TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) LINDA THOMAS-HEMAK MD...................................................................... PRESIDENT & CEO	15.0 ................. 40.0	X	X			226,090	678,269	41,372
(2) JIGNESH SHETH MD...................................................................... SVP CLINICAL OPERATIONS/PHY	15.0 ................. 40.0			X		148,182	444,547	41,372
(3) WILLIAM DEMPSEY MD...................................................................... ASSOCIATE PROGRAM DIRECTOR/PHY	5.0 ................. 50.0				X	35,983	323,850	38,608
(4) JUMEE BAROOAH MD...................................................................... DIO AND PHYSICIAN/ NON VOTING	25.0 ................. 30.0			X		148,734	197,158	40,741
(5) VINOD SHARMA MD...................................................................... PROGRAM DIRECTOR/PHYSICIAN	30.0 ................. 25.0			X		172,243	172,243	39,077
(6) ENRIQUE SAMONTE MD...................................................................... PROGRAM DIRECTOR/PHYSICIAN	5.0 ................. 50.0			X		35,157	284,451	36,748
(7) TIMOTHY BURKE DO...................................................................... PROGRAM DIRECTOR/PHYSICIAN	20.0 ................. 35.0			X		116,796	198,868	38,726
(8) MAUREEN LITCHMAN MD...................................................................... ASSOCIATE PROGRAM DIRECTOR/PHY	15.0 ................. 40.0				X	96,285	224,665	29,495
(9) JENNIFER WALSH ESQ...................................................................... SVP ENT COMP INTEG	55.0 ................. 0.0			X		319,624	0	27,860
(10) RONALD DANIELS CPA...................................................................... CFO	55.0 ................. 0.0		X			309,658	0	34,699
(11) RAJIV BANSAL MD...................................................................... DIRECTOR OF HOSPITAL SERVICES	5.0 ................. 50.0			X		34,896	255,902	37,086
(12) JOHN JANOSKY...................................................................... CHIEF INFORMATION OFFICER	55.0 ................. 0.0				X	266,342	0	32,932
(13) DEBORAH SPRING MD...................................................................... ASSOCIATE PROGRAM DIRECTOR/PHY	5.0 ................. 50.0				X	31,849	233,562	32,666
(14) JOSEPH SILEO ESQ...................................................................... SVP LEGAL SERVICES & GENERAL C	55.0 ................. 0.0				X	266,467	0	19,919
(15) MEAGHAN RUDDY PHD...................................................................... CHIEF R&D OFFICER & SVP ACADEM	40.0 ................. 15.0			X		184,820	61,607	30,135
(16) VENARD KOERWER PHD...................................................................... EVP & CHIEF ADMINISTRATIVE OFF	55.0 ................. 0.0			X		226,190	0	10,076
(17) CAROL RUBEL...................................................................... SECRETARY	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) DEBRA YOUNGFELT........................................................................ DIRECTOR	1.0 .......................0.0	X
(19) DOUGLAS SPEGMAN MD........................................................................ DIRECTOR	1.0 .......................0.0	X
(20) ELENI O'DONOVAN MD........................................................................ DIRECTOR	1.0 .......................0.0	X
(21) GERTRUDE MCGOWAN ESQ........................................................................ DIRECTOR END 03/23	1.0 .......................0.0	X
(22) HAROLD BAILLIE PHD........................................................................ CHAIRMAN	5.0 .......................0.0	X	X
(23) JAMES GAVIN........................................................................ VICE CHAIR	5.0 .......................1.0	X	X
(24) JOHN KEARNEY........................................................................ TREASURER END 05/23	5.0 .......................0.0	X	X
(25) JUDY FEATHERSTONE MD........................................................................ DIRECTOR	1.0 .......................0.0	X
(26) KEVIN SULLIVAN........................................................................ DIRECTOR END 12/22	1.0 .......................0.0	X
(27) KIM PATTON........................................................................ DIRECTOR	1.0 .......................0.0	X
(28) LIA RICHARDS-PALMITER PHD........................................................................ DIRECTOR END 09/22	1.0 .......................0.0	X
(29) MICHAEL CURRAN........................................................................ DIRECTOR BEG 05/23	1.0 .......................0.0	X
(30) MICHAEL PAGLIA MD PHD........................................................................ DIRECTOR	1.0 .......................0.0	X
(31) PATRICK CONABOY MD........................................................................ DIRECTOR END 09/22	1.0 .......................0.0	X
(32) PETER AMATO PHD DNM........................................................................ DIRECTOR BEG 05/23	1.0 .......................0.0	X
(33) RONALD BUKOWSKI........................................................................ DIRECTOR	1.0 .......................0.0	X
(34) SCOTT SCHERMERHORN........................................................................ DIRECTOR BEG 12/22	1.0 .......................0.0	X
(35) SHARON OBADIA DO........................................................................ DIRECTOR	1.0 .......................0.0	X
(36) TERI OOMS........................................................................ TREASURER BEG 06/23	5.0 .......................0.0	X	X
(37) THOMAS BISIGNANI........................................................................ DIRECTOR END 05/23	1.0 .......................0.0	X
(38) ARIANE CONABOY DO........................................................................ DIRECTOR BEG 09/22	1.0 .......................0.0	X

(A) Name and business address	(B) Description of services	(C) Compensation
UNITY HEALTH CARE INC, 1100 NEW JERSEY AVENUE SE SUITE 5 WASHINGTON,DC20003	PROFESSIONAL FEES	942,289
EL RIO HEALTH, 1230 S CHERRYBELL STRA TUCSON,AZ85713	PROFESSIONAL FEES	730,729
HEALTH POINT, 923 AUBURN WAY NORTH AUBURN,WA98002	PROFESSIONAL FEES	728,229
HEALTH SOURCE OF OHIO, 424 WARDS CORNER ROAD SUITE 200 LOVELAND,OH45140	PROFESSIONAL FEES	343,330
PAYLOCITY CORPORATION, 1400 AMERICAN LANE SCHAUMBURG,IL60173	PROFESSIONAL FEES	216,115
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 7

- 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

2022

Open to Public
Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (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—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	16,798,105	17,334,945	23,651,071	19,850,852	21,445,463	99,080,436
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	13,415,299	14,787,588	17,692,901	17,576,749	19,268,341	82,740,878
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	30,213,404	32,122,533	41,343,972	37,427,601	40,713,804	181,821,314
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.)						181,821,314

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...	30,213,404	32,122,533	41,343,972	37,427,601	40,713,804	181,821,314
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	149,433	703,373	1,096,841	1,131,212	1,327,020	4,407,879
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	149,433	703,373	1,096,841	1,131,212	1,327,020	4,407,879
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.						0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..		37,676	862,117	1,226,144	1,930,902	4,056,839
13	Total support. (Add lines 9, 10c, 11, and 12.)..	30,362,837	32,863,582	43,302,930	39,784,957	43,971,726	190,286,032

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 2022 (line 8, column (f) divided by line 13, column (f)) .........

95.552 %

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

96.950 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

2.316 %

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

1.830 %

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

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) 2022

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) 2022

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) 2022

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 2022 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-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

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

2022

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2021

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	97,822
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	97,822
d	Other exempt purpose expenditures ...............................................................................	27,534,838
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	27,632,660
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	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	125,409	90,360	79,484	97,822	393,075

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

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	POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES: TWCGME ENGAGES COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) AND ERG PARTNERS TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR MISSION-ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT POLICIES AND PROGRAMS, INCLUDING LEGISLATION SUPPORTING THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM, AND OTHER FEDERAL AND STATE PUBLIC HEALTH AND HEALTH WORKFORCE DEVELOPMENT PROGRAMS. TWCGME PAID COZEN O'CONNOR $45,000 AND ERG PARTNERS $4,500 FOR THESE SERVICES, AMOUNTS THAT ARE INCLUDED IN THE TOTAL REFLECTED ON TWCGME'S FORM 990. IN ADDITION TO COZEN AND ERG PARTNERS, THREE PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH STATE AND FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR MISSION-ALIGNED PRIMARY CARE AND PUBLIC HEALTH WORKFORCE DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC MISSION-ALIGNED PRIMARY CARE AND PUBLIC-HEALTH SERVICES AND WORKFORCE DEVELOPMENT-ORIENTED LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING MISSION-ALIGNED PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND, IN SOME CASES, PRIMARY CARE AND PUBLIC HEALTH SERVICES AND WORKFORCE DEVELOPMENT LEGISLATION. MOREOVER, DURING THE 2022-2023 FISCAL YEAR, THERE WAS A SMALL GROUP OF OTHER PAID STAFF, INCLUDING BUT NOT LIMITED TO TWCCH'S PRESIDENT & CEO AND A CHIEF RESIDENT AND RESIDENT LEADER OF ADVOCACY, WHO PARTICIPATED IN ADVOCACY AND LOBBYING ACTIVITIES TO PROMOTE SPECIFIC MISSION-ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT LEGISLATION ON SEVERAL OCCASIONS. IN ALL, TWCGME DIRECTLY SPENT $64,822 ON REPORTABLE LOBBYING ACTIVITIES. ADDITIONALLY, TWCGME IS A CORPORATE MEMBER OF THE AMERICAN ASSOCIATION OF TEACHING HEALTH CENTERS (AATHC), A 501(C)(6) TAX EXEMPT ENTITY. DURING THE REPORTING PERIOD, $33,000 OF DUES PAID TO AATHC WAS DEDICATED TO REPORTABLE LOBBYING ACTIVITIES. TWCCH ALSO ENGAGES THE FIRM OF COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) AND ERG PARTNERS TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR PUBLIC HEALTH IMPROVEMENT POLICIES AND PROGRAMS, INCLUDING LEGISLATION SUPPORTING THE FUNDING OF FEDERALLY QUALIFIED HEALTH CENTERS AND LOOK-ALIKES AND THE NATIONAL HEALTH SERVICE CORPS (NHSC) LOAN REPAYMENT PROGRAM (COLLECTIVELY, "PUBLIC HEALTH PROGRAMS''). TWCCH PAID COZEN $45,000 AND ERG PARTNERS $4,500 DURING THE FISCAL YEAR THROUGH TWCGME, ITS AFFILIATED ENTITY AND COMMON PAYMASTER, FOR THESE SERVICES. THESE AMOUNTS ARE INCLUDED IN THE TOTAL REFLECTED ON TWCCH'S FORM 990. IN ADDITION TO COZEN AND ERG PARTNERS, 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 DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC PRIMARY CARE AND PUBLIC-HEALTH SERVICES AND WORKFORCE DEVELOPMENT LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND, IN SOME CASES, PRIMARY CARE AND MISSION-ALIGNED PUBLIC HEALTH-ORIENTED LEGISLATION. MOREOVER, DURING THE 2022-2023 FISCAL YEAR, THERE WAS A SMALL GROUP OF OTHER PAID STAFF, INCLUDING BUT NOT LIMITED TO TWCCH'S PRESIDENT & CEO, A CHIEF RESIDENT AND RESIDENT LEADER OF ADVOCACY, WHO PARTICIPATED IN ADVOCACY AND LOBBYING ACTIVITIES TO PROMOTE SPECIFIC MISSION ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT LEGISLATION ON SEVERAL OCCASIONS. IN ALL, TWCCH DIRECTLY SPENT $60,609 ON REPORTABLE LOBBYING ACTIVITIES.

Return Reference

Explanation

FORM 990, SCHEDULE C, PART IV, SUPPLEMENTAL INFORMATION

POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES: TWCGME ENGAGES COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) AND ERG PARTNERS TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR MISSION-ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT POLICIES AND PROGRAMS, INCLUDING LEGISLATION SUPPORTING THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM, AND OTHER FEDERAL AND STATE PUBLIC HEALTH AND HEALTH WORKFORCE DEVELOPMENT PROGRAMS. TWCGME PAID COZEN O'CONNOR $45,000 AND ERG PARTNERS $4,500 FOR THESE SERVICES, AMOUNTS THAT ARE INCLUDED IN THE TOTAL REFLECTED ON TWCGME'S FORM 990. IN ADDITION TO COZEN AND ERG PARTNERS, THREE PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH STATE AND FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR MISSION-ALIGNED PRIMARY CARE AND PUBLIC HEALTH WORKFORCE DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC MISSION-ALIGNED PRIMARY CARE AND PUBLIC-HEALTH SERVICES AND WORKFORCE DEVELOPMENT-ORIENTED LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING MISSION-ALIGNED PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND, IN SOME CASES, PRIMARY CARE AND PUBLIC HEALTH SERVICES AND WORKFORCE DEVELOPMENT LEGISLATION. MOREOVER, DURING THE 2022-2023 FISCAL YEAR, THERE WAS A SMALL GROUP OF OTHER PAID STAFF, INCLUDING BUT NOT LIMITED TO TWCCH'S PRESIDENT & CEO AND A CHIEF RESIDENT AND RESIDENT LEADER OF ADVOCACY, WHO PARTICIPATED IN ADVOCACY AND LOBBYING ACTIVITIES TO PROMOTE SPECIFIC MISSION-ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT LEGISLATION ON SEVERAL OCCASIONS. IN ALL, TWCGME DIRECTLY SPENT $64,822 ON REPORTABLE LOBBYING ACTIVITIES. ADDITIONALLY, TWCGME IS A CORPORATE MEMBER OF THE AMERICAN ASSOCIATION OF TEACHING HEALTH CENTERS (AATHC), A 501(C)(6) TAX EXEMPT ENTITY. DURING THE REPORTING PERIOD, $33,000 OF DUES PAID TO AATHC WAS DEDICATED TO REPORTABLE LOBBYING ACTIVITIES. TWCCH ALSO ENGAGES THE FIRM OF COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) AND ERG PARTNERS TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR PUBLIC HEALTH IMPROVEMENT POLICIES AND PROGRAMS, INCLUDING LEGISLATION SUPPORTING THE FUNDING OF FEDERALLY QUALIFIED HEALTH CENTERS AND LOOK-ALIKES AND THE NATIONAL HEALTH SERVICE CORPS (NHSC) LOAN REPAYMENT PROGRAM (COLLECTIVELY, "PUBLIC HEALTH PROGRAMS''). TWCCH PAID COZEN $45,000 AND ERG PARTNERS $4,500 DURING THE FISCAL YEAR THROUGH TWCGME, ITS AFFILIATED ENTITY AND COMMON PAYMASTER, FOR THESE SERVICES. THESE AMOUNTS ARE INCLUDED IN THE TOTAL REFLECTED ON TWCCH'S FORM 990. IN ADDITION TO COZEN AND ERG PARTNERS, 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 DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC PRIMARY CARE AND PUBLIC-HEALTH SERVICES AND WORKFORCE DEVELOPMENT LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND, IN SOME CASES, PRIMARY CARE AND MISSION-ALIGNED PUBLIC HEALTH-ORIENTED LEGISLATION. MOREOVER, DURING THE 2022-2023 FISCAL YEAR, THERE WAS A SMALL GROUP OF OTHER PAID STAFF, INCLUDING BUT NOT LIMITED TO TWCCH'S PRESIDENT & CEO, A CHIEF RESIDENT AND RESIDENT LEADER OF ADVOCACY, WHO PARTICIPATED IN ADVOCACY AND LOBBYING ACTIVITIES TO PROMOTE SPECIFIC MISSION ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT LEGISLATION ON SEVERAL OCCASIONS. IN ALL, TWCCH DIRECTLY SPENT $60,609 ON REPORTABLE LOBBYING ACTIVITIES.

Schedule C (Form 990) 2021

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SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
SchDMd Bullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

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

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

1a	Land .....
b	Buildings ....
c	Leasehold improvements	4,010,550	1,032,091	2,978,459
d	Equipment ....	4,380,108	2,867,123	1,512,985
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				4,491,444

Schedule D (Form 990) 2021

Page 3

Part VII

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

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

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES				3,312,450
(2)RESTRICTED CASH				96,349
(3)ROU - LEASE ASSET				4,463,965
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				7,872,764

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
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	7,216,496
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	44,510,082
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	367,275
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	367,275
3	Subtract line 2e from line 1..................			3	44,142,807
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	32,587
b	Other (Describe in Part XIII.) ...........	4b	-346,951
c	Add lines 4a and 4b....................			4c	-314,364
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	43,828,443

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	42,164,306
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	346,951
e	Add lines 2a through 2d....................			2e	346,951
3	Subtract line 2e from line 1...................			3	41,817,355
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	32,587
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	32,587
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	41,849,942

Part XIII

Supplemental Information

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

Return Reference	Explanation
SCHEDULE D, PART X, LINE 2	THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2023 AND 2022.
SCHEDULE D, PART XI, LINE 4B	REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT LINE 1: $ (346,951) RENTAL EXPENSES
SCHEDULE D, PART XII, LINE 2D	EXPENSES INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 346,951 RENTAL EXPENSES

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

2022

Open to Public
Inspection

Name of the organization
THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number
23-2007832

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) COMMONWEALTH DENTAL CARE INITIATIVE 425 BIDEN STREET 200 SCRANTON,PA18503	88-4372847	501(C)(3)	12,500	SEE NARRATIVES
(2) NATIVITYMIGUEL SCHOOL OF SCRANTON 2300 ADAMS AVENUE SCRANTON,PA18509	46-3590340	501(C)(3)	37,500	SEE NARRATIVES
(3) SCRANTON TOMORROW 307 LINDEN STREET SCRANTON,PA18503	23-2701934	501(C)(3)	17,500	SEE NARRATIVES
(4) THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVEL 85 S MAIN STREET 201 WILKESBARRE,PA18701	24-0795506	501(C)(3)	6,000	SEE NARRATIVES
(5) WYCKOFF HEIGHTS MEDICAL CENTER 374 STOCKHOLM STREET BROOKLYN,NY11237	11-1631837	501(C)(3)	194,317	SEE NARRATIVES

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

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

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

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

Part IV

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

Return Reference

Explanation

SCHEDULE I, PART I, LINE 2

GRANT MONITORING: THE ORGANIZATION HAS A GRANTS DEPARTMENT THAT MONITORS THE USE OF GRANT FUNDS THROUGH COMPREHENSIVE GRANTS MANAGEMENT AND COMPLIANCE PROCESSES. APPROPRIATE MONITORING IS IN PLACE TO METICULOUSLY TRACK AND REPORT TO GRANTORS AS REQUIRED BY THE TERMS OF EACH RESPECTIVE GRANT. OUR GRANTS DEPARTMENT LEADERSHIP HAS CREATED A VETTING MATRIX THAT IS USED TO DETERMINE MISSION ALIGNMENT, FEASIBILITY, AND LOGISTICAL TIMING AND CAPACITY FIT, ACHIEVABILITY, AND SUSTAINABILITY FOR ANY POTENTIAL GRANT OPPORTUNITY. STRATEGIC LOGIC MODELS, STAGE-GATE ANALYSIS, PROJECT PLANNING, AND MANAGEMENT OVERSIGHT INCLUDES THE MAPPING OF COLLABORATIVE NECESSARY PARTNERS FOR DELIVERING GRANT OUTCOMES INTO LONGVIEW INTEGRATION STRATEGIES FOR SUSTAINABLE, STANDARDIZABLE WORK, THEREBY ENSURING FEASIBILITY, READINESS, SUSTAINABILITY, AND ACTUALIZATION OF OUR COMMITMENT TO HIGH-INTEGRITY STEWARDSHIP OF PUBLIC AND PRIVATE FUNDING. BOTH TWCGME AND ITS PRIMARY AFFILIATE TWCCH ENSURE ALL REQUIRED GRANT-RELATED AUDITING BY AN INDEPENDENT AUDITOR IS COMPLETED, INCLUSIVE OF ANY MANDATORY SINGLE AUDITS FOR GRANTS THAT EXCEED FEDERAL THRESHOLDS. DESPITE HAVING VALIDATED HRSA THCGME'S FEDERAL PROGRAMMATIC EXEMPTION FROM SINGLE AUDIT REQUIREMENTS, TWCGME ACTUALLY ALSO VOLUNTARILY INVESTS AND ENGAGES IN A YEARLY SINGLE AUDIT EQUIVALENT FOR ITS HRSA THCGME PROGRAM TO ENSURE THE HIGHEST COMPLIANCE AND STEWARDSHIP AUTHENTICITY. ALTHOUGH DIRECTED BY OUR CURRENT AUDITORS NOT TO SUBMIT THIS VOLUNTARY AUDIT TO THE FEDERAL CLEARING HOUSE, WE BELIEVE THIS SINGLE AUDIT EQUIVALENT PROCESS FOR THE THCGME PROGRAM IS VALUABLE TO OUR NATIONAL GME FINANCIAL STEWARDSHIP AND PUBLIC ACCOUNTABILITY CONVERSATIONS. THE GRANTS DEPARTMENT DEVELOPED A PROJECT MANAGEMENT OFFICE IN APRIL 2021 TO FOCUS ON SPONSORED PROJECT IMPLEMENTATION, MONITORING, AND COMPLIANCE, AND INTEGRATING STANDARDIZED USE OF SMARTSHEET PROJECT MANAGEMENT SOFTWARE FOR TRACKING AND DASHBOARD VISUALIZATIONS OF GRANT PROCESSES, CENTRALIZED EXPENSE TRACKING, AND OUTCOMES METRICS. TWCGME AND TWCCH ARE COMPLIANT WITH ALL FEDERAL, STATE, COUNTY, AND PRIVATE PHILANTHROPY REPORTING REQUIREMENTS FOR ALL GRANTS. FOR ALL COVID-19 PANDEMIC-RELATED FUNDING, TWCGME AND TWCCH CONTINUE TO EFFECTIVELY AND METICULOUSLY UTILIZE A NATIONALLY ESTABLISHED FUNDING MATRIX CROSS-WALK PLATFORM THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND A WELL-RESPECTED NATIONAL ACCOUNTING FIRM FOR THIS PURPOSE.

SCHEDULE I, PART II, COLUMN H

COMMONWEALTH DENTAL CARE INITIATIVE ($12,500) TWCGME, ALONG WITH ITS AFFILIATED ENTITY, TWCCH, EACH CONTRIBUTED $12,500 TO THE COMMONWEALTH DENTAL CARE INITIATIVE (CDCI), A PENNSYLVANIA NON-PROFIT CORPORATION WHOSE MISSION IS TO "DEVELOP A NEW COST-EFFECTIVE INNOVATIVE DENTAL SCHOOL IN NEPA SERVING RURAL PATIENTS, THE UNDERSERVED, AND VETERANS, WHILE PROVIDING PREFERENTIAL ADMISSION TO PENNSYLVANIA RESIDENTS WITH A PROPENSITY TO LIVE AND PRACTICE DENTISTRY IN RURAL AREAS OF THE STATE." CDCI COMMISSIONED AN INDEPENDENT STUDY TO EVALUATE THE FEASIBILITY OF ESTABLISHING A NEW AND INNOVATIVE DENTAL SCHOOL IN NORTHEAST PENNSYLVANIA TO BETTER SERVE VULNERABLE POPULATIONS, ESPECIALLY IN THE STATE'S RURAL AREAS. SPECIFICALLY, THE GOAL OF THIS FEASIBILITY STUDY AND ECONOMIC IMPACT STATEMENT WAS TO EVALUATE THE FEASIBILITY OF DEVELOPING A NEW COST-EFFECTIVE AND INNOVATIVE DENTAL SCHOOL IN NEPA SERVING RURAL, UNDERSERVED, AND MILITARY VETERAN PATIENTS. THE CDCI THEREAFTER RETAINED TRIPP UMBACH, A NATIONAL LEADING HEALTH SCIENCE EDUCATION CONSULTING FIRM, TO EVALUATE THE OPPORTUNITY TO DOCUMENT THE UNMET ORAL HEALTH NEEDS OF ALL RELEVANT POPULATIONS IN NORTHEAST PENNSYLVANIA AND THE FEASIBILITY OF CDCI'S ACADEMIC ENTERPRISE INITIATIVE. IN COLLABORATION WITH AN APPROPRIATE LOCAL UNIVERSITY SPONSOR, THE CDCI AIMS TO CREATE A HUB-AND-SPOKE MODEL OF EDUCATION AND CLINICAL CARE WITH REGIONAL COMMUNITY HEALTH CENTERS, SPECIFICALLY FOCUSED ON BETTER SERVING THE STATE'S RURAL AREAS AND VULNERABLE POPULATIONS. NATIVITYMIGUEL SCHOOL OF SCRANTON ($37,500) THE WRIGHT CENTER SPONSORED THE ANNUAL NATIVITYMIGUEL SCHOOL OF SCRANTON'S 5TH ANNUAL TRIBUTE DINNER, WHICH WAS HELD ON OCT. 27, 2022, IN HONOR OF DR. ROBERT E. WRIGHT, THE NAMESAKE FOUNDER OF THE WRIGHT CENTERS FOR GRADUATE MEDICAL EDUCATION AND COMMUNITY HEALTH, AND HIS LATE WIFE, CAROLE. THE COUPLE SHEPHERDED THIS SCHOOL SERVING STUDENTS OF GREATER ECONOMIC NEED FROM THE SCRANTON AND WILKES-BARRE AREA PENNSYLVANIA AND STRIVING TO BREAK CYCLES OF POVERTY ONE STUDENT AT A TIME FROM CONCEPT TO REALITY. TODAY, THE TUITION-FREE MIDDLE SCHOOL EMPOWERS DIVERSE STUDENTS TO REACH THEIR FULL POTENTIAL AS STUDENTS, LEADERS, AND ROLE MODELS. THE SCHOOL'S MISSION IS TO EMPOWER OUR STUDENTS, OF ALL RACES AND BELIEFS, TO REACH THEIR FULL POTENTIAL. WE OFFER A HOLISTIC APPROACH TO ACADEMIC AND CHARACTER DEVELOPMENT THROUGH OUR CORE VALUES OF FAITH AND HONOR, INTEGRITY AND RESPECT, AND LEADERSHIP AND PERSEVERANCE. SCRANTON TOMORROW ($17,500) SCRANTON TOMORROW IS A TAX EXEMPT, NONPROFIT, NONPARTISAN COMMUNITY AND ECONOMIC DEVELOPMENT ORGANIZATION LOCATED AT 307 LINDEN STREET IN HISTORIC DOWNTOWN SCRANTON, PENNSYLVANIA. WORKING DILIGENTLY TO ESTABLISH, MANAGE, AND ACCOMPLISH THE CITY OF SCRANTON'S SHARED GOALS AND OBJECTIVES THROUGH COLLABORATIVE EFFORTS, THE MISSION OF SCRANTON TOMORROW IS TO MOBILIZE RESOURCES TO ENHANCE A VIBRANT ENVIRONMENT FOR SCRANTON RESIDENTS, BUSINESSES, AND VISITORS. TWCGME CONTRIBUTED $12,500 TO BECOME A GOLD SPONSOR OF THE ELECTRIC CITY CLASSIC CRITERIUM (CRIT RACE), A SCRANTON TOMORROW PROJECT THAT PROMOTES HEALTH AND WELLNESS THROUGH AN OUTDOOR PERSONAL AND PUBLIC HEALTH PROMOTING ATHLETIC ACTIVITY AND ENGAGEMENT IN COMMUNITY CELEBRATIONS. TWCGME ALSO PROUDLY CONTRIBUTED $5,000 TO SCRANTON TOMORROW TO SUPPORT THE ENGAGEMENT OF MURAL ARTIST MATTHEW WILLEY TO BRING HIS GLOBALLY RECOGNIZED MURAL "THE GOOD OF THE HIVE" TO SCRANTON, PENNSYLVANIA. THROUGH HIS ART, THIS WORLD-RENOWNED MURALIST IS RAISING AWARENESS AND UNIFYING HUMANITY AROUND SHARED RESPONSIBILITIES FOR ENVIRONMENTAL STEWARDSHIP AND COLLECTIVE OPPORTUNITIES TO PROTECT ENVIRONMENTALLY CRITICAL POLLINATORS. THE MURAL PAINTED ON THE SCRANTON CIVIC BALLET THEATRE IS A PROUD DEMONSTRATION OF TWCGME'S COMMITMENT TO PROMOTE AND DEMONSTRATE RESPONSIBLE, PARTICIPATORY CORPORATE CITIZENSHIP FOR ENVIRONMENTAL STEWARDSHIP, CLIMATE RESILIENCE, AND PROMOTING THE COMMON GOOD. THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT ($6,000) THE INSTITUTE IS A NON-PROFIT RESEARCH ORGANIZATION DEDICATED TO EMPOWERING BUSINESS AND COMMUNITY LEADERS WITH RESEARCH-BASED STRATEGIES FOR INFORMED DECISION MAKING. THE INSTITUTE IS A COLLABORATION AMONG JOHNSON COLLEGE, KEYSTONE COLLEGE, KING'S COLLEGE, LACKAWANNA COLLEGE, LUZERNE COUNTY COMMUNITY COLLEGE, MARYWOOD UNIVERSITY, MISERICORDIA UNIVERSITY, PENN STATE SCRANTON, PENN STATE WILKES-BARRE, THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, UNIVERSITY OF SCRANTON, WILKES UNIVERSITY, AND GEISINGER COMMONWEALTH SCHOOL OF MEDICINE. IT CONDUCTS INDEPENDENT, NON-BIASED RESEARCH TO IDENTIFY THE OPPORTUNITIES, ISSUES AND CHALLENGES UNIQUE TO THE REGION AND FIND INNOVATIVE SOLUTIONS TO HELP SOLVE THE PROBLEMS FACING OUR COMMUNITIES. THE INSTITUTE ALSO OFFERS A WIDE ARRAY OF RESEARCH, CONSULTING AND SUPPORT SERVICES TO HELP ORGANIZATIONS BOOST PRODUCTIVITY, INCREASE PROFITABILITY, AND BE SUCCESSFUL IN THEIR MISSIONS. TWCGME RELIES ON THE INSTITUTE'S ANNUAL INDICATORS TO PROVIDE EVIDENCE-BASED DATA RELATING TO UNMET POPULATION AND COMMUNITY HEALTH AND WORKFORCE NEEDS. WYCKOFF HEIGHTS MEDICAL CENTER ($194,317) THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO ESTABLISH A NEW COMMUNITY-BASED FAMILY MEDICINE (FM) RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) IN THE MEDICALLY UNDERSERVED SETTING OF BROOKLYN, NEW YORK. GRANT FUNDS WERE USED TO SUPPORT THE EXPLORATION OF THE FEASIBILITY AND LOGISTICAL AND OPERATIONAL STRATEGIES TO DEVELOP AND SECURE ACGME ACCREDITATION OF A NEW, COMMUNITY HEALTH NEEDS RESPONSIVE FAMILY MEDICINE RESIDENCY PROGRAM IN PARTNERSHIP WITH WYCKOFF HEIGHTS MEDICAL CENTER (WYCKOFF). AS A NEW CLINICAL PARTNER IN OUR EXISTING GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM, WYCKOFF PLANS TO LOCATE THE PROPOSED FAMILY MEDICINE RESIDENCY PROGRAM IN A COMMUNITY-BASED CLINICAL SITE IN BUSHWICK, BROOKLYN, WHICH IS DESIGNATED AS BOTH A MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA).

Schedule I (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

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

2022

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2022

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)
1ENRIQUE SAMONTE MD PROGRAM DIRECTOR/PHYSICIAN	(i) (ii)	30,906 ------------- 250,051	1,904 ------------- 15,409	2,347 ------------- 18,991	2,486 ------------- 20,117	1,556 ------------- 12,589	39,199 ------------- 317,157	0 ------------- 0
2JENNIFER WALSH ESQ SVP ENT COMP INTEG	(i) (ii)	271,784 ------------- 0	26,891 ------------- 0	20,949 ------------- 0	21,611 ------------- 0	6,249 ------------- 0	347,484 ------------- 0	0 ------------- 0
3JIGNESH SHETH MD SVP CLINICAL OPERATIONS/PHY	(i) (ii)	131,264 ------------- 393,792	11,746 ------------- 35,239	5,172 ------------- 15,516	6,100 ------------- 18,300	4,243 ------------- 12,729	158,525 ------------- 475,576	0 ------------- 0
4JUMEE BAROOAH MD DIO AND PHYSICIAN/ NON VOTING	(i) (ii)	126,853 ------------- 168,153	12,940 ------------- 17,153	8,941 ------------- 11,852	10,226 ------------- 13,556	7,292 ------------- 9,667	166,252 ------------- 220,381	0 ------------- 0
5MEAGHAN RUDDY PHD CHIEF R&D OFFICER & SVP ACADEM	(i) (ii)	163,845 ------------- 54,615	5,381 ------------- 1,794	15,594 ------------- 5,198	13,392 ------------- 4,464	9,209 ------------- 3,070	207,421 ------------- 69,141	0 ------------- 0
6RAJIV BANSAL MD DIRECTOR OF HOSPITAL SERVICES	(i) (ii)	31,895 ------------- 233,896	2,966 ------------- 21,749	35 ------------- 257	2,484 ------------- 18,215	1,966 ------------- 14,421	39,346 ------------- 288,538	0 ------------- 0
7TIMOTHY BURKE DO PROGRAM DIRECTOR/PHYSICIAN	(i) (ii)	98,818 ------------- 168,254	10,228 ------------- 17,416	7,750 ------------- 13,198	8,071 ------------- 13,743	6,257 ------------- 10,655	131,124 ------------- 223,266	0 ------------- 0
8VENARD KOERWER PHD EVP & CHIEF ADMINISTRATIVE OFF	(i) (ii)	225,609 ------------- 0	0 ------------- 0	581 ------------- 0	0 ------------- 0	10,076 ------------- 0	236,266 ------------- 0	0 ------------- 0
9VINOD SHARMA MD PROGRAM DIRECTOR/PHYSICIAN	(i) (ii)	157,010 ------------- 157,010	4,895 ------------- 4,895	10,338 ------------- 10,338	12,200 ------------- 12,199	7,339 ------------- 7,339	191,782 ------------- 191,781	0 ------------- 0
10LINDA THOMAS-HEMAK MD PRESIDENT & CEO	(i) (ii)	201,482 ------------- 604,446	19,375 ------------- 58,125	5,233 ------------- 15,698	6,100 ------------- 18,300	4,243 ------------- 12,729	236,433 ------------- 709,298	0 ------------- 0
11RONALD DANIELS CPA CFO	(i) (ii)	260,421 ------------- 0	26,260 ------------- 0	22,977 ------------- 0	21,104 ------------- 0	13,595 ------------- 0	344,357 ------------- 0	0 ------------- 0
12DEBORAH SPRING MD ASSOCIATE PROGRAM DIRECTOR/PHY	(i) (ii)	30,404 ------------- 222,968	1,148 ------------- 8,415	297 ------------- 2,179	2,484 ------------- 18,215	1,436 ------------- 10,531	35,769 ------------- 262,308	0 ------------- 0
13JOHN JANOSKY CHIEF INFORMATION OFFICER	(i) (ii)	224,442 ------------- 0	21,205 ------------- 0	20,695 ------------- 0	16,640 ------------- 0	16,292 ------------- 0	299,274 ------------- 0	0 ------------- 0
14JOSEPH SILEO ESQ SVP LEGAL SERVICES & GENERAL C	(i) (ii)	223,408 ------------- 0	21,720 ------------- 0	21,339 ------------- 0	17,857 ------------- 0	2,062 ------------- 0	286,386 ------------- 0	0 ------------- 0
15MAUREEN LITCHMAN MD ASSOCIATE PROGRAM DIRECTOR/PHY	(i) (ii)	82,616 ------------- 192,769	6,776 ------------- 15,812	6,893 ------------- 16,084	6,697 ------------- 15,625	2,152 ------------- 5,021	105,134 ------------- 245,311	0 ------------- 0
16WILLIAM DEMPSEY MD ASSOCIATE PROGRAM DIRECTOR/PHY	(i) (ii)	30,804 ------------- 277,244	2,881 ------------- 25,927	2,298 ------------- 20,679	2,440 ------------- 21,959	1,421 ------------- 12,788	39,844 ------------- 358,597	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

SCHEDULE J, PART I, LINE 3

COMPENSATION DETERMINATION: TWCGME CONTRACTS WITH THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), ITS AFFILIATED ENTITY, FOR THE SERVICES OF TWCGME'S CHIEF EXECUTIVE AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TWCGME, AND THEREFORE DOES NOT COMPENSATE THE CHIEF EXECUTIVE DIRECTLY. NONETHELESS, THE PROCESS FOR DETERMINING THE COMPENSATION OF TWCGME TO TWCCH FOR THE SERVICES OF CHIEF EXECUTIVE OFFICER (CEO) IS LED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEES ENGAGE 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. ADDITIONAL DATA CONSIDERED MAY INCLUDE INFORMATION FROM THE AMERICAN JOB CENTER NETWORK WEBSITE, MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), FORM 990S OF COMPARABLE ORGANIZATIONS, AS WELL AS COMPENSATION SURVEYS OF THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, OR OTHER RELEVANT REGIONAL AND NATIONAL SOURCES. THE EXECUTIVE COMMITTEES OF TWCGME AND TWCCH BOARDS ANNUALLY PERFORM A DETAILED, ROBUST, COMPREHENSIVE PERFORMANCE EVALUATION OF THE PRESIDENT & CEO'S AND BOTH ORGANIZATIONS' PERFORMANCE. THIS ANNUAL PROCESS INCLUDES ASSESSMENT OF WHETHER BASE CHANGES OR MERIT BONUS PAYMENT ADJUSTMENTS TO THE SALARY AND BENEFITS OF THE PRESIDENT & CEO SERVICES ARE APPROPRIATE AND, IF SO, OF FAIR VALUE BASED ON ALL FACTS AND CIRCUMSTANCES. ANY ADJUSTMENTS TO THE PRESIDENT & CEO'S COMPENSATION IN BETWEEN CONTRACT TERMS ARE ASSESSED AGAINST PUBLICLY AVAILABLE COMPARABLE DATA. ULTIMATELY, THE OVERALL COMPENSATION OF THE PRESIDENT & CEO IS DETERMINED BASED ON A ROBUST PERFORMANCE ASSESSMENT AND THE OVERALL PERFORMANCE OF TWCGME AND TWCCH ORGANIZATIONS, WITH DUE CONSIDERATION OF THE CONTRACTED INDEPENDENT THIRD-PARTY COMPENSATION STUDY, MARKET COMPARABILITY, AND AFFORDABILITY. THE EXECUTIVE COMMITTEES' ANNUAL DELIBERATIONS, CONSIDERATIONS, AND DECISIONS REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN EXECUTIVE COMMITTEES' MEETING MINUTES WITHIN 60 DAYS OF THE EVALUATION COMPLETION AND COMPENSATION DECISION AND THEN REPORTED TO AND RATIFIED BY THE FULL BOARDS OF TWCGME AS WELL AS TWCCH. 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 PRESIDENT & 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.

SCHEDULE J, PART I, LINE 7

NONFIXED PAYMENTS: ALL EMPLOYEES MAY BE ELIGIBLE FOR AN ANNUAL, PERFORMANCE-BASED INCENTIVE BONUS CONTINGENT UPON BOARD APPROVAL, AFFORDABILITY, AND SUCCESSFUL PERFORMANCE EVALUATIONS BY MANAGEMENT. THERE ARE SEVERAL THRESHOLD REQUIREMENTS FOR PERFORMANCE-BASED BONUS ELIGIBILITY, INCLUDING BUT NOT LIMITED TO SPECIFIED, ACTIVE PARTICIPATION IN THE PLAN/DO/STUDY/ACT (PDSA) QUALITY IMPROVEMENT PROGRAM, SAFE EVENT REPORTING SYSTEM, AND ALSO MEANINGFUL ENGAGEMENT IN COMMUNITY VOLUNTEER SERVICE EXPERIENCES. ONCE DETERMINED TO BE AFFORDABLE AND APPROVED IN TOTAL BY THE GOVERNING BOARDS OF DIRECTORS OF TWCGME AND TWCCH, THE MERIT-BASED BONUS PAYMENTS TO ELIGIBLE EMPLOYEES CORRELATES TO INDIVIDUAL JOB PERFORMANCE SCORES CALCULATED DURING THE PERFORMANCE EVALUATION PROCESS. EMPLOYEES IN A NEW EMPLOYMENT PROBATIONARY STATUS OR THOSE WHO HAVE NOTIFIED THE ORGANIZATION 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 2022-2023 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, AND ISSUED BONUSES TOTALED LESS THAN THE BUDGETED AMOUNT.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Return Reference	Explanation
FORM 990, PART I, LINE 1	DESCRIPTION OF ORGANIZATION MISSION: WE DO THIS THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. TWCGME IS A 501(C)(3) NONPROFIT CORPORATION AND ANCHOR MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) SERVING AS THE INDEPENDENT ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME)-ACCREDITED SPONSORING INSTITUTION OF GRADUATE MEDICAL EDUCATION RESIDENCY AND FELLOWSHIP PROGRAMS THAT TRAIN RESIDENT AND FELLOWS PHYSICIANS IN A SAFETY NET HEALTH SERVICES NETWORK OF ESSENTIAL COMMUNITY PROVIDERS. TWCGME'S TRAINING PROGRAMS INCLUDE INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY, PHYSICAL MEDICINE & REHABILITATION RESIDENCIES AND GERIATRICS, CARDIOVASCULAR DISEASE AND GASTROENTEROLOGY FELLOWSHIPS. TWCGME'S GME-SNC ENGAGES NUMEROUS PARTNERING ORGANIZATIONS IN ITS GOVERNANCE AND THE TRAINING OF ITS RESIDENTS AND FELLOWS. THESE PARTNERS INCLUDE TWCGME'S PRIMARY AFFILIATE FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE (FQHC LAL), THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), AS WELL AS FOUR PARTNERING NATIONAL FQHCS, AND ALSO NUMEROUS COMMUNITY-BASED HOSPITAL SYSTEMS, THE VETERAN AFFAIRS MEDICAL CENTER, AND A CMS GME-FUNDED INPATIENT REHABILITATION FACILITY (IRF). TWCGME ALSO PROUDLY PARTNERS WITH AND HOSTS NEARLY 200 INTERPROFESSIONAL STUDENTS FROM MORE THAN A DOZEN ACADEMIC INSTITUTIONS OF HIGHER EDUCATION, INCLUDING THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM) AND A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (SOMA) AND CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM (CCPAP). PARTNERING COMMUNITY HEALTH CENTERS, GEISINGER, AND ATSU SOMA HAVE AN EMPOWERED VOTING PRESENCE ON TWCGME'S GOVERNING BOARD, AS DOES COMMONWEALTH HEALTH SYSTEMS AND THE NORTHEAST PENNSYLVANIA AREA HEALTH EDUCATION CENTER (AHEC). COMMITTED TO COMMUNITY HEALTH NEEDS RESPONSIVE HEALTH SERVICES AND WORKFORCE DEVELOPMENT, TWCGME'S GME-SNC PASSIONATELY STRIVES TO ADDRESS AMERICA'S PRIMARY CARE WORKFORCE SHORTAGES, MIS-DISTRIBUTION, AND RELATED HEALTH, HEALTHCARE, AND HEALTHCARE CAREER ACCESS DISPARITIES.
FORM 990, PART III, LINE 1	ORGANIZATION MISSION: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) AND ITS PRIMARY AFFILIATE THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) SHARE A MISSION TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. TWCGME'S PASSIONATE PURPOSE IS TO DEMONSTRATE AN "ACHIEVABLE BY ALL" GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) MODEL THAT CO-CREATES TRANSFORMATIONAL HEALTHCARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES, AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH, HEALTHCARE DELIVERY SYSTEMS, AND DEVELOPMENT OF THEIR INTERPROFESSIONAL HEALTH CARE WORKFORCE. WITH INCLUSIVE ENGAGEMENT OF TWCGME STAKEHOLDERS, THE GME-SNC ASPIRES TOWARD AN INCLUSIVE COLLECTIVE IMPACT FRAMEWORK TO EFFECTIVELY ADDRESS AMERICA'S PRIMARY CARE WORKFORCE SHORTAGE AND MIS-DISTRIBUTION, AND RELATED HEALTH, HEALTHCARE, AND HEALTHCARE CAREER ACCESS DISPARITIES. AS A GME-SNC, TWCGME PARTNERS WITH AN INCLUSIVE NETWORK OF SAFETY NET HEALTH SERVICES PROVIDERS AND INTEGRATES GME FEDERAL RESOURCES DIRECTLY FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION'S (HRSA) THCGME PROGRAM AND THE DEPARTMENT OF VETERAN AFFAIRS, AS WELL THROUGH AFFILIATION AGREEMENTS WITH CMS GME-FUNDED PARTNERING HOSPITALS AND AN INPATIENT REHABILITATION FACILITY. TWCGME PROUDLY BECAME A PIONEERING THCGME GRANTEE IN 2011 WHEN HRSA LAUNCHED ITS THCGME PROGRAM RESOURCED THROUGH THE AFFORDABLE CARE ACT. SINCE THEN, THCGME GRANTEES, INCLUDING TWCGME, HAVE BEEN DEVELOPING AND EXPANDING COMMUNITY-BASED CLINICAL LEARNING ENVIRONMENTS IN COMMUNITY HEALTH CENTERS (CHCS) AND PARTNERING HOSPITALS ACROSS OUR NATION TO TRAIN PRIMARY CARE RESIDENT PHYSICIANS TO SERVE HISTORICALLY MARGINALIZED POPULATIONS IN MEDICALLY UNDERSERVED SETTINGS. EVIDENCE DEMONSTRATES THAT PHYSICIANS WHO TRAIN AT CHCS ARE MORE LIKELY TO WORK IN A CHC OR OTHER UNDERSERVED SETTINGS, A FINDING VALIDATED BY TWCGME'S HISTORICAL GRADUATE PRACTICE PATTERN OUTCOMES, SHOWING A HIGHER-THAN-NATIONAL-AVERAGE NUMBERS OF PRIMARY CARE PHYSICIANS SELECTING CAREERS IN HISTORICALLY UNDERSERVED SETTINGS, INCLUDING IN FQHCS AND RURAL COMMUNITIES. HRSA'S THCGME PROGRAM HAS BEEN AN EFFECTIVE TOOL IN ADDRESSING ONE OF THE MOST CRUCIAL ASPECTS OF THE PRIMARY CARE CLIFF: ACCESS TO PRIMARY HEALTH SERVICES IN UNDERSERVED AREAS DUE TO A NATIONAL PRIMARY CARE PHYSICIAN SHORTAGE AND MIS-DISTRIBUTION. ACCORDING TO DATA PUBLISHED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) IN JUNE 2021, THE UNITED STATES COULD SEE AN ESTIMATED SHORTAGE OF BETWEEN 37,800 AND 124,000 PHYSICIANS BY 2034, INCLUDING BOTH PRIMARY AND SPECIALTY CARE, WITH THE SHORTAGE OF PRIMARY CARE PHYSICIANS RANGING BETWEEN 17,800 AND 48,000. PER THE AAMC, MORE THAN TWO OF EVERY FIVE ACTIVE PHYSICIANS IN THE U.S. WILL BE 65 OR OLDER WITHIN THE NEXT DECADE, AND THEIR RETIREMENT DECISIONS "WILL DRAMATICALLY AFFECT THE MAGNITUDE OF NATIONAL WORKFORCE SHORTAGES." THIS LOOMING CRISIS COMPOUNDS THE PHYSICIAN AND PROVIDER BURNOUT CHALLENGES EXACERBATED BY THE COVID-19 PANDEMIC. TWCGME'S GME-SNC PHYSICIAN TRAINING MODEL IS DESIGNED TO MITIGATE THE HEALTH, HEALTHCARE, AND HEALTHCARE CAREER ACCESS DISPARITIES RESULTING FROM THIS NATIONAL SHORTAGE, WHILE GENERATING UNPRECEDENTED COLLABORATION AND STRIVING FOR ADVANCEMENT OF THE QUINTUPLE AIM. ADAPTED FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM, THE QUINTUPLE AIM IS A FRAMEWORK TO OPTIMIZE HEALTHCARE SYSTEM PERFORMANCE BY IMPROVING HEALTH EQUITY, CLINICIAN WELL-BEING, AND THE PURSUIT OF BETTER HEALTHCARE, IMPROVED HEALTH OUTCOMES, AND LOWER COSTS. TWCGME'S CURRENT SPONSORING INSTITUTIONAL AND PROGRAMMATIC PRIMARY HEALTH SERVICES CURRICULA ARE ROOTED IN COMMUNITY-ORIENTED, PUBLIC HEALTH NEEDS-RESPONSIVE, WHOLE PERSON PRIMARY CARE TRAINING FOR FAMILY MEDICINE, INTERNAL MEDICINE, PSYCHIATRY RESIDENTS, AND GERIATRIC MEDICINE FELLOWS, AS WELL AS FUTURE SPECIALTY PHYSICIANS. DURING FISCAL YEAR 2022-2023, RESIDENTS WERE STILL DEEPLY IMMERSED IN COMMUNITY-DRIVEN, RESPONSIVE SOLUTIONS TO THE EASING BUT ONGOING COVID-19 PANDEMIC, RELENTLESS OPIOID EPIDEMIC, CONTINUING BATTLES WITH HIV/AIDS AND HEPATITIS C, ESCALATING PUBLIC HEALTH CHALLENGES RELATED TO MENTAL HEALTH STRUGGLES, OBESITY, DIABETES, CARDIOVASCULAR DISEASE, AND CANCER, AND WIDENING GAPS IN CHILDHOOD AND ADULT VACCINATION RATES FOR PREVENTABLE ILLNESSES. OUR COMMUNITY-BASED TRAINING MODEL WITHIN ESSENTIAL COMMUNITY PROVIDER NETWORKS LEVERAGES CROSS-INSTITUTIONAL COLLABORATIVE LEARNING AND BROAD EXPOSURE OF TRAINEES TO INTERPROFESSIONAL TEAM-BASED CARE, AS WELL AS A VARIETY OF HEALTH INFORMATION TECHNOLOGY PLATFORMS, FOR BOTH CARE DELIVERY AND INSTITUTIONAL OUTCOMES REPORTING AND IMPROVEMENTS. TWCGME'S PARTNERING CLINICAL LEARNING ENVIRONMENTS DEMONSTRATE AND ENGAGE ITS LEARNERS IN CONTINUOUS QUALITY IMPROVEMENT AND VALUE-DRIVEN WORKFLOW REDESIGN THAT PROMOTES PATIENT-CENTERED MEDICAL HOME (PCMH) PHYSICIAN-LED CARE TEAMS, ENGAGED AND EMPOWERED PATIENTS AND FAMILIES, ROBUST REFERRAL NETWORKS OF COMMUNITY RESOURCE AGENCIES, AND BOTH MEANINGFUL USE AND CONNECTIVITY/INTEROPERABILITY OF HEALTH AND EDUCATION INFORMATION TECHNOLOGY PLATFORMS. MISSION-DRIVEN, TOP-LICENSE PCMH FACULTY PRACTICE AND ROLE-MODELING WITHIN THESE INCLUSIVE, SAFETY-NET LEARNING ENVIRONMENTS EFFICIENTLY OPTIMIZES WORKFLOW REDISTRIBUTION SO THAT EVERY TEAM MEMBER, INCLUDING FRONT-LINE STAFF AND LEARNERS, ENGAGE IN PURPOSEFUL, MEANINGFUL PRACTICE WHILE CONTRIBUTING TO ITERATIVE CONTINUOUS QUALITY IMPROVEMENTS OF BOTH CARE DELIVERY AND EDUCATIONAL SYSTEMS. TWCGME'S SPONSORING INSTITUTIONAL COMMITMENT TO ADVANCING PUBLIC HEALTH ALIGNS STRONGLY WITH THE MISSION OF COMMUNITY HEALTH CENTERS AND PARTNERING COMMUNITY-BASED HOSPITALS, AS WELL AS THE ACGME'S VISIONARY CLINICAL LEARNING ENVIRONMENT REVIEW PROGRAM FRAMEWORK FOCUSING ON PATIENT SAFETY; HEALTH CARE QUALITY; TEAMING; SUPERVISION; WELL-BEING; AND PROFESSIONALISM. TWCGME'S GME-SNC ENSURES TRAINEES HAVE BROAD EXPOSURE TO SEAMLESS, CROSS-INSTITUTIONAL, INTERPROFESSIONAL MULTIDISCIPLINARY ENVIRONMENTS THAT EXERCISE AND NURTURE THEIR LONGITUDINAL AND TRANSITIONAL CARE SKILLS, PREPARING THEM FOR MODERN CLINICAL PRACTICE AND CAREERS OF PUBLIC SERVICE AS PUBLIC HEALTH ENTHUSIASTS.
FORM 990, PART III, LINE 2	NEW PROGRAM SERVICES: TWCGME IS PROUD TO SHARE TESTIMONY OF ITS MISSION DELIVERY IN RECRUITING AND ONBOARDING THREE FAMILY MEDICINE RESIDENT GRADUATES WHO BECAME FACULTY ATTENDINGS DURING FISCAL YEAR 2022-2023 FOR ITS REGIONAL FAMILY MEDICINE RESIDENCY PROGRAM TO TEACH RESIDENTS AND INTERPROFESSIONAL LEARNERS. THESE THREE GRADUATES ARE PROVIDING COMPREHENSIVE PRIMARY HEALTH SERVICES DELIVERY AT TWCGME'S PRIMARY AFFILIATE THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). SIMILARLY, TWCCH RECRUITED AND ON-BOARDED A TWCGME PSYCHIATRY RESIDENT GRADUATE AS A FACULTY ATTENDING TO PROVIDE PSYCHIATRIC SERVICES AND TRAIN PSYCHIATRY RESIDENTS AT OUR ESTABLISHED TEACHING HEALTH CENTER IN SCRANTON, PENNSYLVANIA AND ALSO AN INTERNAL MEDICINE RESIDENT GRADUATE TO LEAD ITS CARE TEAM IN THE NEARBY RURAL COMMUNITY OF HAWLEY, PENNSYLVANIA. ADDING THESE AMAZING GRADUATES TO OUR PROVIDER CARE TEAMS AS CLINICIANS AND TEACHERS OF THE NEXT GENERATION OF FAMILY MEDICINE, INTERNAL MEDICINE AND PSYCHIATRY PHYSICIANS IS TRULY A TESTAMENT OF TWCGME'S CRUCIAL PRIMARY CARE WORKFORCE DEVELOPMENT OUTCOMES ADDRESSING THE SHORTAGE AND MISDISTRIBUTION OF PRIMARY CARE PHYSICIANS IN NORTHEASTERN PENNSYLVANIA. SIMILAR EMPLOYMENT OF OUR GRADUATES BY REGIONAL FQHCS AND ALSO PARTNERING FQHCS IN FOUR STATES PARTICIPATING IN TWCGME'S NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM FURTHER VALIDATES OUR REGIONAL AND NATIONAL IMPACT ON PRIMARY CARE WORKFORCE DEVELOPMENT AS WELL. DURING FISCAL YEAR 2022-2023, TWCGME'S ACGME-ACCREDITED SPONSORING INSTITUTION HUMBLY CONTINUED ITS PROBATIONARY ACCREDITATION STATUS. IN ORDER TO OPTIMIZE OUR SPONSORING INSTITUTION (SI) AND RESTORE ITS HISTORICALLY STRONG ACGME CONTINUING ACCREDITATION, TWCGME IMPLEMENTED MULTIPLE MISSION-DRIVEN IMPROVEMENTS TO ENHANCE SPONSORING INSTITUTIONAL AND PROGRAM AUTHORITY AND OVERSIGHT. THE GRADUATE MEDICAL EDUCATION COMMITTEE (GMEC) OF TWCGME'S GOVERNING BOARD HOLDS THE JURISDICTION FOR THAT RESPONSIBILITY. GMEC MEETINGS WERE RESTRUCTURED TO ENHANCE THE VISIBILITY AND ACCOUNTABILITY OF GMEC AS A SUBCOMMITTEE OF THE SI'S GOVERNING BOARD. GMEC RESPONSIBILITIES WERE EMBEDDED IN AN ACGME COMPLIANCE AND ACCOUNTABILITY FRAMEWORK, LINKED TO THE SI'S OVERARCHING CORRECTIVE ACTION PLAN (CAP), STRATEGIC SPECIAL REVIEW PROCESS, AN ANNUAL GMEC WORK PLAN/CALENDAR, AND GMEC/GMEC SUBCOMMITTEE PROACTIVELY PLANNED AND INTENTIONALLY MANAGED MEETING AGENDAS AND COMPREHENSIVE MINUTES, ALL WITH ASSIMILATED ACGME ENDORSED SPECIFIC LANGUAGE. GMEC MEETINGS INCREASED IN FREQUENCY AND LENGTH TO ENSURE ROBUST GOVERNANCE ENGAGEMENT IN AUTHORITY AND OVERSIGHT RESPONSIBILITIES. THE CAP WAS CREATED BY A WORKGROUP COMPOSED OF THE DESIGNATED INSTITUTIONAL OFFICIAL, PROGRAM DIRECTORS, INSTITUTIONAL COORDINATOR, CROSS-DEPARTMENTAL SI LEADERSHIP, AND GMEC MEMBERS. THE CAP INCLUDED A SWOT ANALYSIS, IMPROVEMENT RECOMMENDATIONS, COMPREHENSIVE SI AND THEN INCLUSIVE PROGRAMS' POLICY REVIEW AND REVISIONS, REVIEW AND INPUT INTO ACGME INSTITUTIONAL REVIEW QUESTIONS AND RESPONSES TO ALL CITATIONS. THIS INTENSE AND CRITICALLY IMPORTANT WORK CULMINATED IN A PLANNED ACGME SPONSORING INSTITUTIONAL SITE VISIT IN SEPTEMBER OF 2023, WHICH NOTABLY AND JOYFULLY RESULTED IN A FULL RESTORATION OF CONTINUING ACCREDITATION STATUS FOR TWCGME'S SPONSORING INSTITUTION IN OCTOBER 2023. AT THE SI LEVEL, SEVERAL POSITIVE CHANGES WERE IMPLEMENTED DURING THIS REPORTING PERIOD. TWCGME'S WELLNESS AND RESILIENCY SPECIALIST POSITION WAS ELEVATED TO A DIRECTOR OF GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION EXPERIENCE AND WELLNESS. THE ACADEMIC LEADER WORKS WITH HOUSE STAFF AND PROGRAMS TO SUPPORT TRAINEE EXPERIENCES BOTH IN DIDACTIC AND CLINICAL LEARNING ENVIRONMENTS. SHOULD CONCERNS ARISE, THE DMEE WORKS WITH TRAINEES, SITE DIRECTORS, FACULTY, PROGRAM COORDINATORS, PROGRAM DIRECTORS, ASSOCIATE DESIGNATED INSTITUTIONAL OFFICIAL AND DESIGNATED INSTITUTIONAL OFFICIAL TOWARD RESOLUTION. IN ADDITION TO INCORPORATING MEDICAL, PARENTAL, AND CAREGIVER LEAVES OF ABSENCE IN AY 22-23, TO PROMOTE DIVERSITY, EQUITY AND INCLUSION (DEI), TWCGME CHANGED THE SI'S 11 SPECIFIC PAID HOLIDAYS TO 11 FLOATING PAID HOLIDAYS FOR RESIDENTS AND FELLOWS. ADDITIONALLY, TRAINEE SALARIES WERE INCREASED TO HONOR RESIDENT REQUESTS FOR PROGRESSIVE PGY YEAR INCREASES ACROSS TRAINING YEARS 1-4. THE 2022-2023 ACGME RESIDENT/FELLOW SURVEYS WERE REVIEWED BY GMEC IN MAY 2023, WITH IMPROVEMENT IN 3-YEAR TRENDS IN ALL 8 CATEGORIES NOTED. TWCGME ALSO CREATED A NEW ROLE FOR A VICE PRESIDENT OF SI CURRICULUM, QUALITY IMPROVEMENT/QUALITY ASSURANCE (QI/QA) AND FACULTY DEVELOPMENT. AN IMPORTANT FOCUS OF THIS ROLE WAS TO SUPPORT RESIDENT/FELLOW/FACULTY EDUCATION AND COMFORT LEVEL IN REPORTING CONCERNS WITHOUT FEAR OF RETALIATION, CONDUCTING ROOT CAUSE ANALYSES AND INSPIRING IMPROVEMENT PROJECTS. THE 2022-23 ACGME FACULTY SURVEY SHOWED IMPROVEMENT IN PROFESSIONALISM AND RESOURCES. THE SI IMPLEMENTED PROFESSIONAL COACHING OPPORTUNITIES AND ROBUST FACULTY DEVELOPMENT THROUGH THE ESTABLISHMENT OF A FACULTY DEVELOPMENT SUBCOMMITTEE OF GMEC AND THE NEW VP OF SI CURRICULUM, QI/QA AND FACULTY DEVELOPMENT. GMEC APPOINTED DR. STEPHANIE GILL AS CHAIR, FACULTY DEVELOPMENT SUBCOMMITTEE. GMEC ALSO ESTABLISHED A CLINICAL LEARNING ENVIRONMENT REVIEW (CLER) SUBCOMMITTEE CHAIRED BY THE CHIEF MEDICAL OFFICER OF A CLINICAL LEARNING ENVIRONMENT PARTICIPATING (CLEP) SITE TO ENSURE SUBSTANTIAL COMPLIANCE WITH ALL ACGME CLER REQUIREMENTS AND TO PROMOTE THE VISIONARY ACGME SI 2025. A STANDING SPECIAL REVIEW SUBCOMMITTEE OF THE GMEC WAS ESTABLISHED TO OVERSEE ALL SPECIAL REVIEW ACTIVITIES THAT THE GMEC CALLS FOR DURING THE ACADEMIC YEAR TO ADDRESS IDENTIFIED OR ANTICIPATED CHALLENGES QUICKLY. DURING THE FISCAL YEAR, ALL CHIEF AND RESIDENT LEADER JOB DESCRIPTIONS WERE UPDATED TO OPTIMIZE THE ENGAGEMENT OF THE RESIDENTS/FELLOWS. IN ADDITION TO PROGRAMMATIC CHIEF AND RESIDENT LEADER POSITIONS, DURING 2022-2023, TWCGME ESTABLISHED CHIEF AND RESIDENT LEADER ROLES IN THE AREAS OF ADVOCACY, SAFETY & QUALITY, AS WELL AS PATIENT & COMMUNITY ENGAGEMENT. EACH OF THESE ROLES ARE POSTED FOR RESIDENTS TO FORMALLY APPLY AND GO THROUGH A FORMAL INTERVIEW AND SELECTION PROCESS WHICH IS SPEARHEADED BY THE RESPECTIVE COMMITTEES OF THE BOARDS OF DIRECTORS OF TWCGME AND TWCCH. THE ADVOCACY CHIEF AND RESIDENTS LEADERS PLAY A LEAD ROLE IN FORTIFYING INTERDEPARTMENTAL COLLABORATIVE PARTNERSHIP BETWEEN RESIDENTS AND THE ADVOCACY TEAM, REPRESENT TWCGME IN ADVOCACY FORUMS TO EDUCATE FEDERAL, STATE AND REGIONAL ADMINISTRATORS AND ELECTED OFFICIALS ABOUT THE IMPORTANCE OF TWCGME'S MISSION AND THE GME-SNC MODEL. THE ADVOCACY TEAM TAKES ON CRITICAL MISSION ALIGNED ASPECTS OF PUBLIC HEALTH AND HEALTHCARE WORKFORCE POLICIES AND LEGISLATION BRINGING A CLINICAL AND EDUCATIONAL LENS AS NEEDED FOR INTERNAL AND EXTERNAL EDUCATION PURPOSES TO ADVOCATE FOR PUBLIC HEALTH AND HEALTH WORKFORCE DEVELOPMENT TO MEET OUR NATION'S NEEDS. ONE CHIEF AND RESIDENT LEADERS ARE ALSO SELECTED TO SERVE ON AND BRING AN EMPOWERED VOICE OF THE LEARNERS TO THE BOARD OF DIRECTORS OF THE WRIGHT CENTER FOR PATIENT & COMMUNITY ENGAGEMENT (TWCPCE), A SUBSIDIARY CORPORATION OF TWCCH. THESE INDIVIDUALS ACTIVELY PARTICIPATE IN MEETINGS, ACTIVITIES AND DECISION-MAKING PROCESSES, CHARGED WITH BRINGING THE VOICE OF THE PATIENTS, FAMILIES AND THE COMMUNITY TO INFORM GME STAKEHOLDERS IN THEIR DECISION-MAKING PROCESSES AND CLINICAL DELIVERY SYSTEM PROCESS IMPROVEMENTS. TOGETHER WITH THE TWCPCE BOARD, THESE ROLES POSITION OUR LEARNERS TO ENVISION, DEVELOP AND IMPLEMENT PROGRAMS AND RESOURCES TO IMPROVE THE ENGAGEMENT OF PATIENTS AND FAMILIES AS ACTIVE PARTNERS IN THEIR HEALTH CARE. THE CHIEF AND RESIDENT LEADER FOR PATIENT SAFETY AND QUALITY IMPROVEMENT IS RESPONSIBLE TO SUPPORT QI ACTIVITIES WITHIN TWCGME. THESE ROLES ARE REPRESENTATIVES THAT PROVIDE GUIDANCE AND EDUCATION TO RESIDENTS AND FELLOWS IN THE TERMS OF DIDACTICS, PUBLICATIONS AND PRESENTATION DEVELOPMENT FOR ALL QI PROJECTS. PROGRAMMATICALLY, DURING FISCAL YEAR 2021-2022, THE REGIONAL FAMILY MEDICINE RESIDENCY PROGRAM WAS PLACED ON PROBATIONARY ACCREDITATION STATUS IN THE MIDST OF A RESPONSIVE PROGRAM DIRECTOR TRANSITION AND ACTIVE REMEDIATION STRATEGY TO IMPROVE HISTORICALLY CHALLENGED ACGME RESIDENT SATISFACTION SURVEYS. SIGNIFICANT IMPROVEMENT ON SUBSEQUENT INTERNAL CLIMATE SURVEYS AND THE ACGME SURVEY ITSELF RESULTED. DURING FISCAL YEAR 2022-2023, CONFIRMING THE LEGITIMACY OF THE INITIAL POSITIVE INTERNAL FEEDBACK REGARDING THE REMEDIATION STRATEGY, THE REGIONAL FAMILY MEDICINE RESIDENCY PROGRAM RESIDENT SATISFACTION SURVEY SCORES JUMPED FROM 36% TO AN IMPRESSIVE 84% ON THE FORMAL ACGME SURVEY, A TRIBUTE TO THE WORK OF THE PROGRAM AND SPONSORING INSTITUTION LEADERSHIP. THANKFULLY, IN EARLY FEBRUARY 2023, THE COLLECTIVE WORK RESULTED IN THE ELEVATION OF THE FAMILY MEDICINE RESIDENCY PROGRAM FROM PROBATIONARY TO CONTINUED ACCREDITATION WITH WARNING WITH NOTABLE RESOLUTION OF EACH AND EVERY PRIOR CITATION.
FORM 990, PART III, LINE 2 CONTINUED	NEW PROGRAM SERVICES CONTINUED: AFTER A SERIES OF CHALLENGES IN OUR LOCAL COMMUNITY INCLUDING PROGRAM LEADERSHIP TRANSITION FOR CAUSE AND THE CLOSURE OF OUR TWO MAJOR INPATIENT PSYCHIATRY UNITS, THE ACGME PSYCHIATRY RESIDENCY REVIEW COMMITTEE UNFORTUNATELY WITHDREW ACCREDITATION OF OUR PSYCHIATRY RESIDENCY PROGRAM. ACTION RELATED TO THIS DECISION HAPPENED OUTSIDE OF THE REPORTING PERIOD FOR JULY 2022 - JUNE 2023, AND WILL BE DETAILED IN THE NEXT REPORT. MEANWHILE, OUR COMMUNITY IS GRIEVING BUT RALLYING, RESPONSIVE TO UNDENIABLE MENTAL HEALTH SERVICES AND WORKFORCE NEEDS, FOR PREPARATION AND HOPEFUL CONSIDERATION OF A RESUBMISSION FOR ACCREDITATION OF A NEW COMMUNITY-BASED PSYCHIATRY RESIDENCY PROGRAM. NOTABLY, TWCGME HAS SINCE 2012 SERVED AS THE ACGME SPONSORING INSTITUTION OF A UNIQUE, PIONEERING NATIONAL FAMILY MEDICINE RESIDENCY (NFMR) PROGRAM CONSORTIUM THAT TRAINS 52 FAMILY MEDICINE RESIDENTS IN PARTNERSHIP WITH FOUR NATIONAL FQHCS (UNITY IN WASHINGTON DC; HEALTH POINT IN SEATTLE, WASHINGTON; EL RIO IN TUCSON, ARIZONA; AND HEALTHSOURCE IN HILLSBORO, OHIO). THIS NFMR IS NOW POST-CURRENT REPORTING PERIOD EVOLVING INTO FOUR SEPARATE FQHC PLATFORMED FAMILY MEDICINE RESIDENCY PROGRAMS IN THE RESPECTIVE LOCAL COMMUNITIES, PROVING SCALABILITY AND REPLICATION OF TWCGME'S GME-SNC MODEL. THIS WELCOMED EVOLUTION AND PROOF OF CONCEPT WAS NOTABLY PROMPTED BY THE TRAUMATIC WITHDRAWAL OF ACCREDITATION BY THE ACGME'S RESIDENCY REVIEW COMMITTEE (RRC) FOR FAMILY MEDICINE (FM), WHICH SPECIFICALLY CITED SUPPORT FOR A GME CONSORTIUM TO BE A SPONSORING INSTITUTION BUT NOT A PROGRAM, DESPITE OUR NFMR CONSISTENTLY ACHIEVING 100% FAMILY MEDICINE BOARD PASS RATES FOR ALL OF ITS GRADUATES AND THEIR UNPRECEDENTED RETENTION IN UNDERSERVED AND COMMUNITIES PRACTICING PRIMARY CARE AND SERVING HISTORICALLY MARGINALIZED POPULATIONS. IN PARTNERSHIP WITH ALLIED SERVICES INTEGRATED HEALTH AND INPATIENT REHABILITATION FACILITY, TWCGME'S PHYSICAL MEDICINE & REHABILITATION (PM&R) RESIDENCY PROGRAM SUCCESSFULLY LAUNCHED ITS FIRST CLASS OF RESIDENTS ON JULY 1, 2022, WITH FIVE EXCITED PGY1 RESIDENTS. TWCCH EMBRACED THE OPPORTUNITY TO HOST AND TRAIN THESE AWESOME PM&R RESIDENTS IN OUR AMBULATORY, AS WELL AS INPATIENT HOSPITAL TEACHING VENUES, TO IMPROVE AND ENHANCE THE SCOPE AND QUALITY OF HEALTH SERVICES AND SEAMLESS CARE TRANSITIONS FOR THE PATIENTS WE SERVE ACROSS THE FULL SPECTRUM OF SERVICES INCLUDING AMBULATORY, INPATIENT-BASED ACUTE AND REHABILITATION VENUES. THE ADDITION OF THIS NEW RESIDENCY AND INTEGRATION OF THE PM&R RESIDENTS INTO OUR CLINICAL LEARNING ENVIRONMENTS HAS ABSOLUTELY AND UNDENIABLY ENRICHED PATIENT CARE AND THE TEAM BASED EDUCATIONAL EXPERIENCE OF ALL LEARNERS. DESPITE CMS GME FUNDING CHALLENGES FOR RESIDENCY PROGRAMS OPERATED WITHIN INPATIENT REHABILITATION FACILITIES, TWCGME'S GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM (GME-SNC) MODEL ENABLED THIS NEW GME PROGRAM TO LAUNCH THROUGH A COLLABORATION WITH A COMMUNITY-BASED CMS IPPS HOSPITAL WILLING TO HOST INPATIENT ACUTE CARE CLINICAL EDUCATIONAL EXPERIENCES NECESSARY FOR A PM&R RESIDENCY EXPERIENCE. OUR MORE ROBUST GME-SNC, AS ENVISIONED OVER 10 YEARS AGO, NOW FORMALLY INTEGRATES ALLIED SERVICES AND JOHN HEINZ INSTITUTE, NORTHEAST REHABILITATION ASSOCIATES, AND OTHER ESTABLISHED AND NEW CLINICAL LEARNING ENVIRONMENT PARTNERS TO PROMOTE THE WELCOMED DEVELOPMENT OF THE PHYSIATRIST WORKFORCE IN NORTHEAST PENNSYLVANIA. DURING FISCAL YEAR 2022-2023, TWCGME TRAINED NEARLY 250 RESIDENT AND FELLOW PHYSICIANS IN MULTIPLE DISCIPLINES, INCLUDING IN GERIATRIC MEDICINE. THE IMPORTANCE OF DEVELOPING QUALIFIED, COMPASSIONATE GERIATRICIANS HAS NEVER BEEN SO URGENT: PENNSYLVANIA STILL RANKS 9TH OUT OF THE 50 STATES FOR THE PERCENTAGE OF THE STATE POPULATION 65 AND OLDER, AND BY 2034, OLDER ADULTS WILL OUTNUMBER CHILDREN (ACCORDING TO CENSUS BUREAU PROJECTIONS). FURTHER, LACKAWANNA AND LUZERNE COUNTIES HAVE A SIGNIFICANTLY HIGHER NUMBER OF PERSONS 65 YEARS AND OLDER COMPARED TO STATE AND NATIONAL AVERAGES. THE CONTINUED DEVELOPMENT OF GERIATRIC 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: THE POSITION FILL RATE FOR GERIATRIC MEDICINE DECLINED TO 41.5 PERCENT IN 2023, DOWN FROM 43.1 PERCENT IN 2022. THE POSITION FILL RATE HAS RANGED BETWEEN 43.1 - 52 PERCENT SINCE THE 2019 MATCH. IN 2023, GERIATRICS OFFERED 419 CERTIFIED POSITIONS (BOTH INTERNAL MEDICINE AND FAMILY MEDICINE-BASED PROGRAMS) AND ONLY 174 POSITIONS FILLED. UNFORTUNATELY, BUT NOT SURPRISINGLY, TWCGME ALSO EXPERIENCED RECRUITMENT CHALLENGES FOR THE ACGME ACCREDITED GERIATRIC MEDICINE FELLOWSHIP REFLECTIVE OF THE NATIONAL RECRUITMENT ISSUES. HOWEVER, TWCGME ALSO UNFORTUNATELY IDENTIFIED THAT LICENSING BARRIERS WITH THE PENNSYLVANIA BOARD OF MEDICINE MAY ALSO BE INHIBITING RECRUITMENT OPPORTUNITIES. TWCGME CONTINUES TO ADVOCATE WITH BOTH THE STATE LICENSING AND ACCREDITING AGENCIES TO INCREASE THE GERIATRICS FELLOWSHIP APPLICANT POOL BY REMOVING THESE BARRIERS GIVEN THE CRUCIAL NEED FOR GERIATRIC SERVICE PROVIDERS IN OUR COUNTRY. NOTABLY, TWCCH, THE 8TH HEALTHCARE SYSTEM IN THE COUNTRY TO ADOPT UCLA'S JOHN A. HARTFORD FOUNDATION FUNDED, AWARD-WINNING ALZHEIMER'S AND DEMENTIA CARE (ADC) PROGRAM MODEL, CONTINUED TO OFFER ADC SERVICES FOR THE REGIONAL COMMUNITY, WHILE ALSO IMPLEMENTING THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "AGE FRIENDLY HEALTH SYSTEM" IN ALL OF ITS PRIMARY HEALTH SERVICES SITES FOR SENIORS. THESE INITIATIVES ENRICH THE GERIATRIC-SENSITIVE PREPARATION OF ALL INCUMBENT AND FUTURE WORKFORCE TRAINING AT TWCGME. AS A RECIPIENT OF A HRSA FIVE-YEAR DENTAL RESIDENCY AND CARE DELIVERY PLANNING GRANT, TWCGME CONTINUED TO FORMALLY SUPPORT TWCCH AS A CLINICAL LEARNING ENVIRONMENT AND COLLABORATING PARTNER IN NYU LANGONE'S ADVANCED EDUCATION IN GENERAL DENTISTRY (AEGD) RESIDENCY PROGRAM IN FISCAL YEAR 2022-2023. THE AEGD PROGRAM IS FULLY ACCREDITED BY THE COMMISSION ON DENTAL ACCREDITATION (CODA) OF THE AMERICAN DENTAL ASSOCIATION (ADA) TO ADVANCE A RESIDENT'S SKILLS IN PUBLIC HEALTH-ORIENTED GENERAL DENTISTRY. DENTAL RESIDENTS ARE GUIDED AND MENTORED ON-SITE BY FACULTY MEMBERS WHILE DELIVERING ORAL HEALTH SERVICES AND PERFORMING PROCEDURES ON ETHNICALLY-DIVERSE VULNERABLE POPULATIONS, INCLUDING THE POPULATION SERVED BY TWCCH'S OPIATE AND SUBSTANCE USE DISORDER CENTER OF EXCELLENCE AND RYAN WHITE SERVICE LINES. IT IS NYU LANGONE'S GOAL THAT, UPON SUCCESSFUL COMPLETION OF THE PROGRAM, RESIDENTS GRADUATE AS HIGHLY SKILLED AND CONFIDENT PUBLIC HEALTH DENTAL PRACTITIONERS, EQUIPPED TO SERVE THE MOST VULNERABLE POPULATIONS AND MEET THE CHALLENGES OF THE COMPLEX WORLD OF MODERN DENTISTRY. WITH TWCCH'S DENTAL FACULTY AND RESIDENTS, TWCCH PROVIDED 13,099 DENTAL VISITS DURING THE FISCAL YEAR, 2,221 MORE THAN THE YEAR BEFORE - A 20% INCREASE - RESULTING IN PART FROM THE ENHANCED FACULTY PRODUCTIVITY WHILE TRAINING THE RESIDENTS AND ALSO FROM RECRUITMENT OF AN ADDITIONAL FACULTY DENTIST IN SEPTEMBER 2022 AND THE EXPANSION OF DENTAL SPACE AND TWO NEW OPERATORIES TO INCREASE ACCESS TO ACCOMMODATE MORE PATIENTS. EXCITINGLY, IN EARLY 2024, TWCCH EXECUTED AN EMPLOYMENT CONTRACT TO HIRE ONE OF THE AEGD DENTAL RESIDENTS UPON GRADUATION FROM THIS PROGRAM, DEMONSTRATING THAT THE POWER OF THE COMMUNITY-BASED HOMEGROWN PIPELINE TRAINING MODEL IS JUST AS SUCCESSFUL WITH DENTAL RESIDENTS AS IT IS WITH MEDICAL RESIDENTS. TWCGME CONTINUED TO FORMALLY SUPPORT TWCCH'S CLINICAL TRAINING PARTNERSHIP WITH A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE (SOMA), WHICH HOSTED 29 OSTEOPATHIC MEDICAL STUDENTS FOR DIDACTICS AND CLINICAL TRAINING IN SCRANTON, PENNSYLVANIA. OF THOSE, THREE WERE HOMETOWN SCHOLARS NOTABLY RECRUITED FROM THE POPULATION SERVED BY TWCCH, ONE OF WHOM PROUDLY GRADUATED IN MAY 2023 TO PURSUE LOCAL RESIDENCY TRAINING IN THE MUCH NEEDED SPECIALITY OF GENERAL SURGERY. WITH ADDITIONAL HOMETOWN SCHOLARS IN THE PIPELINE AND ON OUR RECRUITMENT RADAR, WE CONTINUE TO AGGRESSIVELY PROMOTE THE DEVELOPMENT OF OUR LONGITUDINAL "GROW YOUR OWN" REGIONAL PHYSICIAN AND INTERPROFESSIONAL WORKFORCE PIPELINE. THE HOMETOWN SCHOLARS PROGRAM IS DIRECTLY ALIGNED WITH AND FUELS THE DELIVERY OF THE SHARED MISSION OF TWCGME AND TWCCH, AND WE WILL CONTINUE TO ENCOURAGE QUALIFIED, COMPASSIONATE LOCAL STARS TO ENTER THE MEDICAL FIELD AND OTHER HEALTH PROFESSIONS, PASSIONATELY PURSUING THEIR RECRUITMENT TO OUR GME PROGRAMS AND THEIR RETENTION IN PRACTICE TO RESTORE OUR PRIMARY CARE PHYSICIAN WORKFORCE.
FORM 990, PART III, LINE 2 CONTINUED	NEW PROGRAM SERVICES CONTINUED: TWCGME ALSO CONTINUED ITS FORMAL SUPPORT OF TWCCH ENTERING ITS SECOND YEAR OF ITS SIMILARLY DESIGNED HOMETOWN SCHOLAR PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF HEALTH SCIENCES, NACHC, AND THE COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST CALIFORNIA AS A SECOND-YEAR TRAINING SITE FOR THE NEW PUBLIC HEALTH ORIENTED CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM (CCPAP). ADDITIONALLY, WE CONTINUED OUR EFFORTS TO DEVELOP AND TRAIN OUR OWN MEDICAL ASSISTANTS (MAS) IN PARTNERSHIP WITH THE NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT (NIMAA), AND ALSO COMMUNITY HEALTH WORKERS (CHWS) THROUGH THE AHEC-AFFILIATED COMMUNITY HEALTH WORKER TRAINING PROGRAM AND THE NATIONAL HEALTH CORPS. TWCGME IS ALSO THE PRIMARY GRANTEE OF A HRSA RURAL RESIDENCY PLANNING AND DEVELOPMENT GRANT (RRPD) WITH A RURAL HOSPITAL AND AFFILIATED FQHC PARTNER IN NORTHEAST PENNSYLVANIA, AS WELL AS PLANNING GRANTS FOR ESTABLISHING A PEDIATRIC RESIDENCY, A PEDIATRIC DENTAL RESIDENCY, AND AN OB/GYN RESIDENCY. AS A MULTIPLE THCGME PLANNING AND DEVELOPMENT GRANTEE, WE HAVE BEEN ACTIVELY PARTICIPATING IN HRSA-LEAD TECHNICAL ASSISTANCE WEBINARS, ACKNOWLEDGED BY PARTICIPANTS AS A SUBJECT MATTER EXPERT REGARDING HRSA'S TEACHING HEALTH CENTER PROGRAMS, PARTICULARLY IN THE GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM MODEL. IN RESPONSE TO THE ESCALATING DAILY CHALLENGES OF THE MEDICAL EDUCATION AND HEALTHCARE DELIVERY SYSTEMS THAT WERE EXACERBATED BY THE COVID-19 PANDEMIC, TWCGME CONTINUED ITS PASSIONATE, DEEP INVESTMENT IN THE TRANSFORMATIONAL WORK TO PROGRESS ON OUR THREE-YEAR JOURNEY FROM A HISTORICALLY TRAUMA-ORGANIZED FOUNDATION THROUGH SANCTUARY MODEL CERTIFICATION TO BECOME A TRAUMA-COMPETENT EMPLOYER, PROVIDER OF WHOLE PERSON HEALTH SERVICES, AND HEALTHCARE WORKFORCE DEVELOPMENT ENTERPRISE. FOUNDED BY DR. BLOOM AND CONTINUED BY THE WORK OF THE SANCTUARY INSTITUTE, THE SANCTUARY MODEL IS A BLUEPRINT FOR CLINICAL AND ORGANIZATIONAL CHANGE AND TRANSFORMATIONAL CULTURE SHIFT WHICH, AT ITS CORE, PROMOTES PHYSICAL, EMOTIONAL, AND PSYCHOLOGICAL SAFETY AND RECOVERY FROM TRAUMATIC ADVERSITY THROUGH THE ACTIVE CREATION OF A TRAUMA-INFORMED AND COMPETENT COMMUNITY. A TRAUMA-COMPETENT 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 THOSE EMPLOYED IN AND SERVED BY THE ORGANIZATION AND THE ORGANIZATION ITSELF. SANDRA BLOOM'S THEORY INSPIRED SANCTUARY CERTIFICATION PROCESS EMPLOYS FOUR PILLARS OF SHARED KNOWLEDGE OF TRAUMA THEORY; SHARED VALUES OF NONVIOLENCE, EMOTIONAL INTELLIGENCE, SOCIAL LEARNING, DEMOCRACY, OPEN COMMUNICATION, SOCIAL RESPONSIBILITY, GROWTH AND CHANGE; SHARED LANGUAGE TO GUIDE REACTIONS AND BEHAVIORS IN TERMS OF SAFETY, EMOTIONS, LOSS AND FUTURE; AND SHARED PRACTICE USING SANCTUARY TOOLS AND INTERVENTIONS TO REINFORCE THE MODEL'S PHILOSOPHY. THE "SANCTUARY" APPROACH CAN BE OFFERED AS A GUIDING CONSTRUCTIVE FRAMEWORK FOR TRANSFORMATION FROM TRAUMA ORGANIZED, OFTEN DIVISIVE CARE DELIVERY AND EDUCATIONAL PLATFORMS TO TRAUMA COMPETENT SYSTEMATIZED APPROACHES FOR TEAMING THAT PROMOTE PSYCHOLOGICAL SAFETY, TRUST, PARTICIPATORY CITIZENSHIP, DEMOCRATIZATION, SOCIAL RESPONSIBILITY AND ACCOUNTABILITY, AND SOCIAL LEARNING. TWCGME BEGAN ITS DEEP INVESTMENT AND ROLL-OUT OF SANCTUARY TRAINING IN EARNEST IN AUGUST 2022 WITH A 2-DAY ONSITE VISIT BY A SANCTUARY INSTITUTE SENIOR FACULTY STAFF MEMBER. WE IMPLEMENTED MULTIPLE COHORTS OF 5-DAY IMMERSION TRAINING EVENTS TO SPREAD LEARNING ACROSS THE ORGANIZATION. THESE COHORTS INCLUDED TWCCH GOVERNING BOARD AND EXECUTIVE MANAGEMENT AS WELL AS NEARLY 80 EMPLOYEES AND A DOZEN TWCGME RESIDENT PHYSICIANS IN TRAINING. AN INTERNAL SANCTUARY STEERING COMMITTEE AND CORE TEAM HAVE BEEN IDENTIFIED AND ARE WORKING INTENTLY AND TIRELESSLY TO ENSURE CROSS-DEPARTMENTAL UNDERSTANDING AND WIDE-SPREAD ADOPTION OF THE SANCTUARY PHILOSOPHY, PILLARS, COMMITMENTS, AND IMPLEMENTATION TOOLS. A VITAL COMPONENT OF THE MODEL TO ENSURE EMPOWERING IN-HOUSE EXPERTISE OF INTERNAL SANCTUARY TRAINERS LAUNCHED DURING THE CURRENT FISCAL YEAR. TWCGME IS FULLY COMMITTED TO IMPROVING THE WAY WE WORK TO PROMOTE AND SYSTEMATIZE AN AWARENESS OF THE IMPORTANCE OF JUSTICE, EQUITY, DIVERSITY, INCLUSION AND BELONGING (JEDIB). DURING THE FISCAL YEAR REPORTED, TWCCH AND TWCGME WERE AGAIN SELECTED IN A COMPETITIVE PROCESS TO PARTICIPATE IN ANOTHER ROBERT WOOD JOHNSON FOUNDATION DESIGN SPRINT COLLABORATION BETWEEN THE WRIGHT CENTERS FOR COMMUNITY HEALTH AND GRADUATE MEDICAL EDUCATION AND OUR NORTHEAST PA AHEC. THIS PROJECT AIMED TO DEVELOP A JUSTICE, DIVERSITY, EQUITY, INCLUSION, AND BELONGING CURRICULUM FOR PHYSICIAN AND INTERPROFESSIONAL HEALTH WORKFORCE LEARNERS TO PROMOTE TEAM BUILDING AND AWARENESS ACROSS THE CARE DELIVERY TEAM LEARNING CONTINUUM. THE GOAL IS TO ELIMINATE THE IMPACT OF DISPARITIES IN HEALTH SERVICES AND TREATMENT DECISIONS, AS WELL AS IN CAREER ADVANCEMENT OPPORTUNITIES, RESULTING FROM EXPLICIT AND IMPLICIT BIASES. THE CURRICULUM'S FOCUS IS TO TEACH CULTURAL HUMILITY AND AUTHENTIC TEAMWORK ACROSS HEALTH PROFESSIONS, WHICH IS ESSENTIAL TO ACHIEVING A SHARED, TEAM-BASED UNDERSTANDING OF THE MOST EFFECTIVE DIAGNOSES, HEALTH CARE SERVICES PLAN, AND TREATMENT APPROACHES FOR THE BENEFIT OF PATIENTS, FAMILIES, AND OUR COMMUNITIES. ADDITIONALLY, WITH THE CONTINUED LEADERSHIP OF OUR VP OF DIVERSITY, EQUITY, AND INCLUSION (DEI), WE EXPANDED JEDIB PROGRAMMING AND ACTIVITIES ACROSS THE WRIGHT CENTER ENTERPRISE, AND INTRODUCED INTEGRATIVE COMMUNITY THERAPY (ICT) AS A NEW INITIATIVE IN OUR WORK TO PROMOTE MENTAL HEALTH, RESILIENCY, COPING SKILLS AND DEMONSTRATED VALUE OF THERAPEUTIC COMMUNITIES. SYSTEMATIZED ICT IS FUELED BY THE COMMUNITY AND ENGAGED MENTAL HEALTH PROFESSIONALS, NOTABLY NOT RELYING ON REFERRALS, DOCTORS, INSURANCE, OR WAIT LISTS TO OFFER IMMEDIATE, NO-COST ACCESS TO ANY COMMUNITY MEMBER NEEDING MENTAL HEALTH SUPPORT. ICT USES FACILITATED AND GUIDED CONVERSATION BETWEEN COMMUNITY MEMBERS WITH SHARED CHARACTERISTICS AS AN ALTERNATIVE SOLUTION OR RESPONSE TO LACK OF IMMEDIATE ACCESS TO APPROPRIATE MENTAL HEALTH SERVICES IN COMMUNITIES. EACH PARTICIPANT IN AN ICT SESSION LEARNS, CONTRIBUTES, AND HEALS BY SHARING THEIR AND LISTENING TO THE LIFE STORIES THAT ARE TOLD BY OTHERS. DURING THE FISCAL YEAR, TWCGME ALSO LAUNCHED ITS FORMAL CORPORATE COMMITMENT TO ENVIRONMENTAL RESPONSIBILITY AND CLIMATE RESILIENCE WITH A SUBSTANTIAL INVESTMENT INTO AN ENVIRONMENTAL, SOCIAL, AND GOVERNANCE (ESG) STRATEGIC PLAN. WE RECRUITED OUR VERY FIRST ESG SPECIALIST, AND DEVELOPED AN ORGANIZATIONAL CLIMATE PLEDGE FOR REVIEW AND ADOPTION BY OUR ENTIRE STAFF, INCLUDING OUR PHYSICIANS AND PROVIDER TEAMS AND TWCGME'S RESIDENT AND FELLOW PHYSICIANS IN TRAINING, TO PROMOTE AWARENESS THAT, AS AN ESSENTIAL COMMUNITY PROVIDER OF PRIMARY HEALTH SERVICES, WE SIMPLY CANNOT IGNORE THE DEVASTATING DISPARATE IMPACT THAT THE ENVIRONMENT AND CLIMATE HAS ON HEALTH, A DETRIMENTAL IMPACT THAT IS ONLY FORCE-MULTIPLIED BY THE POLITICAL AND SOCIOECONOMIC DETERMINANTS OF HEALTH. WE THEREFORE COMMITTED TO ENRICH AND EXPAND OUR COMMUNITY BENEFIT TO INCLUDE A ROBUST EXPLORATION AND IMPLEMENTATION OF REASONABLE "ACHIEVABLE BY ALL" PRACTICES THAT PROMOTE AWARENESS AND SUSTAINABILITY OF ENVIRONMENTAL AND CLIMATE RESILIENCE.
FORM 990, PART III, LINE 4A	PROGRAM SERVICES CONTINUED: TWCGME'S MISSION IS TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITY THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED AND COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. TWCGME, AN INDEPENDENT NON-PROFIT SPONSORING INSTITUTION ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), TRAINS NEARLY 250 MEDICAL RESIDENTS AND FELLOWS EACH YEAR THROUGH ITS UNIQUE GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC), WHICH IS FUNDED BY THREE FEDERAL AGENCIES (HRSA, AFFILIATED HOSPITAL AND INPATIENT REHABILITATION FACILITY PARTNERS WHO RECEIVE REIMBURSEMENT FROM CMS, AND THE VA). OUR OPERATIONS ARE SUPPORTED BY AN ENRICHED COMMUNITY RESOURCE NETWORK OF MULTIPLE HEALTHCARE ORGANIZATIONS THAT PROVIDE CLINICAL LEARNING ENVIRONMENTS FOR RESIDENTS/FELLOWS, WHO HAVE ALREADY GRADUATED MEDICAL SCHOOL AND JOIN TWCGME TO COMPLETE POSTGRADUATE CLINICAL AND EDUCATIONAL TRAINING THAT MAKES THEM ELIGIBLE TO SIT FOR BOARD EXAMINATIONS WITH THE AMERICAN BOARD OF MEDICAL SPECIALITIES AND/OR THE AMERICAN OSTEOPATHIC ASSOCIATION. TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, PHYSICAL MEDICINE & REHABILITATION ("PM&R") AND PSYCHIATRY RESIDENCIES, AS WELL AS ITS CARDIOVASCULAR DISEASE, GASTROENTEROLOGY, AND GERIATRICS FELLOWSHIPS, ARE ALL STRATEGICALLY DESIGNED TO RESPOND TO PUBLIC HEALTH NEEDS, WHILE EMPOWERING LEARNERS AS INNOVATORS AND NIMBLE PUBLIC HEALTH SERVICE LEADERS WHO RESPOND TO THE NEEDS OF THE LOCAL COMMUNITIES THEY SERVE BOTH IN TWCCH CLINICS AND IN PARTNERING HOSPITALS AND SPECIALITY OFFICES THROUGHOUT LACKAWANNA, WAYNE, AND LUZERNE COUNTIES IN NORTHEAST PENNSYLVANIA. RESIDENT PHYSICIANS IN OUR NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM RESPOND SIMILARLY TO THE NEEDS OF THEIR FQHC BASED CLINICAL LEARNING NETWORKS AND SURROUNDING COMMUNITIES IN WASHINGTON DC, HILLSBORO, OHIO, TUCSON, ARIZONA, AND SEATTLE, WASHINGTON. TWCGME'S REGIONAL FAMILY MEDICINE RESIDENCY, NATIONAL FAMILY MEDICINE RESIDENCY, INTERNAL MEDICINE RESIDENCY, PSYCHIATRY RESIDENCY, AND GERIATRICS FELLOWSHIP ARE WHOLLY OR PARTIALLY FUNDED BY HRSA THROUGH THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) PROGRAM, WHICH FUNDS PRIMARY CARE MEDICAL AND DENTAL RESIDENCY PROGRAMS. THESE HRSA-FUNDED THCGME PROGRAMS OFFER AMPLE OPPORTUNITY FOR PHYSICIAN TRAINEES TO BE IMMERSED IN FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FQHC LOOK-ALIKES (FQHC-LALS) AS THEIR PRIMARY AMBULATORY CLINICAL LEARNING ENVIRONMENTS. AS ONE OF THE LARGEST HRSA-FUNDED THC GME-SNCS IN THE U.S., TWCGME PROUDLY ENGAGED EACH FQHC AND FQHC-LAL PARTNER WITH AN EMPOWERING VOICE ON OUR GOVERNING BOARD OF DIRECTORS. TWCGME'S CLINICAL LEARNING ENVIRONMENT PARTNERING CLINICAL EDUCATIONAL SITES INCLUDE TWCCH'S CLINICAL LOCATIONS ACROSS NORTHEAST PENNSYLVANIA, HEALTHSOURCE OF OHIO IN NEW RICHMOND AND HILLSBORO, OH, EL RIO HEALTH IN TUCSON, AZ, HEALTHPOINT IN AUBURN, WA, AND UNITY HEALTH CARE IN WASHINGTON, DC. THESE HEALTH CENTERS SHARE A PUBLIC HEALTH-ORIENTED PARTNERSHIP NOT ONLY WITH TWCGME BUT ALSO WITH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (SOMA) AND CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM (CCPAP). THESE MISSION DRIVEN COLLABORATORS PASSIONATELY SUPPORT AND ENGAGE IN ATSU'S HOMETOWN SCHOLAR PIPELINE PROGRAMS STRIVING TO ENHANCE THE DIVERSITY OF THE PHYSICIAN WORKFORCE AND ITS CONGRUENCE WITH THE POPULATION SERVED BY RECRUITING FROM, RETAINING IN, AND THEREBY RESTORING PRIMARY CARE HEALTH CENTERS AND THE COMMUNITIES THEY SERVE.
FORM 990, PART III, LINE 4B	PROGRAM SERVICE CONTINUED: TWCGME IS A 501(C)(3) NONPROFIT CORPORATION AND ANCHORING MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) THAT SERVES AS THE INDEPENDENT ACGME-ACCREDITED SPONSORING INSTITUTION OF RESIDENCY PROGRAMS IN INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY, PHYSICAL MEDICINE & REHABILITATION, AND FELLOWSHIP PROGRAMS IN GERIATRICS, CARDIOVASCULAR DISEASE AND GASTROENTEROLOGY. IN NORTHEAST PENNSYLVANIA, TWCGME'S RESIDENT AND FELLOW PHYSICIAN LEARNERS TRAIN EXPERIENTIALLY IN FIVE REGIONAL HOSPITALS OPERATED BY COMMONWEALTH HEALTH, GEISINGER HEALTH SYSTEM, AND/OR THE WILKES-BARRE VETERANS AFFAIRS MEDICAL CENTER (WBVAMC), AS WELL AS THE ALLIED SERVICES INPATIENT REHABILITATION FACILITY (IRF) AND ITS INTEGRATED DELIVERY SYSTEM THAT INCLUDES TRANSITIONAL REHABILITATION, SKILLED NURSING, INPATIENT HOSPICE AND ASSISTED LIVING FACILITIES. TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, AND PSYCHIATRY RESIDENCY PROGRAMS ARE PARTIALLY FUNDED BY THE HRSA TEACHING HEALTH CENTER GME PROGRAM AS DESCRIBED IN LINE 4A ABOVE; TWCGME'S NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM AND GERIATRICS FELLOWSHIP ARE WHOLLY FUNDED BY HRSA'S TEACHING HEALTH CENTER GME PROGRAM AND RECEIVE NO RESOURCES FROM CMS GME AFFILIATES OR THE VA. NON-HRSA GME FUNDING IS PROVIDED TO TWCGME DIRECTLY BY THE WBVAMC AND THROUGH CMS-FUNDED HOSPITALS AND IRF VIA AFFILIATION AGREEMENTS. THE GME-SNC TRACKS AND METICULOUSLY REPORTS ROTATIONAL FTES BY PROGRAM ACROSS SPECIFIED FEDERAL COST CENTERS.
FORM 990, PART III, LINE 4C	PROGRAM SERVICE CONTINUED: WE VET ALL POTENTIAL MISSION-ALIGNED GRANT INITIATIVES FOR COMMUNITY HEALTH NEEDS-RESPONSIVENESS, FEASIBILITY, OUTCOMES ACHIEVABILITY AND SUSTAINABILITY. WITH A FERVENT COMMITMENT TO AUTHENTICITY AND THE HIGHEST INTEGRITY AND ACCOUNTABILITY 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; TO FOSTER SHARED PURPOSE AND ACCOUNTABILITY AND COLLECTIVE IMPACT-ORIENTED ACTION STRATEGIES; AND TO DEMONSTRATE TRUSTED TRANSFORMATIONAL STEWARDSHIP OF PUBLIC RESOURCES TO ADDRESS COMMUNITY HEALTH NEEDS AND PROMOTE COMMUNITY HEALTH. THE FOLLOWING DETAILED INFORMATION OF MATERIAL GRANT-FUNDED PROGRAMS SUPPORTS THOSE GRANTS LISTED ON SCHEDULE B EXCEPT FOR THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION FUNDING DESCRIBED ON LINE 4A AND RELATED ORGANIZATION CONTRIBUTIONS: HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (TOTAL $376,683) THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO ESTABLISH A NEW COMMUNITY-BASED FAMILY MEDICINE (FM) RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) IN THE MEDICALLY UNDERSERVED SETTING OF BROOKLYN, NEW YORK. GRANT FUNDS WILL BE USED TO SUPPORT THE EXPLORATION OF THE FEASIBILITY AND LOGISTICAL AND OPERATIONAL STRATEGIES TO DEVELOP AND SECURE ACGME ACCREDITATION OF A NEW, COMMUNITY HEALTH NEEDS RESPONSIVE FAMILY MEDICINE RESIDENCY PROGRAM IN PARTNERSHIP WITH WYCKOFF HEIGHTS MEDICAL CENTER (WYCKOFF). AS A NEW CLINICAL PARTNER IN OUR EXISTING GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM, WYCKOFF PLANS TO LOCATE THE PROPOSED FAMILY MEDICINE RESIDENCY PROGRAM IN A COMMUNITY-BASED CLINICAL SITE IN BUSHWICK, BROOKLYN, WHICH IS DESIGNATED AS BOTH A MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). DURING FISCAL YEAR 2022-2023, TOTAL CONTRIBUTIONS AMOUNTED TO $287,062. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO CREATE A NEW, RURAL FAMILY MEDICINE (FM) RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) IN THE MEDICALLY UNDERSERVED RURAL DESIGNATED COUNTY OF WAYNE COUNTY, PA. THIS HIGH-NEEDS HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREA (MUA) DESIGNATED RURAL COUNTY IS STRUGGLING WITH OBESITY AND ITS MANY COMORBIDITIES, PHYSICAL INACTIVITY, MENTAL HEALTH, AND SUBSTANCE USE DISORDERS. THE PROPOSED RURAL FAMILY MEDICINE PROGRAM WILL ADDRESS THESE COMMUNITY HEALTH CONCERNS BY PROVIDING A PROGRAM DRIVEN BY A FULL-SCOPE FAMILY MEDICINE PRACTICE THAT INCLUDES EDUCATION IN AND CLINICAL EXPOSURE TO WHOLE PERSON PRIMARY HEALTH SERVICES INCLUDING MEDICAL, BEHAVIORAL/MENTAL HEALTH, DENTAL, AND NEEDED SPECIALTY OUTPATIENT CARE SUCH AS HEPATITIS C TREATMENT, RYAN WHITE AND INFECTIOUS DISEASE SERVICES, AS WELL AS SUBSTANCE ABUSE RECOVERY SUPPORT SERVICES INCLUDING MEDICATION-ASSISTED TREATMENT (MAT). DURING FISCAL YEAR 2022-2023, TOTAL CONTRIBUTIONS AMOUNTED TO $57,874. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO ESTABLISH A NEW COMMUNITY-BASED OBSTETRICS AND GYNECOLOGY RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). GRANT FUNDS WILL BE USED TO SUPPORT THE EXPLORATION OF THE FEASIBILITY AND LOGISTICAL AND OPERATIONAL STRATEGIES TO DEVELOP AND SECURE ACGME ACCREDITATION OF A NEW, COMMUNITY HEALTH NEEDS RESPONSIVE OBSTETRICS AND GYNECOLOGY RESIDENCY PROGRAM IN AN AREA WHERE PRIMARY CARE AND OB/GYN SERVICES ARE LIMITED. THE PROGRAM AIMS TO DECREASE HEALTHCARE DISPARITIES BY IDENTIFYING AND IMMERSING TRAINEES AND RESIDENCY PROGRAM FACULTY IN THE CARE OF LOW-INCOME VULNERABLE AND MARGINALIZED POPULATIONS. DURING FISCAL YEAR 2022-2023, TOTAL CONTRIBUTIONS AMOUNTED TO $12,461. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO ESTABLISH A NEW COMMUNITY-BASED PEDIATRICS RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). GRANT FUNDS WILL BE USED TO SUPPORT THE EXPLORATION OF THE FEASIBILITY AND LOGISTICAL AND OPERATIONAL STRATEGIES TO DEVELOP AND SECURE ACGME ACCREDITATION OF A NEW, COMMUNITY HEALTH NEEDS RESPONSIVE PEDIATRICS RESIDENCY PROGRAM IN AN AREA WHERE NONDISCRIMINATORY PRIMARY CARE AND PEDIATRICS SERVICES ARE LIMITED. THE PROGRAM AIMS TO DECREASE HEALTHCARE DISPARITIES BY IDENTIFYING AND IMMERSING TRAINEES AND RESIDENCY PROGRAM FACULTY IN THE CARE OF LOW-INCOME VULNERABLE AND MARGINALIZED POPULATIONS. CHILDREN LIVING IN THE SERVICE AREA REPRESENT A UNIQUE AND VULNERABLE POPULATION WITH DISCRETE HEALTH, HEALTHCARE, GEOGRAPHIC, AND SOCIOECONOMIC DISADVANTAGES. THE CLOSURE OF INPATIENT HOSPITAL PEDIATRICS UNITS HAVE FORCE MULTIPLIED THE PEDIATRICS PUBLIC HEALTH CHALLENGES OF THE SURROUNDING COMMUNITY. DURING FISCAL YEAR 2022-2023, TOTAL CONTRIBUTIONS AMOUNTED TO $19,286. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) - PRIMARY CARE TRAINING AND ENHANCEMENT - RESIDENCY TRAINING AND MENTAL AND BEHAVIORAL HEALTH (TOTAL $63,345) THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) VIA A PRIMARY CARE TRAINING AND ENHANCEMENT GRANT TO PROVIDE SPONSORING INSTITUTION-WIDE RESIDENCY TRAINING IN MENTAL AND BEHAVIORAL HEALTH WITH A FOCUS ON YOUTH MENTAL HEALTH. THIS PROGRAM WILL BE IMPLEMENTED ACROSS OUR NATIONAL FAMILY MEDICINE RESIDENCY NETWORK (NFMR) SITES IN UNDERSERVED COMMUNITIES IN WASHINGTON, DC, WASHINGTON, OHIO, AND ARIZONA, PARTNERING WITH OUR ACADEMIC LEADERS AT UNITY, HEALTHPOINT, HEALTH SOURCE, AND EL RIO FEDERALLY QUALIFIED HEALTH CENTERS. THROUGH THIS FUNDING, TWCGME'S NFMR WILL ASSURE CONSISTENT AND COST-EFFECTIVE DELIVERY OF A CHALLENGING AND SATISFYING LOCAL TRAINING EXPERIENCE IN THE MENTAL AND BEHAVIORAL HEALTH CONDITIONS FOR PEDIATRIC, ADOLESCENT, AND YOUNG ADULT POPULATIONS SERVED BY OUR HEALTH CENTER PARTNERS. A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (TOTAL $6,667) IN PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA), AS SUB-AWARDEE THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) PARTICIPATED IN AUGMENTATION OF TRAINING ACROSS THE PRIMARY CARE CONTINUUM BY INTEGRATING INTERPROFESSIONAL TEAM-BASED, PATIENT-CENTERED HEALTH PROFESSIONS EDUCATION WITHIN NATIONALLY DISTRIBUTED COMMUNITY HEALTH CENTER TRAINING SITES SEEKING TO IMPROVE ACCESS TO QUALITY HEALTHCARE FOR HIGHLY VULNERABLE AND HISTORICALLY UNDERSERVED POPULATIONS. THROUGH THIS PROJECT, ATSU-SOMA AND SUB-AWARDEES INCLUDING TWCGME, CREATED ENHANCED PRIMARY CARE DIDACTICS, CONTEXTUAL CLINICAL LEARNING ACTIVITIES AND ASSESSMENTS, AND LEADERSHIP CONTENT TO PREPARE TRAINEES FOR PRACTICE IN EVOLVING HEALTHCARE SYSTEMS AND FUTURE CAREERS AS PUBLIC HEALTH CHAMPIONS AND SERVANT LEADERS FOR THEIR COMMUNITIES. TOGETHER, ATSU-SOMA AND SUB-AWARDEES INCLUDING TWCGME, CREATED A MULTI-STATE COMMUNITY CARE TRAINING ALLIANCE THAT BRINGS TOGETHER LEADERSHIP FROM COMMUNITY HEALTH CENTERS, MEDICAL SCHOOLS AND GME SPONSORING INSTITUTIONS TO EXPLORE HOW TO BEST EVOLVE THE LONGITUDINAL MEDICAL EDUCATION CONTINUUM IN ORDER TO BETTER SERVE MEDICALLY UNDERSERVED COMMUNITIES.
FORM 990, PART III, LINE 4D	OTHER PROGRAM SERVICES: OTHER - COMMON PAYMASTER TWCGME SERVES AS THE COMMON PAYMASTER FOR ITS PRIMARY AFFILIATE, A FEDERALLY QUALIFIED HEALTH CENTER LOOK ALIKE, THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). IN OPERATIONALIZING THE COMMON PAYMASTER FUNCTIONALITY, TWCGME HAS ENTERED INTO A MISSION DRIVEN COVENANT AND RELATED LEASE AGREEMENTS WITH TWCCH FOR THE PROVISION OF CERTAIN ADMINISTRATIVE AND EXECUTIVE SERVICES, FOR WHICH TWCCH PAYS TWCGME THROUGH INTERCOMPANY ALLOCATION METHODOLOGIES. THROUGH THESE LEASE AGREEMENTS, TWCCH LEASES MANAGEMENT SERVICES AND BACK OFFICE SUPPORT SERVICES FROM TWCGME INCLUDING, BUT NOT LIMITED TO, HUMAN RESOURCES, INFORMATION TECHNOLOGY, MARKETING & COMMUNICATIONS, FINANCE, BILLING, GRANTS, GOVERNANCE SUPPORT, GOVERNMENTAL RELATIONS, LEGAL AND OTHER ADMINISTRATIVE SERVICES. LINE 2B ON THE STATEMENT OF REVENUE REPRESENTS THE REVENUE RECORDED FOR THESE SUPPORT SERVICES THAT TWCGME PERFORMS ON BEHALF OF TWCCH. THE COSTS ASSOCIATED WITH THIS REVENUE, IN ADDITION TO COSTS SUPPORTING TWCGME MANAGEMENT AND GENERAL EXPENSES, ARE RECORDED AS MANAGEMENT AND GENERAL EXPENSES ON TWCGME (REVENUE $5,752,897). OTHER - OFFICE OF RESEARCH SUPPORT AND COMPLIANCE TWCGME ENSURES THAT TRAINEES, STAFF, AND FACULTY HAVE OPPORTUNITIES TO ENGAGE IN COMMUNITY-ORIENTED PRIMARY CARE SCHOLARLY ACTIVITY AND RESEARCH AS FUNDING ALLOWS. DURING THE REPORTING PERIOD, TWO INDIVIDUALS STAFFED THIS DEPARTMENT AND ENGAGED WITH TRAINEE PROGRAM CHIEFS AND LEADERS DEDICATED TO SCHOLARLY ACTIVITY WHICH IN TURN IS REPORTED TO THE ACGME AS PART OF PROGRAM AND INSTITUTIONAL REQUIREMENTS. ADDITIONALLY, TWCGME OPERATES AN INSTITUTIONAL REVIEW BOARD (IRB). THE MISSION OF THE TWCGME IRB IS TO PROTECT THE RIGHTS, WELFARE AND KNOWLEDGE-BASED EMPOWERMENT OF HUMAN PARTICIPANTS RECRUITED TO ENGAGE IN RESEARCH ACTIVITIES OCCURRING IN TWCGME EDUCATIONAL OR TWCCH CLINICAL LEARNING ENVIRONMENTS, PARTNERING ORGANIZATIONS' CLINICAL LEARNING ENVIRONMENTS, AND/OR WITH TWCGME RESIDENTS, FELLOWS AND/OR FACULTY. PHYSICIANS, EDUCATORS, ACADEMIC AND CLINICAL RESEARCH EXPERTS AND COMMUNITY MEMBERS SERVE ON THE IRB.
FORM 990, PART IV, LINE 28	BUSINESS TRANSACTIONS: IN NOVEMBER 2017, TWCGME AND ITS AFFILIATED ORGANIZATION TWCCH EXECUTED A LEASE AGREEMENT WITH WYOMING AVENUE DEVELOPMENT, LLC TO DEVELOP AND RENT A 36,500 SQ. FT. FLAGSHIP CLINICAL, EDUCATIONAL, AND ADMINISTRATIVE HUB AT 501 SOUTH WASHINGTON AVENUE, SCRANTON, PENNSYLVANIA, A FORMALLY ECONOMICALLY DISTRESSED CITY AT THAT TIME. MR. JOSEPH FERRARIO WAS A VOLUNTEER DIRECTOR ON AND CHAIR OF TWCGME BOARD OF DIRECTORS, AS WELL AS A BOARD MEMBER OF THE AFFILIATED TWCCH AND OTHER AFFILIATES, UNTIL JULY 12, 2019, WHEN HE RESIGNED FROM TWCGME'S BOARD OF DIRECTORS AND FROM ALL BOARDS OF DIRECTORS OF ITS AFFILIATED ORGANIZATIONS. AT THE TIME THE LEASE TRANSACTION WAS CONSUMMATED, MR. FERRARIO OWNED MORE THAN 35% OF WYOMING AVENUE DEVELOPMENT, LLC. MR. FERRARIO'S CONFLICT OF INTEREST WAS FULLY DISCLOSED AND COMMUNICATED, ETHICALLY ASSESSED, AND APPROVED BY THE BOARD OF DIRECTORS OF TWCGME AND TWCCH 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 SOUTH WASHINGTON AVENUE, SCRANTON, PENNSYLVANIA FOR FQHC LAL 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 2019, WITH THE COMMENCEMENT DATE OF THE AMENDED AND RESTATED LEASE AGREEMENT FOR THE FIRST FLOOR OCCURRING ON NOVEMBER 26, 2019.
FORM 990, PART V, LINE 2	COMMON PAYMASTER: TWCGME IS AFFILIATED WITH TWCCH (EIN: 23-2772504). TO INCREASE ORGANIZATIONAL EFFICIENCIES, TWCGME IS A COMMON PAY AGENT FOR W-2 REPORTING OF BOTH ENTITIES, WITH THE NOTABLE EXCEPTION THAT TWCCH DIRECTLY EMPLOYS ITS PRESIDENT AND 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 SHARED MISSION COVENANT AND SERIES OF RELATED LEASE 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, SECTION A, LINE 6	ORGANIZATION MEMBERS: TWCGME IS A NONPROFIT MEMBERSHIP CORPORATION WITH TWO CLASSES OF MEMBERS. CLASS I MEMBERS ARE HEALTH SYSTEMS WITH WHICH THE CORPORATION HAS AN EXECUTED AFFILIATION AGREEMENT FOR RESIDENT AND/OR FELLOW TRAINING AND WHICH HAVE AN ACTIVE PRESENCE IN THE NORTHEAST PENNSYLVANIA REGION AS DETERMINED SOLELY BY TWCGME. DURING FISCAL YEAR 2022-2023, GEISINGER HEALTH SYSTEM AND COMMONWEALTH HEALTH SYSTEMS WERE CLASS I MEMBERS. CLASS II MEMBERS CURRENTLY INCLUDE CLASS I DIRECTORS AND CLASS III DIRECTORS AS DEFINED IN TWCGME'S BYLAWS. CLASS II MEMBERS CURRENTLY INCLUDE REPRESENTATIVES OF TWCGME'S AFFILIATED CORPORATIONS, INCLUDING TWCCH, A HRSA-DESIGNATED FQHC LOOK-ALIKE. OTHER CLASS II MEMBERS INCLUDE REPRESENTATIVES OF CONSUMERS/PATIENTS, REGIONAL EMPLOYERS, OSTEOPATHIC, ALLOPATHIC AND INTER-PROFESSIONAL (NON-PHYSICIAN) HEALTH CARE AND EDUCATIONAL STAKEHOLDERS, COMMUNITY LEADERS, COMMUNITY-GOVERNED NON-PROFIT SERVICE ORGANIZATIONS, AND OTHER PERSONS WHOM THE MEMBER BELIEVES WILL CONTRIBUTE VALUE TO THE BOARD OF DIRECTORS. TWCGME ALSO ENSURES THE CONTINUED ENGAGEMENT OF REPRESENTATIVE MEMBERS FROM ITS NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM'S PARTNERING FQHCS (UNITY HEALTH CARE, HEALTHSOURCE OF OHIO, HEALTHPOINT AND EL RIO HEALTH) AS WELL AS NORTHEAST PA AHEC AND A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE AS CLASS II MEMBERS TO ENSURE AN EMPOWERED VOICE AT THE GOVERNING TABLE.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBER POWERS: CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATE TWCGME'S SPONSORING INSTITUTIONAL CONSORTIUM FOR AT LEAST TEN RESIDENT AND/OR FELLOW FTES SHALL HAVE THE RIGHT TO APPOINT ONE CLASS II-A DIRECTOR TO TWCGME'S BOARD. CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATE TWCGME'S SPONSORING INSTITUTIONAL CONSORTIUM FOR AT LEAST TWENTY-FIVE RESIDENT AND/OR FELLOW FTES SHALL HAVE THE RIGHT TO APPOINT TWO CLASS II-A DIRECTORS TO TWCGME'S BOARD. NO CLASS I MEMBER SHALL APPOINT MORE THAN TWO VOTING DIRECTORS ON TWCGME'S BOARD AT ANY GIVEN TIME, AND NO CLASS I MEMBER MAY APPOINT DIRECTORS TO ANY CLASS OTHER THAN CLASS II-A.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW: TWCGME'S FORM 990 IS PREPARED BY THE SENIOR LEADERSHIP TEAM OF THE FINANCE DEPARTMENT AND ENTERPRISE COMPLIANCE AND INTEGRITY DEPARTMENT WITH DETAILED REVIEW AND INPUT FROM THE PRESIDENT & CEO, AND IT IS THEN REVIEWED BY AN INDEPENDENT, CONTRACTED 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, INPUT, AND APPROVAL PRIOR TO FILING. UPON COMPLETION OF THIS REVIEW AND ANY NECESSARY REVISIONS, THE FORM 990 IS FINALIZED AND SIGNED BY THE ORGANIZATION'S PRESIDENT & CEO AND FILED WITH THE IRS. TWCGME'S THREE MOST RECENTLY FILED 990S, ALONG WITH THREE SEQUENTIAL ANNUAL REPORTS, ARE TRANSPARENTLY AVAILABLE ON OUR WEBSITE IN A DOWNLOADABLE FORMAT, AND THEY ARE KEPT IN A SECURE LOCATION AT EVERY REQUIRED OPERATIONAL SITE WHERE THEY MAY BE REVIEWED BY REQUEST CONSISTENT WITH IRS APPLICABLE LAWS, RULES, AND REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 12A, 12B, 12C	CONFLICT OF INTEREST POLICY: A WRITTEN CONFLICT OF INTEREST POLICY HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, AND THE GOVERNANCE OFFICER AND THE SENIOR VICE PRESIDENT FOR ENTERPRISE COMPLIANCE AND INTEGRITY ENSURE IT IS REVIEWED, UPDATED IF NECESSARY, AND RENEWED ANNUALLY OR MORE FREQUENTLY WHEN NECESSARY OR APPROPRIATE. A 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 GOVERNANCE OFFICER AND THE SENIOR VICE PRESIDENT FOR ENTERPRISE COMPLIANCE AND INTEGRITY ENSURE 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, UPDATE, 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 AND SENIOR VICE PRESIDENT FOR ENTERPRISE COMPLIANCE AND INTEGRITY. COMPLIANCE OF STAFF WITH THE CONFLICT OF INTEREST POLICY IS MONITORED BY MANAGERS WITH THE SUPPORTIVE OVERSIGHT OF THE VICE PRESIDENT OF HUMAN RESOURCES, INTERNAL COUNSEL, AND THE SENIOR VICE PRESIDENT FOR ENTERPRISE COMPLIANCE AND INTEGRITY.
FORM 990, PART VI, SECTION B, LINE 15A	COMPENSATION DETERMINATION: TWCGME CONTRACTS WITH THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), ITS AFFILIATED ENTITY, FOR THE SERVICES OF TWCGME'S CHIEF EXECUTIVE AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TWCGME, AND THEREFORE DOES NOT COMPENSATE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER DIRECTLY. NONETHELESS, THE PROCESS FOR DETERMINING THE COMPENSATION OF TWCGME'S TOP MANAGEMENT OFFICIAL, THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO), IS LED BY THE EXECUTIVE COMMITTEE OF TWCGME BOARD IN CONJUNCTION WITH THE EXECUTIVE COMMITTEE OF TWCCH. THE EXECUTIVE COMMITTEES ENGAGE 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. ADDITIONAL DATA CONSIDERED MAY INCLUDE INFORMATION FROM THE AMERICAN JOB CENTER NETWORK WEBSITE, MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), FORM 990S OF COMPARABLE ORGANIZATIONS, AS WELL AS COMPENSATION SURVEYS OF THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, OR OTHER RELEVANT REGIONAL AND NATIONAL SOURCES. THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY PERFORMS A DETAILED, ROBUST, COMPREHENSIVE PERFORMANCE EVALUATION OF THE PRESIDENT & CEO'S AND ORGANIZATION'S PERFORMANCE. THIS ANNUAL PROCESS INCLUDES ASSESSMENT OF WHETHER BASE CHANGES OR MERIT BONUS PAYMENT ADJUSTMENTS TO THE SALARY AND BENEFITS OF THE PRESIDENT & CEO SERVICES ARE APPROPRIATE AND, IF SO, ENSURE FAIR VALUE BASED ON ALL FACTS AND CIRCUMSTANCES. ANY ADJUSTMENTS TO THE PRESIDENT & CEO'S COMPENSATION IN BETWEEN CONTRACT TERMS ARE ASSESSED AGAINST PUBLICLY AVAILABLE COMPARABLE DATA. ULTIMATELY, THE OVERALL COMPENSATION OF THE PRESIDENT & CEO IS DETERMINED BASED ON A ROBUST PERFORMANCE ASSESSMENT AND THE OVERALL PERFORMANCE OF THE ORGANIZATION, WITH DUE CONSIDERATION OF THE CONTRACTED INDEPENDENT THIRD-PARTY COMPENSATION STUDY, MARKET COMPARABILITY, AND AFFORDABILITY. THE EXECUTIVE COMMITTEES' ANNUAL DELIBERATIONS, CONSIDERATIONS, AND DECISIONS REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN EXECUTIVE COMMITTEES MEETING MINUTES WITHIN 60 DAYS OF THE EVALUATION COMPLETION AND COMPENSATION DECISION AND THEN REPORTED TO AND RATIFIED BY THE FULL BOARDS OF BOTH TWCGME AND TWCCH.
FORM 990, PART VI, SECTION B, LINE 15B	COMPENSATION DETERMINATION: COMPENSATION OF ALL OTHER EMPLOYEES, INCLUDING BUT NOT LIMITED TO EXECUTIVES, OFFICERS, EMPLOYEES, KEY EMPLOYEES, THE HIGHEST COMPENSATED EMPLOYEES, AND ALL STAFF IS DETERMINED BY THE ORGANIZATION'S PRESIDENT & CEO AND HUMAN RESOURCES DEPARTMENT, WHO, WITH CONSIDERATION OF CURRENT AND FREQUENTLY SHIFTING MARKET DYNAMICS, RELY ON A FORMAL, PERIODIC ORGANIZATION-WIDE COMPENSATION ASSESSMENT BY AN OBJECTIVE THIRD-PARTY VENDOR, TYPICALLY EVERY THREE TO FIVE YEARS. THE THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT ENGAGED BY THE VICE PRESIDENT OF HUMAN RESOURCES PERFORMS AND PRESENTS THE ORGANIZATION-WIDE COMPENSATION STUDY TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER, AS WELL AS THE EXECUTIVE AND PERSONNEL/COMPENSATION COMMITTEES OF TWCGME'S AND TWCCH'S BOARDS OF DIRECTORS. THE PRESIDENT & CEO ALSO CONSIDERS ADDITIONAL DATA IN DETERMINATION OF COMPENSATION WITHIN THE ORGANIZATION, SUCH AS INFORMATION FROM THE AMERICAN JOB CENTER NETWORK WEBSITE, MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), FORM 990S OF COMPARABLE ORGANIZATIONS, AND COMPENSATION SURVEYS OF THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. OTHER REGIONAL AND NATIONAL SOURCES MAY BE CONSULTED WHEN NECESSARY TO PROVIDE ADDITIONAL COMPARABLE SALARY AND COMPENSATION RANGES FOR VARIOUS POSITIONS WITHIN THE ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO EXECUTIVES AND KEY EMPLOYEES. AS WITH THE SERVICES OF TWCGME'S CHIEF EXECUTIVE, TWCGME ALSO LEASES THE SERVICES OF TWCCH'S CHIEF MEDICAL OFFICER AS A KEY EMPLOYEE/EXECUTIVE FOR TWCGME IN THE POSITION OF SENIOR VICE PRESIDENT OF CLINICAL EDUCATIONAL INTEGRATION. THE THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT JOINTLY ENGAGED BY TWCGME AND TWCCH ALSO INCLUDES THE SERVICES OF THIS, LIKE ALL, EXECUTIVES IN ITS COMPENSATION STUDY ANALYSIS PERFORMED PERIODICALLY, TYPICALLY EVERY THREE TO FIVE YEARS.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENT AVAILABLITY: TWCGME'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION BY APPOINTMENT DURING BUSINESS HOURS AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE AT 501 SOUTH WASHINGTON AVENUE, SUITE 1000 IN SCRANTON, PENNSYLVANIA, 18505, AND OTHER LOCATIONS AS REQUIRED BY IRS RULES AND REGULATIONS, WITH COPIES PROVIDED UPON REQUEST. TWCGME'S THREE MOST RECENTLY FILED 990S, ALONG WITH THREE SEQUENTIAL ANNUAL REPORTS, ARE TRANSPARENTLY AVAILABLE ON OUR WEBSITE IN A DOWNLOADABLE FORMAT, AND THEY ARE KEPT IN A SECURE LOCATION AT EVERY REQUIRED OPERATIONAL SITE WHERE THEY MAY BE REVIEWED BY REQUEST CONSISTENT WITH IRS APPLICABLE LAWS, RULES, AND REGULATIONS.
FORM 990, PART VIII, LINE 2B	STATEMENT OF REVENUE: LINE 2B ON THE STATEMENT OF REVENUE REPRESENTS THE REVENUE RECORDED FOR SUPPORT SERVICES THAT TWCGME PERFORMS AS THE COMMON PAYMASTER ON BEHALF OF TWCCH, AN AFFILIATED ORGANIZATION, PURSUANT TO INTERCOMPANY SHARED MISSION COVENANT AND RELATED LEASE AGREEMENTS. TWCGME SERVES AS THE COMMON PAYMASTER FOR TWCCH. IN OPERATIONALIZING THE COMMON PAYMASTER FUNCTIONALITY, TWCGME HAS ENTERED INTO LEASE AGREEMENTS WITH TWCCH FOR THE PROVISION OF CERTAIN ADMINISTRATIVE AND EXECUTIVE SERVICES, FOR WHICH TWCCH PAYS TWCGME THROUGH WELL-VALIDATED FTE-BASED INTERCOMPANY ALLOCATION METHODOLOGIES. THROUGH THESE SHARED MISSION DRIVEN LEASE AGREEMENTS, TWCCH LEASES MANAGEMENT SERVICES AND BACK OFFICE SUPPORT SERVICES FROM TWCGME INCLUDING, BUT NOT LIMITED TO, HUMAN RESOURCES, INFORMATION TECHNOLOGY, MARKETING & COMMUNICATIONS, FINANCE, GRANTS, GOVERNANCE SUPPORT, GOVERNMENTAL RELATIONS, LEGAL AND OTHER ADMINISTRATIVE SERVICES. THE COSTS ASSOCIATED WITH THIS REVENUE, IN ADDITION TO COSTS SUPPORTING TWCGME MANAGEMENT AND GENERAL EXPENSES, ARE RECORDED AS MANAGEMENT AND GENERAL EXPENSES ON TWCGME.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER FOR GRADUATE MEDICAL
EDUCATION

Employer identification number

23-2007832

Part I

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

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

Part II

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

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

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

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

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

Part IV

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

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

Schedule R (Form 990) 2021

Page 3

Part V

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

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

Yes

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

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

Schedule R (Form 990) 2021

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE R, PART II

NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER MEDICAL GROUP DBA THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) A PENNSYLVANIA TAX-EXEMPT NON-PROFIT CORPORATION, TWCCH OPERATES AS A HRSA-DESIGNATED FQHC LOOK-ALIKE ESSENTIAL COMMUNITY PROVIDER OFFERING SAFETY-NET, NONDISCRIMINATORY PRIMARY WHOLE PERSON HEALTH AND RYAN WHITE/INFECTIOUS DISEASE SERVICES WITHOUT REGARD FOR INSURANCE STATUS, ZIP CODE OR ABILITY TO PAY. AS A HRSA RECOGNIZED, PIONEERING TEACHING HEALTH CENTER, TWCCH SERVES AS THE PREDOMINANT AMBULATORY CLINICAL LEARNING ENVIRONMENTS IN NORTHEAST PENNSYLVANIA FOR TWCGME'S RESIDENT AND FELLOW PHYSICIAN TRAINEES, AS WELL AS MEDICAL STUDENTS FROM THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE AND A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (SOMA) AND CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM (CCPAP), ALONG WITH INTERPROFESSIONAL HEALTHCARE LEARNERS FROM A MULTITUDE OF ACADEMIC INSTITUTIONS. NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER ALLIANCE (ALLIANCE) A PENNSYLVANIA TAX-EXEMPT NON-PROFIT CORPORATION, THE WRIGHT CENTER ALLIANCE WAS CREATED AS A SUPPORTING PARENT ORGANIZATION TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) IN ORDER TO ALIGN, ENABLE, AND OPTIMIZE SHARED MISSION DELIVERY ACHIEVEMENT AND COMMUNITY BENEFIT IMPACT OF ANY AFFILIATED, NONPROFIT WRIGHT CENTER ENTITIES. NAME OF RELATED ORGANIZATION: PATIENT ENGAGEMENT COUNCIL DBA THE WRIGHT CENTER FOR PATIENT & COMMUNITY ENGAGEMENT (TWCPCE) A PENNSYLVANIA TAX-EXEMPT NON-PROFIT CORPORATION, TWCPCE'S PURPOSE IS TO EMPOWER PATIENTS TO MAKE MEANINGFUL CONTRIBUTIONS TO THE DELIVERY, ENHANCEMENT, AND TRANSFORMATION OF HEALTH CARE SERVICES AND INTER-PROFESSIONAL WORKFORCE DEVELOPMENT AND TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH EDUCATION, ADVOCACY, PATIENT-CENTERED SERVICES, AND EFFORTS SPECIFICALLY DIRECTED TO ADDRESS THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH. TWCCH IS THE SOLE CORPORATE MEMBER OF TWCPCE.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) IS TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE. SEE SCHEDULE O FOR MORE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	447
6	Total number of volunteers (estimate if necessary) .............	6	22
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) .........	19,850,852	21,445,463
9	Program service revenue (Part VIII, line 2g) .........	17,576,749	19,268,341
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	293,345	524,813
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,885,068	2,589,826
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	39,606,014	43,828,443
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	38,106	267,817
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)	26,350,776	28,377,333
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)....	11,877,024	13,204,792
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	38,265,906	41,849,942
19	Revenue less expenses. Subtract line 18 from line 12.......	1,340,108	1,978,501
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	27,756,136	34,173,526
21	Total liabilities (Part X, line 26).............	14,440,652	18,512,266
22	Net assets or fund balances. Subtract line 21 from line 20.....	13,315,484	15,661,260

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 15,295,156 including grants of $ ) (Revenue $ )
	TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) FUNDING: A COMMUNITY-BASED AND GOVERNED, PHYSICIAN-LED, 501(C)(3) NONPROFIT ORGANIZATION, TWCGME IS AN ANCHORING EDUCATIONAL MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) STRIVING TO ADDRESS OUR NATION'S PRIMARY CARE PHYSICIAN SHORTAGE AND MIS-DISTRIBUTION, AND RELATED HEALTH, HEALTHCARE, AND CAREER ACCESS DISPARITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4b	(Code: ) (Expenses $ 11,564,906 including grants of $ ) (Revenue $ 13,340,241 )
	CMS AND VA FUNDING FOR GRADUATE MEDICAL EDUCATION: AS A COMMUNITY-BASED, PHYSICIAN-LED NONPROFIT ORGANIZATION STRIVING TO ADDRESS OUR NATION'S PRIMARY CARE PHYSICIAN SHORTAGE AND RELATED HEALTH, HEALTHCARE, AND HEALTHCARE CAREER ACCESS DISPARITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4c	(Code: ) (Expenses $ 439,465 including grants of $ 194,317 ) (Revenue $ )
	GRANT PROGRAMS: TWCGME IS A NONPROFIT, TAX-EXEMPT 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 ADDITIONAL INFORMATION.

	(Code: ) (Expenses $ 235,311 including grants of $ 73,500 ) (Revenue $ 5,928,100 )
	SEE NARRATIVES

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 235,311 including grants of $ 73,500 ) (Revenue $ 5,928,100 )
4e	Total program service expenses27,534,838

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,619,316	3,075,122	531,512

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	126,000
e	Government grants (contributions)		1e	21,312,796

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,667

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

h Total. Add lines 1a-1f.......		21,445,463

		Business Code
2a	RESIDENCY PROGRAM REV	611310	13,340,241	13,340,241
b	SUPPORT SERVICE REVENUE	561000	5,752,897	5,752,897
c	IRB AND RESEARCH FEES	611310	8,100	8,100
d	OTHER REVENUE	611310	167,103	167,103
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		19,268,341

3 Investment income (including dividends, interest, and othersimilar amounts) ......			321,145			321,145
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,005,875	6a
b	Less: rental expenses		346,951	6b
c	Rental income or (loss)	0	658,924	6c
d	Net rental income or (loss).......			658,924			658,924
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		1,382,532	7a
b	Less: cost or other basis and sales expenses		1,178,864	7b
c	Gain or (loss)		203,668	7c
d	Net gain or (loss).........			203,668			203,668
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	INCOME ON EQUITY INVESTEE		900099	1,930,902			1,930,902
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,930,902
12	Total revenue. See instructions.....			43,828,443	19,268,341		3,114,639

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	267,817	267,817
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	2,145,668	615,158	1,530,510
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........	21,217,308	15,299,145	5,918,163
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	957,958	364,831	593,127
9	Other employee benefits .......	2,510,782	1,874,790	635,992
10	Payroll taxes ...........	1,545,617	896,230	649,387
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	293,623	27,980	265,643
c	Accounting ...........	127,092		127,092
d	Lobbying ...........	97,822		97,822
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	32,587		32,587
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	2,810,094	2,063,561	746,533
12	Advertising and promotion ....	142,526	17,955	124,571
13	Office expenses .......	290,454	20,177	270,277
14	Information technology ......	580,811	138,992	441,819
15	Royalties ..	0
16	Occupancy ...........	293,404	354	293,050
17	Travel ............	254,820	114,072	140,748
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	729,984	445,478	284,506
20	Interest ...........	159,556		159,556
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	1,071,513		1,071,513
23	Insurance ...	988,181	961,890	26,291
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Learning Environments - THC	4,160,156	4,160,156
b	Repairs and Maintenance	645,318	25,187	620,131
c	Dues and Memberships	244,220	175,652	68,568
d	Recruitment Expense	210,508	60,025	150,483
e	All other expenses	72,123	5,388	66,735
25	Total functional expenses. Add lines 1 through 24e	41,849,942	27,534,838	14,315,104	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 ........			4,613,370	1	21,474
2	Savings and temporary cash investments .........			0	2	8,405,748
3	Pledges and grants receivable, net ......			244,912	3	1,221,573
4	Accounts receivable, net .............			2,084,048	4	1,640,062
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			0	8	0
9	Prepaid expenses and deferred charges ......			212,345	9	298,286
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	8,390,658
b	Less: accumulated depreciation	10b	3,899,214	5,542,318	10c	4,491,444
11	Investments—publicly traded securities .			8,404,682	11	9,898,316
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			363,144	13	323,859
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			6,291,317	15	7,872,764
16	Total assets. Add lines 1 through 15 (must equal line 33)...			27,756,136	16	34,173,526

17	Accounts payable and accrued expenses .....	3,748,466	17	2,553,482
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	72,456
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	8,620,644	23	8,669,832
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	2,071,542	25	7,216,496
26	Total liabilities. Add lines 17 through 25..	14,440,652	26	18,512,266

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	13,315,484	27	15,661,260
28	Net assets with donor restrictions ...........	0	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	13,315,484	32	15,661,260
33	Total liabilities and net assets/fund balances ........	27,756,136	33	34,173,526