY BE DENIED BY INSURANCE COMPANIES WITH WHICH TWCCH WAS NEGOTIATING. DESPITE TRANSPARENTLY AND REPEATEDLY SHARING OUR GOVERNING BOARD-SUPPORTED STRATEGY FROM THE OUTSET WITH FEDERAL AND STATE AGENCIES, INSURANCE COMPANIES, NUMEROUS PARTNERING COMMUNITY RESOURCE AGENCY STAKEHOLDERS, AND THE MEDIA, IN LATE FEBRUARY 2021, THE CDC ISSUED NEW GUIDANCE THAT CALLED THE PERMISSIBILITY OF OUR VISIT-BASED PUBLIC HEALTH-ORIENTED STRATEGY INTO QUESTION. UPON LEARNING OF THE NEWLY-ISSUED GUIDANCE, TWCCH IMMEDIATELY CONTACTED THE PENNSYLVANIA DEPARTMENT OF HEALTH, HRSA, AND THE CDC FOR CLARIFICATION AND DIRECTION. BEFORE RECEIVING A SUBSTANTIVE RESPONSE FROM THE CDC, TWCCH INDEPENDENTLY ELECTED TO REMEDIATE THE SITUATION GIVEN THE STRESS OF THE PANDEMIC, TOXIC MEDIA DYNAMICS, AND THE RESULTING CONFUSION IN OUR COMMUNITY, WHICH TWCCH BELIEVED WOULD IMPAIR THE ACHIEVEMENT OF HERD IMMUNITY, BY RETURNING ALL PAYMENTS FROM PATIENTS RELATED TO SERVICES RECEIVED DURING VISITS THAT WERE PRIMARILY PURSUED FOR THE PURPOSE OF GETTING VACCINATED. TWCCH ALSO RETURNED FEES FROM SERVICES DELIVERED AND/OR ADJUSTED ALL RELATED CLAIMS SUBMITTED TO INSURANCE COMPANIES FOR SUCH VISITS. RECOGNIZING AND EXPERIENCING THE WIDE-SCALE TRAUMA OF THE COVID-19 PANDEMIC, INCLUDING THE DEATHS OF MORE THAN ONE MILLION AMERICANS, TWCCH'S REMEDIATION PLAN INTENTIONALLY OVERCORRECTED ANY POSSIBLE BILLING ISSUES RELATED TO THE PUBLIC HEALTH-ORIENTED VISIT-BASED STRATEGY. NOTABLY, AT THE RECOMMENDATION OF THE CDC, TWCCH CONTINUED TO PROMOTE AND ENCOURAGE A PUBLIC HEALTH-ORIENTED VISIT-BASED VACCINATION STRATEGY THROUGH A METICULOUSLY DETAILED REFINEMENT OF THE COVID-19 TESTING, TREATMENT, AND VACCINATION INFORMED CONSENT PROCESSES AND PROCEDURES. UPON COMPLETION OF THE CORRECTIVE ACTION PLAN, TWCCH SHARED THESE CHALLENGES WITH THE OFFICE OF INSPECTOR GENERAL THROUGH A VOLUNTARY REQUEST FOR AN ADVISORY OPINION TO ENSURE THAT NO ADDITIONAL STEPS WERE NECESSARY TO FULLY REMEDIATE THE CHALLENGES. DURING THE FISCAL YEAR 2021-2022, TWCCH CONTINUED TO EXPAND ITS OUTREACH WITHIN THE COMMUNITIES IT SERVES THROUGH ITS MEDICAL/DENTAL MOBILE UNIT ("DRIVING BETTER HEALTH"), WHICH WAS ACQUIRED WITH EXPANDED CAPACITY FOR CORONAVIRUS TESTING (ECT) FUNDING PROVIDED BY HRSA. DRIVING BETTER HEALTH ALSO PROVIDED ADDITIONAL ACCESS POINTS TO DELIVER PRIMARY HEALTH SERVICES, INCLUDING BUT NOT LIMITED TO "CATCH-UP TO GET AHEAD" IMMUNIZATION CLINICS FOR SCHOOL-AGED CHILDREN, COVID-19 TESTING AND VACCINE CLINICS AT SENIOR CITIZEN HIGH-RISES AND DROP-IN SHELTERS FOR PEOPLE WHO LACK ACCESS TO STABLE HOUSING. TWCCH CONTINUED TO USE AND IMPROVE TELEHEALTH SERVICES FOR ALL SERVICE LINES WITH THE CERTIFICATION OF MANY OF TWCCH'S PROVIDERS IN TELEHEALTH, FUNDED BY GRANTS FROM THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND DIRECT RELIEF. THROUGHOUT THE COVID-19 PANDEMIC (AND CONTINUING TODAY), TWCCH'S PHYSICIAN FACULTY AND INTERPROFESSIONAL PROVIDER TEAMS PLAYED A SIGNIFICANT LEADERSHIP ROLE IN ORGANIZING AND DELIVERING CRUCIAL COMPONENTS OF THE REGION'S PUBLIC HEALTH COVID-19 RESPONSE IN AMBULATORY CARE, HOME-BASED, LONG-TERM CARE FACILITIES AND HOSPITAL-BASED SETTINGS. THIS INCLUDES OUR TIRELESS DELIVERY OF OPEN ACCESS TO COMPREHENSIVE PRIMARY HEALTH SERVICES, AS WELL AS OUR WELL-INTENDED, PUBLIC HEALTH-ORIENTED VISIT-BASED TESTING, VACCINE DEPLOYMENT, AND MONOCLONAL ANTIBODY INFUSION SERVICES, AS WELL AS OUR ONGOING RELENTLESS EFFORTS TO ADDRESS COVID-19 VACCINE HESITANCY. DRIVEN BY OUR COMMITMENT TO PRIMARY CARE AND PUBLIC HEALTH, TWCCH CONTINUES TO COMPASSIONATELY AND AGGRESSIVELY ADDRESS THE MULTITUDE OF PANDEMIC-EXACERBATED HEALTH CARE GAPS, INCLUDING THE CDC'S CATCH-UP-TO-GET-AHEAD CAMPAIGN TO ADDRESS THE UNMET PRIMARY SERIES VACCINATION NEEDS OF OUR CHILDREN. NOTABLY, TWCCH, THE 8TH HEALTH CARE SYSTEM IN THE COUNTRY TO ADOPT UCLA'S JOHN A. HARTFORD FOUNDATION-FUNDED, AWARD-WINNING ALZHEIMER'S AND DEMENTIA CARE (ADC) PROGRAM MODEL, SERVED ALMOST 150 PATIENTS SUFFERING FROM DEMENTIA, WHILE OFFERING ADC REFERRAL SERVICES TO THE LARGER COMMUNITY AND OPEN INVITATIONS TO PARTNERS TO HELP US BUILD THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "AGE FRIENDLY HEALTH SYSTEM" IN OUR REGION. TWCCH EXPANDED ITS WORK IN GERIATRICS AS A CLINICAL LEARNING ENVIRONMENT FOR TWCGME'S EXPANDED GERIATRICS FELLOWSHIP PROGRAM. GAINING AN ADDITIONAL THREE HRSA TEACHING HEALTH CENTER FUNDED FTES, TWCGME'S GERIATRICS FELLOWS TRAINED WITH TWCCH'S BOARD-CERTIFIED GERIATRICIANS. 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 NUMBER OF PERSONS 65 YEARS AND OLDER 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.
FORM 990, PART III, LINE 2 CONTINUED	NEW PROGRAM SERVICES CONTINUED: IN SUPPORT OF TWCCH'S EFFORTS TO HELP BUILD A REGIONAL GERIATRIC CENTER OF EXCELLENCE AND WITHIN THE THIRD FUNDED YEAR OF A THREE-YEAR GRANT FROM THE ALLONE FOUNDATION DESCRIBED BELOW, TWCCH EXPANDED ALIGNED OPERATIONAL ACTIVITIES THAT SHARED PURPOSE IN A MULTI-ORGANIZATIONAL COLLABORATION TO HELP SUSTAIN TELESPOND SENIOR SERVICES, INC., A LEGACY GERIATRICS NONPROFIT ORGANIZATION IN OUR COMMUNITY, THAT IS A PROVIDER OF ADULT DAYCARE PROGRAMMING, A HRSA FEDERALLY SUPPORTED SENIOR COMPANIONSHIP PROGRAM, AND AN IN-HOME PERSONAL CARE PROGRAM. TELESPOND DEVELOPED AND IMPLEMENTED STRATEGIC PARTNERSHIPS WITH EXTERNAL COMMUNITY-BASED ORGANIZATIONS AND OTHERS IN ITS CAPACITY AS A DAY CENTER AND WITH ITS RELATED ACTIVITIES, SUCH AS THE LACKAWANNA COUNTY SENIOR ISOLATION INITIATIVE LED BY THE LACKAWANNA COUNTY AREA AGENCY ON AGING TO DEVELOP A MODEL FOR SENIOR ADVOCACY. TWCCH ALSO SUPPORTED COMMUNITY INTEREST IN DESIGNATING TELESPOND AS THE FUTURE HAVEN FOR VULNERABLE ELDERLY VICTIMS OF ABUSE. LAST FISCAL YEAR, TWCCH ALSO WELCOMED ADDITIONAL PSYCHIATRY RESIDENTS AS TRAINEES AS A RESULT OF TWCGME'S HRSA-FUNDED EXPANSION GRANT TO INCREASE THE NUMBER OF LEARNERS IN THE PROGRAM BY THREE ADDITIONAL FTES (FROM 22 TO 25). RESPONSIVELY, TWCCH ALSO SUCCESSFULLY RECRUITED AN EXPERIENCED ACADEMIC PSYCHIATRY THOUGHT LEADER IN PRIMARY CARE/BEHAVIORAL HEALTH INTEGRATION AS A PHYSICIAN PROVIDER AND CORE FACULTY, IN COLLABORATION WITH THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE. ADDITIONALLY, AFTER YEARS OF DISCUSSION, EXPLORATION, AND PLANNING, TWCGME'S PHYSICAL MEDICINE & REHABILITATION (PM&R) RESIDENCY PROGRAM LAUNCHED SUCCESSFULLY ON JULY 1, 2022, WITH FIVE EXCITED PGY1 RESIDENTS. TWCCH EMBRACED THE OPPORTUNITY TO HOST THESE PM&R RESIDENTS IN OUR AMBULATORY AS WELL AS INPATIENT HOSPITAL TEACHING VENUES TO IMPROVE AND ENHANCE THE SCOPE AND QUALITY OF CARE AND SEAMLESS CARE TRANSITIONS FOR THE PATIENTS WE SERVE ACROSS THE FULL SPECTRUM CONTINUUM ACROSS COMMUNITY, HOSPITAL, AND INPATIENT-BASED VENUES WHILE ENRICHING THE EDUCATIONAL EXPERIENCE OF ALL LEARNERS. DESPITE CMS GME FUNDING CHALLENGES FOR RESIDENCY PROGRAMS OPERATED WITHIN INPATIENT REHABILITATION FACILITIES, THE GME-SNC MODEL OF TRAINING ENABLED THIS PROGRAM TO LAUNCH THROUGH A COLLABORATION WITH AN IPPS HOSPITAL TO HOST INPATIENT ACUTE CARE CLINICAL EDUCATIONAL EXPERIENCES. OUR MORE ROBUST CONSORTIUM NOW INCLUDES ALLIED SERVICES (AND JOHN HEINZ INSTITUTE), REGIONAL HOSPITAL, NORTHEAST REHABILITATION ASSOCIATES, AND OTHER CLINICAL LEARNING ENVIRONMENT PARTNERS TO PROMOTE THE DEVELOPMENT OF THE PHYSIATRIST WORKFORCE IN NORTHEAST PENNSYLVANIA. TWCCH'S CLINICAL TRAINING PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE (SOMA) GREW TO HOST 31 OSTEOPATHIC MEDICAL STUDENTS TRAINING IN SCRANTON. OF THOSE, TWO WERE HOMETOWN SCHOLARS RECRUITED FROM THE POPULATION SERVED, WITH ANOTHER SCHOLAR IN THE PIPELINE, PROMOTING THE DEVELOPMENT OF OUR LONGITUDINAL REGIONAL PHYSICIAN WORKFORCE PIPELINE. THE HOMETOWN SCHOLARS PROGRAM IS DIRECTLY ALIGNED WITH TWCCH'S MISSION, AND WE WILL CONTINUE TO ENCOURAGE QUALIFIED, COMPASSIONATE LOCAL STARS TO ENTER THE MEDICAL FIELD AND OTHER HEALTH PROFESSIONS. IN ADDITION, TWCCH LAUNCHED A NEW PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF HEALTH SCIENCES, NACHC, AND THE COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST AS A TRAINING SITE FOR A NEW PHYSICIAN'S ASSISTANT (PA) PROGRAM. TWCCH IS BLESSED TO BE TRAINING EIGHT AMAZING PA STUDENTS. ADDITIONALLY, OUR EFFORTS TO DEVELOP MEDICAL ASSISTANTS (MAS) WERE BOLSTERED THROUGH THE STRATEGIC INVESTMENT OF COVID-19 RESOURCES THROUGH THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS TO PROMOTE HEALTH WORKFORCE CREATION. IN COLLABORATION WITH THE NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT (NIMAA), WE ENCOURAGED STAFF TO DEVELOP THEIR CAREERS THROUGH A MEDICAL ASSISTANT CERTIFICATION PROGRAM, AND REIMBURSE TUITION COSTS SHOULD THEY BE INELIGIBLE FOR ANY OTHER FUNDING. TWCCH ALSO CONTINUED ITS ENGAGEMENT IN HOSTING CANDIDATES FOR A NORTHEAST PA AHEC-AFFILIATED COMMUNITY HEALTH WORKER (CHW) CERTIFICATION INITIATIVE AND SPONSORING ELIGIBLE PATIENTS ENGAGED IN OUR OPIOID CENTER OF EXCELLENCE PROGRAM TO PURSUE TRAINING AND EMPLOYMENT AS CERTIFIED RECOVERY SPECIALISTS (CRSS).
FORM 990, PART III, LINE 2 CONTINUED	NEW PROGRAM SERVICES CONTINUED: IN THE FISCAL YEAR 2021-2022, TWCCH SUCCESSFULLY TRAINED TWO DENTAL RESIDENTS IN ITS FIRST YEAR AS A TRAINING SITE AND COLLABORATING PARTNER IN NYU LANGONE'S HRSA-FUNDED ADVANCED EDUCATION IN GENERAL DENTISTRY RESIDENCY PROGRAM AND WELCOMED TWO ADDITIONAL TRAINEES FOR THE FISCAL YEAR 2022-2023. ADDITIONALLY, WITH DENTAL SERVICES IN HIGH DEMAND, TWCCH'S MID VALLEY PRACTICE EXPANDED ITS CAPACITY FOR DENTAL SERVICES BY ADDING TWO ADDITIONAL STATE-OF-THE-ART DENTAL CHAIRS AND INCREASING STAFF BY THREE NEW FTES. EXPANSION OF DENTAL SERVICES IN THE SCRANTON PRACTICE AND BRINGING DENTAL SERVICES TO THE NEW WILKES-BARRE PRACTICE IS A PRIORITY FOR TWCCH IN THE FISCAL YEAR 2022-2023. IN THE FISCAL YEAR 2021-2022, TWCCH SUCCESSFULLY UNDERWENT A RYAN WHITE SITE VISIT, COMPETITIVELY AND PROUDLY RETAINING ITS FEDERAL PART B AND PART C GRANTS TO CONTINUE PROVIDING RYAN WHITE SERVICES TO MORE THAN 500 PATIENTS. TWCCH ALSO IMPLEMENTED A NEW DATA MANAGEMENT SYSTEM FOR RYAN WHITE SERVICES CALLED ECOMPAS (ELECTRONIC COMPREHENSIVE OUTCOMES MEASUREMENT PROGRAM FOR ACCOUNTABILITY AND SUCCESS), A SYSTEM THAT PROVIDES CONTRACT MANAGEMENT, QUALITY IMPROVEMENT, CLIENT OUTREACH, AND CLIENT SATISFACTION FOR RYAN WHITE, HOPWA, AND HIV PREVENTION PROGRAMS. ADDITIONALLY, TWCCH MADE SUBSTANTIAL PROGRESS IN ALIGNING RYAN WHITE'S POLICIES WITH THE ALREADY EXISTING HEALTH CENTER POLICIES. SUBSTANTIVELY, TWCCH ACHIEVED A VIRAL LOAD SUPPRESSION RATE OF 93.47% AS OF MARCH 30, 2022 (THE END OF THE GRANT CYCLE), A 9% INCREASE OVER THE 84.4% RATE OBSERVED DURING COVID-19 IN THE 2019-2020 PROGRAM YEAR. TWCCH EXECUTIVE AND RYAN WHITE LEADERSHIP ALSO SUPPORTED LACKAWANNA COUNTY'S EXPLORATION AND EMERGING EFFORTS TO LAUNCH A MUNICIPAL PUBLIC HEALTH AUTHORITY. TWCCH'S IMPLEMENTATION OF IDASHBOARDS LAST FISCAL YEAR HAS IMPROVED ITS ACCESS TO REAL-TIME DATA IN A DIGESTIBLE VISUAL FORMAT. RE-BRANDED AS TRUOI, TWCCH USES THE FUNCTIONALITY OF IDASHBOARDS TO TRACK A MYRIAD OF OPERATIONAL AND FINANCIAL MEASURES AND GENERATES REPORTS TO SHARE DATA ACROSS THE ENTERPRISE AND WITH GOVERNANCE ON TOPICS SUCH AS COVID-19 VACCINES, POSITIVE TEST RESULTS, MONOCLONAL ANTIBODY INFUSIONS, ETC. IN FURTHERANCE OF ITS COMMITMENT TO HEALTH INFORMATION INTEROPERABILITY AND THE POWER OF ACCURATE DATA TO IMPROVE OPERATIONS AND HEALTH OUTCOMES, TWCCH DEEPENED ITS COLLABORATION WITH THE HEALTH FEDERATION OF PHILADELPHIA, WHICH SERVES AS A CONVENER SUPPORTING A NETWORK OF PENNSYLVANIA-BASED COMMUNITY HEALTH CENTERS AS WELL AS THE BROADER BASE OF PUBLIC AND PRIVATE-SECTOR ORGANIZATIONS THAT DELIVER HEALTH AND HUMAN SERVICES TO VULNERABLE POPULATIONS. THE FEDERATION TAKES A COLLABORATIVE APPROACH TO PROMOTE HEALTH BY IMPROVING ACCESS TO AND QUALITY OF HEALTH CARE; IDENTIFYING, TESTING, AND IMPLEMENTING SOLUTIONS TO HEALTH DISPARITIES; AND PROVIDING TRAINING AND TECHNICAL ASSISTANCE TO HELP OTHER ORGANIZATIONS OPERATE MORE EFFICIENTLY AND EFFECTIVELY. TWCCH CONTINUES TO DEEPEN AND EVOLVE ITS COLLABORATION WITH THE HEALTH FEDERATION OF PHILADELPHIA TO PROMOTE PUBLIC HEALTH IMPROVEMENTS THROUGH INNOVATIONS IN COMPLIANCE, HEALTH EQUITY, AND HEALTH INFORMATION TECHNOLOGY INTEROPERABILITY AND DATA SHARING AMONG HEALTH CENTERS AND HEALTH AGENCIES. TWCCH IS FULLY COMMITTED TO CHANGING THE WAY WE WORK TO PROMOTE AN AWARENESS OF THE IMPORTANCE OF JUSTICE, EQUITY, DIVERSITY, AND INCLUSION (JEDI). WITH THE APPOINTMENT OF A VICE PRESIDENT OF DIVERSITY, EQUITY, AND INCLUSION (DEI), WE LAUNCHED IN-PERSON AND VIRTUAL MONTHLY DEI ACTIVITIES AND CREATED A DEI BLOG ON OUR WEBSITE WITH MONTHLY TOPICS PROMOTING A SHARED UNDERSTANDING OF DEI ISSUES. THERE IS ALSO A DEI WORKGROUP IN PLACE TO PLAN AND CHAMPION VARIOUS INITIATIVES FOR STAFF, RESIDENTS, AND FELLOWS AS WELL AS FOR COLLABORATIVE WORK WITH COMMUNITY PARTNERS. ADDITIONALLY, TWCCH AND TWCGME, 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 THE 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 TWCCH'S FOCUS IN THAT PROJECT WAS THE DEVELOPMENT OF A SHARED MODEL FOR INTEGRATING JEDI INTO THE PHYSICIAN AND INTERPROFESSIONAL HEALTH EDUCATION CURRICULA AS A METHOD TO COMBAT STRUCTURAL BIAS IN HEALTH CARE. WE HAVE BEEN WORKING ON DEVELOPING AND INTEGRATING A DEI CURRICULUM ACROSS ALL RESIDENCY AND FELLOWSHIP PROGRAMS AND PROMOTING THE DEVELOPMENT AND SHARING OF EMPLOYEE TRAINING MATERIALS INTO THE LEARNING MANAGEMENT SYSTEM. WE HAVE ALSO RELEASED AN ENTERPRISE-WIDE DEI SURVEY TO HELP GATHER BASELINE DATA TO INFORM HER WORK MOVING FORWARD. IN RESPONSE TO CONTINUING CHALLENGES OF THE HEALTH CARE DELIVERY SYSTEM THAT WERE EXACERBATED IN THE WAKE OF THE COVID-19 PANDEMIC AND ITS CONTINUING NEGATIVE IMPACT ON AND BURN-OUT OF PHYSICIANS AND PROVIDER TEAMS, TWCCH 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 SERVICE ACCOMPLISHMENTS: IN SUMMARY, TWCCH SERVED 41,203 UNIQUE PATIENTS AND ENGAGED IN 127,032 TOTAL BILLABLE VISITS BETWEEN JULY 2021 AND JUNE 2022. THEY INCLUDED 76,824 MEDICAL, 17,473 BEHAVIORAL HEALTH, 10,533 DENTAL, AND 22,202 INPATIENT VISITS. TWCCH DELIVERS CARE THROUGH PRIMARY CARE TEACHING HEALTH CENTER FQHC LOOK-ALIKE AMBULATORY CARE CENTERS, A MEDICAL/DENTAL MOBILE UNIT, AND ALSO IN LOCAL HOSPITAL SYSTEMS. AS OF JUNE 30, 2022, TWO OF THESE CLINICAL ENVIRONMENTS ARE CO-LOCATED WITHIN REGIONAL, COMMUNITY-OWNED AND GOVERNED, LEGACY MENTAL HEALTH SERVICE AGENCIES, AND ANOTHER IS CO-LOCATED IN A PUBLIC SCHOOL DISTRICT-BASED SETTING WITH SERVICES OPEN TO THE LARGER COMMUNITY. PRIMARY HEALTH SERVICES OFFERED ACROSS THE LIFESPAN, FROM PEDIATRICS TO GERIATRICS, INCLUDE PRIMARY MEDICAL CARE, WOMEN'S HEALTH, HEPATITIS C AND INFECTIOUS DISEASE SERVICES, PRIMARY AND SECONDARY PREVENTION AND TREATMENT OF HIV, NUTRITION COUNSELING, CARE AND CASE MANAGEMENT, MENTAL/BEHAVIORAL HEALTH, DENTAL, AND ADDICTION AND RECOVERY SERVICES. TWCCH IS A PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE AND COORDINATING CENTER FOR MEDICATION-ASSISTED TREATMENT AND RECOVERY SERVICES. TWCCH'S CLINICAL PRACTICE LOCATIONS SERVE AS TEACHING HEALTH CENTER CLINICAL LEARNING ENVIRONMENTS FOR THE AFFILIATED TWCGME ORGANIZATION'S FAMILY MEDICINE, INTERNAL MEDICINE, AND PSYCHIATRY RESIDENTS AS WELL AS GERIATRICS FELLOWS, GEISINGER'S ADDICTION MEDICINE FELLOWS, ALLOPATHIC AND OSTEOPATHIC MEDICAL STUDENTS, AND DIVERSE INTERPROFESSIONAL STUDENTS FROM MORE THAN A DOZEN REGIONAL AND NATIONAL ACADEMIC AFFILIATED INSTITUTIONS. TWCCH PRACTICING PHYSICIANS SERVE AS FACULTY EDUCATORS TRAINING OUR INCUMBENT AND FUTURE INTERPROFESSIONAL PRIMARY HEALTH CARE DELIVERY WORKFORCE. TWCCH'S PASSIONATE PURPOSE IS TO DEMONSTRATE AN "ACHIEVABLE BY ALL" GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM MODEL THAT CO-CREATES TRANSFORMATIONAL HEALTH CARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES, AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH, HEALTH CARE DELIVERY SYSTEM AND THEIR INTERPROFESSIONAL HEALTH CARE WORKFORCE OUR NICHE IS WORLD-CLASS INNOVATIVE AND RESPONSIVE PRIMARY HEALTH CARE THROUGH COMMUNITY-CENTRIC, INCUMBENT AND FUTURE WORKFORCE RENEWAL.
FORM 990, PART III, LINE 4B	PROGRAM SERVICE CONTINUED: HOWEVER, WITH THE JUNE 1, 2019 DESIGNATION OF TWCCH AS A FQHC LOOK-ALIKE, THE 340B DRUG PRICING PROGRAM ENGAGEMENT WAS EXPANDED ACROSS ALL PRIMARY HEALTH SERVICES AS WELL. THIS IMPORTANT FEDERAL PROGRAM PROVIDES OUTPATIENT DRUGS TO SAFETY-NET COMMUNITY PROVIDERS SUCH AS TWCCH AT SIGNIFICANTLY REDUCED PRICES FOR REINVESTMENT INTO TWCCH COMPREHENSIVE HEALTH SERVICES AND SOCIAL SERVICE PROGRAMS AND ALSO FOR INCREASING ACCESS TO AND EXPANDING HEALTH AND SOCIAL NEEDS-RESPONSIVE HEALTH SERVICES. SOME OF THE SERVICES THAT HAVE BEEN MADE POSSIBLE BY 340B FUNDING INCLUDE FREE HEALTH SCREENINGS (E.G., BLOOD SUGAR, BLOOD PRESSURE, BODY MASS INDEX, AND CHOLESTEROL), EXPANDED CARE THROUGH RURAL HEALTH FQHC LOOK-ALIKE PATIENT-CENTERED MEDICAL HOME (PCMH) CLINICS, AND RESOURCES AND EDUCATION TO HELP PUT PATIENTS WITH CHRONIC DISEASES SUCH AS SUBSTANCE USE DISORDER, HIV/AIDS, HEPATITIS C, OBESITY, DIABETES, AND HEART DISEASE ON A PATH TO A HEALTHIER, MORE ACTIVE LIFESTYLE. ADDITIONALLY, 340B FUNDING SUPPORTS PEOPLE LIVING WITH HIV/AIDS THROUGH MEDICAL SERVICES, LABORATORY SERVICES, TELEHEALTH SERVICES, MEDICAL CASE MANAGEMENT, MEALS DELIVERED TO THE HOME, INSURANCE PREMIUM COST-SHARING ASSISTANCE, EMERGENCY FINANCIAL ASSISTANCE, MENTAL HEALTH SERVICES, TRANSPORTATION SERVICES, DURABLE MEDICAL EQUIPMENT AND EXPANDED AND ENHANCED DENTAL SERVICES. FURTHER, 340B FUNDING HAS ENABLED US TO IMPROVE ACCESS BY EXTENDING HOURS AT THE KINGSTON PRACTICE TO BE OPEN SATURDAYS, AND OPENING NEW FQHC LOOK-ALIKE CLINICAL LOCATIONS IN RURAL HAWLEY AND COVINGTON TOWNSHIP, PENNSYLVANIA, GIVING PATIENTS ADDITIONAL AMBULATORY, COMMUNITY-BASED ALTERNATIVES TO EMERGENCY DEPARTMENTS. THIS INCREASED ACCESS TO PRIMARY HEALTH SERVICES, IN TURN, REDUCES COSTS AND GIVES PATIENTS NONDISCRIMINATORY ACCESS TO COMPREHENSIVE PRIMARY HEALTH CARE UNDER ONE ROOF IN A PATIENT-CENTERED MEDICAL HOME. LIKEWISE, INVESTMENTS HAVE BEEN MADE IN NEW TECHNOLOGY, HEALTH CARE INFORMATION TECHNOLOGY INTEROPERABILITY, UPGRADED MEDICAL AND INFORMATION TECHNOLOGY EQUIPMENT, AND RENOVATED FACILITIES. THE 340B PROGRAM IS AN IMPORTANT SOURCE OF FINANCIAL AND RESOURCE SUPPORT TO HELP ENSURE PATIENTS AND FAMILIES RECEIVE THE HEALTH CARE THEY DESERVE TO ADDRESS THEIR COMPLEX HEALTH NEEDS, REGARDLESS OF THEIR ZIP CODE, INSURANCE STATUS, OR ABILITY TO PAY.
FORM 990, PART III, LINE 4C	PROGRAM SERVICE CONTINUED: WE VET ALL POTENTIAL MISSION-ALIGNED GRANT INITIATIVES FOR COMMUNITY HEALTH NEEDS-RESPONSIVENESS, OUTCOMES ACHIEVABILITY AND SUSTAINABILITY. WITH A FERVENT COMMITMENT TO AUTHENTICITY AND THE HIGHEST INTEGRITY STANDARDS, THROUGH ACTIVE PARTNERSHIPS WITH A WIDE VARIETY OF LOCAL, REGIONAL, STATE, AND NATIONAL FUNDERS, WE STRIVE TO PROMOTE UNPRECEDENTED, HIGH-IMPACT, CROSS-ORGANIZATIONAL COLLABORATION; FOSTER SHARED PURPOSE, COLLECTIVE IMPACT-ORIENTED ACTION STRATEGIES; AND DEMONSTRATE TRUSTED TRANSFORMATIONAL STEWARDSHIP OF PUBLIC RESOURCES TO PROMOTE COMMUNITY HEALTH AND ADDRESS COMMUNITY HEALTH NEEDS. THE FOLLOWING DETAILED INFORMATION OF MATERIAL GRANT-FUNDED PROGRAMS SUPPORTS THOSE GRANTS LISTED ON SCHEDULE B IS AS FOLLOWS: A.T. STILL UNIVERSITY-SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (TOTAL: $22,000) PURPOSE OF GRANT ASSISTANCE: A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA) SUPPORTED THE WRIGHT CENTER FOR COMMUNITY HEALTH WITH A SUBAWARD OF A HRSA-FUNDED PRIMARY CARE TRAINING AND ENHANCEMENT (PCTE) GRANT. THIS SUPPORTED CLINICAL AND ADMINISTRATIVE LEADERSHIP TO BUILD AND NURTURE THE INTEGRATION OF PRIMARY CARE WITH BEHAVIORAL AND MENTAL HEALTH SERVICES TO SUPPORT FULLY-INTEGRATED, "WHOLE PERSON" CARE DELIVERY AND CLINICAL LEARNING ENVIRONMENTS FOR ATSU-SOMA MEDICAL STUDENTS. AMERICARES (TOTAL: $2,332) PURPOSE OF GRANT ASSISTANCE: AMERICARES AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH FOR A MENTAL HEALTH FIRST AID COURSE DEVELOPED TO TEACH INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESSES AND SUBSTANCE USE DISORDERS. THE TRAINING PROVIDES THE SKILLS NEEDED TO REACH OUT AND PROVIDE INITIAL HELP AND SUPPORT TO SOMEONE WHO MAY BE DEVELOPING A MENTAL HEALTH OR SUBSTANCE USE PROBLEM OR EXPERIENCING A CRISIS. THE TRAINING WILL BE ROLLED OUT INITIALLY TO FRONT-LINE CLINICAL STAFF, THEN PHYSICIAN LEARNERS, AND LATER THE LARGER COMMUNITY. APPALACHIAN REGIONAL COMMISSION (TOTAL: $54,220) PURPOSE OF GRANT ASSISTANCE: THE APPALACHIAN REGIONAL COMMISSION (ARC) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH TO ADDRESS THE SUBSTANCE ABUSE CRISIS BY EXPANDING A RECOVERY ECOSYSTEM LEADING TO WORKFORCE ENTRY OR REENTRY. ENHANCED JOB TRAINING IS PROVIDED FOR PEER RECOVERY SUPPORT SPECIALISTS AND COMMUNITY HEALTH WORKERS IN CONJUNCTION WITH THE INSTITUTE, AREA HEALTH EDUCATION CENTERS (AHEC), LUZERNE COUNTY COMMUNITY COLLEGE, AND OTHER COMMUNITY PARTNERS. THE GOAL OF THIS GRANT IS TO IMPROVE THE EDUCATION, KNOWLEDGE, SKILLS, AND HEALTH OF RESIDENTS TO WORK AND SUCCEED IN APPALACHIA. THE TARGET POPULATION IS ADULTS IN RECOVERY (AGES 18 AND OLDER) WHO SELF-IDENTIFY OR HAVE BEEN NOMINATED AS GOOD CANDIDATES TO WORK AS CERTIFIED RECOVERY SPECIALISTS AND/OR COMMUNITY HEALTH WORKERS. CDC FOUNDATION (TOTAL: $64,076) PURPOSE OF GRANT ASSISTANCE: THE CDC FOUNDATION AWARDED FUNDING TO THE WRIGHT CENTER FOR COMMUNITY HEALTH TO PROVIDE A COORDINATED COVID-19 RESPONSE IN GREATER HAZLETON, AN INITIAL CORONAVIRUS HOT SPOT IN LUZERNE COUNTY, PENNSYLVANIA. THE INITIATIVE INCLUDES ENGAGING AN INCLUSIVE, COMMUNITY-BASED STEERING COMMITTEE TO GUIDE THE STRATEGIC DEPLOYMENT OF THE MOBILE CLINIC (DRIVING BETTER HEALTH). A MULTIDISCIPLINARY PRIMARY CARE TEAM STAFFED THE VEHICLE TO PROVIDE COVID-19 SYMPTOM SCREENING/TESTING AND COVID-19 VACCINES, AS WELL AS CATCH-UP CHILDHOOD VACCINES THAT MIGHT HAVE BEEN POSTPONED DURING THE PANDEMIC. TARGETED SITES INCLUDE NON-PROFIT COMMUNITY CENTERS, SCHOOL DISTRICTS, AND SOCIAL SERVICE ORGANIZATIONS. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT (DCED) (TOTAL: $34,733) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO SUPPORT THE EFFORTS OF LOCAL ORGANIZATIONS IN PENNSYLVANIA CONDUCTING GRASSROOTS OUTREACH TO COMMUNITIES ABOUT COVID-19 VACCINES. THE PROGRAM STRIVES TO INCREASE VACCINATION RATES ACROSS DIFFERENT RACIAL AND ETHNIC ADULT POPULATIONS CURRENTLY EXPERIENCING DISPARITIES. TWCCH WILL WORK TO EDUCATE COMMUNITIES ON THE COVID-19 VACCINE TO IMPROVE UPTAKE OF THE VACCINE, ADDRESS HESITANCY CONCERNS AND BARRIERS, AND OVERALL, THE HEALTH AND SAFETY OF PENNSYLVANIA. THE COMMUNITIES OF PRIORITY INCLUDE RACIAL AND ETHNIC MINORITIES, LGBTQ+, PERSONS EXPERIENCING HOMELESSNESS, LOW-INCOME PERSONS, AND PERSONS WITH MENTAL AND OR PHYSICAL DISABILITIES, AMONG OTHERS. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (DDAP) (TOTAL $495,756) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (DDAP), AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR A PREGNANCY SUPPORT SERVICES GRANT TO EXTEND THE REACH OF ITS HEALTHY MATERNAL OPIATE MEDICAL SUPPORT (MOMS) PROGRAM INTO LUZERNE, WAYNE, AND SUSQUEHANNA COUNTIES. IN CONCERT WITH ITS PARTNERS, TWCCH IS COORDINATING THE DELIVERY OF MEDICATION-ASSISTED TREATMENT (MAT) AS WELL AS PREGNANCY AND POST-PARTUM MATERNAL AND CHILD SUPPORT SERVICES IN COMMUNITIES THAT DO NOT CURRENTLY BENEFIT FROM A STRONG NETWORK OF COLLABORATING HEALTH AND SOCIAL SERVICE AGENCIES TO ADDRESS THIS NEED. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH) (TOTAL: $147,307) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED FUNDING TO SUPPORT THE WRIGHT CENTER FOR COMMUNITY HEALTH HAWLEY PRACTICE, LOCATED AT 103 SPRUCE STREET, HAWLEY, PA, WITHIN A HRSA-DESIGNATED RURAL AND MEDICALLY UNDERSERVED AREA. THE PROJECT INCREASES ACCESS TO PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES FOR PATIENTS IN WAYNE COUNTY AND SUPPORTS THE COSTS OF CLINICAL STAFF WHO WORK AT THE PRACTICE. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH) (TOTAL: $577,728) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH TO INCREASE ACCESS TO COVID-19 VACCINES. THE PURPOSE OF THIS GRANT IS TO PROVIDE ADDITIONAL SUPPORT FOR COVID-19 VACCINE ADMINISTRATION SERVICES AND COVID-19 VACCINE EDUCATION AND OUTREACH TO CITIZENS OF THE COMMONWEALTH TO REACH VULNERABLE POPULATIONS AND PREVENT THE SPREAD OF THE DISEASE WITHIN COMMUNITIES. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH) (TOTAL: $39,777) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO ADDRESS THE CDC-IDENTIFIED COMMON BARRIERS TO COVID-19 VACCINE CONFIDENCE AND UPTAKE. THE THREE MAJOR OBJECTIVES ARE REDUCING THE STRUCTURAL, BEHAVIORAL, AND INFORMATIONAL BARRIERS RELATED TO COVID-19. TWCCH WILL ESTABLISH NEW AND LEVERAGE EXISTING PARTNERSHIPS TO PROVIDE PERSONAL PROTECTIVE EQUIPMENT (PPE), TESTING, VACCINATIONS, AND OTHER WRAP-AROUND SERVICES AND RESOURCES TO MEET THE NEEDS OF INDIVIDUALS AND MITIGATE THE SPREAD OF COVID-19 AMONG VULNERABLE POPULATIONS INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME, PERSONS RESIDING IN RURAL OR GEOGRAPHICALLY ISOLATED AREAS, PERSONS WHO DO NOT SPEAK ENGLISH FLUENTLY, RACIAL AND ETHNIC MINORITIES, REFUGEES, UNDOCUMENTED IMMIGRANTS, THE LGBTQ+ COMMUNITY, AND YOUTH/ADOLESCENTS. THIS WILL BE ACCOMPLISHED THROUGH TARGETED COVID-19 OUTREACH, EVENTS, AND MARKETING INITIATIVES DESIGNED TO REACH THE IDENTIFIED VULNERABLE POPULATIONS UTILIZING OUR MOBILE HEALTHCARE CLINIC CALLED DRIVING BETTER HEALTH. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH) (TOTAL $164,884) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO OPERATE A HUB-AND-SPOKE MODEL THAT EMPLOYS ADDICTION SPECIALISTS TO PROVIDE EXPERT GUIDANCE AND SUPPORT TO PRIMARY CARE PRACTICES ON EVIDENCE-BASED MEDICATION-ASSISTED TREATMENT (MAT). TWCCH OPERATES THE HUB WHICH INCLUDES A TEAM LED BY A BOARD-CERTIFIED ADDICTION SPECIALIST. THE HUB IS THE CENTER OF THE PENNSYLVANIA COORDINATED MEDICATION ASSISTED TREATMENT (PACMAT) PROGRAM, PROVIDING TECHNICAL ASSISTANCE AND SUPPORT TO THE SPOKES. A SPOKE IS DEFINED AS A LICENSED PRIMARY CARE PROVIDER PRACTICE THAT PROVIDES MAT TO PATIENTS IN THEIR COMMUNITY WITH SUPPORT FROM THE HUB.
FORM 990, PART III, LINE 4C CONTINUED	PROGRAM SERVICE CONTINUED: DUKE UNIVERSITY (TOTAL: $16,500) PURPOSE OF GRANT ASSISTANCE: DUKE UNIVERSITY AWARDED A SUB-AWARD TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FUNDED BY THE NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES. THIS PROJECT WILL INCREASE ACCESS TO AND UPTAKE OF DIAGNOSTIC COVID-19 TESTING AMONG MEDICALLY UNDERSERVED RESIDENTS OF NORTHEASTERN PENNSYLVANIA WITH A FOCUS ON URBAN AND RURAL COUNTIES, SERVING DIVERSE PATIENTS INCLUDING PERSONS WHO DO NOT SPEAK ENGLISH FLUENTLY, RACIAL AND ETHNIC MINORITIES, THE LGBTQ+ COMMUNITY, AND PERSONS RESIDING IN GEOGRAPHICALLY ISOLATED AREAS. TWCCH WILL UTILIZE A MOBILE HEALTHCARE CLINIC CALLED DRIVING BETTER HEALTH TO DELIVER THESE SERVICES TO TEN SITES, INCLUDING NONPROFIT COMMUNITY CENTERS, BUSINESSES, AND FAITH-BASED ORGANIZATIONS. OUR EXPERIENCED BILINGUAL HEALTHCARE PROFESSIONALS HAVE UTILIZED THE MOBILE CLINIC TO NIMBLY RESPOND TO THE FAST-CHANGING PANDEMIC. THE SERVICES INCLUDE SCREENING PATIENTS FOR COVID-19, PROVIDING EDUCATION, ADMINISTERING TESTS, AND PROVIDING VITAL HEALTH INFORMATION IN ENGLISH AND SPANISH. FEDERAL COMMUNICATIONS COMMISSION (TOTAL: $356,939) PURPOSE OF GRANT ASSISTANCE: THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH AND OUR CRITICAL ACCESS PARTNER, ENDLESS MOUNTAINS HEALTH SYSTEMS, TO PURCHASE AND INSTALL DEVICES AND SUPPORTING INFORMATION SERVICES RELATED TO TELEHEALTH. TWCCH'S ELECTRONIC HEALTH RECORD PLATFORM, MEDENT, HAS INTEGRATED TELEHEALTH CAPABILITIES AND WILL SERVE AS THE PLATFORM FOR THE REQUESTED TELEHEALTH DEVICES AND INFORMATION SERVICES. THE DEVICES WILL UTILIZE EXISTING HIGH-SPEED BROADBAND CONNECTIONS WITH A HIPAA-COMPLIANT PATIENT/DOCTOR INTERFACE. THE SERVICES WILL BE UTILIZED TO ENHANCE PATIENT PORTALS, DIGITAL APPLICATIONS, AND OTHER TOOLS TO SUPPORT SCHEDULING, SHOW RATES, AND FOLLOW-UP FOR TELEHEALTH VISITS FOR COVID-19-RELATED SERVICES AND WILL NOT DUPLICATE ANY ADEQUATE ESTABLISHED TELEHEALTH SERVICES. HRSA ARP-LAL (TOTAL: $1,683,135) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED A GRANT TO THE WRIGHT CENTER FOR COMMUNITY HEALTH THROUGH THE AMERICAN RESCUE PLAN (ARP) LOOK-ALIKE (LAL) FUNDING PROGRAM TO SUPPORT FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKES TO RESPOND TO AND MITIGATE THE SPREAD OF COVID-19, AND TO ENHANCE HEALTH CARE SERVICES AND INFRASTRUCTURE. IT INCLUDES THE FOLLOWING ITEMS IN THE BUDGET: PERSONNEL, BENEFITS, AND HEALTH INFORMATION TECHNOLOGY TO SUPPORT TELEHEALTH, COVID TESTING AND VACCINE ADMINISTRATION, CALL CENTER CONTRACT, CONSULTANT FOR A NEED'S ASSESSMENT ON HOW COVID HAS IMPACTED OUR WELL-BEING, TRAINING AND EDUCATION, SOFTWARE, DENTAL EQUIPMENT AND SUPPLIES, AND CARGO AND PATIENT TRANSPORT VEHICLES. HRSA DENTISTRY (TOTAL $545,090) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO COLLABORATE WITH THE NEW YORK UNIVERSITY (NYU) LANGONE DENTAL ADVANCED EDUCATION GENERAL DENTISTRY (AEGD) RESIDENCY PROGRAM TO BECOME A CLINICAL LEARNING ENVIRONMENT IN AN EXPANSION OF THEIR AEGD PROGRAM. THE TWCCH NYU LANGONE RESIDENCY FOCUSES ON VULNERABLE AND MEDICALLY COMPLEX POPULATIONS INCLUDING OLDER ADULTS, HOMELESS INDIVIDUALS, VICTIMS OF ABUSE AND/OR TRAUMA, INDIVIDUALS WITH MENTAL HEALTH AND/OR SUBSTANCE-RELATED DISORDERS, INDIVIDUALS WITH DISABILITIES, AND INDIVIDUALS WITH HIV/AIDS AND HCV. THE AEGD RESIDENCY IS EMBEDDED IN TWCCH'S NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) CERTIFIED PATIENT-CENTERED MEDICAL HOME (PCMH) FOR COMPREHENSIVE INTEGRATION OF ORAL HEALTH WITH PHYSICAL AND MENTAL/BEHAVIORAL HEALTH. HRSA RCORP-NAS (TOTAL: $179,593) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH FOR THE RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) NEONATAL ABSTINENCE SYNDROME (NAS) GRANT PROJECT WHICH WAS DEVELOPED TO REDUCE THE MORBIDITY AND MORTALITY OF SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER (OUD), IN RURAL COMMUNITIES. THESE FUNDS ARE TARGETED TO PATIENTS WHO RESIDE IN WAYNE AND SUSQUEHANNA COUNTIES, FOCUSING ON FEMALES IN THEIR CHILD-BEARING YEARS WHO ARE AT RISK OF HAVING A BABY EXPOSED TO HARMFUL SUBSTANCES. FUNDS ARE UTILIZED FOR PERSONNEL, SUBCONTRACT SERVICES, TRAVEL AND OTHER COSTS, AND PREVENTION EDUCATION. HRSA-RURAL MAT (TOTAL: $551,716) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR A RURAL COMMUNITIES OPIOID RESPONSE PROGRAM IMPLEMENTATION (RCORP-I) GRANT TO ESTABLISH A COMMUNITY CONSORTIUM TO ADDRESS THE OPIOID EPIDEMIC. THROUGH THIS FUNDING, TWCCH IS ENGAGING COMMUNITY RESOURCES THROUGHOUT RURAL NORTHEASTERN PENNSYLVANIA TO MAXIMIZE MEDICATION-ASSISTED TREATMENT (MAT) EFFORTS IN A TEAM-BASED CARE INFRASTRUCTURE SPECIFICALLY TARGETED TO SERVING RURAL POPULATIONS. HRSA - RYAN WHITE (TOTAL: $305,847) PURPOSE OF THE GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO PROVIDE A COMPREHENSIVE SYSTEM OF HIV PRIMARY MEDICAL CARE, ESSENTIAL SUPPORT SERVICES, AND MEDICATIONS FOR LOW-INCOME PATIENTS WITH HIV/AIDS, WHO RESIDE ACROSS A SEVEN-COUNTY AREA. HRSA EARLY INTERVENTION SERVICES PROGRAM FUNDING ALLOWS TWCCH TO PROVIDE HIV COUNSELING, MEDICAL EVALUATION, AND CLINICAL DIAGNOSTIC SERVICES FOR PATIENTS. THE WRIGHT CENTER RYAN WHITE CLINIC (TWCRWC) IS THE DESIGNATED SERVICE AREA'S SOLE PROVIDER OF HIV/AIDS PRIMARY CARE AND READILY COLLABORATES WITH ALL COMMUNITY-BASED AGENCIES OPERATING IN THE SERVICE AREA WITH THE SHARED GOAL TO REDUCE THE NUMBER OF PEOPLE INFECTED WITH HIV, FACILITATE BETTER ACCESS TO A CONTINUUM OF CARE, ENROLL AND MAINTAIN PATIENTS IN CARE, AND REDUCE HIV-RELATED HEALTH DISPARITIES WHILE AVOIDING DUPLICATION OF EFFORT. TWCRWC TARGETS PEOPLE LIVING WITH HIV/AIDS (PLWHA) IN SEVEN COUNTIES, REACHING RURAL, LOW-INCOME, HARD-TO-REACH, AND TRADITIONALLY UNDERSERVED AREAS IN NORTHEASTERN PENNSYLVANIA. NATIONAL HEALTH CARE FOR THE HOMELESS COUNCIL (TOTAL: $139,280) PURPOSE OF GRANT ASSISTANCE: THE NATIONAL HEALTH CARE FOR THE HOMELESS COUNCIL IN PARTNERSHIP WITH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AWARDED FUNDS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO CREATE A COMMUNITY VACCINE AMBASSADOR PROGRAM FOR A HEALTH CARE ENABLING SERVICES WORKFORCE THAT WILL CONDUCT COMMUNITY OUTREACH TO INCREASE VACCINATION RATES IN PEOPLE WHO ARE EXPERIENCING HOMELESSNESS AND PEOPLE WITH SUBSTANCE USE DISORDERS. TWCCH WILL UTILIZE OUR COMMUNITY HEALTH WORKERS, MEDICAL CLINICS, AND OUR DRIVING BETTER HEALTH MOBILE CLINIC TO INCREASE IMMUNIZATION RATES IN THESE UNDERSERVED POPULATIONS. PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (TOTAL: $53,750) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TITLE V FUNDING TO THE WRIGHT CENTER FOR COMMUNITY HEALTH TO SUPPORT ENGAGEMENT AMONG PENNSYLVANIA'S FEDERALLY QUALIFIED HEALTH CENTERS, CHILDREN WITH SPECIAL HEALTHCARE NEEDS, AND THEIR FAMILIES. THE PROJECT AIMS TO INCREASE ACCESS TO QUALITY HEALTHCARE FOR LOW-INCOME MOTHERS AND THEIR CHILDREN INCLUDING PREVENTIVE HEALTH SERVICES, REHABILITATIVE SERVICES, AND COMMUNITY-BASED SYSTEMS OF COORDINATED CARE.
FORM 990, PART III, LINE 4C CONTINUED	PROGRAM SERVICE CONTINUED: PENNSYLVANIA CHAPTER, AMERICAN ACADEMY OF PEDIATRICS (TOTAL: $5,428) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA CHAPTER, AMERICAN ACADEMY OF PEDIATRICS THROUGH THE PENNSYLVANIA DEPARTMENT OF HEALTH'S "FIRST FOODS CONTRACT" AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH TO SUPPORT THE IMPROVED BREASTFEEDING INITIATION AMONG MOMS WITH SUBSTANCE USE DISORDER PROJECT TO IMPROVE BREASTFEEDING INITIATION AND DURATION RATES. ENROLLEES WILL BE CONNECTED WITH BREASTFEEDING PEER SUPPORT AND PROVIDED WITH BREASTFEEDING-RELATED SUPPLIES. ROCKEFELLER PHILANTHROPY ADVISORS, INC. (TOTAL: $4,810) PURPOSE OF GRANT ASSISTANCE: ROCKEFELLER PHILANTHROPY ADVISORS, THROUGH THE FUND FOR SHARED INSIGHT, AWARDED FUNDING TO THE WRIGHT CENTER FOR COMMUNITY HEALTH TO ADMINISTER SURVEYS TO STUDENTS AND PARENTS TO CLOSE THE FEEDBACK LOOP WITHIN THE "TOGETHER IN HEALTH" SCHOOL-BASED HEALTH CENTER SERVICE LINE. SCRANTON AREA COMMUNITY FOUNDATION (TOTAL: $3,500) PURPOSE OF GRANT ASSISTANCE: THE WRIGHT CENTER FOR COMMUNITY HEALTH WAS AWARDED A $3,500 GRANT BY THE WOMEN IN PHILANTHROPY INITIATIVE FUND OF THE SCRANTON AREA COMMUNITY FOUNDATION WHICH FOCUSES ON EMPOWERING AND TRANSFORMING THE LIVES OF WOMEN AND GIRLS IN THE LACKAWANNA COUNTY REGION. THE FUNDS WILL PROVIDE INITIAL CHILD CARE ASSISTANCE TO HELP THE WRIGHT CENTER'S HEALTHY MOMS (MATERNAL OPIATE MEDICAL SUPPORT) PROGRAM PARTICIPANTS RETURN TO WORK. SPITZ FOUNDATION (TOTAL: $4,400) PURPOSE OF GRANT ASSISTANCE: THE ROBERT H. SPITZ FOUNDATION (ADMINISTERED BY THE SCRANTON AREA COMMUNITY FOUNDATION) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH TO SUPPORT THE NEWLY FORMED COMMUNITY HEALTH WORKERS (CHWS) TEAM. THE TEAM REQUIRES FUNDS TO STOCK NECESSITIES SUCH AS CLOTHES, PERSONAL CARE ITEMS, ETC., FOR EMERGENCY DISTRIBUTION TO PATIENTS IN DIRE SITUATIONS. THE CHWS WILL SUPPLY THESE BASICS AS NEEDED, GUIDE ELIGIBLE INDIVIDUALS TO APPLY FOR HEALTH INSURANCE AND FOOD ASSISTANCE PROGRAMS, AND CONNECT WITH COMMUNITY RESOURCES SUCH AS GED PROGRAMS AND JOB TRAINING. THE GOAL IS TO HELP PATIENTS OVERCOME PRESSING ECONOMIC HARDSHIPS SO THAT THEY CAN GAIN THE FOCUS AND FINANCIAL STABILITY TO PROPERLY ADDRESS THEIR HEALTH ISSUES. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) (TOTAL: $586,785) PURPOSE OF THE GRANT ASSISTANCE: THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR A "TARGETED CAPACITY EXPANSION: MEDICATION-ASSISTED TREATMENT (MAT) PRESCRIPTION DRUG AND OPIOID ADDICTION" GRANT. THE FUNDING ENABLED TWCCH'S OPIOID USE DISORDER CENTER OF EXCELLENCE (OUD-COE) TO PROVIDE ADDICTION AND RECOVERY SERVICES, INCLUSIVE OF MEDICATION-ASSISTED TREATMENT AND BEHAVIORAL/MENTAL HEALTH SERVICES, TO JUSTICE-INVOLVED INDIVIDUALS, VETERANS, AND MOTHER/BABY DYADS. UNITED WAY OF WYOMING VALLEY (TOTAL $963,630) PURPOSE OF GRANT ASSISTANCE: THE UNITED WAY OF WYOMING VALLEY (UWWV), IN WILKES-BARRE, PENNSYLVANIA, AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH AS A SUB-GRANTEE, TO OFFER RYAN WHITE PART B MEDICAL CASE MANAGEMENT SERVICES ACROSS A SIX-COUNTY AREA TO PEOPLE LIVING WITH HIV/AIDS, AND TO PROVIDE SUPPORT SERVICES FOR MEDICAL TRANSPORTATION, EMERGENCY FINANCIAL ASSISTANCE, ORAL HEALTHCARE, HEALTH INSURANCE PREMIUMS, HEALTHCARE REFERRALS, AND MENTAL HEALTH SERVICES. UNITED WAY OF WYOMING VALLEY (TOTAL: $47,725) PURPOSE OF GRANT ASSISTANCE: THE UNITED WAY OF WYOMING VALLEY (UWWV), IN WILKES-BARRE, PENNSYLVANIA, AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH FOR THE "SEE TO SUCCEED" PROGRAM FROM A PRIME AWARD THROUGH THE MOSES TAYLOR FOUNDATION. THIS PROGRAM COORDINATES PARTNERSHIPS AND ESTABLISHED AN EYE CARE CLINIC THAT ROTATES AMONG SCHOOLS WITHIN THE WILKES-BARRE AREA SCHOOL DISTRICT AND HANOVER AREA SCHOOL DISTRICT IN LUZERNE COUNTY, PENNSYLVANIA TO ENSURE THAT EVERY STUDENT HAS ACCESS TO AN EYE EXAM AND CORRECTIVE EYEWEAR FOLLOWING STATE MANDATES. A BUDGET LINE IS INCLUDED TO COVER COSTS FOR UNINSURED OR UNDERINSURED STUDENTS.
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: TWCCH IS AFFILIATED WITH TWCGME (EIN: 23-2007832). TO INCREASE ORGANIZATIONAL EFFICIENCIES, TWCGME IS A COMMON PAY AGENT FOR W-2 REPORTING OF BOTH ENTITIES, WITH THE NOTABLE EXCEPTION THAT TWCCH DIRECTLY EMPLOYS ITS CHIEF EXECUTIVE OFFICER, CHIEF MEDICAL OFFICER, AND CHIEF OPERATING OFFICER. TWCGME REPORTS ALL OTHER EMPLOYEES ON ITS FORM W-3; HOWEVER, EACH ENTITY'S RESPECTIVE EMPLOYEE FTES ARE ALLOCATED APPROPRIATELY TO EACH ENTITY WITHOUT DUPLICATION BASED ON A SERIES OF AGREEMENTS BETWEEN THE ORGANIZATIONS. PER IRS INSTRUCTIONS, EMPLOYEES INCLUDED ON PART V, LINE 2A, ARE THOSE DEEMED TO BE THE FTE EQUIVALENT OF EMPLOYEES ALLOCATED TO TWCCH.
FORM 990, PART VI, SECTON B, LINE 11B	FORM 990 REVIEW: TWCCH'S FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT 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. TWCCH'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, B, & C	CONFLICT OF INTEREST POLICY: A WRITTEN CONFLICT OF INTEREST POLICY HAS BEEN APPROVED BY THE BOARD OF DIRECTORS AND IS REVIEWED AND UPDATED, IF NECESSARY OR APPROPRIATE, ANNUALLY. AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED ANNUALLY BY THE DIRECTORS, OFFICERS, AND ALL STAFF INCLUDING KEY EMPLOYEES OF THE ORGANIZATION. SHOULD A CONFLICT 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: THE PROCESS FOR DETERMINING THE COMPENSATION OF TWCCH'S TOP MANAGEMENT OFFICIAL, THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO), IS LED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE ENGAGES A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT PERIODICALLY (GENERALLY EVERY THREE TO FIVE YEARS) TO PROVIDE A COMPREHENSIVE, OBJECTIVE COMPENSATION STUDY, ASSESSMENT, AND ANALYSIS EACH TIME THE CEO'S CONTRACT, SALARY, AND COMPENSATION ARE NEGOTIATED. ADDITIONALLY, THE EXECUTIVE COMMITTEE OF THE BOARD 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 THE SALARY AND BENEFITS OF THE 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: IN ADDITION TO THE PRESIDENT & CEO, THE CHIEF MEDICAL OFFICER AND CHIEF OPERATING OFFICER ARE DIRECTLY EMPLOYED BY TWCCH. THE SERVICES OF ALL OTHER TWCCH STAFF ARE CONTRACTED FROM TWCGME, TWCCH'S AFFILIATED ENTITY AND COMMON PAYMASTER. 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.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENT AVAILABILITY: TWCCH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION BY APPOINTMENT DURING BUSINESS HOURS AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE IN SCRANTON, WITH COPIES PROVIDED UPON REQUEST. TWCCH'S THREE MOST RECENTLY FILED 990S ARE AVAILABLE ON LOCATION BY REQUEST CONSISTENT WITH IRS APPLICABLE LAWS, RULES AND REGULATIONS AND ALSO IN DOWNLOADABLE FORMAT ON OUR WEBSITE.

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 MEDICAL GROUP

Employer identification number

23-2772504

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 FOR GRADUATE MEDICAL E 501 S WASHINGTON AVE STE 1000 SCRANTON,PA18505 23-2007832	SEE NARRATIVE	PA	501(C)(3)	10	NA		No
(2)COMMUNITY HEALTH HUB 501 S WASHINGTON AVE STE 1000 SCRANTON,PA18505 27-3582779	SEE NARRATIVE	PA	501(C)(3)	10	NA		No
(3)THE WRIGHT CENTER ALLIANCE 501 S WASHINGTON AVE STE 1000 SCRANTON,PA18505 81-2982874	SEE NARRATIVE	PA	501(C)(3)	12A1	TWCGME		No
(4)PATIENT ENGAGEMENT COUNCIL 501 S WASHINGTON AVE STE 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) ............................

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) .......................

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

Yes

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

FORM 990, SCHEDULE R, PART II

NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) PRIMARY ACTIVITY: TWCGME IS THE ACGME-ACCREDITED SPONSORING INSTITUTION FOR SEVERAL ACGME-ACCREDITED GRADUATE MEDICAL EDUCATION PRIMARY CARE RESIDENCY AND SPECIALTY FELLOWSHIP PROGRAMS. TWCCH AND TWCGME SHARE MISSION AND PURPOSE AS ALIGNED ENTITIES IN A TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM. 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 TWCCH. 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 WITH SHARED PURPOSE IN OPTIMIZING SHARED MISSION DELIVERY ACHIEVEMENT. NAME OF RELATED ORGANIZATION: PATIENT ENGAGEMENT COUNCIL D/B/A THE WRIGHT CENTER FOR PATIENT & COMMUNITY ENGAGEMENT PRIMARY ACTIVITY: EMPOWERS PATIENTS 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 MEDICAL GROUP DBA THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) IS TO IMPROVE THE HEALTH AND WELFARE OF OUR COMMUNITY. SEE SCHEDULE O FOR MORE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	413
6	Total number of volunteers (estimate if necessary) .............	6	20
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) .........	8,092,274	7,402,844
9	Program service revenue (Part VIII, line 2g) .........	44,801,585	50,829,701
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	62,936	63,058
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	92,706	66,659
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	53,049,501	58,362,262
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,468,246	1,473,516
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)	27,702,716	28,147,377
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)....	16,581,832	21,476,545
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	45,752,794	51,097,438
19	Revenue less expenses. Subtract line 18 from line 12.......	7,296,707	7,264,824
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	30,573,835	36,548,255
21	Total liabilities (Part X, line 26).............	13,844,856	12,554,452
22	Net assets or fund balances. Subtract line 21 from line 20.....	16,728,979	23,993,803

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 25,431,903 including grants of $ ) (Revenue $ 49,752,952 )
	CLINICAL SERVICES: A U.S. Health Resources and Services Administration (HRSA) designated Federally Qualified Health Center Look-Alike (FQHC Look-Alike), TWCCH has submitted its annual Uniform Data System reports providing the impact metrics of our provision of fully-integrated and comprehensive nondiscriminatory primary health services regardless of ZIP code, insurance status, or ability to pay in a Patient-Centered Medical Home care delivery model. SEE SCHEDULE O FOR MORE.

4b	(Code: ) (Expenses $ 9,367,723 including grants of $ ) (Revenue $ )
	340B DRUG PRICING PROGRAM: AS A RYAN WHITE PROGRAM GRANTEE AND SERVICE PROVIDER THROUGH THE TITLE X PROGRAM, TWCCH HAD PARTICIPATED IN THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 340B DRUG PRICING PROGRAM FOR MANY YEARS. SEE SCHEDULE O FOR MORE.

4c	(Code: ) (Expenses $ 8,220,018 including grants of $ 1,347,516 ) (Revenue $ )
	GRANT PROGRAMS: TWCCH IS A NON-PROFIT, 501(C)(3) THAT PASSIONATELY APPLIES FOR MISSION-ALIGNED AND MISSION-AMPLIFYING FEDERAL, STATE, LOCAL AND PHILANTHROPIC AGENCIES' GRANT FUNDING INITIATIVES AS NEEDED AND APPROPRIATE TO ENSURE, ACCELERATE, AND FURTHER THE DELIVERY OF OUR MISSION TO IMPROVE THE HEALTH AND WELFARE OF OUR COMMUNITIES THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. SEE SCHEDULE O FOR MORE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,134 including grants of $ 126,000 ) (Revenue $ 1,076,749 )
4e	Total program service expenses43,020,778

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,836,421	1,415,362	482,293

1a	Federated campaigns..		1a	963,630
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	6,306,943

f	All other contributions, gifts, grants, and similar amounts not included above		1f	132,271

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

h Total. Add lines 1a-1f.......		7,402,844

		Business Code
2a	NET PATIENT SERVICES REVENUE	621400	45,762,359	45,762,359
b	TEACHING REVENUE	621400	3,990,594	3,990,594
c	OTHER PROGRAM SERVICE REVENUE	621400	1,076,748	1,076,748
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		50,829,701

3 Investment income (including dividends, interest, and othersimilar amounts) ......			63,058			63,058
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		35,452	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	35,452	6c
d	Net rental income or (loss).......			35,452			35,452
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........			0
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	MISCELLANEOUS REVENUE		900099	14,846			14,846
b	PURCHASE DISCOUNTS		900099	16,361			16,361
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			31,207
12	Total revenue. See instructions.....			58,362,262	50,829,701		129,717

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	860,574	860,574
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	612,942	612,942
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 ...........	2,928,232	2,492,685	435,547
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........	20,311,623	16,480,274	3,831,349
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,290,223	1,070,093	220,130
9	Other employee benefits .......	2,007,043	1,509,569	497,474
10	Payroll taxes ...........	1,610,256	1,230,639	379,617
11	Fees for services (non-employees):
a	Management ......	1,754,875	1,754,875
b	Legal .........	440,845	9,350	431,495
c	Accounting ...........	156,138		156,138
d	Lobbying ...........	47,073		47,073
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,455,784	1,169,060	286,724
12	Advertising and promotion ....	116,949	115,734	1,215
13	Office expenses .......	494,280	465,468	28,812	0
14	Information technology ......	539,068	440,773	98,295
15	Royalties ..	0
16	Occupancy ...........	1,515,904	1,099,725	416,179
17	Travel ............	50,854	48,402	2,452
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	73,511	70,209	3,302
20	Interest ...........	209,978	184,095	25,883
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	691,248	690,544	704
23	Insurance ...	418,326	360,936	57,390
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	Medication Expense	6,008,928	6,008,928
b	Administration and Support	4,730,390	3,642,454	1,087,936
c	Direct Medical Expense	2,080,475	2,044,041	36,434
d	Repairs & Maintenance	404,771	374,507	30,264
e	All other expenses	287,148	284,901	2,247
25	Total functional expenses. Add lines 1 through 24e	51,097,438	43,020,778	8,076,660	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 ........			2,150	1	1,250
2	Savings and temporary cash investments .........			4,844,842	2	8,362,651
3	Pledges and grants receivable, net ......			1,063,205	3	1,025,712
4	Accounts receivable, net .............			11,298,464	4	14,810,358
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 ...........			6,284,150	7	6,284,150
8	Inventories for sale or use ............			0	8	0
9	Prepaid expenses and deferred charges ......			170,250	9	25,621
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	9,899,056
b	Less: accumulated depreciation	10b	3,860,543	6,376,764	10c	6,038,513
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			534,010	15	0
16	Total assets. Add lines 1 through 15 (must equal line 33)...			30,573,835	16	36,548,255

17	Accounts payable and accrued expenses .....	2,216,723	17	2,157,240
18	Grants payable ...	0	18	0
19	Deferred revenue .........	88,900	19	24,084
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 ..	5,519,032	23	4,234,610
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	6,020,201	25	6,138,518
26	Total liabilities. Add lines 17 through 25..	13,844,856	26	12,554,452

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	15,725,055	27	23,786,336
28	Net assets with donor restrictions ...........	1,003,924	28	207,467
	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 ...........	16,728,979	32	23,993,803
33	Total liabilities and net assets/fund balances ........	30,573,835	33	36,548,255