Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(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. | ||||||
Calendar year
(or fiscal year beginning in)
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(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 | ||||||
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.") . | 3,016,314 | 8,016,717 | 8,092,274 | 7,402,844 | 7,899,796 | 34,427,945 |
| 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 | 17,363,071 | 26,424,414 | 44,801,585 | 50,829,701 | 56,601,639 | 196,020,410 |
| 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 | 20,379,385 | 34,441,131 | 52,893,859 | 58,232,545 | 64,501,435 | 230,448,355 |
| 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.) | 230,448,355 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 20,379,385 | 34,441,131 | 52,893,859 | 58,232,545 | 64,501,435 | 230,448,355 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 133,673 | 181,950 | 62,936 | 63,058 | 212,320 | 653,937 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 133,673 | 181,950 | 62,936 | 63,058 | 212,320 | 653,937 |
| 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.) .. | 51,244 | 13,275 | 92,706 | 66,659 | 135,317 | 359,201 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 20,564,302 | 34,636,356 | 53,049,501 | 58,362,262 | 64,849,072 | 231,461,493 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 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 | ||||
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2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 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) |
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| 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. |
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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. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 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..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | ORGANIZATION'S MISSION: WE DO THIS THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. TWCCH DELIVERS COMPREHENSIVE, WHOLE-PERSON, NONDISCRIMINATORY PRIMARY HEALTH SERVICES IN A PATIENT CENTERED MEDICAL HOME (PCMH) CARE DELIVERY FRAMEWORK FOR PATIENTS AND FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY OR ZIP CODE, WHILE EDUCATING THE CURRENT AND FUTURE PHYSICIAN AND INTERPROFESSIONAL PRIMARY CARE WORKFORCE. OUR COMPREHENSIVE, INTEGRATED PRIMARY HEALTH SERVICES ACROSS THE LIFESPAN, FROM PEDIATRICS TO GERIATRICS, INCLUDE PEDIATRICS, MEDICAL, WOMEN'S HEALTH, GERIATRICS, GENERAL DENTAL, MENTAL AND BEHAVIORAL, SUBSTANCE USE DISORDER TREATMENT AND RECOVERY, CARE AND CASE MANAGEMENT, OBESITY, INFECTIOUS DISEASE, RYAN WHITE PRIMARY AND SECONDARY PREVENTION AND TREATMENT OF HIV, RHEUMATOLOGICAL, NUTRITIONAL, AND LIFESTYLE MEDICINE SERVICES. AS AN ESSENTIAL COMMUNITY PROVIDER, TWCCH'S PASSIONATE PURPOSE IS TO DEMONSTRATE AN "ACHIEVABLE BY ALL" GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) MODEL THAT CO-CREATES TRANSFORMATIONAL HEALTH CARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES, AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH, HEALTH CARE DELIVERY SYSTEMS, AND DEVELOPMENT OF THEIR INTERPROFESSIONAL HEALTH CARE WORKFORCE. OUR NICHE IS WORLD CLASS INNOVATIVE AND RESPONSIVE PRIMARY HEALTH SERVICES THROUGH COMMUNITY-CENTRIC, INCUMBENT AND FUTURE WORKFORCE RENEWAL. INSPIRED BY THE EMPOWERING COMMUNITY FOCUS OF THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION'S (HRSA) TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) PROGRAM, WE BELIEVE THE GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) MODEL DEMONSTRATES A REPLICABLE, SUSTAINABLE, COLLECTIVE IMPACT FRAMEWORK THAT CAN RESPONSIBLY AND RESPONSIVELY ADDRESS AMERICA'S PRIMARY CARE SHORTAGE, WORKFORCE MIS-DISTRIBUTION, AND RELATED HEALTH DISPARITIES. |
| FORM 990, PART III, LINE 1 | TWCCH WAS ORIGINALLY INCORPORATED IN 1994 AS THE WRIGHT CENTER MEDICAL GROUP, PC, A TAX-EXEMPT PROFESSIONAL CORPORATION (PC) AND THE AMBULATORY PRIMARY CARE PRACTICE PLAN AFFILIATED WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME). TWCGME IS A NONPROFIT ACGME-ACCREDITED SPONSORING INSTITUTION AND THE FOUNDING EDUCATIONAL MEMBER OF A TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (THC GME-SNC). TWCGME INTEGRATES FEDERAL GME FUNDING FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), THE VETERAN ADMINISTRATION (VA), AND ACUTE HOSPITALS AND INPATIENT REHABILITATION FACILITIES FUNDED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE WRIGHT CENTER MEDICAL GROUP, PC INTENTIONALLY CONVERTED ITS CORPORATE STRUCTURE FROM A PC TO A PENNSYLVANIA NONPROFIT CORPORATION SUBSIDIARY OF TWCGME IN 2018, AND THEN NOTABLY AGAIN TRANSFORMED ITS IDENTITY INTO AN AUTONOMOUS, COMMUNITY-OWNED AND GOVERNED, INDEPENDENT 501(C)(3) ENTITY THAT WAS ELIGIBLE TO PURSUE HRSA DESIGNATION AS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE (FQHC LAL), A DESIGNATION SUCCESSFULLY ACHIEVED IN 2019. THIS WAS ACHIEVED THROUGH THE MISSION-DRIVEN, SELFLESS, UNANIMOUS VOTES OF PHYSICIAN AND NON-PHYSICIAN PRIMARY CARE PROVIDER STAKEHOLDERS (THEN BOARD MEMBERS) TO REMOVE THEMSELVES FROM GOVERNANCE ENTIRELY TO TRANSFER FIDUCIARY AUTHORITY TO COMMUNITY MEMBERS, PRIMARILY PATIENTS AND CONSUMERS OF THE ENTITY'S HEALTH SERVICES. ENGAGED PATIENTS AND COMMUNITY MEMBERS ASSUMED THOSE BOARD SEATS, WELCOMING THEIR EMPOWERED OFFICIAL VOICES IN THE FIDUCIARY STEWARDSHIP AND DIRECTIONAL OVERSIGHT OF THE ORGANIZATION. THE COMMUNITY BENEFIT IMPACT OF THIS UNIFYING, COMMUNITY-DRIVEN ACTION THAT CONTINUES TO VALIDATE HRSA'S VISION FOR GOVERNANCE OF COMMUNITY HEALTH CENTERS CANNOT BE OVERSTATED. THIS INTENTIONAL AND COMMUNITY EMPOWERING GOVERNANCE TRANSFORMATION ALLOWED THE ENTITY TO APPLY FOR AND SUCCESSFULLY EARN THE DESIGNATION AS A HRSA-RECOGNIZED AUTONOMOUS, INDEPENDENT, COMMUNITY AND PATIENT-GOVERNED FQHC LAL ESSENTIAL COMMUNITY PROVIDER OF PRIMARY HEALTH AND CONTINUED RYAN WHITE SERVICES. PROUDLY AND GRATEFULLY, AT THE CLOSE OF FISCAL YEAR ENDING JUNE 30, 2023, 88% OF THE GOVERNING BOARD MEMBERS OF TWCCH WERE ENGAGED "USERS" OF ITS PRIMARY HEALTH SERVICES AS DEFINED IN THE HRSA FQHC COMPLIANCE MANUAL. TWCCH SERVED 33,653 UNIQUE PATIENTS AND ENGAGED IN 122,014 TOTAL BILLABLE VISITS BETWEEN JULY 2022 AND JUNE 2023, WHICH INCLUDED 76,685 MEDICAL VISITS, 13,737 BEHAVIORAL HEALTH VISITS, 13,099 DENTAL VISITS, AND 18,493 INPATIENT HOSPITAL VISITS. THESE NUMBERS INCLUDE HOUSE CALLS AND ALSO VISITS IN SKILLED NURSING, ASSISTED LIVING, AND HOSPICE FACILITIES. TWCCH OPERATES NCQA-RECOGNIZED PATIENT-CENTERED MEDICAL HOMES (PCMH) (FORMERLY NCQA LEVEL 3) WITH NCQA PRIMARY CARE/BEHAVIORAL HEALTH RECOGNITION AND NCQA HISTORICAL SCHOOL BASED HEALTH CENTER RECOGNITION AS WELL. WE HAVE MEMORANDA OF UNDERSTANDING AND SHARED CARE COMPACTS WITH NUMEROUS PRIMARY AND SPECIALTY MEDICAL, DENTAL, AND MENTAL HEALTH PROVIDERS, HOSPITALS, INTEGRATED DELIVERY SYSTEMS, AND SOCIAL SERVICE RESOURCE AGENCIES THAT COMPRISE AN EXTENSIVE, ENRICHED, NON-DISCRIMINATORY COMMUNITY RESOURCE NETWORK. WE ARE A DESIGNATED PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE (COE), A PENNSYLVANIA COORDINATING CENTER FOR MEDICATION ASSISTED TREATMENT (PACMAT), AND THE CONVENING, PRIMARY ORGANIZATION OF A MULTI-INSTITUTION HEALTHY MATERNAL OPIATE MEDICAL SUPPORTS (MOMS) PROGRAM. WE OFFER ROBUST PRIMARY PHYSICAL, MENTAL, BEHAVIORAL, DENTAL, AND RYAN WHITE HEALTH SERVICES WITHIN THE PCMH FRAMEWORK, COORDINATING A FULL SPECTRUM OF WHOLE PERSON HEALTH SERVICES FOR OUR PATIENTS. WE ARE DEEPLY INVESTED IN COMMUNITY-BASED LIVING AND AGING IN PLACE AND WE OFFER EMPOWERING SERVICES OF COMMUNITY HEALTH WORKERS, CERTIFIED RECOVERY SPECIALISTS, ENROLLMENT SERVICE PROVIDERS, SPIRITUAL AIDES, CASE WORKERS, AND NURSE CARE MANAGERS. WE SERVE THE FULL AGE SPECTRUM OF PATIENTS WITHOUT DISCRIMINATION IN NINE FQHC LAL TEACHING HEALTH CENTERS, STAFFED WITH MISSION DRIVEN INTERPROFESSIONAL CARE TEAMS THAT ALSO PROVIDE HOUSE CALLS AND HOSPITALIST, SKILLED NURSING FACILITY, AND INPATIENT ACUTE REHABILITATION SERVICES FOR OUR PATIENTS IN PARTNERING COMMUNITY-BASED INSTITUTIONS. OUR COLLABORATIVE CARE TEAMS INTEGRATE FAMILY MEDICINE, PEDIATRICS, INTERNAL MEDICINE, RHEUMATOLOGY, INFECTIOUS DISEASE, ADDICTION MEDICINE, OBESITY MEDICINE, NUTRITION, GERIATRICS AND BOTH GENERAL AND CHILD/ADOLESCENT BOARD-CERTIFIED PSYCHIATRISTS, AS WELL AS PRIMARY CARE TRAINED PHYSICIAN ASSISTANTS AND PRIMARY CARE, GERIATRICS, AND MENTAL AND BEHAVIORAL, AS WELL AS ADDICTION TRAINED HEALTH TRAINED NURSE PRACTITIONERS. PROGRESSIVE CAREERS OF R.N. AND LPN NURSES, MEDICAL ASSISTANTS, COMMUNITY HEALTH WORKERS, ENROLLMENT SPECIALISTS, CERTIFIED RECOVERY SPECIALISTS, MENTAL HEALTH PEER SPECIALISTS, CASE WORKERS, MEDICAL AND LICENSED CLINICAL SOCIAL WORKERS, ENROLLMENT SPECIALISTS, LICENSED PROFESSIONAL COUNSELORS, DENTISTS, DENTAL HYGIENISTS, DENTAL ASSISTANTS, EXPANDED FUNCTION DENTAL ASSISTANTS, PHARMACISTS, NUTRITIONISTS, AND ELECTRONIC HEALTH RECORD SPECIALISTS HAVE ENRICHED OUR INTERPROFESSIONAL PCMH TEAM BASED CARE DELIVERY MODEL AND THE SERVICES WE PROVIDE TO PATIENTS AND FAMILIES. WE ARE PASSIONATE CHAMPIONS FOR ELECTRONIC MEDICAL RECORD (EMR)/ELECTRONIC HEALTH RECORD (EHR) MEANINGFUL USE AND AVID PROMOTERS OF HEALTH INFORMATION EXCHANGES AND CONNECTIVITY AND HEALTH INFORMATION INTEROPERABILITY TO ENABLE TRAUMA COMPETENT, WHOLE PERSON HEALTH SERVICES, INCLUDING THE RESPONSIBLE ADDRESS OF COMPLEX BARRIERS RELATED TO SOCIOECONOMIC DETERMINANTS OF HEALTH. OUR FQHC LOOK ALIKE GOVERNANCE PLATFORM IS AMPLIFIED IN THE PATIENT AND COMMUNITY DRIVEN GOVERNANCE OF ITS SUBSIDIARY NONPROFIT CORPORATION THE WRIGHT CENTER FOR PATIENT AND COMMUNITY ENGAGEMENT (TWCPCE) THAT ORGANIZES ENGAGED AND EMPOWERED PATIENTS AND FAMILIES TO MAKE MEANINGFUL CONTRIBUTIONS TO THEIR HEALTH CARE DELIVERY SYSTEM AND PRIMARY CARE WORKFORCE DEVELOPMENT PROGRAMS. TWCPCE MISSIONS TO EMPOWER PATIENTS TO MAKE MEANINGFUL CONTRIBUTIONS TO THE DELIVERY, ENHANCEMENT, AND TRANSFORMATION OF HEALTH CARE SERVICES AND INTERPROFESSIONAL WORKFORCE DEVELOPMENT AND TO IMPROVE THE HEALTH OF OUR COMMUNITIES THROUGH EDUCATION, ADVOCACY, AND PATIENT-CENTERED SERVICES AND EFFORTS DIRECTED TOWARD THE SOCIOECONOMIC DETERMINANTS OF HEALTH. THIS SUBSIDIARY ENGAGES COMMUNITY-BASED PARTNERING ORGANIZATIONS AND ORGANIZES AND CONDUCTS COMMUNITY BLOOD DRIVES, POP-UP FOOD PANTRIES, BACK-TO-SCHOOL BACKPACK GIVEAWAYS, WINTER CLOTHING DISTRIBUTIONS AND MORE. TWCCH'S TEACHING HEALTH CENTERS ARE THE PRIMARY, AMBULATORY, LONGITUDINAL CLINICAL LEARNING ENVIRONMENTS FOR TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, AND PSYCHIATRY RESIDENTS, AS WELL AS ITS GERIATRIC FELLOWS. ADDITIONALLY, IN 2022, TWCCH PROUDLY SUPPORTED THE GRADUATION OF 2 ADVANCED EDUCATION GENERAL DENTISTRY RESIDENTS IN COLLABORATION WITH NYU LANGONE DENTAL AND ALSO HOSTED FELLOWS IN TRAINING FROM GEISINGER'S HRSA FUNDED ADDICTION FELLOWSHIP. DURING FISCAL YEAR 2022-2023, TWCCH TRAINED 177 INTERPROFESSIONAL STUDENTS IN PARTNERSHIP WITH MORE THAN A DOZEN ACADEMIC INSTITUTIONS, INCLUDING THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE IN NORTHEAST PENNSYLVANIA AND THE A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA AND CENTRAL COAST PHYSICIAN ASSISTANT TRAINING PROGRAM IN CALIFORNIA. WE ARE AN ACTIVE PARTICIPATING PROVIDER IN THE KEYSTONE ACCOUNTABLE CARE ORGANIZATION, A MEMBER OF THE PENNSYLVANIA AND NATIONAL ASSOCIATIONS OF COMMUNITY HEALTH CENTERS, AND A COLLABORATING PARTNER OF THE NORTHEAST PENNSYLVANIA AREA FOR HEALTH EDUCATION CENTER (AHEC), THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT, AND THE PENN STATE PROJECT ECHO PUBLIC HEALTH INITIATIVE. |
| FORM 990, PART III, LINE 2 | NEW PROGRAM SERVICES: IN JANUARY 2023, TWCCH SEAMLESSLY RELOCATED AND EXPANDED ITS PRIMARY HEALTH SERVICES AND EDUCATIONAL OPERATIONS FROM 4 SHARPE STREET, KINGSTON TO 169 N. PENNSYLVANIA AVENUE, WILKES-BARRE (THE "WILKES-BARRE HEALTH CENTER PRACTICE") AS A RESULT OF AN UNANTICIPATED EVICTION NOTICE AND CLOSURE OF THE FOR-PROFIT INPATIENT PSYCHIATRY FIRST HOSPITAL. OUR KINGSTON BASED PRIMARY CARE TEACHING HEALTH CENTER HAD BEEN CO-LOCATED WITH FIRST HOSPITAL FOR DECADES AND SERVED NEARLY 6,000 PATIENTS. ALTHOUGH TWCCH HAD ALREADY BEGUN THE FEASIBILITY STUDY PROCESS TO ASSESS MOVING THE KINGSTON CLINIC TO A NEW LARGER AND MORE COMMUNITY IMMERSED LOCATION, THE UNANTICIPATED CLOSURE OF THE FIRST HOSPITAL BUILDING CREATED A CRISIS TO URGENTLY YET RESPONSIBLY RELOCATE BOTH CLINICAL AND EDUCATIONAL SERVICES. THE TRANSITION WAS GRATEFULLY SEAMLESS, WITH ENORMOUS SUPPORT FROM THE SURROUNDING COMMUNITY. TWCCH QUICKLY IDENTIFIED AND PURCHASED AN AMAZING LOCATION IN WILKES-BARRE AND CREATED THE STAGE-GATE ANALYSIS AND STRATEGIC BUSINESS PLAN AND LOGIC MODEL FOR THE NECESSARY TRANSITION, WHICH WAS PRESENTED TO AND APPROVED BY TWCCH'S BOARD OF DIRECTORS. WITH FUNDING FROM A SUCCESSFUL REDEVELOPMENT ASSISTANCE CAPITAL PROGRAM (RACP) GRANT FROM THE GOVERNOR OF THE COMMONWEALTH OF PENNSYLVANIA, THIS RELOCATION ENABLED TWCCH TO PROVIDE STATE-OF-THE-ART CLINICAL AND EDUCATIONAL SPACE TO PATIENTS, FAMILIES, LEARNERS AND STAFF WITHOUT ONE DAY OF DOWNTIME IN PATIENT ACCESS TO PRIMARY HEALTH SERVICES. FULL OPERATIONAL ACCESS IS ALWAYS AMONGST OUR HIGHEST PRIORITIES ACROSS OUR NINE BRICK-AND-MORTAR LOCATIONS AND ONE MOBILE MEDICAL/DENTAL UNIT, "DRIVING BETTER HEALTH." AS A RESULT OF THE WILKES BARRE TEACHING HEALTH CENTER DEVELOPMENT PROJECT, WE WILL HAVE CREATED APPROXIMATELY 47 NEW JOBS IN TOTAL, EXPANDING ACCESS TO WHOLE PERSON HEALTH SERVICES, INCLUDING MEDICAL, DENTAL, MENTAL, BEHAVIORAL AND ADDICTION HEALTH SERVICES, AS WELL AS INTERPROFESSIONAL TRAINING OPPORTUNITIES. THE NEW WILKES-BARRE HEALTH CENTER PRACTICE IS ALSO THE BACKBONE SITE OF AN EMERGING VISION TO EXPAND OUR TEACHING HEALTH CENTERS INTO HEALTH CITY HUBS, FUTURISTICALLY MODELED FOR TRAUMA COMPETENT WHOLE PERSON HEALTH SERVICES; EXPANDED COMMUNITY ENGAGEMENT; DELIBERATE PLATFORM FOR PUBLIC HEALTH AND LONGEVITY ORIENTED PREVENTIVE MEDICINE; AND BOTH INCUMBENT AND FUTURE PRIMARY CARE AND PUBLIC HEALTH WORKFORCE WELLNESS AND RESILIENCY RENEWAL. THIS EMERGING, SIGNIFICANT, COMMUNITY SUPPORTED DEVELOPMENT PROJECT IS NAMED IN HONOR OF JOHN P. MOSES, ESQUIRE A WELL KNOWN ADVOCATE FOR EQUITABLE, WHOLE PERSON HEALTH SERVICES AND HEALTHCARE CAREER OPPORTUNITIES IN NORTHEAST PENNSYLVANIA. DURING FISCAL YEAR 2022-2023, TWCCH HAD A DIRECT OUTREACH FROM A WELL-ESTABLISHED, TRUSTED PRIMARY CARE PHYSICIAN WHO CARED FOR PATIENTS AND FAMILIES FOR OVER FOUR DECADES IN NORTH SCRANTON, PENNSYLVANIA WHO WAS URGENTLY RETIRING FOR HEALTH REASONS AND SEEKING TO BE SURE THOSE HE SERVED HAD CONTINUED ACCESS TO HIGH QUALITY, NONDISCRIMINATORY PRIMARY HEALTH SERVICES. HE WAS CONCERNED BECAUSE A SIGNIFICANT PORTION OF THE POPULATION HE SERVED ARE COVERED BY MEDICAID OR DUALLY ELIGIBLE FOR MEDICARE AND MEDICAID AND A SUBSTANTIAL NUMBER OF PATIENTS WERE OPIATE DEPENDENT. WE CONFIRMED TWCCH WOULD WELCOME ANY OF HIS PATIENTS WHO WISHED TO TRANSITION THEIR CARE TO US AND THAT WE WOULD INTENTIONALLY ENSURE INCLUSION OF THE MOST VULNERABLE AND HIGHEST RISK PATIENTS, REGARDLESS OF INSURANCE STATUS. IN ORDER TO HONOR HIS LONG-STANDING PRESENCE IN THAT LOCAL COMMUNITY AND CONTINUE TO MAKE PRIMARY HEALTH SERVICES ACCESSIBLE AT THAT LOCATION FOR THE CONVENIENCE OF PATIENTS, TWCCH BEGAN PLANNING TO LEASE CLINICAL SPACE AT THE SAME LOCATION AT 1721 N. MAIN AVENUE IN SCRANTON IN ORDER TO OPEN IMMEDIATE ACCESS THROUGH HIS TRANSITION TO PATIENTS AND FAMILIES IN FISCAL YEAR 2023-2024. AS OF JULY 17, 2023, AFTER A LARGER THAN NOMINAL FINANCIAL INVESTMENT TO UPGRADE THE FACILITIES, TWCCH OPENED THE DOORS TO PATIENTS AND FAMILIES IN NORTH SCRANTON, WHICH WILL BE REPORTED IN NEXT YEAR'S FORM 990 SUBMISSION IN MORE DETAIL. THIS LOCATION IS THRIVING, GROWING, AND SUSTAINABLE, WITH OVER 100 PATIENTS ALREADY ENGAGED IN OUR PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE SERVICES THAT HAVE HELPED THEM TO SUCCESSFULLY TRANSITION FROM SHORT AND LONG ACTING OPIOID MEDICATIONS TO MEDICATION ASSISTED THERAPY WITH SUBOXONE OR VIVITROL. THROUGHOUT FISCAL YEAR 2022-2023 AND CONTINUING TODAY, TWCCH OFFERS CLINICAL HEALTH SERVICES UP TO 83 HOURS PER WEEK AT ITS MIDVALLEY TEACHING HEALTH CENTER IN JERMYN, PENNSYLVANIA (MVP), AND WITH 24/7 ON-CALL ACCESS FOR ALL OF TWCCH SERVICE LINES AT ALL LOCATIONS, INCLUDING BOTH AMBULATORY AND HOSPITAL VENUES. AS PART OF ITS RESPONSIBILITY AS AN FQHC LAL, TWCCH ENGAGED TRIPP UMBACH AND THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT THROUGH A COMPETITIVE REQUEST FOR PROPOSALS PROCESS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT TO INFORM THE STRATEGIC DELIVERY OF OUR MISSION AND ENSURE THAT TWCCH CONTINUES TO PROVIDE COMMUNITY HEALTH NEEDS-RESPONSIVE PRIMARY HEALTH SERVICES. OUR COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED THE MOST RECENTLY AVAILABLE DATA FOR OUR SERVICE AREA TO ASSESS THE FOLLOWING: FACTORS ASSOCIATED WITH EQUITABLE ACCESS TO AND UTILIZATION OF HEALTH SERVICES; THE MOST SIGNIFICANT CAUSES OF MORBIDITY AND MORTALITY, INCLUDING ASSOCIATED HEALTH AND HEALTHCARE DISPARITIES; AND ANY OTHER UNIQUE HEALTH CARE NEEDS OR CHARACTERISTICS THAT IMPACT PUBLIC HEALTH STATUS OR ACCESS TO OR UTILIZATION OF PRIMARY HEALTH SERVICES. THE COMMUNITY HEALTH NEEDS ASSESSMENT INFORMED TWCCH'S SHORT AND LONG VIEW STRATEGIC PLAN AND OPERATIONS PROVIDING DATA RELATING TO THE HEALTH RESOURCES AVAILABLE IN RELATION TO THE SIZE OF THE SERVICE AREA AND ITS POPULATION; PUBLIC HEALTH INDICES FOR THE POPULATION AND SUBPOPULATIONS; AND SOCIOECONOMIC INDICATORS AFFECTING ACCESS TO HEALTH SERVICES. TWCCH ALSO ACTIVELY CONTINUES TO PARTICIPATE IN LARGER COMMUNITY-BASED MULTI-INSTITUTIONAL REGIONAL HEALTH NEEDS ASSESSMENTS TO ASSURE OUR ACCESS TO BROADER COMMUNITY DATA THAT INFORMS DECISIONS RELATED TO HEALTH CENTER SERVICES AND STRATEGIC PLANNING. OUR PARTNERSHIPS WITH THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT AND THE KEYSTONE ACO REINFORCE AND EXPAND THIS DATA ACCESS. AS AN FQHC LAL ESSENTIAL COMMUNITY PROVIDER, TWCCH CONTINUED ITS ACTIVE MULTI-TIERED RESPONSES TO THE ONGOING COVID-19 PANDEMIC AND CONTEMPORANEOUS EPIDEMICS RELATED TO ACUTE RESPIRATORY SYNCYTIAL AND INFLUENZA VIRAL INFECTIONS, AS WELL AS THE RELENTLESS PUBLIC HEALTH CRISES AND BATTLES WITH OPIOID AND STIMULANT MISUSE AND OVERDOSE, ONGOING HIV AND HEPATITIS C INFECTIONS, HIGHER THAN AVERAGE CANCER RATES, ISCHEMIC VASCULAR DISEASE, AND OBESITY ALONG WITH ITS MANY RELATED COMORBIDITIES THAT PLAGUE OUR REGIONAL COMMUNITY. DURING FISCAL YEAR 2022-2023, TWCCH CONTINUED TO EXPAND ITS OUTREACH WITHIN THE COMMUNITIES IT SERVES THROUGH ITS MEDICAL/DENTAL MOBILE UNIT "DRIVING BETTER HEALTH", WHICH WAS ACQUIRED WITH EXPANDED CAPACITY FOR CORONAVIRUS TESTING (ECT) FUNDING PROVIDED BY HRSA. DRIVING BETTER HEALTH PROVIDED NUMEROUS ADDITIONAL ACCESS POINTS IN VULNERABLE, UNDERSERVED COMMUNITIES TO DELIVER PRIMARY HEALTH SERVICES, INCLUDING BUT NOT LIMITED TO THE CDC RECOMMENDED "CATCH-UP TO GET AHEAD" PRIMARY IMMUNIZATION CLINICS FOR SCHOOL-AGED CHILDREN, COVID-19 EDUCATION, PPE, TESTING, AND VACCINE CLINICS AT SENIOR CITIZEN LOW-INCOME HIGH-RISES, AS WELL AS DROP-IN SHELTERS FOR PEOPLE WHO LACK ACCESS TO STABLE HOUSING. TWCCH CONTINUED TO USE AND IMPROVE TELEHEALTH SERVICES FOR ALL LINES OF PRIMARY HEALTH SERVICES WITH THE FORMAL CERTIFICATION OF MANY OF TWCCH'S PROVIDERS IN TELEHEALTH FUNDED BY GRANTS FROM THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND DIRECT RELIEF. IN FISCAL YEAR 2022-2023, TWCCH CONTINUED PROVIDING COMPREHENSIVE, WHOLE PERSON HIV RYAN WHITE SERVICES TO MORE THAN 500 PATIENTS. SUBSTANTIVELY, TWCCH ACHIEVED A VIRAL LOAD SUPPRESSION RATE OF 94% IN THE POPULATION SERVED. TWCCH EXECUTIVE AND RYAN WHITE PROGRAM LEADERSHIP ALSO CONTINUE TO BE PRIMARY SUPPORTERS OF AND CONTRIBUTORS TO LACKAWANNA COUNTY'S EFFORTS TO LAUNCH A MUNICIPAL PUBLIC HEALTH DEPARTMENT APPROVED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH. |
| FORM 990, PART III, LINE 2 CONTINUED | NEW PROGRAM SERVICES CONTINUED: NOTABLY, TWCCH, THE 8TH HEALTH CARE SYSTEM IN THE COUNTRY TO ADOPT UCLA'S JOHN A. HARTFORD FOUNDATION-FUNDED, AWARD-WINNING ALZHEIMER'S AND DEMENTIA CARE (ADC) PROGRAM MODEL, SERVED OVER 100 PATIENTS SUFFERING FROM DEMENTIA AND IS NOW OFFERING ADC AND GERIATRICS REFERRAL SERVICES TO THE LARGER COMMUNITY. WITH FIVE BOARD CERTIFIED GERIATRICIANS AND TWCGME'S AFFILIATED, ACGME ACCREDITED, AND HRSA THCGME FUNDED GERIATRICS FELLOWSHIP, THE WRIGHT CENTER IS A WELL-RECOGNIZED, CONVENING, INCLUSIVE PLATFORM CALLING OUR REGIONAL COMMUNITY, ONE OF OUR NATION'S OLDEST BY DEMOGRAPHIC COMMUNITIES, TO COLLABORATIVELY BUILD THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "AGE FRIENDLY HEALTH SYSTEM" IN OUR REGION. THIS COLLECTIVE IMPACT INITIATIVE, ENERGIZED ALSO BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERSROBERT WOOD JOHNSON'S DESIGN SPRINT COLLABORATIVE, ALIGNS WELL WITH OUR LONGSTANDING PARTNERSHIP WITH TELESPOND, A LEGACY SERVICE AGENCY FOR OLDER ADULTS AND ITS EMERGING LAUNCH OF A SENIOR ADVOCACY CENTER FOR VULNERABLE ELDERLY VICTIMS OF ABUSE, AS WELL AS PENNSYLVANIA GOVERNOR JOSH SHAPIRO'S RECENT RELEASE OF A STATEWIDE MASTER PLAN FOR OLDER ADULTS. THE IMPORTANCE OF DEVELOPING AN AGE-FRIENDLY HEALTH SYSTEM AND QUALIFIED, COMPASSIONATE GERIATRICIANS AND INTERPROFESSIONAL CARE TEAMS 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, CARE TEAMS, AND PARTNERING AGENCIES TO ALIGN WITH WHAT IMPACTS AND MATTERS MOST TO OLDER ADULTS. DESPITE THE EXPECTED NATIONAL SHORTAGE OF NEARLY 30,000 FULL-TIME GERIATRICIANS BY 2025, THERE ARE NATIONAL RECRUITMENT CHALLENGES IN THE SPECIALTY OF GERIATRICS: THE TRAINING 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) IN THE NATIONAL MATCH AND ONLY 174 POSITIONS FILLED. DURING THE REPORTING PERIOD, TWCCH'S AFFILIATED WORKFORCE DEVELOPMENT ORGANIZATION, TWCGME, CONTINUED ITS RESPONSIVE AND RESPONSIBLE CORRECTIVE ACTION JOURNEY AS A SPONSORING INSTITUTION ADDRESSING PROBATIONARY ACCREDITATION STATUS AND CONCERNS BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). ALTHOUGH TWCGME PROVIDES MORE DETAIL ABOUT THIS IN ITS FORM 990, TWCGME'S INSTITUTIONAL PROBATIONARY ACCREDITATION STATUS WAS NOTABLY AND JOYFULLY RESOLVED IN A FULL RESTORATION OF CONTINUING ACCREDITATION STATUS FOR THE SPONSORING INSTITUTION IN OCTOBER 2023. THE TRAUMATIC JOURNEY FROM CRISIS THROUGH LEARNING TO GROWTH AND APPLICATION OF ALL LESSONS LEARNED THROUGH NAVIGATING THE UNPRECEDENTED PROBATIONARY ACGME ACCREDITATION CHALLENGES AND THE ACUTE COVID-19 PANDEMIC CAN NEVER BE OVERSTATED IN TERMS OF INTENSITY OR MISSION AND LEGACY VALUE. REGIONAL AND LOCAL NEEDS FOR ACCESS TO MENTAL, BEHAVIORAL, AND ADDICTION HEALTH SERVICES CONTINUE TO ESCALATE IN NORTHEAST PENNSYLVANIA. UNFORTUNATELY, DURING THE COVID-19 PANDEMIC, AFTER A SERIES OF CONVERGING CHALLENGES IN OUR LOCAL COMMUNITY, INCLUDING SURPRISING, BUT UNAVOIDABLE, PROGRAM LEADERSHIP TRANSITION FOR CAUSE AND THE CLOSURE OF OUR TWO MAJOR INPATIENT PSYCHIATRY HOSPITAL UNITS, THE ACGME PSYCHIATRY RESIDENCY REVIEW COMMITTEE WITHDREW ACCREDITATION OF TWCGME'S COMMUNITY-BASED PSYCHIATRY RESIDENCY PROGRAM. OUR COMMUNITY IS PROCESSING THIS TRAUMA AND CONSIDERING ALL OPTIONS TO RALLY FOR FUTURISTIC SOLUTIONS THAT ARE RESPONSIVE TO THE CONTINUING UNDENIABLE MENTAL, BEHAVIORAL, AND ADDICTION HEALTH SERVICES AND WORKFORCE NEEDS OF OUR REGION, STATE, AND COUNTRY. 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 CONTINUUM OF COMMUNITY, HOSPITAL, AND INPATIENT-BASED ACUTE AND REHABILITATION VENUES, WHILE ENRICHING THE TEAM BASED EDUCATIONAL EXPERIENCE OF ALL LEARNERS. DESPITE CMS GME FUNDING CHALLENGES FOR RESIDENCY PROGRAMS OPERATED WITHIN INPATIENT REHABILITATION FACILITIES, THE GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM (GME-SNC) MODEL ENABLED THIS PROGRAM TO LAUNCH THROUGH A COLLABORATION WITH A COMMUNITY-BASED CMS IPPS HOSPITAL 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. TWCCH'S CLINICAL TRAINING PARTNERSHIP WITH A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE (SOMA) 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 LOCALLY RESIDENCY TRAINING IN THE MUCH NEEDED SPECIALTY 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 REGIONAL PHYSICIAN AND INTERPROFESSIONAL HEALTHCARE WORKFORCE PIPELINE. THE HOMETOWN SCHOLARS PROGRAM IS DIRECTLY ALIGNED WITH AND FUELS THE DELIVERY OF TWCCH'S MISSION, AND WE WILL CONTINUE TO ENCOURAGE AND TRAIN QUALIFIED, COMPASSIONATE LOCAL STARS TO ENTER THE MEDICAL FIELD AND OTHER HEALTH PROFESSIONS. IN ADDITION, TWCCH CONTINUED AS A SECOND-YEAR TRAINING SITE FOR A SIMILARLY DESIGNED HOMETOWN SCHOLAR PARTNERSHIP WITH THE NEW PUBLIC HEALTH ORIENTED CENTRAL COAST PHYSICIAN ASSISTANT TRAINING PROGRAM, A COLLABORATIVE OF A.T. STILL UNIVERSITY SCHOOL OF HEALTH SCIENCES, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, AND THE COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST CALIFORNIA. TWCCH ALSO CONTINUED OUR EFFORTS TO DEVELOP AND TRAIN OUR OWN MEDICAL ASSISTANTS (MAS) IN PARTNERSHIP WITH THE NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT (NIMAA), AND COMMUNITY HEALTH WORKERS (CHWS) THROUGH THE AHEC-AFFILIATED COMMUNITY HEALTH WORKER TRAINING PROGRAM AND THE NATIONAL HEALTH CORPS. IN THE FISCAL YEAR 2022-2023, THE SECOND YEAR OF OUR ENGAGEMENT IN NYU LANGONE'S CODA ACCREDITED ADVANCED EDUCATION IN GENERAL DENTISTRY RESIDENCY, TWCCH WELCOMED TWO ADDITIONAL RESIDENT DENTISTS. WE WERE ABLE TO PROVIDE 13,099 DENTAL VISITS DURING THE FISCAL YEAR, 2,221 MORE THAN THE YEAR BEFORE - A 20% INCREASE - RESULTING IN PART FROM THE RECRUITMENT OF AN ADDITIONAL PUBLIC HEALTH DENTIST IN SEPTEMBER 2022 AND ALSO THE EXPANSION OF DENTAL CLINICAL SPACE IN OUR MID VALLEY TEACHING HEALTH CENTER WITH TWO NEW DENTAL OPERATORIES TO INCREASE ACCESS. EXCITINGLY, IN EARLY 2024, TWCCH EXECUTED AN EMPLOYMENT CONTRACT TO HIRE ONE OF OUR AEGD DENTAL RESIDENTS UPON HIS UPCOMING GRADUATION FROM THIS PROGRAM, AGAIN DEMONSTRATING A HOMETOWN SCHOLAR SUCCESS. THIS RECRUITMENT VALIDATES THE POWER OF THE GME-SNC COMMUNITY-BASED TRAINING MODEL IS JUST AS SUCCESSFUL WITH DENTAL RESIDENTS AS IT IS WITH MEDICAL RESIDENTS. WITH UNDENIABLE PUBLIC HEALTH NEEDS AND DENTAL SERVICES IN HIGH DEMAND, OUR NEWLY EMPLOYED DENTIST WILL LEAD THE EXPANSION OF DENTAL SERVICES AT OUR NEW WILKES-BARRE HEALTH CITY HUB AS A STRATEGIC PRIORITY IN THE NEXT FISCAL YEAR. |
| FORM 990, PART III, LINE 2 CONTINUED | NEW PROGRAM SERVICES CONTINUED: IN RESPONSE TO CUMULATIVE, COVID-19 PANDEMIC EXACERBATED, AND ESCALATING DAILY CHALLENGES IMPOSED ON HEALTHCARE DELIVERY SYSTEMS, PROVIDERS, AND RECIPIENTS OF HEALTH SERVICES, TWCCH 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, PARTNER, PROVIDER OF WHOLE PERSON HEALTH SERVICES, AND EDUCATOR OF HEALTHCARE WORKFORCE. FOUNDED BY DR. SANDRA 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 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 OVERALL ORGANIZATION ITSELF. THE 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. TWCCH BEGAN ITS 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 THEN IMPLEMENTED MULTIPLE COHORTS OF 5-DAY IMMERSION TRAINING EVENTS TO SPREAD LEARNING ACROSS THE ORGANIZATION AND ITS AFFILIATES. THESE COHORTS INCLUDED GOVERNING BOARD AND EXECUTIVE MANAGEMENT AS WELL AS NEARLY 80 EMPLOYEES AND ALSO A DOZEN TWCGME RESIDENT PHYSICIANS IN TRAINING. A 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 IS TO ENSURE EMPOWERING IN-HOUSE EXPERTISE OF INTERNAL SANCTUARY TRAINERS WAS LAUNCHED DURING THE CURRENT FISCAL YEAR. TWCCH 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 TO DEVELOP A JUSTICE, DIVERSITY, EQUITY, INCLUSION, AND BELONGING CURRICULUM FOR PHYSICIAN AND INTERPROFESSIONAL HEALTH WORKFORCE LEARNERS TO PROMOTE TEAM BUILDING AND JEDIB AWARENESS ACROSS THE CARE TEAM LEARNING CONTINUUM. THE GOAL IS TO ELIMINATE THE IMPACT OF DISPARITIES IN HEALTH SERVICES AND TREATMENT DECISIONS, AS WELL AS CAREER ADVANCEMENT OPPORTUNITIES, RESULTING FROM EXPLICIT AND IMPLICIT BIASES. THE CURRICULUM'S FOCUS IS TO TEACH CULTURAL HUMILITY AND TEAMWORK ACROSS HEALTH PROFESSIONS, WHICH IS ESSENTIAL TO ACHIEVING A SHARED, TEAM-BASED UNDERSTANDING OF THE MOST EFFECTIVE DIAGNOSES, CARE PLAN, AND TREATMENT APPROACHES FOR THE BENEFIT OF PATIENTS, FAMILIES, OUR COMMUNITIES, AND CARE TEAMS. ADDITIONALLY, WITH THE CONTINUED LEADERSHIP OF OUR VP OF DIVERSITY, EQUITY, AND INCLUSION (DEI), WE EXPANDED JEDIB PROGRAMMING AND ACTIVITIES 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 TEAM OR 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 LISTENING TO THE LIFE STORIES THAT ARE TOLD BY OTHERS. DURING THE FISCAL YEAR, TWCCH 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 FACULTY AND RESIDENT AND FELLOW PHYSICIANS IN TRAINING, TO PROMOTE AWARENESS THAT, AS AN ESSENTIAL COMMUNITY PROVIDER OF PRIMARY HEALTH SERVICES AND HEALTHCARE WORKFORCE EDUCATOR, WE SIMPLY CANNOT IGNORE THE DEVASTATING DISPARATE IMPACT THAT THE ENVIRONMENT AND CLIMATE HAS ON PUBLIC HEALTH, AN IMPACT WHICH IS 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. DURING THIS REPORTING YEAR, TWCCH PROUDLY RECEIVED DESIGNATION AS A HEALTHY PEOPLE 2030 CHAMPION BY THE OFFICE OF DISEASE PREVENTION AND PROMOTION, AS A GOLD ADVOCACY CENTER OF EXCELLENCE BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, AND A CHANGE MAKER BY THE NATIONAL ACADEMY OF MEDICINE. WE ALSO EARNED AND EXPANDED TWCCH'S NUMEROUS HRSA COMMUNITY HEALTH CENTER QUALITY RECOGNITION (CHQR) 2021 BADGES FOR ADVANCING HIT FOR QUALITY, AND FOR COVID-19 TESTING, VACCINATIONS, AND DATA REPORTER WITH THE ADDITION OF 2022 BADGES FOR ACCESS ENHANCER, ADVANCING HIT FOR QUALITY, AND ADDRESSING SOCIAL RISK FACTORS, AND 2023 BADGES FOR ADVANCING HIT FOR QUALITY, ADDRESSING SOCIAL RISK FACTORS, AND COVID-19 PUBLIC HEALTH CHAMPION. A PLATINUM CERTIFICATE FROM HRSA'S DONATION CAMPAIGN FOR OUR PUBLIC HEALTH CAMPAIGN THIS YEAR VALIDATED OUR PUBLIC HEALTH BLOOD DRIVES AND EDUCATIONAL CAMPAIGN ENCOURAGING PEOPLE TO BECOME BLOOD, ORGAN, EYE, AND TISSUE DONORS VIA SOCIAL MEDIA POSTS, PRINT AND BROADCAST NEWS STORIES, INTERNAL TV SCREENS, AND EMAIL BLASTS. |
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE ACCOMPLISHMENTS: TWCCH HAS ALSO STEPPED UP FOR CONSIDERATION TO PARTICIPATE IN THE FIRST COHORT OF COMMUNITY HEALTH CENTERS TO TEST HRSA'S NEW UDS PLUS MODERNIZATION INITIATIVE. IN SUMMARY, TWCCH SERVED 33,653 UNIQUE PATIENTS AND ENGAGED IN 122,014 TOTAL BILLABLE VISITS BETWEEN JULY 2022 AND JUNE 2023. THEY INCLUDED 76,685 MEDICAL, 13,737 BEHAVIORAL HEALTH, 13,099 DENTAL, AND 18,493 INPATIENT VISITS. TWCCH DELIVERS WHOLE PERSON PRIMARY HEALTH SERVICES THROUGH TEACHING HEALTH CENTER FQHC LAL AMBULATORY CARE CENTERS, A MEDICAL/DENTAL MOBILE UNIT, AND ALSO IN LOCAL ACUTE HOSPITALS AND AN INPATIENT REHABILITATION HOSPITAL, HOSPICE, AND SKILLED NURSING FACILITIES, AND THROUGH PUBLIC SCHOOL AND HOME-BASED VENUES. ONE OF OUR CLINICAL ENVIRONMENTS IS CO-LOCATED WITHIN A REGIONAL, COMMUNITY-OWNED AND GOVERNED, LEGACY PUBLIC MENTAL HEALTH SERVICE AGENCY SERVING OVER 10,000 PATIENTS WITH COMPLEX MENTAL ILLNESS AND TRAUMA EXPOSURE, COMPOUNDED BY A MULTIPLEX OF SOCIOECONOMIC DETERMINANTS OF HEALTH CHALLENGES. ANOTHER TWCCH CLINIC IS CO-LOCATED IN A SCRANTON, PENNSYLVANIA PUBLIC SCHOOL-BASED SETTING WITH SERVICES OPEN TO STUDENTS AND THEIR FAMILIES, SCHOOL EMPLOYEES, AND THE LARGER COMMUNITY. OUR COMPREHENSIVE, INTEGRATED PRIMARY HEALTH SERVICES ACROSS THE LIFESPAN, FROM PEDIATRICS TO GERIATRICS, INCLUDE PEDIATRICS, MEDICAL, WOMEN'S HEALTH, GERIATRICS, GENERAL DENTAL, MENTAL AND BEHAVIORAL, SUBSTANCE USE DISORDER TREATMENT AND RECOVERY, CARE AND CASE MANAGEMENT, OBESITY, INFECTIOUS DISEASE, RYAN WHITE PRIMARY AND SECONDARY PREVENTION AND TREATMENT OF HIV, RHEUMATOLOGICAL, NUTRITIONAL, AND LIFESTYLE MEDICINE SERVICES. TWCCH CONTINUES ITS WORK AS A PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE, COORDINATING CENTER FOR MEDICATION-ASSISTED TREATMENT AND RECOVERY SERVICES, AND BACKBONE ORGANIZATION FOR THE REGIONAL HEALTHY MOMS PROGRAM SUPPORTING RECOVERY OF PREGNANT AND POSTPARTUM MOMS AND THEIR CHILDREN. TWCCH'S PASSIONATE PURPOSE IS TO DEMONSTRATE AN "ACHIEVABLE BY ALL" GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM MODEL THAT CO-CREATES TRANSFORMATIONAL HEALTH CARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES, AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH, HEALTH CARE DELIVERY SYSTEM AND THEIR INTERPROFESSIONAL HEALTH CARE WORKFORCE. OUR NICHE IS WORLD-CLASS INNOVATIVE AND RESPONSIVE PRIMARY HEALTH CARE THROUGH COMMUNITY-CENTRIC, INCUMBENT AND FUTURE WORKFORCE RENEWAL. TWCCH'S PRACTICING PHYSICIANS SERVE AS FACULTY EDUCATORS TRAINING OUR INCUMBENT AND FUTURE INTERPROFESSIONAL PRIMARY HEALTH CARE DELIVERY WORKFORCE, AS TWCCH'S TEACHING HEALTH CENTERS ARE THE PRIMARY, AMBULATORY, LONGITUDINAL CLINICAL LEARNING ENVIRONMENT FOR TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, AND PSYCHIATRY RESIDENTS, AS WELL AS ITS GERIATRIC FELLOWS. ADDITIONALLY, IN 2022, TWCCH PROUDLY SUPPORTED THE GRADUATION OF 2 ADVANCED EDUCATION GENERAL DENTISTRY RESIDENTS IN COLLABORATION WITH NYU LANGONE DENTAL AND ALSO HOSTED FELLOWS IN TRAINING FROM GEISINGER'S HRSA FUNDED ADDICTION FELLOWSHIP. DURING FISCAL YEAR 2022-2023, TWCCH TRAINED 177 INTERPROFESSIONAL STUDENTS IN PARTNERSHIP WITH MORE THAN A DOZEN ACADEMIC INSTITUTIONS, INCLUDING THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE IN NORTHEAST PENNSYLVANIA AND THE A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA AND CENTRAL COAST PHYSICIAN ASSISTANT TRAINING PROGRAM IN CALIFORNIA. WE ARE AN ACTIVE PARTICIPATING PROVIDER IN THE KEYSTONE ACCOUNTABLE CARE ORGANIZATION, A MEMBER OF THE PENNSYLVANIA AND NATIONAL ASSOCIATIONS OF COMMUNITY HEALTH CENTERS, AND A COLLABORATING PARTNER OF THE NORTHEAST PENNSYLVANIA AREA FOR HEALTH EDUCATION CENTER (AHEC), THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT, AND THE PENN STATE ECHO INITIATIVE. |
| FORM 990, PART III, LINE 4B | PROGRAM SERVICE CONTINUED: HOWEVER, WITH THE JUNE 1, 2019 DESIGNATION OF TWCCH AS A FQHC LAL, THE 340B DRUG PRICING PROGRAM ENGAGEMENT WAS EXPANDED ACROSS ALL PRIMARY HEALTH SERVICES AS WELL. THIS IMPORTANT FEDERAL PROGRAM PROVIDES OUTPATIENT DRUGS TO ELIGIBLE PATIENTS AND ESSENTIAL SAFETY-NET COMMUNITY PROVIDERS SUCH AS TWCCH AT SIGNIFICANTLY REDUCED PRICES. 340B REVENUES ARE REINVESTED INTO EQUITABLE, COMPREHENSIVE ACCESS AND DELIVERY OF PRIMARY HEALTH SERVICES AND SDOH RESPONSIVE PROGRAMS. THE PROGRAM ENABLES DIRECT 340B DISCOUNTED PRICES FOR SPECIFIED DRUGS FOR QUALIFYING ELIGIBLE PATIENTS AT PARTICIPATING PARTNERING PHARMACIES. INCOME AND DEMONSTRATED HARDSHIPS DETERMINE ELIGIBILITY STATUS FOR 340B DISCOUNT CARDS FOR INDIVIDUAL PATIENTS. AS AN ESSENTIAL COMMUNITY PROVIDER, TWCCH STEWARDS 340B REVENUES TO ENSURE THIS VITAL FUNDING ENHANCES AND ENRICHES THE NONDISCRIMINATORY, EQUITABLE "WHOLE PERSON" HEALTH AND SOCIAL SERVICES WE PROVIDE. THIS FUNDING HAS NOTABLY ENABLED US TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES BY EXPANDING AND CONTINUING EXTENDED OPERATIONAL HOURS, GIVING PATIENTS ADDITIONAL AMBULATORY, COMMUNITY-BASED HEALTH CARE ALTERNATIVES TO EMERGENCY DEPARTMENTS. THIS INCREASED ACCESS TO PRIMARY HEALTH SERVICES, IN TURN, REDUCES COSTS AND GIVES PATIENTS NONDISCRIMINATORY ACCESS TO COMPREHENSIVE PRIMARY HEALTH SERVICES UNDER ONE ROOF IN A PATIENT-CENTERED MEDICAL HOME. 340B REVENUES FUND COMMUNITY OUTREACH INITIATIVES LIKE HEALTH FAIRS AND FREE HEALTH SCREENINGS (E.G., BLOOD SUGAR, BLOOD PRESSURE, BODY MASS INDEX, AND CHOLESTEROL), POP UP FOOD PANTRIES, AND PUBLIC HEALTH EDUCATIONAL INITIATIVES TO HELP VULNERABLE PATIENTS WITH CHRONIC DISEASES SUCH AS SUBSTANCE USE DISORDER, HIV/AIDS, HEPATITIS C, OBESITY, DIABETES, AND ISCHEMIC HEART DISEASE TO PROMOTE HEALTHIER NUTRITION AND LIFESTYLES. RYAN WHITE RELATED 340B FUNDING SUPPORTS PEOPLE LIVING WITH HIV/AIDS THROUGH MEDICAL SERVICES, LABORATORY SERVICES, TELEHEALTH SERVICES, MEDICAL CASE MANAGEMENT, MEALS DELIVERED TO THE HOME, INSURANCE PREMIUM COST-SHARING ASSISTANCE, EMERGENCY FINANCIAL ASSISTANCE, MENTAL HEALTH SERVICES, TRANSPORTATION SERVICES, DURABLE MEDICAL EQUIPMENT AND ALSO EXPANDED AND ENHANCED DENTAL SERVICES. THE 340B PROGRAM IS AN EXTREMELY IMPORTANT SOURCE OF FINANCIAL AND RESOURCES SUPPORT IN ESSENTIAL COMMUNITY PROVIDERS LIKE COMMUNITY HEALTH CENTERS THAT HELPS ENSURE PATIENTS AND FAMILIES HAVE ACCESS TO AND RECEIVE THE PRIMARY HEALTH SERVICES THEY DESERVE TO ADDRESS THEIR COMPLEX HEALTH AND SDOH NEEDS, REGARDLESS OF THEIR ZIP CODE, INSURANCE STATUS, OR ABILITY TO PAY. CURRENT EFFORTS TO SIGNIFICANTLY REDUCE THE 340B PROGRAM WOULD HAVE A DEVASTATING NEGATIVE IMPACT ON PATIENTS, FAMILIES, AND COMMUNITIES AND COMMUNITY HEALTH CENTERS AND OTHER ESSENTIAL COMMUNITY PROVIDERS THAT SERVE THEM. |
| 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 IS AS FOLLOWS: A.T. STILL UNIVERSITY-SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (TOTAL: $9,000) PURPOSE OF GRANT ASSISTANCE: A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA) SUPPORTED THE WRIGHT CENTER FOR COMMUNITY HEALTH WITH A SUBAWARD OF A HRSA-FUNDED PRIMARY CARE TRAINING AND ENHANCEMENT (PCTE) GRANT. THIS FUNDING SUPPORTED CLINICAL AND ADMINISTRATIVE LEADERSHIP TO BUILD AND NURTURE THE INTEGRATION OF PRIMARY CARE WITH BEHAVIORAL AND MENTAL HEALTH SERVICES TO SUPPORT FULLY-INTEGRATED, "WHOLE PERSON" CARE DELIVERY AND CLINICAL LEARNING ENVIRONMENTS FOR ATSU-SOMA MEDICAL STUDENTS. AMERICARES (TOTAL: $2,668) PURPOSE OF GRANT ASSISTANCE: AMERICARES AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR A MENTAL HEALTH FIRST AID COURSE DEVELOPED TO TEACH INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESSES, MENTAL HEALTH CRISES, AND SUBSTANCE USE DISORDERS. THE TRAINING PROVIDES THE SKILLS NEEDED TO REACH OUT AND PROVIDE INITIAL HELP TO SUPPORT SOMEONE WHO MAY BE DEVELOPING A MENTAL HEALTH OR SUBSTANCE USE PROBLEM OR EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE DISORDER CRISIS. THE TRAINING HAS BEEN ROLLED OUT INITIALLY TO FRONT-LINE CLINICAL STAFF, THEN PHYSICIAN LEARNERS, AND MOST RECENTLY TO THE LARGER COMMUNITY. APPALACHIAN REGIONAL COMMISSION (TOTAL: $80,878) PURPOSE OF GRANT ASSISTANCE: THE APPALACHIAN REGIONAL COMMISSION (ARC) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO ADDRESS THE SUBSTANCE ABUSE CRISIS BY EXPANDING A RECOVERY-ORIENTED ECOSYSTEM LEADING TO WORKFORCE ENTRY OR REENTRY. ENHANCED JOB TRAINING IS PROVIDED FOR PEER RECOVERY SUPPORT SPECIALISTS AND COMMUNITY HEALTH WORKERS (CHWS) IN CONJUNCTION WITH THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT, NORTHEAST PENNSYLVANIA AREA HEALTH EDUCATION CENTERS (AHEC), LUZERNE COUNTY COMMUNITY COLLEGE, AND OTHER COMMUNITY PARTNERS. THE GOAL OF THIS GRANT IS TO IMPROVE THE EDUCATION, KNOWLEDGE, SKILLS, AND HEALTH OF CITIZENS TO WORK AND SUCCEED IN APPALACHIA. THE TARGET POPULATION IS ADULTS IN RECOVERY (AGES 18 AND OLDER) WHO SELF-IDENTIFY OR HAVE BEEN NOMINATED AS GOOD CANDIDATES TO WORK AS CERTIFIED RECOVERY SPECIALISTS AND/OR COMMUNITY HEALTH WORKERS. CITY OF SCRANTON, PENNSYLVANIA (TOTAL: $38,684) PURPOSE OF GRANT ASSISTANCE: THE CITY OF SCRANTON AMERICAN RESCUE PLAN ACT (ARPA) THROUGH THE NON-PROFIT GRANT PROGRAM, AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO OFFSET THE SANCTUARY INSTITUTE TRAINING COSTS WHICH IS DESIGNED TO HELP OUR FRONTLINE WORKFORCE, INCLUDING PROVIDERS AND STAFF, OVERCOME COMPLEX CHALLENGES CAUSED BY TRAUMA RELATED TO THE COVID-19 PANDEMIC. THE SANCTUARY MODEL IS A BLUEPRINT FOR CLINICAL AND ORGANIZATIONAL CHANGE WHICH, AT ITS CORE, PROMOTES SAFETY AND RECOVERY FROM ADVERSITY THROUGH THE ACTIVE CREATION OF A TRAUMA-INFORMED AND TRAUMA-COMPETENT COMMUNITY. CITY OF SCRANTON, PENNSYLVANIA (TOTAL: $18,918) PURPOSE OF GRANT ASSISTANCE: THE CITY OF SCRANTON AMERICAN RESCUE PLAN ACT (ARPA) THROUGH THE NON-PROFIT GRANT PROGRAM, AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR AN OVERDOSE PREVENTION PROGRAM, FOCUSING ON HARM REDUCTION, OVERDOSE PREVENTION, AND LONG-TERM RECOVERY SUPPORT. THE FUNDS WILL SUPPORT TRAINING RELATED TO OVERDOSE PREVENTION, OPIOID USE DISORDER, AND MEDICATION- ASSISTED-TREATMENT. THIS GRANT HELPS TO EXPAND THE CAPACITY OF TWCCH'S PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE AND INCORPORATE HARM REDUCTION SERVICES AIMED AT COMMUNITY-BASED TREATMENT PROGRAMS AND INTERVENTIONS. CITY OF SCRANTON, PENNSYLVANIA (TOTAL: $9,368) PURPOSE OF GRANT ASSISTANCE: THE CITY OF SCRANTON AMERICAN RESCUE PLAN ACT (ARPA) THROUGH THE NON-PROFIT GRANT PROGRAM, AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR WELLNESS PROGRAMMING. THE FUNDS WILL BE UTILIZED TO INCORPORATE LIFESTYLE MEDICINE INTO EVERYDAY PRACTICE TO IMPROVE THE DELIVERY OF PRIMARY CARE HEALTH SERVICES WITH SPECIFIC FOCUS ON TREATING OBESITY AS A CHRONIC DISEASE WITH MANY COMORBIDITIES. THIS GRANT SUPPORTS ACCESS TO INTENSIFIED DIET THERAPY FOR VULNERABLE POPULATIONS. CITY OF SCRANTON, PENNSYLVANIA & SCRANTON AREA COMMUNITY FOUNDATION (TOTAL: $2,237) PURPOSE OF GRANT ASSISTANCE: THE CITY OF SCRANTON AMERICAN RESCUE PLAN ACT (ARPA) THROUGH THE NON-PROFIT GRANT PROGRAM (ADMINISTERED BY THE SCRANTON AREA COMMUNITY FOUNDATION), AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO WORK WITH LACKAWANNA COUNTY'S CENTER FOR HEALTH AND HUMAN SERVICES RESEARCH AND ACTION (CHHSRA) TO DEVELOP THE INFRASTRUCTURE FOR A SOCIAL/HEALTH INFORMATION EXCHANGE. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT (DCED) (TOTAL: $25,870) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT AWARDED FUNDS FROM THE CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITY ACT TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO SUPPORT THE EFFORTS OF LOCAL ORGANIZATIONS IN PENNSYLVANIA CONDUCTING GRASSROOTS OUTREACH TO COMMUNITIES ABOUT COVID-19 VACCINES. THE PROGRAM STRIVES TO INCREASE COVID-19 VACCINATION RATES ACROSS DIFFERENT RACIAL AND ETHNIC ADULT POPULATIONS CURRENTLY EXPERIENCING DISPARITIES. TWCCH WORKED THROUGH THIS GRANT TO EDUCATE COMMUNITIES ON THE COVID- 19 VACCINE TO IMPROVE UPTAKE OF THE VACCINE BY ADDRESSING HESITANCY, CONCERNS, AND BARRIERS, TO IMPROVE THE HEALTH AND SAFETY OF PENNSYLVANIA. THE COMMUNITIES OF PRIORITY INCLUDE RACIAL AND ETHNIC MINORITIES, LGBTQ+, PERSONS EXPERIENCING HOMELESSNESS, LOW-INCOME PERSONS, AND PERSONS WITH MENTAL AND OR PHYSICAL DISABILITIES, AMONG OTHERS. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (DDAP) (TOTAL: $310,517) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (DDAP), AWARDED FUNDS FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR A PREGNANCY SUPPORT SERVICES GRANT TO EXTEND THE REACH OF ITS HEALTHY MATERNAL OPIATE MEDICAL SUPPORT (MOMS) PROGRAM INTO LUZERNE, WAYNE, AND SUSQUEHANNA COUNTIES. IN CONCERT WITH ITS PARTNERS, TWCCH IS COORDINATING THE DELIVERY OF MEDICATION-ASSISTED TREATMENT (MAT) AS WELL AS PREGNANCY AND POST- PARTUM MATERNAL AND CHILD SUPPORT SERVICES IN COMMUNITIES THAT DO NOT HISTORICALLY BENEFIT FROM A STRONG NETWORK OF COLLABORATING HEALTH AND SOCIAL SERVICE AGENCIES TO ADDRESS THIS NEED. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH) (TOTAL: $119,841) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED FUNDS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO ADDRESS THE CDC-IDENTIFIED COMMON BARRIERS TO COVID-19 VACCINE CONFIDENCE AND UPTAKE. THE THREE MAJOR OBJECTIVES ARE REDUCING THE STRUCTURAL, BEHAVIORAL, AND INFORMATIONAL BARRIERS RELATED TO COVID-19. TWCCH THROUGH THIS GRANT CONTINUES TO ESTABLISH NEW AND LEVERAGE EXISTING PARTNERSHIPS TO PROVIDE PERSONAL PROTECTIVE EQUIPMENT (PPE), TESTING, VACCINATIONS, AND OTHER WRAP-AROUND SERVICES AND RESOURCES TO MEET THE NEEDS OF INDIVIDUALS AND MITIGATE THE SPREAD OF COVID-19 AMONG VULNERABLE POPULATIONS INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME, PERSONS RESIDING IN RURAL OR GEOGRAPHICALLY ISOLATED AREAS, PERSONS WHO DO NOT SPEAK ENGLISH FLUENTLY, RACIAL AND ETHNIC MINORITIES, REFUGEES, UNDOCUMENTED IMMIGRANTS, THE LGBTQ+ COMMUNITY, AND YOUTH/ADOLESCENTS. THIS GRANT FUNDED TARGETED COVID-19 OUTREACH, EVENTS, AND MARKETING INITIATIVES DESIGNED TO REACH IDENTIFIED VULNERABLE POPULATIONS UTILIZING OUR MOBILE HEALTHCARE CLINIC DRIVING BETTER HEALTH. |
| FORM 990, PART III, LINE 4C CONTINUED | PROGRAM SERVICE CONTINUED: COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH) (TOTAL: $120,342) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED FUNDS FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO OPERATE A HUB-AND-SPOKE MODEL THAT EMPLOYS ADDICTION SPECIALISTS TO PROVIDE EXPERT GUIDANCE AND SUPPORT TO PRIMARY CARE PRACTICES ON EVIDENCE-BASED MEDICATION-ASSISTED TREATMENT (MAT). TWCCH CONTINUES TO OPERATE THE HUB WHICH INCLUDES A TEAM LED BY A BOARD-CERTIFIED ADDICTION SPECIALIST. THE HUB IS A CENTER OF THE PENNSYLVANIA COORDINATED MEDICATION ASSISTED TREATMENT (PACMAT) PROGRAM, PROVIDING TECHNICAL ASSISTANCE AND SUPPORT TO THE SPOKES. A SPOKE IS DEFINED AS A LICENSED PRIMARY CARE PROVIDER LED PRACTICE TEAM THAT PROVIDES MAT TO PATIENTS IN THEIR COMMUNITY WITH SUPPORT FROM THE PACMAT HUB. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH) (TOTAL: $110,855) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO SUPPORT A NEW COMMUNITY-BASED HEALTHCARE CLINIC IN COVINGTON TOWNSHIP, WHICH IS LOCATED IN LACKAWANNA COUNTY, NEAR RURAL WAYNE AND MONROE COUNTIES. THE WRIGHT CENTER FOR COMMUNITY HEALTH NORTH POCONO PRACTICE IS A FULL-SERVICE, FAMILY-FRIENDLY PRIMARY AND PEDIATRIC MEDICAL CARE OFFICE THAT ACCEPTS PATIENTS OF ALL AGES. THE ADVANCED PRACTITIONERS PROVIDE PRIMARY MEDICAL CARE AS WELL AS BEHAVIORAL HEALTH AND ADDICTION AND RECOVERY SERVICES, EFFECTIVELY INCREASING ACCESS TO THESE VITAL PRIMARY HEALTH SERVICES FOR THE UNINSURED, UNDERINSURED, AND UNDERSERVED POPULATIONS LIVING IN THIS REGION. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH) (TOTAL: $45,000) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF HEALTH PROVIDED 2,496 ORASURE INTELLISWAB COVID-19 RAPID TESTS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR DISTRIBUTION TO OUR PATIENTS FOR USE AT HOME AS COVID CONCERNS REMAIN HIGH, PARTICULARLY FOR VULNERABLE POPULATIONS AND THOSE WITH LIMITED ACCESS TO TESTING RESOURCES ELSEWHERE. THIS TEST IS A RAPID ANTIGEN TEST DESIGNED TO DETECT MULTIPLE STRAINS OF THE VIRUS. IT IS VERY EASY TO USE AND PROVIDES CLEAR TEST RESULTS IN JUST MINUTES. IT IS AUTHORIZED FOR OVER THE COUNTER USE IN INDIVIDUALS AGED 2 YEARS AND OLDER WITH OR WITHOUT SYMPTOMS. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HUMAN SERVICES (DHS) (TOTAL: $297,903) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES AWARDED FEDERAL PANDEMIC RESPONSE GRANT FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO EXPAND THE OUTREACH OF OUR MOBILE HEALTH CLINIC "DRIVING BETTER HEALTH" TO INCREASE ACCESS TO PRIMARY HEALTH SERVICES IN MEDICALLY UNDERSERVED COMMUNITIES AND TO MEDICALLY UNDERSERVED POPULATIONS. ADDITIONALLY, FUNDS ARE UTILIZED TO PROVIDE CULTURALLY COMPETENT PROGRAMS AND SOURCES THAT ARE ALIGNED WITH TRAUMA-INFORMED PRACTICES AND SUPPORT OF THE SANCTUARY INSTITUTE TRAINING TO BECOME A TRAUMA-COMPETENT ENTERPRISE. COMMONWEALTH OF PENNSYLVANIA (TOTAL $1,047,294) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA REDEVELOPMENT ASSISTANCE CAPITAL PROGRAM (RACP) PROVIDED $1,047,294 TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TOWARD THE CONSTRUCTION COSTS OF RENOVATING A 35,000 SQUARE FOOT FACILITY INTO A PRIMARY CARE TEACHING HEALTH CENTER LOCATED IN WILKES-BARRE, PENNSYLVANIA. THIS NEW WILKES-BARRE TEACHING HEALTH CENTER RELOCATED TWCCH'S KINGSTON, PENNSYLVANIA CLINIC HISTORICALLY SERVING NEARLY 5,500 PATIENTS, WITH THE NOTABLE EXPANDED CAPACITY TO PROVIDE NONDISCRIMINATORY PRIMARY HEALTH SERVICES TO APPROXIMATELY 25,000 PATIENTS ANNUALLY, REGARDLESS OF THEIR INSURANCE STATUS, ZIP CODE, OR ABILITY TO PAY. THIS NEW TEACHING HEALTH CENTER WILL CONTINUE THE SHARED MISSION OF TWCCH AND TWCGME 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. THE NOTABLE EXPANSION OF EDUCATIONAL CAPACITY WILL EXTEND THE COMMUNITY BENEFIT BEYOND THE TRAINING OF PRIMARY CARE PHYSICIANS TO INCLUDE MEDICAL STUDENTS AND INTERPROFESSIONAL HEALTH STUDENTS FROM REGIONALLY AND NATIONALLY AFFILIATED ACADEMIC INSTITUTIONS, INCLUDING THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE, LAKE ERIE COLLEGE OF MEDICINE, AND A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA. DUKE UNIVERSITY (TOTAL: $38,500) PURPOSE OF GRANT ASSISTANCE: DUKE UNIVERSITY AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) VIA A SUBAWARD FOR A GRANT FUNDED BY THE NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES. THIS PROJECT INCREASES ACCESS TO AND UPTAKE OF DIAGNOSTIC COVID-19 TESTING AMONG MEDICALLY UNDERSERVED RESIDENTS OF NORTHEAST PENNSYLVANIA WITH A FOCUS ON URBAN AND RURAL COUNTIES, SERVING DIVERSE PATIENTS, INCLUDING PERSONS WHO DO NOT SPEAK ENGLISH FLUENTLY, RACIAL AND ETHNIC MINORITIES, THE LGBTQ+ COMMUNITY, AND PERSONS RESIDING IN GEOGRAPHICALLY ISOLATED AREAS. THROUGH THIS GRANT, TWCCH UTILIZES A MOBILE HEALTHCARE CLINIC CALLED "DRIVING BETTER HEALTH" TO DELIVER THESE SERVICES TO TEN SITES, INCLUDING NONPROFIT COMMUNITY CENTERS, COMMUNITY-BASED BUSINESSES, AND FAITH-BASED ORGANIZATIONS. OUR EXPERIENCED BILINGUAL HEALTHCARE PROFESSIONALS HAVE UTILIZED THE MOBILE CLINIC TO NIMBLY RESPOND TO THE FAST-CHANGING COVID-19 PANDEMIC. THE SERVICES INCLUDE SCREENING AND TESTING PATIENTS FOR COVID-19, PROVIDING EDUCATION, ADMINISTERING COVID-19 TESTS, AND PROVIDING VITAL HEALTH INFORMATION IN ENGLISH AND SPANISH. FEDERAL COMMUNICATIONS COMMISSION (FCC) (TOTAL: $21,112) PURPOSE OF GRANT ASSISTANCE: THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) AND OUR CRITICAL ACCESS PARTNER, ENDLESS MOUNTAINS HEALTH SYSTEMS, TO PURCHASE AND INSTALL TECHNOLOGY DEVICES AND SUPPORTING INFORMATION SERVICES RELATED TO TELEHEALTH SERVICES. TWCCH'S ELECTRONIC HEALTH RECORD PLATFORM, MEDENT, HAS INTEGRATED TELEHEALTH CAPABILITIES AND WILL SERVE AS THE PLATFORM FOR THE REQUESTED TELEHEALTH DEVICES AND INFORMATION SERVICES. THE DEVICES WILL UTILIZE EXISTING HIGH-SPEED BROADBAND CONNECTIONS WITH A HIPAA- COMPLIANT PATIENT AND CLINICAL PROVIDER INTERFACE. THE SERVICES WILL BE UTILIZED TO ENHANCE PATIENT PORTALS, DIGITAL APPLICATIONS, AND OTHER TOOLS TO SUPPORT SCHEDULING, VISIT SHOW RATES, AND FOLLOW-UP FOR TELEHEALTH VISITS FOR COVID-19-RELATED SERVICES AND WILL NOT DUPLICATE ANY ADEQUATE ESTABLISHED TELEHEALTH PLATFORMS OR SERVICES. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) ARP-LAL (TOTAL: $1,056,614) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED A GRANT TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) THROUGH THE AMERICAN RESCUE PLAN (ARP) LOOK-ALIKE (LAL) FUNDING PROGRAM TO SUPPORT FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKES TO RESPOND TO AND MITIGATE THE SPREAD OF COVID-19, AND TO ENHANCE AND EXPAND PRIMARY HEALTHCARE SERVICES AND INFRASTRUCTURE. THE FUNDS WERE USED FOR PERSONNEL COSTS INCLUDING BENEFITS AND HEALTH INFORMATION TECHNOLOGY TO SUPPORT TELEHEALTH SERVICES, COVID-19 TESTING, AND VACCINE ADMINISTRATION, CALL CENTER OPERATIONS, CONSULTANT ENGAGEMENT FOR A COMPREHENSIVE NEED'S ASSESSMENT ON HOW COVID HAS IMPACTED OUR WELL-BEING, PANDEMIC RELATED TRAINING AND EDUCATION, INFORMATION TECHNOLOGY SOFTWARE, DENTAL EQUIPMENT AND SUPPLIES, AND CARGO AND PATIENT TRANSPORT VEHICLES. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) COVID-19 VACCINATIONS (TOTAL: $330,262) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO EXPAND COVID-19 VACCINATION (ECV) FUNDING FOR HEALTH CENTERS. THIS FUNDING SUPPORTED HEALTH CENTERS TO INCREASE ACCESS TO, CONFIDENCE IN, AND DEMAND FOR UPDATED COVID-19 VACCINES WITHIN THEIR SERVICE AREAS. TWCCH INTENTIONALLY TARGETED THE SPANISH-SPEAKING COMMUNITIES IN SCRANTON AND WILKES-BARRE, PENNSYLVANIA VIA THE TRAINING AND USE OF BILINGUAL COMMUNITY-CLINIC NAVIGATORS. A MARKETING CAMPAIGN WAS FUNDED TO COMPLEMENT THIS EFFORT BY PROVIDING COVID-19 AND VACCINE INFORMATION/EDUCATION IN BOTH ENGLISH AND SPANISH ACROSS THE SERVICE AREA. THIS FORMULA-FUNDED AWARD IS THROUGH THE PAYCHECK PROTECTION PROGRAM AND HEALTH CARE ENHANCEMENT ACT AND THE PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND. |
| FORM 990, PART III, LINE 4C CONTINUED | PROGRAM SERVICE CONTINUED: HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) DENTISTRY (TOTAL: $504,155) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO COLLABORATE WITH THE NEW YORK UNIVERSITY (NYU) LANGONE, CODA ACCREDITED ADVANCED EDUCATION IN GENERAL DENTISTRY (AEGD) RESIDENCY PROGRAM TO BECOME A CODA APPROVED CLINICAL LEARNING ENVIRONMENT IN AN EXPANSION OF THEIR AEGD PROGRAM. THE TWCCH/NYU LANGONE RESIDENCY FOCUSES ON VULNERABLE AND MEDICALLY COMPLEX POPULATIONS INCLUDING OLDER ADULTS, HOMELESS INDIVIDUALS, VICTIMS OF ABUSE AND/OR TRAUMA, INDIVIDUALS WITH MENTAL HEALTH AND/OR SUBSTANCE-RELATED DISORDERS, INDIVIDUALS WITH DISABILITIES, AND INDIVIDUALS WITH HIV/AIDS AND HCV. THE AEGD RESIDENCY IS EMBEDDED IN TWCCH'S NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) CERTIFIED PATIENT-CENTERED MEDICAL HOME (PCMH) FOR COMPREHENSIVE INTEGRATION OF ORAL HEALTH WITH PHYSICAL AND MENTAL/BEHAVIORAL HEALTH SERVICES. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-NEONATAL ABSTINENCE SYNDROME (RCORP-NAS) (TOTAL: $176,040) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR THE RURAL COMMUNITIES OPIOID RESPONSE PROGRAM NEONATAL ABSTINENCE SYNDROME (RCORP-NAS) GRANT PROJECT WHICH WAS DEVELOPED TO REDUCE THE MORBIDITY AND MORTALITY OF SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDER (OUD) AND NAS, IN RURAL COMMUNITIES. THESE FUNDS ARE TARGETED TO PATIENTS WHO RESIDE IN WAYNE AND SUSQUEHANNA COUNTIES, FOCUSING ON FEMALES IN THEIR CHILD-BEARING YEARS WHO ARE AT RISK OF HAVING A BABY EXPOSED TO HARMFUL ADDICTIVE SUBSTANCES THAT ARE AT RISK FOR WITHDRAWAL IN THE NEWBORN PERIOD. FUNDS ARE UTILIZED FOR PERSONNEL, SUBCONTRACTED SERVICES, PREVENTION EDUCATION, TRAVEL, AND OTHER COSTS. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPLEMENTATION (RCORP-I) (TOTAL: $49,711) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR A RURAL COMMUNITIES OPIOID RESPONSE PROGRAM IMPLEMENTATION (RCORP-I) GRANT TO ESTABLISH A COMMUNITY CONSORTIUM TO ADDRESS THE OPIOID EPIDEMIC AND INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT (MAT). THROUGH THIS FUNDING, TWCCH IS ENGAGING COMMUNITY RESOURCES THROUGHOUT RURAL NORTHEAST PENNSYLVANIA TO MAXIMIZE MAT ACCESS AND EFFORTS THROUGH A TEAM-BASED CARE DELIVERY INFRASTRUCTURE SPECIFICALLY TARGETED TO SERVING RURAL POPULATIONS. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) RYAN WHITE (TOTAL: $340,880) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO PROVIDE A COMPREHENSIVE SYSTEM OF HIV PRIMARY MEDICAL AND BEHAVIORAL CARE, ESSENTIAL SUPPORT SERVICES, AND MEDICATIONS FOR LOW-INCOME PATIENTS WITH HIV/AIDS, WHO RESIDE ACROSS A SEVEN-COUNTY AREA. HRSA EARLY INTERVENTION SERVICES PROGRAM FUNDING ALLOWS TWCCH TO PROVIDE HIV COUNSELING, MEDICAL EVALUATION, AND CLINICAL DIAGNOSTIC SERVICES FOR PATIENTS. THE WRIGHT CENTER RYAN WHITE CLINIC (TWCCH RWC) IS THE DESIGNATED SERVICE AREA'S PREDOMINANT PROVIDER OF HIV/AIDS PRIMARY HEALTH SERVICES AND READILY COLLABORATES WITH ALL COMMUNITY-BASED RESOURCE AGENCIES OPERATING IN THE SERVICE AREA WITH THE SHARED GOALS TO REDUCE THE NUMBER OF PEOPLE INFECTED WITH HIV; TO FACILITATE BETTER ACCESS TO A CONTINUUM OF CARE; TO ENROLL AND MAINTAIN PATIENTS IN CARE; TO REDUCE HIV-RELATED HEALTH DISPARITIES; AND TO REDUCE NEW HIV INFECTIONS THROUGH BOTH PRIMARY AND SECONDARY PREVENTION INITIATIVES, WHILE AVOIDING DUPLICATION OF EFFORTS. THIS PROGRAM TARGETS PEOPLE LIVING WITH HIV/AIDS (PLWHA) IN SEVEN COUNTIES, REACHING RURAL, LOW-INCOME, HARD-TO-REACH, AND TRADITIONALLY UNDERSERVED AREAS IN NORTHEAST PENNSYLVANIA. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) RYAN WHITE (TOTAL: $75,087) PURPOSE OF GRANT ASSISTANCE: THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDING TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR CAPACITY BUILDING TO ENHANCE ACCESS TO DENTAL SERVICES FOR PATIENTS LIVING WITH HIV/AIDS. FUNDS WILL BE USED FOR INFRASTRUCTURE DEVELOPMENT AS IT RELATES TO INTEGRATING PRIMARY CARE AND ORAL HEALTH SERVICES, WITH A FOCUS ON PROVIDING DENTAL CARE FOR PEOPLE WHO ARE LIVING WITH HIV/AIDS AND RECEIVING SERVICES IN THE WRIGHT CENTER'S RYAN WHITE HIV/AIDS PROGRAM. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) - PLANNING AND DEVELOPMENT (TOTAL: $21,714) PURPOSE OF GRANT ASSISTANCE: THE WRIGHT CENTER FOR COMMUNITY HEALTH TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) FUNDING IS TO ESTABLISH A NEW COMMUNITY-BASED RESIDENCY PROGRAM THAT IS ACCREDITED BY THE COMMISSION ON DENTAL ACCREDITATION (CODA) AT THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). THE NEW RESIDENCY PROGRAM WILL BE ACHIEVED BY UTILIZING GRANT FUNDS TO SUPPORT THE DEVELOPMENT AND LAUNCH OF A NEW CODA ACCREDITED PEDIATRIC DENTAL RESIDENCY PROGRAM IN AN AREA WHERE PRIMARY CARE AND PEDIATRIC DENTAL SERVICES ARE LIMITED, ESPECIALLY FOR PATIENTS ON MEDICAID OR PATIENTS WHO ARE UNINSURED. THE STATEWIDE SHORTAGE OF DENTAL PROFESSIONALS IS INTENSIFYING, AND THIS WILL HAVE A SIGNIFICANT NEGATIVE IMPACT ON THE ORAL HEALTH OF PENNSYLVANIANS, ESPECIALLY WITH ONGOING OPIOID AND STIMULANT MISUSE EPIDEMICS AND A LACK OF PUBLIC WATER FLUORIDATION. LACKAWANNA COUNTY, PENNSYLVANIA (TOTAL: $25,000) PURPOSE OF GRANT ASSISTANCE: THE LACKAWANNA COUNTY COMMISSIONERS AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) THROUGH THE LACKAWANNA COUNTY NON-PROFIT COVID-19 RESPONSE GRANT PROGRAM FUNDED BY THE AMERICAN RESCUE PLAN. THESE FUNDS ARE USED TO MEET VULNERABLE LACKAWANNA COUNTY PATIENTS' NONMEDICAL NEEDS BY PROVIDING GROCERY STORE GIFT CARDS TO PATIENTS AND FAMILIES TO ADDRESS DOCUMENTED FOOD INSECURITIES EXACERBATED BY THE COVID-19 PANDEMIC. NATIONAL HEALTH CARE FOR THE HOMELESS COUNCIL (TOTAL: $97,538) PURPOSE OF GRANT ASSISTANCE: THE NATIONAL HEALTH CARE FOR THE HOMELESS COUNCIL IN PARTNERSHIP WITH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AWARDED FUNDS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO CREATE A COMMUNITY VACCINE AMBASSADOR PROGRAM FOR A HEALTH CARE ENABLING SERVICES WORKFORCE THAT CONDUCTS COMMUNITY OUTREACH TO INCREASE VACCINATION RATES IN PEOPLE WHO ARE EXPERIENCING HOMELESSNESS AND PEOPLE WITH SUBSTANCE USE DISORDERS. TWCCH UTILIZED OUR COMMUNITY HEALTH WORKERS (CHWS), MEDICAL CLINICS, AND OUR "DRIVING BETTER HEALTH" MOBILE CLINIC TO INCREASE ACCESS TO AND RECEIPT OF VACCINES RECOMMENDED BY THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES IN THESE UNDERSERVED POPULATIONS. PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS COVID-19 VACCINE HESITANCY PROGRAM (TOTAL: $252,902) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) AWARDED FUNDS THROUGH THE AMERICAN RESCUE PLAN ACT (ARPA) TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO REDUCE HESITANCY TO RECEIVE THE COVID-19 PRIMARY SERIES AND BOOSTER VACCINES AND TO INCREASE CRITICAL FRONTLINE WORKERS. THE WRIGHT CENTER USED THE FUNDS TO TRAIN AND HIRE COMMUNITY HEALTH WORKERS (CHWS) WHO WORK WITHIN THEIR COMMUNITIES TO COMMUNICATE AND EDUCATE ABOUT THE EFFECTIVENESS AND SAFETY OF THE COVID-19 VACCINES AND ALSO MEDICAL ASSISTANTS (MAS) TO ASSIST IN THE VACCINATION PROCESS BY SUPPORTING CLINICIANS. PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS COVID-19 VACCINE HESITANCY PROGRAM (TOTAL: $119,661) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) AWARDED FUNDING THROUGH THE AMERICAN RESCUE PLAN ACT (ARPA) TO THE WRIGHT CENTER FOR COMMUNITY HEALTH TO REDUCE HESITANCY TO RECEIVE THE COVID-19 PRIMARY SERIES AND BOOSTER VACCINES THROUGH A WORKFORCE MARKETING CAMPAIGN TO RECRUIT AND TRAIN MEDICAL STAFF TO PROVIDE VACCINE HESITANCY EDUCATION AND VACCINES TO RESPOND TO COVID-19. PACHC PARTNERED WITH AN ADVERTISING AND MARKETING FIRM TO DEVELOP A STATEWIDE COMMUNITY HEALTH CENTER MARKETING AND COMMUNICATIONS CAMPAIGN AND PROVIDED FUNDING TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO IMPLEMENT THIS CAMPAIGN. |
| FORM 990, PART III, LINE 4C CONTINUED | PROGRAM SERVICE CONTINUED: PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS COVID-19 VACCINE HESITANCY PROGRAM (TOTAL: $42,249) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) IN PARTNERSHIP WITH THE COMMONWEALTH OF PENNSYLVANIA, DEPT. OF HEALTH (DOH) AWARDED FUNDING TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO INCREASE EFFORTS ADDRESSING COVID-19 VACCINE HESITANCY ACROSS OUR SERVICE AREA. FUNDS WERE USED FOR A PATIENT AND COMMUNITY MESSAGING SYSTEM TO DECREASE COVID-19 VACCINE HESITANCY THROUGH PATIENT AND PUBLIC EDUCATION, COMMUNICATION OF VACCINE OPPORTUNITIES, INCREASED PATIENT ENGAGEMENT, AND COMMUNITY OUTREACH. PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS COVID-19 TESTING PROGRAM (TOTAL: $530,085) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) IN PARTNERSHIP WITH THE COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF HEALTH (DOH), AND THE COVID-19 RESPONSE TEAM AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO INCREASE ACCESS TO COVID-19 DIAGNOSTIC TESTING AND PREVENTATIVE SERVICES. THE WRIGHT CENTER FOR COMMUNITY HEALTH USED THE FUNDS TO PROVIDE ACCESS TO COVID-19 TESTING AND PREVENTATIVE SERVICES WITHIN THE COUNTIES WE SERVE, WITH INTENTIONAL OUTREACH TO VULNERABLE POPULATIONS. PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (TOTAL: $53,487) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH AWARDED HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TITLE V FUNDING TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO SUPPORT ENGAGEMENT AMONG PENNSYLVANIA'S FEDERALLY QUALIFIED HEALTH CENTERS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS AND THEIR FAMILIES. THE PROJECT AIMS TO INCREASE ACCESS FOR LOW-INCOME MOTHERS AND THEIR CHILDREN WITH SPECIAL HEALTHCARE NEEDS TO HIGH QUALITY, EQUITABLE HEALTH SERVICES, INCLUDING PREVENTIVE HEALTH SERVICES, REHABILITATIVE SERVICES, AND COMMUNITY-BASED SYSTEMS OF COORDINATED CARE AND RESOURCES. PENNSYLVANIA CHAPTER, AMERICAN ACADEMY OF PEDIATRICS (TOTAL: $120,954) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA IMMUNIZATION COALITION (PAIC) AND THE PENNSYLVANIA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS (PAAAP) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO ADDRESS ACCESS TO AND EDUCATION ABOUT VACCINES, PARTICULARLY THE COVID-19 VACCINE. FUNDS WERE USED FOR COMMUNITY OUTREACH THROUGH EDUCATIONAL CAMPAIGNS, COMMUNICATIONS, AND POP-UP IMMUNIZATION CLINICS THAT SERVE COMMUNITIES DISPROPORTIONATELY AFFECTED BY THE VIRUS (E.G. RURAL COMMUNITIES, COMMUNITIES OF COLOR, IMMIGRANTS, FAMILIES WITH LIMITED ENGLISH PROFICIENCY/LANGUAGE BARRIERS, THOSE EXPERIENCING HOMELESSNESS/HOUSING INSTABILITY, AND LGBTQ+ INDIVIDUALS) WHO LIVE IN NORTHEAST PENNSYLVANIA. PENNSYLVANIA CHAPTER, AMERICAN ACADEMY OF PEDIATRICS (TOTAL: $5,000) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS THROUGH THE PENNSYLVANIA DEPARTMENT OF HEALTH'S "FIRST FOODS CONTRACT" AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO SUPPORT THE IMPROVED BREASTFEEDING INITIATION AMONG MOMS WITH SUBSTANCE USE DISORDER PROJECT TO IMPROVE BREASTFEEDING INITIATION AND DURATION RATES. ENROLLEES OF THE HEALTHY MATERNAL OPIATE MEDICAL SUPPORT (HEALTHY MOMS) PROGRAM ARE CONNECTED WITH BREASTFEEDING PEER SUPPORT AND PROVIDED WITH BREASTFEEDING-RELATED SUPPLIES. SCRANTON AREA COMMUNITY FOUNDATION (TOTAL: $3,000) PURPOSE OF GRANT ASSISTANCE: THE SCRANTON AREA COMMUNITY FOUNDATION AWARDED FUNDS THROUGH A CRITICAL NEEDS GRANT TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). THE FUNDS PROVIDE EMERGENCY CHILDCARE ASSISTANCE TO WOMEN ENROLLED IN THE HEALTHY MATERNAL OPIATE MEDICAL SUPPORT (HEALTHY MOMS) PROGRAM TO COVER DAYCARE COSTS UNTIL THE MOM RECEIVES SUBSIDIZED CHILDCARE. THIS HELPS MOMS RETURN TO THE WORKFORCE, SO THEY CAN PROVIDE FOR THEIR FAMILIES AND BUILD A BETTER LIFE IN RECOVERY FROM SUBSTANCE USE DISORDER. THE ROBERT H. SPITZ FOUNDATION (TOTAL: $4,756) PURPOSE OF GRANT ASSISTANCE: THE ROBERT H. SPITZ FOUNDATION, ADMINISTERED BY THE SCRANTON AREA COMMUNITY FOUNDATION, AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) TO SUPPORT PARTICIPANTS IN THE HEALTHY MATERNAL OPIATE MEDICAL SUPPORT (HEALTHY MOMS) PROGRAM WHO ARE EXPERIENCING FINANCIAL HARDSHIPS EXACERBATED BY THE PANDEMIC. THE FUNDS PROVIDE HEALTHY MOMS PARTICIPANTS WITH FINANCIAL ASSISTANCE TO HELP WITH INITIAL HOUSING COSTS, SUCH AS SECURITY, RENT, AND UTILITY BILLS. STRONGHOLD GROUP (TOTAL: $10,500) PURPOSE OF GRANT ASSISTANCE: THE STRONGHOLD GROUP DONATED 4,200 ISOLATION GOWNS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). THESE GOWNS WERE USED IN CONJUNCTION WITH OTHER FORMS OF PERSONAL PROTECTIVE EQUIPMENT INCLUDING N-95 FACE MASKS AND GLOVES TO REDUCE THE RISK OF COVID-19 INFECTION AMONG HEALTH CARE WORKERS WHEN CARING FOR COMMUNITY MEMBERS LIVING WITH COVID-19 AND OTHER HIGHLY INFECTIOUS DISEASES. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) (TOTAL: $352,629) PURPOSE OF GRANT ASSISTANCE: THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR A "TARGETED CAPACITY EXPANSION: MEDICATION-ASSISTED TREATMENT (MAT) PRESCRIPTION DRUG AND OPIOID ADDICTION" GRANT. THE FUNDING ENABLED TWCCH'S PENNSYLVANIA OPIOID USE DISORDER CENTER OF EXCELLENCE (OUD-COE) TO PROVIDE ADDICTION AND RECOVERY SERVICES, INCLUSIVE OF MEDICATION ASSISTED TREATMENT AND BEHAVIORAL/MENTAL HEALTH SERVICES, TO JUSTICE-INVOLVED INDIVIDUALS STRUGGLING WITH OUD, INCLUDING VETERANS AND ALSO MOTHER AND BABY DYADS. THE PENNSYLVANIA STATE UNIVERSITY (TOTAL: $32,898) PURPOSE OF GRANT ASSISTANCE: THE PENNSYLVANIA STATE UNIVERSITY SUPPORTED THE WRIGHT CENTER FOR COMMUNITY HEALTH WITH A SUBAWARD OF A HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FUNDED PRIMARY CARE MEDICINE AND DENTISTRY CLINICIAN EDUCATOR CAREER DEVELOPMENT AWARD. THE AWARD SUPPORTS DR. STEPHANIE GILL AND IS FOCUSED ON DEVELOPMENT AND QUALITY IMPROVEMENT OF A PRIMARY CARE INTEGRATED ORAL HEALTH CURRICULUM. DR. GILL LEADS THE CURRICULUM PROJECT, PROJECT EVALUATION RESEARCH, AND PUBLICATIONS, AND SHE WORKS WITH THE NORTHEAST PENNSYLVANIA AREA HEALTH EDUCATION CENTER TO PROVIDE CONTINUING MEDICAL EDUCATION OPPORTUNITIES ON THIS TOPIC. UNITED WAY OF WYOMING VALLEY RYAN WHITE PART B MEDICAL CASE MANAGEMENT (TOTAL: $1,328,289) PURPOSE OF GRANT ASSISTANCE: THE UNITED WAY OF WYOMING VALLEY (UWWV), IN WILKES-BARRE, PENNSYLVANIA, AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) AS A SUB-GRANTEE, TO OFFER RYAN WHITE PART B MEDICAL CASE MANAGEMENT SERVICES ACROSS A SEVEN-COUNTY AREA TO PEOPLE LIVING WITH HIV/AIDS AND TO PROVIDE SUPPORT SERVICES AND RESOURCES FOR THESE PATIENTS FOR MEDICAL TRANSPORTATION, EMERGENCY FINANCIAL ASSISTANCE, ORAL HEALTHCARE, HEALTH INSURANCE PREMIUMS, HEALTHCARE REFERRALS, AND MENTAL HEALTH SERVICES. UNITED WAY OF WYOMING VALLEY (TOTAL: $17,811) PURPOSE OF GRANT ASSISTANCE: THE UNITED WAY OF WYOMING VALLEY (UWWV), IN WILKES-BARRE, PENNSYLVANIA, AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR THE "SEE TO SUCCEED" PROGRAM FROM AN AWARD THROUGH THE MOSES TAYLOR FOUNDATION. THIS PROGRAM COORDINATED PARTNERSHIPS AND ESTABLISHED AN EYE CARE CLINIC THAT ROTATES AMONG SCHOOLS WITHIN THE WILKES-BARRE AREA SCHOOL DISTRICT AND HANOVER AREA SCHOOL DISTRICT, BOTH LOCATED IN LUZERNE COUNTY, PENNSYLVANIA TO ENSURE THAT EVERY STUDENT HAS ACCESS TO AN EYE EXAM AND CORRECTIVE EYEWEAR, CONCORDANT WITH STATE MANDATES. THE UNITED WAY'S BUDGET INCLUDES TOTAL COSTS COVERAGE FOR UNINSURED OR UNDERINSURED STUDENTS. VOT-ER (TOTAL: $4,500) PURPOSE OF GRANT ASSISTANCE: VOT-ER, A 501(C)(3) AFFILIATED NONPROFIT, IS A NONPARTISAN ORGANIZATION WORKING TO INTEGRATE PROMOTION OF CIVIC ENGAGEMENT INTO HEALTHCARE. VOT-ER AWARDED FUNDS TO THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) FOR A COMMUNITY CIVIC ENGAGEMENT PROGRAM. TWCCH UTILIZES THE TOOLS FROM THE VOT-ER COMMUNITY CIVIC ENGAGEMENT PROGRAM TO EDUCATE OUR HISTORICALLY UNDERSERVED PATIENTS AND COMMUNITY MEMBERS ABOUT THE IMPORTANCE OF PARTICIPATORY CITIZENSHIP AND VOTING, AND THE INTERCONNECTEDNESS BETWEEN THEIR HEALTH, VOTING, AND THE POLITICAL DETERMINANTS OF HEALTH. VOT-ER HAS PARTNERED WITH THE NATIONAL ASSOCIATION OF HEALTH CENTERS (NACHC) AND ALTAMED TO HELP CLINICS LIKE TWCCH OFFER VOTER REGISTRATION MATERIALS TO THEIR PATIENTS. GRANT FUNDS WERE USED FOR STAFF TRAINING, MATERIALS, VOT-ER TOOLS, AND EVENTS TO INCREASE AWARENESS ABOUT THE IMPORTANCE OF PARTICIPATORY CITIZENSHIP AND VOTING. |
| FORM 990, PART IV, LINE 28 | BUSINESS TRANSACTIONS: IN NOVEMBER 2017, TWCCH AND ITS AFFILIATED ORGANIZATION, TWCGME, EXECUTED A LEASE AGREEMENT WITH WYOMING AVENUE DEVELOPMENT, LLC TO 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 THE BOARD OF DIRECTORS OF TWCCH AS WELL AS THE AFFILIATED TWCGME UNTIL JULY 12, 2019, WHEN HE RESIGNED FROM TWCCH'S BOARD OF DIRECTORS AND FROM ALL BOARDS OF DIRECTORS OF TWCCH'S AFFILIATED ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO TWCGME. AT THE TIME THE 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 TWCCH AND TWCGME PRIOR TO ENTERING INTO THE TRANSACTION. THE CONFLICT OF INTEREST POLICY DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 12C WAS FOLLOWED, AND A LEGAL ETHICS OPINION APPROVING AND OFFERING BEST PRACTICES FOR ADDRESSING AND MANAGING A CONFLICT OF INTEREST ON A NON-PROFIT BOARD WAS OBTAINED FROM OUTSIDE LEGAL COUNSEL, WITH ALL GUIDANCE BEING FOLLOWED. ON JULY 25, 2019, THE 15-YEAR LEASE AGREEMENT WAS AMENDED FOR PURPOSES OF COMPLYING WITH THE FEDERAL NEW MARKETS TAX CREDIT PROGRAM REQUIREMENTS, AND TWCCH'S AFFILIATED ENTITY, 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: TWCCH IS AFFILIATED WITH TWCGME (EIN: 23-2007832). TO INCREASE ORGANIZATIONAL EFFICIENCIES, TWCGME IS A COMMON PAY AGENT FOR W-2 REPORTING OF BOTH ENTITIES, WITH THE NOTABLE EXCEPTION THAT TWCCH DIRECTLY EMPLOYS ITS CHIEF EXECUTIVE OFFICER, CHIEF MEDICAL OFFICER, AND CHIEF OPERATING OFFICER. TWCGME REPORTS ALL OTHER EMPLOYEES ON ITS FORM W-3; HOWEVER, EACH ENTITY'S RESPECTIVE EMPLOYEE FTES ARE ALLOCATED APPROPRIATELY TO EACH ENTITY WITHOUT DUPLICATION BASED ON A SHARED MISSION COVENANT AND SERIES OF AGREEMENTS BETWEEN THE ORGANIZATIONS. PER IRS INSTRUCTIONS, EMPLOYEES INCLUDED ON PART V, LINE 2A, ARE THOSE DEEMED TO BE THE FTE EQUIVALENT OF EMPLOYEES ALLOCATED TO TWCCH. |
| FORM 990, PART VI, SECTON B, LINE 11B | FORM 990 REVIEW: TWCCH'S FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT AND ENTERPRISE COMPLIANCE AND INTEGRITY DEPARTMENT WITH 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 AND INPUT PRIOR TO FILING. UPON COMPLETION OF THIS REVIEW AND ANY NECESSARY REVISIONS, THE FORM 990 IS FINALIZED AND SIGNED BY THE ORGANIZATION'S PRESIDENT & CEO AND FILED WITH THE IRS. TWCCH'S THREE MOST RECENTLY FILED 990S, 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, B, & C | 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 CORPORATE 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 CORPORATE 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 CORPORATE 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 CORPORATE INTEGRITY. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION DETERMINATION: THE PROCESS FOR DETERMINING THE COMPENSATION OF TWCCH'S TOP MANAGEMENT OFFICIAL, THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO), IS LED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE ENGAGES A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT PERIODICALLY (GENERALLY EVERY THREE TO FIVE YEARS) TO PROVIDE A COMPREHENSIVE OBJECTIVE COMPENSATION STUDY, ASSESSMENT, AND ANALYSIS EACH TIME THE CEO'S CONTRACT, SALARY, AND COMPENSATION ARE NEGOTIATED. 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 COMMITTEE'S ANNUAL DELIBERATIONS, CONSIDERATIONS, AND DECISIONS REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN EXECUTIVE COMMITTEE MEETING MINUTES WITHIN 60 DAYS OF THE EVALUATION COMPLETION AND COMPENSATION DECISION AND THEN REPORTED TO AND RATIFIED BY THE FULL BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15B | COMPENSATION DETERMINATION: IN ADDITION TO THE PRESIDENT & CEO, THE CHIEF MEDICAL OFFICER, AND CHIEF OPERATING OFFICER ARE DIRECTLY EMPLOYED BY TWCCH. THE SERVICES OF ALL OTHER TWCCH EXECUTIVES AND STAFF ARE CONTRACTED FROM TWCGME, TWCCH'S AFFILIATED ENTITY AND THE COMMON PAYMASTER. 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 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 ORGANIZATION, INCLUDING BUT NOT LIMITED TO EXECUTIVES AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENT AVAILABILITY: TWCCH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION BY APPOINTMENT DURING BUSINESS HOURS AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE 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. TWCCH'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. |
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