TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) CATHERINE GENCO...................................................................... TREASURER END 04/24	5.0 ................. 1.0	X	X
(2) DEBORAH KOLSOVSKY...................................................................... VICE CHAIR END 06/24; CHAIRMAN BEG 06/24	5.0 ................. 0	X	X
(3) GERARD GEOFFROY...................................................................... CHAIRMAN END 06/24; IMMEDIATE PAST CHAIR BEG 06/24	5.0 ................. 2.0	X	X
(4) KEN OKREPKIE...................................................................... TREASURER BEG 06/24	5.0 ................. 0	X	X
(5) MARY MARRARA...................................................................... SECRETARY	5.0 ................. 2.0	X	X
(6) RICHARD KREBS...................................................................... VICE CHAIR BEG 06/24	5.0 ................. 0	X	X
(7) ELLEN WALKO...................................................................... DIRECTOR	1.0 ................. 1.0	X
(8) JOSEPH MARINELLI RPH MBA...................................................................... DIRECTOR	1.0 ................. 0	X
(9) KIM HERITSCKO...................................................................... DIRECTOR	1.0 ................. 0	X
(10) LEE ANN ESCHBACH PHD...................................................................... DIRECTOR	1.0 ................. 1.0	X
(11) LEWIS MARCUS...................................................................... DIRECTOR	1.0 ................. 0	X
(12) MARY ANN CHINDEMI RN...................................................................... DIRECTOR	1.0 ................. 0	X
(13) MARY KLEM...................................................................... DIRECTOR	1.0 ................. 0	X
(14) MELISSA SIMRELL...................................................................... DIRECTOR END 02/24	1.0 ................. 1.0	X
(15) PATRICIA DESOUZA...................................................................... DIRECTOR	1.0 ................. 0	X
(16) PEDRO ANES...................................................................... DIRECTOR	1.0 ................. 1.0	X
(17) ROBERT NEARY...................................................................... DIRECTOR BEG 06/24	1.0 ................. 0	X

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) TRACY HUNT........................................................................ DIRECTOR	1.0 .......................0	X					0	0	0
(19) JIGNESH SHETH MD........................................................................ CMO / PHYSICIAN	40.0 .......................15.0		X				438,126	146,042	44,676
(20) LINDA THOMAS-HEMAK MD........................................................................ PRESIDENT & CEO / PHYSICIAN	40.0 .......................15.0		X				690,418	230,139	44,676
(21) RONALD DANIELS CPA........................................................................ CFO END 08/23; CAO BEG 08/23	0.0 .......................55.0		X				0	327,347	32,749
(22) SANDRA YASTREMSKI CPA........................................................................ CFO BEG 08/23	0.0 .......................55.0		X				0	220,382	28,082
(23) ALBERTO MARANTE MD........................................................................ DIRECTOR PEDIATRIC PUBLIC HEALTH	50.0 .......................5.0			X			253,809	19,104	35,640
(24) ERIN MCFADDEN MD........................................................................ DCMO, MEDICAL DIRECTOR/PHYSICIAN	55.0 .......................0			X			300,263	0	34,753
(25) JOSHUA BRADDELL CRNP........................................................................ MEDICAL DIRECTOR	55.0 .......................0			X			175,333	0	29,537
(26) MANJU THOMAS MD........................................................................ DCMO / MED DIRECTOR	45.0 .......................10.0			X			167,359	44,488	17,772
(27) MARY LOUISE DECKER MD........................................................................ MEDICAL DIRECTOR / PHYSICIAN	55.0 .......................0			X			381,642	0	28,264
(28) MAUREEN LITCHMAN MD........................................................................ MEDICAL DIRECTOR / PHYSICIAN	40.0 .......................15.0			X			223,463	95,770	28,516
(29) WILLIAM DEMPSEY MD........................................................................ DCMO / PHYSICIAN	45.0 .......................10.0			X			291,945	51,520	39,699
(30) DOUGLAS KLAMP MD........................................................................ PHYSICIAN	40.0 .......................15.0				X		202,117	86,621	39,761
(31) ENRIQUE SAMONTE MD........................................................................ PHYSICIAN	50.0 .......................5.0				X		280,727	34,697	38,081
(32) JUMEE BAROOAH MD........................................................................ PHYSICIAN	20.0 .......................35.0				X		192,957	343,035	40,211
(33) TIMOTHY BURKE DO........................................................................ PHYSICIAN	35.0 .......................20.0				X		194,581	114,278	40,478
(34) VINOD SHARMA MD........................................................................ PHYSICIAN	25.0 .......................30.0				X		199,275	199,275	42,142
(35) JENNIFER WALSH ESQ........................................................................ FORMER SVP ENT COMP INTEG	0.0 .......................55.0					X	0	330,781	31,621

(A) Name and business address	(B) Description of services	(C) Compensation
SORDONI CONSTRUCTION SERVICES INC 45 OWEN STREET FORTY FORT,PA18704	PROFESSIONAL FEES	2,880,011
COASTAL CALLNET 1908 EASTWOOD ROAD SUITE 330 WILMINGTON,NC28403	PROFESSIONAL FEES	707,619
FORVIS LLP 910 E ST LOUIS STREET SPRINGFIELD,MO65806	PROFESSIONAL FEES	698,177
COMMUNITY COMPUTER SERVICE INC 15 HULBERT STREET PO BOX 980 AUBURN,NY13021	PROFESSIONAL FEES	318,605
IMAGINE MEDICAL GROUP PA 3939 WEST RIDGE ROAD SUITE A100 ERIE,PA16506	PROFESSIONAL FEES	279,376
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 9

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

THE WRIGHT CENTER MEDICAL GROUP

Employer identification number

23-2772504

Part I

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

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

Schedule A (Form 990) 2023

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	8,016,717	8,092,274	7,402,844	7,899,796	7,168,030	38,579,661
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	26,424,414	44,801,585	50,829,701	56,601,639	61,799,185	240,456,524
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	34,441,131	52,893,859	58,232,545	64,501,435	68,967,215	279,036,185
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons	0	0	0	0	0	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	0	0	0	0	0
c	Add lines 7a and 7b..	0	0	0	0	0	0
8	Public support. (Subtract line 7c from line 6.)						279,036,185

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...	34,441,131	52,893,859	58,232,545	64,501,435	68,967,215	279,036,185
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	181,950	62,936	63,058	212,320	835,959	1,356,223
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	181,950	62,936	63,058	212,320	835,959	1,356,223
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.) ..	13,275	92,706	66,659	135,317	180,859	488,816
13	Total support. (Add lines 9, 10c, 11, and 12.)..	34,636,356	53,049,501	58,362,262	64,849,072	69,984,033	280,881,224

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

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

99.34 %

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

99.56 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

0.28 %

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

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

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

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

Section A. All Supporting Organizations

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

10a

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

10a

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

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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

11a

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

11b

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

11c

Section B. Type I Supporting Organizations

Yes

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

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

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

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

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

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

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

Schedule A (Form 990) 2023

Page 6

Part V

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

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

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

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

Schedule A (Form 990) 2023

Page 7

Part V

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

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - OTHER INCOME, COLUMN A - 13275.0, COLUMN B - 92706.0, COLUMN C - 66659.0, COLUMN D - 135317.0, COLUMN E - 180859.0, COLUMN F - 488816.0;

Schedule A (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2023

Name of the organization

THE WRIGHT CENTER MEDICAL GROUP

Employer identification number

23-2772504

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization THE WRIGHT CENTER MEDICAL GROUP

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization THE WRIGHT CENTER MEDICAL GROUP		Employer identification number 23-2772504

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization THE WRIGHT CENTER MEDICAL GROUP			Employer identification number 23-2772504
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2023)

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

right arrow

Complete if the organization is described below. right arrow

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

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

OMB No. 1545-0047

2022

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

THE WRIGHT CENTER MEDICAL GROUP

Employer identification number

23-2772504

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... right arrow

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

Part I-B

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

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

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

A Check right arrow

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

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

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	69,198
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	69,198
d	Other exempt purpose expenditures ...............................................................................	53,148,046
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	53,217,244
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	0
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

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

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

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

c	Total lobbying expenditures	58,728	47,073	61,859	69,198	236,858

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

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

f	Grassroots lobbying expenditures				0	0

Schedule C (Form 990) 2022

Page 3

Part II-B

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

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

(a)

Yes|No

(b)

Amount

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
Schedule C, Part IV POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES	TWCCH engaged Cozen O'Connor Public Strategies (Cozen) and ERG Partners to assist with lobbying activities to advocate for mission-aligned federal and state public health improvement policies and programs, including legislation supporting the funding of Federally Qualified Health Centers, Look-Alikes, the 340B Drug Pricing Program, and the National Health Service Corps (NHSC) Loan Repayment Program (collectively, "public health programs''), and other federal and state public health programs. TWCCH paid Cozen O'Connor $45,000 and ERG Partners $18,000 for these services, amounts that are included in the total reflected on TWCCH's Form 990. In addition to Cozen and ERG Partners, three main paid staff members had direct virtual contact with state and federal legislators and/or their staff members, and drafted letters and comments for submission to legislators and administrators to advocate for appropriations for mission-aligned primary care and public health workforce development programs and, in some instances, to lobby for specific mission-aligned primary care and public-health services and workforce development-oriented legislation. Moreover, during the 2023-2024 fiscal year, there was a small group of other paid staff, including but not limited to TWCCH's President & CEO, who participated in advocacy and lobbying activities to promote specific mission-aligned public health improvement and workforce development legislation on several occasions. In all, TWCCH directly spent $67,948 on reportable lobbying activities. TWCCH also paid $1,250 to the Pennsylvania Association of Community Health Centers (PACHC) specifically to support PACHC's outside lobbying and advocacy efforts through the Bravo Group to promote primary care and public health initiatives and legislation. TWCGME also engaged the firm of Cozen O'Connor Public Strategies (Cozen) and ERG Partners to assist with lobbying activities to advocate for mission-aligned public health improvement and workforce development policies and programs, including legislation supporting the Teaching Health Center Graduate Medical Education program, and other federal and state public health and healthcare workforce development programs. TWCGME paid Cozen O'Connor $45,000 and ERG Partners $18,000 for these services, amounts that are included in the total reflected on TWCGME's Form 990. In addition to Cozen and ERG Partners, three main paid staff members had direct virtual contact with state and federal legislators and/or their staff members, and drafted letters and comments for submission to legislators and administrators to advocate for appropriations for mission-aligned primary care and public health workforce development programs and, in some instances, to lobby for specific mission-aligned primary care and public-health services and workforce development-oriented legislation. Moreover, during the 2023-2024 fiscal year, there was a small group of other paid staff, including but not limited to TWCGME's President & CEO and a chief resident and resident leader of advocacy, who participated in advocacy and lobbying activities to promote specific mission-aligned public health improvement and workforce development legislation on several occasions. In all, TWCGME directly spent $66,134 on reportable lobbying activities. Additionally, TWCGME is a corporate member of the American Association of Teaching Health Centers (AATHC), a 501(c)(6) tax exempt entity. During the reporting period, $33,000 of dues paid to AATHC was dedicated to reportable lobbying activities, including the engagement of ArentFox Schiff.

Return Reference

Explanation

Schedule C, Part IV POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES

TWCCH engaged Cozen O'Connor Public Strategies (Cozen) and ERG Partners to assist with lobbying activities to advocate for mission-aligned federal and state public health improvement policies and programs, including legislation supporting the funding of Federally Qualified Health Centers, Look-Alikes, the 340B Drug Pricing Program, and the National Health Service Corps (NHSC) Loan Repayment Program (collectively, "public health programs''), and other federal and state public health programs. TWCCH paid Cozen O'Connor $45,000 and ERG Partners $18,000 for these services, amounts that are included in the total reflected on TWCCH's Form 990. In addition to Cozen and ERG Partners, three main paid staff members had direct virtual contact with state and federal legislators and/or their staff members, and drafted letters and comments for submission to legislators and administrators to advocate for appropriations for mission-aligned primary care and public health workforce development programs and, in some instances, to lobby for specific mission-aligned primary care and public-health services and workforce development-oriented legislation. Moreover, during the 2023-2024 fiscal year, there was a small group of other paid staff, including but not limited to TWCCH's President & CEO, who participated in advocacy and lobbying activities to promote specific mission-aligned public health improvement and workforce development legislation on several occasions. In all, TWCCH directly spent $67,948 on reportable lobbying activities. TWCCH also paid $1,250 to the Pennsylvania Association of Community Health Centers (PACHC) specifically to support PACHC's outside lobbying and advocacy efforts through the Bravo Group to promote primary care and public health initiatives and legislation. TWCGME also engaged the firm of Cozen O'Connor Public Strategies (Cozen) and ERG Partners to assist with lobbying activities to advocate for mission-aligned public health improvement and workforce development policies and programs, including legislation supporting the Teaching Health Center Graduate Medical Education program, and other federal and state public health and healthcare workforce development programs. TWCGME paid Cozen O'Connor $45,000 and ERG Partners $18,000 for these services, amounts that are included in the total reflected on TWCGME's Form 990. In addition to Cozen and ERG Partners, three main paid staff members had direct virtual contact with state and federal legislators and/or their staff members, and drafted letters and comments for submission to legislators and administrators to advocate for appropriations for mission-aligned primary care and public health workforce development programs and, in some instances, to lobby for specific mission-aligned primary care and public-health services and workforce development-oriented legislation. Moreover, during the 2023-2024 fiscal year, there was a small group of other paid staff, including but not limited to TWCGME's President & CEO and a chief resident and resident leader of advocacy, who participated in advocacy and lobbying activities to promote specific mission-aligned public health improvement and workforce development legislation on several occasions. In all, TWCGME directly spent $66,134 on reportable lobbying activities. Additionally, TWCGME is a corporate member of the American Association of Teaching Health Centers (AATHC), a 501(c)(6) tax exempt entity. During the reporting period, $33,000 of dues paid to AATHC was dedicated to reportable lobbying activities, including the engagement of ArentFox Schiff.

Schedule C (Form 990) 2022

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER MEDICAL GROUP

Employer identification number

23-2772504

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

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

Number of states where property subject to conservation easement is located right arrow

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

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

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

1a	Land .....	172,800		172,800
b	Buildings ....	12,757,324	2,363,091	10,394,233
c	Leasehold improvements	400,743	329,011	71,732
d	Equipment ....	1,623,576	957,691	665,885
e	Other .....	2,382,236		2,382,236
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				13,686,886

Schedule D (Form 990) 2022

Page 3

Part VII

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

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

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value
(1)ROU - LEASE ASSET				3,315,594
(2)DUE FROM THIRD-PARTY PAYORS				152,660
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				3,468,254

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DUE TO RELATED PARTY	1,679,224
ROU - LEASE LIABILITY	3,251,088







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,930,312
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	69,470,445
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	48,088
e	Add lines 2a through 2d .....................			2e	48,088
3	Subtract line 2e from line 1..................			3	69,422,357
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	561,676
c	Add lines 4a and 4b....................			4c	561,676
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	69,984,033

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	63,689,982
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	63,689,982
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	63,689,982

Part XIII

Supplemental Information

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

Return Reference	Explanation
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD DURING THE REPORTING PERIOD.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	NET ASSETS RELEASED FROM RESTRICTION - 48088
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	TEMPORARILY RESTRICTED CONTRIBUTIONS - 561676

Schedule D (Form 990) 2022

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
THE WRIGHT CENTER MEDICAL GROUP

Employer identification number
23-2772504

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Maternal & Family Health Services 15 Public Square Suite 600 WilkesBarre,PA18701	23-1856766	501(C)(3)	160,538	SEE PART IV
(2) Outreach Center for Community Resources 431 North Seventh Avenue Scranton,PA18503	25-1562285	501(C)(3)	13,389	SEE PART IV
(3) The Institute For Public Policy and Economic Development 169 North Pennsylvania Boulevard WilkesBarre,PA18701	87-4287656	501(C)(3)	7,500	SEE PART IV
(4) The Pennsylvania State University 227 West Beaver Avenue State College,PA16801	24-6000376		58,240	SEE PART IV
(5) The Wright Center for Graduate Medical Education 501 S Washington Ave STE 1000 Scranton,PA18505	23-2007832	501(C)(3)	126,000	SEE PART IV
(6) Patient Engagement Council 501 S Washington Ave STE 1000 Scranton,PA18505	81-2982874	501(C)(3)	109,630	SEE PART IV

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

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

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

(1) United Way	338	722,597
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference	Explanation
Schedule I, Part II, Line 1(h) Purpose of grant or assistance	Maternal and Family Health Services - $160,538 Purpose: Provides personnel and support for the Healthy Maternal Opiate Medical Support Program and opioid support programs under the Pennsylvania Department of Drug and Alcohol Programs, and the United States Health Resources and Services Administration Rural Communities Opioid Response Program - Implementation. Outreach Center for Community Resources - $13,389 Purpose: Provides personnel and support for the Healthy Maternal Opiate Medical Support Program and opioid support programs under the Pennsylvania Department of Drug and Alcohol Programs. The Institute for Public Policy and Economic Development (The Institute) - $7,500 Purpose: Sponsorship of Northeast Pennsylvania Region Indicators Event with an academic partner. The Pennsylvania State University - $58,240 Purpose: Health Resources and Services Administration funds were passed through to Pennsylvania State University (Penn State) College of Medicine via a subaward. Penn State Project Extension for Community Healthcare Outcomes (Project ECHO) is working with The Wright Center for Community Health to run a 3-cohort ECHO series, providing educational training for rural consortium members over the 3-year grant period from 2023 to 2026. The goal is to reduce the incidence and impact of neonatal abstinence syndrome in rural communities by improving systems of care, family support, and non-medical factors that affect health, and ultimately increasing practitioners' knowledge of the prevention and treatment of neonatal abstinence syndrome.
Schedule I, Part II, Line 1(h) PURPOSE OF GRANT OR ASSISTANCE	The Wright Center for Graduate Medical Education - $126,000 Purpose: The Wright Center for Community Health (TWCCH) responsibly compensated The Wright Center for Graduate Medical Education to facilitate leasehold improvements for TWCCH's benefit at the clinical, educational, and administrative hub at 501 South Washington Avenue, Scranton, Pennsylvania, in compliance with requirements related to the United States New Markets Tax Credit project at that location. Patient and Community Engagement - $109,630 Purpose: The Wright Center for Community Health (TWCCH) provided funds to The Wright Center for Patient and Community Engagement (TWCPCE) to empower and engage patients in promoting the health and welfare of our communities while advancing the outcomes and experience of health care and related services and workforce development. TWCPCE aims to improve community health through education, advocacy, patient-centered services, and targeted initiatives that address patient and community resource needs that negatively impact health outcomes. The source of the funding provided by TWCCH to TWCPCE was a shared savings payment TWCCH received as a participating provider in a Medicare Shared Savings Program Accountable Care Organization (ACO). This payment recognized TWCCH's contribution to achieving cost savings and meeting quality performance standards for Medicare beneficiaries within the ACO.
Schedule I, Part III, Column (a) Type of grant or assistance	The Wright Center for Community Health (TWCCH) provided assistance to 338 individuals as subrecipients of a grant received from the United Way of Wyoming Valley, with funding under the Ryan White Comprehensive Aids Resources Emergency Act.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	The organization has a Grants department that monitors the use of grant funds through comprehensive grants submissions, post-award management and outcomes reporting, and compliance processes. Appropriate monitoring of grant-related activities is in place to meticulously track and report to grantors as required by the terms of each respective grant. The Grants department also employs a rigorous vetting matrix to evaluate community benefit impact potential grant opportunities, ensuring mission alignment, feasibility, logistical suitability, achievability, and long-term sustainability. Utilizing strategic logic models, stage-gate analysis, and comprehensive project planning and management, we map essential collaborative partnerships, operational workflows and financial projections to optimize standardized integration and long-term sustainability of grant-related activities. This approach guarantees feasibility, readiness, and the realization of our commitment to the responsible and ethical stewardship of public and private grant resources. In April 2021, the Grants department established a dedicated Project Management Office to streamline sponsored project implementation, monitoring, and compliance. Leveraging project management software, the office provides comprehensive tracking, dashboard visualizations of grant processes and outcome metrics, and centralized expense management. TWCGME consistently adheres to all federal, state, county, and private philanthropic reporting requirements across its grant portfolio.

Schedule I (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER MEDICAL GROUP

Employer identification number

23-2772504

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1RONALD DANIELS CPA CFO END 08/23; CAO BEG 08/23	(i) (ii)	0 ------------- 288,536	0 ------------- 14,025	0 ------------- 24,786	0 ------------- 23,357	0 ------------- 9,392	0 ------------- 360,096	0 ------------- 0
2LINDA THOMAS-HEMAK MD PRESIDENT & CEO / PHYSICIAN	(i) (ii)	597,962 ------------- 199,320	75,000 ------------- 25,000	17,456 ------------- 5,819	19,800 ------------- 6,600	13,707 ------------- 4,569	723,925 ------------- 241,308	0 ------------- 0
3JIGNESH SHETH MD CMO / PHYSICIAN	(i) (ii)	400,663 ------------- 133,554	20,453 ------------- 6,818	17,010 ------------- 5,670	19,800 ------------- 6,600	13,707 ------------- 4,569	471,633 ------------- 157,211	0 ------------- 0
4SANDRA YASTREMSKI CPA CFO BEG 08/23	(i) (ii)	0 ------------- 188,385	0 ------------- 9,174	0 ------------- 22,823	0 ------------- 15,390	0 ------------- 12,692	0 ------------- 248,464	0 ------------- 0
5JENNIFER WALSH ESQ FORMER SVP ENT COMP INTEG	(i) (ii)	0 ------------- 294,017	0 ------------- 13,850	0 ------------- 22,914	0 ------------- 23,674	0 ------------- 7,947	0 ------------- 362,402	0 ------------- 0
6WILLIAM DEMPSEY MD DCMO / PHYSICIAN	(i) (ii)	264,617 ------------- 46,697	6,260 ------------- 1,105	21,068 ------------- 3,718	21,576 ------------- 3,808	12,168 ------------- 2,147	325,689 ------------- 57,475	0 ------------- 0
7MARY LOUISE DECKER MD MEDICAL DIRECTOR / PHYSICIAN	(i) (ii)	327,694 ------------- 0	30,674 ------------- 0	23,274 ------------- 0	26,079 ------------- 0	2,185 ------------- 0	409,906 ------------- 0	0 ------------- 0
8MAUREEN LITCHMAN MD MEDICAL DIRECTOR / PHYSICIAN	(i) (ii)	196,370 ------------- 84,159	9,743 ------------- 4,175	17,350 ------------- 7,436	15,938 ------------- 6,831	4,023 ------------- 1,724	243,424 ------------- 104,325	0 ------------- 0
9ERIN MCFADDEN MD DCMO, MEDICAL DIRECTOR/PHYSICIAN	(i) (ii)	265,942 ------------- 0	11,641 ------------- 0	22,680 ------------- 0	21,508 ------------- 0	13,245 ------------- 0	335,016 ------------- 0	0 ------------- 0
10ALBERTO MARANTE MD DIRECTOR PEDIATRIC PUBLIC HEALTH	(i) (ii)	251,683 ------------- 18,944	0 ------------- 0	2,126 ------------- 160	20,431 ------------- 1,538	12,714 ------------- 957	286,954 ------------- 21,599	0 ------------- 0
11JOSHUA BRADDELL CRNP MEDICAL DIRECTOR	(i) (ii)	144,880 ------------- 0	7,953 ------------- 0	22,500 ------------- 0	11,861 ------------- 0	17,676 ------------- 0	204,870 ------------- 0	0 ------------- 0
12MANJU THOMAS MD DCMO / MED DIRECTOR	(i) (ii)	159,145 ------------- 42,305	7,904 ------------- 2,101	310 ------------- 82	12,485 ------------- 3,319	1,555 ------------- 413	181,399 ------------- 48,220	0 ------------- 0
13JUMEE BAROOAH MD PHYSICIAN	(i) (ii)	175,855 ------------- 312,631	8,905 ------------- 15,831	8,197 ------------- 14,573	9,504 ------------- 16,896	4,972 ------------- 8,839	207,433 ------------- 368,770	0 ------------- 0
14VINOD SHARMA MD PHYSICIAN	(i) (ii)	178,514 ------------- 178,514	9,430 ------------- 9,430	11,331 ------------- 11,331	13,200 ------------- 13,200	7,871 ------------- 7,871	220,346 ------------- 220,346	0 ------------- 0
15ENRIQUE SAMONTE MD PHYSICIAN	(i) (ii)	247,205 ------------- 30,554	12,440 ------------- 1,537	21,082 ------------- 2,606	20,356 ------------- 2,516	13,536 ------------- 1,673	314,619 ------------- 38,886	0 ------------- 0
16TIMOTHY BURKE DO PHYSICIAN	(i) (ii)	171,337 ------------- 100,627	8,808 ------------- 5,173	14,436 ------------- 8,478	14,018 ------------- 8,233	11,483 ------------- 6,744	220,082 ------------- 129,255	0 ------------- 0
17DOUGLAS KLAMP MD PHYSICIAN	(i) (ii)	192,341 ------------- 82,432	8,944 ------------- 3,833	832 ------------- 356	15,456 ------------- 6,624	12,377 ------------- 5,304	229,950 ------------- 98,549	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

TWCCH contracts .25 FTE of its President and CEO to TWCGME to perform the role as President and CEO of TWCGME. The Executive Committee of the TWCCH Board leads the process for determining the compensation of The Wright Center For Community Health's (TWCCH) President & CEO, engaging a third-party external consultant to conduct a formal, periodic objective, comprehensive, organization-wide compensation study generally every three to five years. During contract negotiations with the President and CEO, the relevant components of the study are appropriately aged and supplemented by data from sources such as the American Job Center Network, Medical Group Management Association (MGMA), Form 990s of comparable organizations, and compensation surveys from the Pennsylvania and National Associations of Community Health Centers, among other relevant regional and national benchmarks. Annually, the Executive Committees collaboratively conduct a thorough performance evaluation of the chief executive officer's performance for each organization, assessing the appropriateness of salary and benefit adjustments. These adjustments, if made between contract terms, are benchmarked against publicly available comparable data. Ultimately, the chief executive officer's compensation is determined based on a robust performance evaluation, organizational performance, and careful consideration of the independent compensation study, market comparability, and financial feasibility. The Executive Committees' deliberations and decisions regarding executive compensation are meticulously documented in meeting minutes within 60 days of the evaluation's completion and the compensation determination.

Schedule J, Part I, Line 7 Non-fixed payments

Subject to Board approval and financial feasibility, all employees may be eligible for an annual, performance-based incentive bonus, contingent upon successful performance evaluations. Eligibility requires adherence to specific criteria, including active participation in TWCCH's Plan/Do/Study/Act (PDSA) quality improvement program, the SAFE event reporting system, and meaningful community volunteer service obligations. Upon Board approval and determination of affordability, merit-based bonus payments are calculated based on individual job performance scores from the evaluation process. Employees on probationary status or those who have resigned are ineligible. The eligibility of employees on a performance improvement plan is determined at the discretion of their direct supervisor. For the 2023-2024 incentive plan, performance bonuses ranged from 0% to 7% of base salary. While the total bonus pool was budgeted and Board-approved at 5% of payroll, actual bonus payouts remained below the budgeted amount.

Schedule J (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER MEDICAL GROUP

Employer identification number

23-2772504

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	1	29,549	Market value
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Schedule M, Part I, Line 20 COLUMN (B) - NUMBER OF CONTRIBUTIONS	THE NUMBERS ENTERED IN COLUMN B REPRESENT THE NUMBER OF DONORS WHO CONTRIBUTED THESE ITEMS DURING THE YEAR.

Schedule M (Form 990) (2023)

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

THE WRIGHT CENTER MEDICAL GROUP

Employer identification number

23-2772504

Return Reference	Explanation
Form 990, Part I, Line 1 BRIEF MISSION	The Wright Center Medical Group d/b/a The Wright Center for Community Health (TWCCH) and its primary affiliated entity, The Wright Center for Graduate Medical Education (TWCGME), share a mission to improve the health and welfare of our communities through responsive whole-person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. TWCCH delivers comprehensive, non-discriminatory, whole-person 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 health care workforce. Our comprehensive, integrated primary health services across the lifespan, from pediatrics to geriatrics, include medical, women's health, 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, as well as rheumatological, nutritional, and lifestyle medicine services. Enriched primary care services with specialty integration activities allow TWCCH to expand non-discriminatory access for patients and interprofessional learners to partnering specialty providers. As an Essential Community Provider, TWCCH and its primary affiliate, TWCGME, collaboratively share a passionate purpose to demonstrate an "Achievable by All" Graduate Medical Education Safety-Net Consortium (GME-SNC) Teaching Health Center 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 development. Our niche is World-Class, innovative, responsive, whole-person primary health services for all through community-centric, incumbent and future workforce renewal. Inspired by the empowering community and patient governance and focus of the U.S. Health Resources and Services Administration's (HRSA) Federally Qualified Health Center (FQHC and FQHC Look-Alike) framework, as well as its Teaching Health Center Graduate Medical Education (THCGME) program, our GME-SNC model embracing community health centers as integrated academic primary care workforce development platforms is a potential solution for individual community health center workforce recruitment and retention, and a means of addressing our national primary care workforce shortage, mis-distribution, and related health, health care services, and health care career access needs and challenges. Promoting a culture of unifying participatory citizenship and shared learning for board, clinical care teams, staff, patients, and community-based interprofessional health care learners, while stimulating and leveraging each stakeholder group's meaningful contributions to continuous improvements in internal and partnering care delivery and workforce development systems, the GME-SNC's collective impact delivers and enriches talent development, recruitment, and retention for health centers, affiliated organizations, and larger communities served.
Form 990, Part III, Line 1 ORGANIZATION MISSION	The Wright Center for Community Health (TWCCH) and its primary affiliated entity, The Wright Center for Graduate Medical Education (TWCGME), share a mission to improve the health and welfare of our communities through responsive whole-person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. The Wright Center For Community Health (TWCCH) was originally incorporated in 1994 as The Wright Center Medical Group, PC, a tax-exempt professional corporation (PC), to be the ambulatory primary care practice plan affiliated with The Wright Center for Graduate Medical Education (TWCGME). Founded with a $1 million U.S. Department of Health and Human Services Bureau of Manpower grant in 1976, TWCGME is a non-profit 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) Teaching Health Center (THC) Program, the Veterans Administration (VA), and acute inpatient prospective payment system (IPPS) hospitals and inpatient rehabilitation facilities (IRFs) funded by the Centers for Medicare and Medicaid Services (CMS).
Form 990, Part III, Line 1 ORGANIZATION MISSION	In 2018, The Wright Center Medical Group, PC, underwent a strategic governance transformation, first converting to a Pennsylvania non-profit corporation and subsequently evolving into an autonomous, community and patient governed independent 501(c)(3) entity. This pivotal shift positioned the organization to pursue and successfully achieve Federally Qualified Health Center Look-Alike (FQHC Look-Alike) designation from HRSA, effective June 1, 2019. This remarkable governance transition was driven by the mission-focused, unanimous decision of physician and non-physician primary care provider stakeholders, then serving as board members, to validate community ownership through relinquishment of their governance roles. They selflessly transferred fiduciary authority to community members, predominantly patients and consumers of the entity's primary health services, thereby ensuring that the organization's leadership directly reflects the needs and priorities of those it serves. Engaged patients and community members authentically assumed the governing 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 patient-led 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 Look-Alike Essential Community Provider of primary health and continued Ryan White services. Proudly and gratefully, at the close of fiscal year ending June 30, 2024, 88% of the governing board members of TWCCH were engaged "Users" of its primary health services as defined in HRSA's Health Center Program Compliance Manual. Throughout fiscal year 2023-2024 and continuing today, TWCCH offers clinical health services 83 hours per week at its Mid Valley Practice in Jermyn, extended and Saturday hours in Wilkes-Barre and Scranton, and 24/7 on-call access for all TWCCH clinical service lines at all locations, including both ambulatory and hospital venues. During the covered period, TWCCH served 36,734 unique patients and engaged in 132,909 total billable visits between July 2023 and June 2024, which included 85,294 medical visits, 14,443 behavioral health visits, 13,696 dental visits, and 19,476 inpatient hospital visits. These numbers include house calls and also visits in Skilled Nursing, Assisted Living, Inpatient and Transitional Rehabilitation, 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. TWCCH has executed Memoranda of Understanding and Shared Care Compacts with numerous primary and specialty medical, dental, and mental health providers, hospitals, integrated delivery systems, and community-based resource agencies that comprise an extensive, enriched, non-discriminatory resource network. TWCCH is 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. TWCCH offers 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. TWCCH is a passionate champion for Electronic Medical Record (EMR)/Electronic Health Record (EHR) Meaningful Use and Health Information Technology Interoperability. TWCCH avidly promotes wide-spread adoption of health information exchanges and connectivity, vocally advocating for HIPAA-compliant health information interoperability to enable informed whole-person health services. TWCCH's FQHC Look-Alike governance platform is amplified in its community and patient driven governance of The Wright Center for Patient and Community Engagement (TWCPCE), of which TWCCH is the sole corporate member. The mission of TWCPCE, a Pennsylvania tax-exempt non-profit corporation, is to empower and engage patients in promoting the health and welfare of our communities while advancing the outcomes and experience of health care and related services and workforce development. It aims to improve community health through education, advocacy, patient-centered services, and targeted initiatives that address patient and community resource needs that negatively impact health outcomes. TWCCH's Teaching Health Centers are the primary ambulatory, longitudinal clinical learning environments for TWCGME's Internal Medicine and Family Medicine residents as well as its Geriatric fellows. Additionally, TWCCH proudly supports the clinical training of Advanced Education General Dentistry (AEGD) residents in collaboration with NYU Langone's AEGD Residency accredited by the Commission on Dental Accreditation (CODA). During fiscal year 2023-2024, TWCCH trained 187 interprofessional health students in partnership with more than a dozen academic institutions, including Lake Erie College of Osteopathic Medicine (LECOM), 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 (Extension for Community Healthcare Outcomes), a knowledge-sharing network led by expert specialist teams mentoring participating community providers.
Form 990, Part III, Line 2 NEW PROGRAM SERVICES	TWCCH continued to deliver non-discriminatory, comprehensive, whole-person primary health services in its sustainable FQHC Look-Alike integrated school-based health center in the Scranton School District. From this platform, TWCCH continued to deepen our intentional partnerships with public school districts in our service area, exploring the feasibility of sustainable school-based health centers for the benefit of students, families, school employees, and the larger community. Responsive to the outreaches from two public school districts, TWCCH's mobile medical and dental unit, "Driving Better Health," was deployed to deliver essential medical, dental, and preventative services to students. On TWCCH's subsequent Form 990, more information will be included about the emerging partnerships related to both engagements that have occurred during the next covered period. During the reporting period, TWCCH continued to demonstrate its commitment to being an "Age Friendly Health System, a strong partner in larger collective impact initiatives to build "Age Friendly Communities." The importance of developing and employing qualified, compassionate geriatricians and primary care physicians, nurse practitioners, physician assistants, licensed social workers and counselors, and allied health professionals with geriatric competencies has never been so urgent: based on 2023 data, Pennsylvania notably ranks 9th out of the 50 states for percentage of the state population 65 and older. Continued development of the entire workforce's geriatric competencies supports TWCCH's age-friendly health system initiative. 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, continued to offer ADC services for its regional community, while also implementing principles of the Institute for Healthcare Improvement's "Age Friendly Health System" in all of its primary health services sites for seniors. These initiatives enrich the geriatric-sensitive preparation of the current and future health workforce training at The Wright Center for Graduate Medical Education (TWCGME), TWCCH's affiliated educational partner. During the reporting period, TWCGME, in partnership with TWCCH, also successfully received approval from the Association of Directors of Geriatrics Academic Programs (ADGAP) and the Accreditation Council for Graduate Medical Education (ACGME) for an Advancing Innovation in Residency Education (AIRE) Medicine-Geriatrics Integrated Residency and Fellowship (Med-Geri pathway). This competency-based combined training model allows for the early exposure to geriatrics principles of care over the four-year educational continuum, as well as enhanced professional development opportunities during the final fellowship year. TWCCH also continued its support of Telespond Senior Services as it prepared to open its Adult Advocacy Center (AAC) to serve victims of elder abuse. Over the past five years, Pennsylvania has seen a 67% increase in elder abuse reports to the Department of Aging. The AAC is designed to provide seniors individual-based care, and is slated to offer four beds for seniors in need of immediate relocation. TWCCH's collaboration with Telespond Senior Services also continued in the provision of primary health services and the Alzheimer's and Dementia Care Unit for seniors in the region. TWCCH collaborated with and supported Lackawanna County and its Area Agency on Aging on the important journey to be designated as an Age Friendly County. In early 2025, post-reporting period, TWCCH hosted its inaugural successful Symposium on Aging in Scranton. The program focused on bringing stakeholders together to build a Dementia-Friendly Lackawanna County. Experts and local representatives joined the conversation on supporting dementia patients, caregivers, and families, preventing isolation, avoiding financial scams and strengthening resources for aging services professionals. During the reporting period, TWCCH intentionally engaged in the strategic sustainability of the Community Health Worker (CHW) services line by seizing opportunities for certification through a collaboration with the Northeast Pennsylvania Area Health Education Center (NEPA AHEC). This engagement enabled CHWs to participate in enrollment services as well as chronic care management, community health integration, home health, and principal illness navigation services and billing. The work of the CHW teams is critical to ensuring the sustainability of non-medical services that significantly contribute to improving health outcomes. In support of advancing integration of the CHW workforce, TWCCH participated in the Northeast Pennsylvania Readiness In Skilled Employment (NEPA RISE) program to promote workforce development initiatives that align with TWCCH's passionate purpose and the creation of career opportunities with economic mobility. RISE is a workforce development program that focuses on an individual's strengths, creating an opportunity to obtain technical training while accessing additional support for success. RISE helps individuals to lift themselves out of poverty by gaining marketable skills that qualify them for skilled employment in jobs with economic mobility. RISE participants receive career coaching, education for developing soft-skills, and a range of additional support to ensure academic success and job placement. Support includes transportation, childcare, housing, technology and language support resources. TWCCH proudly employs CHWs who participated in the RISE program, which also continued to support the advancement of their careers into higher level and higher paying positions.
Form 990, Part III, Line 2 NEW PROGRAM SERVICES	TWCCH was invited and participated in the Anchors in Equity program, the Anchor Economy Initiative at the Federal Reserve Bank of Philadelphia (FRB) that explores how anchor institutions sustain jobs, drive economic growth, and support regional development in 524 regions across the country. Anchor institutions are large, public-serving organizations such as hospitals and universities that provide jobs and services while supporting local economic activity. The Economic Growth and Mobility Project brings together researchers and community partners to find innovative, actionable, and community-driven solutions to local or regional economic challenges through Research in Action Labs that help advance solutions to specific challenges to reduce economic barriers in communities. Together, the Anchor Economy Initiative and the Economic Growth and Mobility Project launched the Anchors for Equity Research in Action Lab. TWCCH's partner, The Institute for Economic Development and Public Policy, Northeast Pennsylvania, was selected for the Anchors for Equity Research in Action Lab due to its strong position to leverage the initiative: The Institute is located in a region with 14 higher education institutions and five major healthcare systems, including TWCGME and TWCCH. Furthermore, education and health care are the largest employment sectors in Northeast Pennsylvania. TWCCH, as a premier provider of substance use disorder treatment and recovery services in Northeast Pennsylvania, intentionally engaged in another fruitful partnership with the Northeast Pennsylvania Area Health Education Center (NEPA AHEC), Luzerne County Community College, The Institute, and the Wayne Pike Workforce Alliance on Project PROGRESS, a workforce initiative to create jobs with economic mobility to increase the active employment of people in recovery. Project PROGRESS, funded in part through an Appalachian Regional Commission INSPIRE grant, was a three-year effort led by TWCCH in collaboration with partners across a multi-county area in northeastern Pennsylvania heavily impacted by the ongoing opioid crisis. The acronym PROGRESS stands for Providing Recovery Opportunities for Growth, Education, and Sustainable Success. Over the life of the program, the project facilitated a total of 6 Certified Recovery Specialist training sessions which resulted in 122 individuals in recovery having access to the training, 101 of whom completed the screening process and enrolled in a class. There have been 76 participants to date who have completed the training, and 44 of those participants have received their certifications as either Certified Recovery Specialists (CRS), Certified Family Recovery Specialists (CFRS) or Certified Recovery Specialist Supervisors (CRSS), or a combination of these certifications. Two individuals received their CRS and CFRS certificates. Project PROGRESS served as an important call to our communities to recognize addiction as a chronic illness and to work across sectors to create a recovery ecosystem in which people moving from treatment to life in recovery are trained and supported to become contributing members of society. Assistance and guidance were also provided by the AllOne Foundation, the Greater Scranton Chamber of Commerce, the Northeastern Pennsylvania Alliance, the Wayne County Commissioners, and the Wayne Economic Development Corporation. During the covered period, TWCCH also took affirmative steps to improve the insurance enrollment process for patients, particularly in the wake of the avalanche of publicized commercialization of Medicare Advantage plans and the Medicaid unwinding. TWCCH recognized that patients and families deserve a much more intentional and disciplined strategy and educational approach to enrollment to enhance informed decision-making. TWCCH continues to explore and strategize the most appropriate consumer-centric neutral platforms to best educate and serve patients and families in the process of enrollment assistance. We will report additional progress in our subsequent Form 990. TWCCH appropriately engaged a new translation service during the covered period that offers translation in more than 350 languages to patients and providers. This service was utilized in 6,532 patient encounters and communications between January and August of 2024 alone, translating 31 different languages to enable more effective delivery of health services to the patients and families TWCCH serves. The US Health Resources and Services Administration (HRSA) annually reviews the performance data of health centers across the United States as reported through its Uniform Data System (UDS), and highlights the organizations that meet or exceed its goals in categories of special focus. It bestows the top performers with its Community Health Quality Recognition (CHQR) badges. For fiscal year 2023-2024, TWCCH was recognized by HRSA for its quality work in three performance categories, including for Advancing HIT (Health Information Technology) for Quality to better serve patients and families. These awards built on TWCCH's notable prior achievements. HRSA first awarded CHQR badges in 2021, using data from the prior year's reporting period. Since that time, TWCCH is proud to have earned 10 CHQR badges. TWCCH also received the Times Leader's platinum level recognition for Best Places to Work; gold status as a National Association of Community Health Center's Advocacy Center of Excellence; platinum recognition for HRSA's DOnation Campaign, which unites America's workforce for organ, eye, and tissue donation; the American Heart Association's Silver recognition for blood pressure control outcomes; the Pennsylvania Quality Insights' Certificate of Excellence for Improving Cardiovascular Health as a Cardiovascular Health Hall of Fame Champion; and NCQA recognition for data aggregation as a member of the Keystone Health Information Exchange.
Form 990, Part III, Line 2 NEW PROGRAM SERVICES	During the reporting period, TWCCH continued to strategically clarify its collective impact vision for a multi-institutional Clinical and Educational Integrated Network (CEIN). The impending transfer of ownership of a number of local hospital and outpatient health care assets in Northeastern Pennsylvania is increasing the significance of the CEIN initiative. Collaborative partnerships, with the advance approval of the PA Department of Human Services, enabled TWCCH and TWCGME to launch enriched primary care services with specialty integration that expanded non-discriminatory access for patients to gastroenterology and cardiovascular disease physician faculty, while also enriching the education of primary care residents and specialty fellows. TWCCH continued its passionate, deep investment in the transformational work to progress on our three year journey towards Sanctuary Model Certification. Several accomplishments this year demonstrated TWCCH's progress from a historically over-burdened and under-resourced, trauma-organized primary care provider to an adversity-competent enterprise focused on resilience-skilled employment, whole-person health services, and healthcare workforce development. The Sanctuary Model is a blueprint for clinical and organizational change and transformational culture shift which promotes physical, emotional, and psychological safety and recovery from adversity through the active creation of an adversity-informed and competent community. An adversity-competent, resilience-skilled organization is one that recognizes the inherent vulnerability of all human beings to the effects of adverse experiences and organizes system-wide interventions aimed at mitigating the negative effects of adversity and stress that are manifested in those employed in and served by the organization and the organization itself. "Sanctuary" can be offered as a guiding constructive framework for transformation from survival-mode oriented, often divisive care delivery and educational platforms to resilience-focused and competent systematized approaches for teaming that promote psychological safety, trust, participatory citizenship, democratization, social responsibility and accountability, and social learning. TWCCH began its deep investment and roll-out of Sanctuary training in earnest in August 2022. Since that time, TWCCH has implemented multiple cohorts of 5-day immersion training events to spread learning across the organization, including governing board members and executive management as well as employees and resident and fellow physicians in training. In January 2024, a 3-Day Train the Trainer requirement was completed. TWCCH and TWCGME Board members received short bursts of training in every regular board meeting. The Executive Management Team, as the Sanctuary Steering Committee, approved the required training for all staff to occur on a rotating schedule during work hours as a testament to the investment of the enterprise in the success of the model. Sanctuary language has been fully integrated into TWCCH's operational policies and procedures manuals. With costs of providing health insurance for employees continuing to climb beyond multiples of average inflation without boundaries, and the increasing concern about the role pharmacy benefit managers (PBMs) play in the costs of commercial health insurance premiums, TWCCH and TWCGME began exploring the viability of self-insuring for health benefits and internalizing pharmacy services. TWCCH anticipates that these initiatives will bring additional benefits to patients, learners and staff, including ensuring timely and affordable medication access. The Wright Center Enterprise also explored the feasibility of engagement in or with insurance brokerage activities to ensure that patients, learners, and staff have the best information possible to make informed coverage decisions. These futuristic initiatives show promising potential to better steward the precious public resources we receive to implement the shared mission of TWCCH and TWCGME while also offering additional resources to all stakeholders. Having finally recouped TWCGME's decade-long investments in the Keystone Accountable Care Organization for the first time, TWCGME had the opportunity to explore how shared savings from participation in Medicare's Shared Savings Program would be best stewarded. Determined to invest those dollars back into the population served, TWCGME (KACO owner/partner) passed through the majority of shared savings to TWCCH (KACO participant), which uses those resources to enrich the health services delivered to patients as described below. To further enhance internal controls for financial management, TWCCH's Controller was advanced to the position of Chief Financial Officer (CFO). Bringing the skill set of an experienced controller to the CFO role has already demonstrated a value that cannot be overstated. Additionally, TWCCH's primary affiliate, TWCGME, hired a new VP of Academic Affairs/Associate Designated Institutional Official in December 2023 to support CEIN development and to lead an actionable strategy to align the various components of clinical and educational programming for Graduate Medical Education (GME), Undergraduate Medical Education (UME), Interprofessional Medical Education (IME), and Continuing Medical Education (CME). In addition, TWCCH appointed a Chief Compliance Officer to spearhead a centrally controlled compliance function, a Chief Clinical Operating Officer to bolster quality and standardization of care, and a Chief Revenue Officer to advance TWCCH's value-based care (VBC) initiatives and negotiate appropriate payer contracts for VBC.
Form 990, Part III, Line 2 NEW PROGRAM SERVICES	To further enhance our high integrity reinvestment of 340B resources into service delivery for patients and families, TWCCH began its re-assessment of the intentional allocation of 340B revenues. As a long-standing participant in the U.S. Department of Health and Human Services 340B Drug Pricing Program as a Ryan White Program HRSA grantee and Title X service provider, TWCCH has consistently prioritized affordable access to medication. However, with its designation as a FQHC Look-Alike effective June 1, 2019, TWCCH expanded its 340B participation across primary care, enhancing and enriching the comprehensive, non-discriminatory, whole-person primary health services we provide. This critically important federal program enables eligible healthcare providers to purchase outpatient prescription drugs at reduced prices from pharmaceutical manufacturers. The discount is then passed on to qualifying patients through partnerships with participating pharmacies, thereby increasing access to essential medications for vulnerable populations. Patient eligibility for 340B discounts is determined based on income and demonstrated hardship, ensuring that those with the greatest need receive crucial support. Critical 340B Program revenues generated through Ryan White and FQHC Look-Alike services are strategically reinvested in each respective program to enhance and enrich the non-discriminatory, comprehensive, whole-person primary health services TWCCH provides to improve health outcomes, expand access to essential community provider health services, reduce emergency department utilization, and reduce the overall costs of TWCCH's health care system. Furthermore, 340B revenues fuel impactful community outreach initiatives strategically designed to address the non-medical factors that influence health outcomes and promote whole-person wellness. These initiatives include health fairs, free screenings (e.g., blood glucose, blood pressure, Body Mass Index (BMI), and cholesterol), pop-up food and clothing pantries, and targeted public health education campaigns. TWCCH focuses on empowering vulnerable populations with chronic conditions such as substance use disorder, HIV/AIDS, Hepatitis C, obesity, diabetes, and ischemic heart disease to adopt healthier nutritional habits and lifestyles. Specifically, Ryan White-related 340B funding provides comprehensive support to individuals living with HIV/AIDS, encompassing medical, laboratory, and telehealth services, medical case management, home-delivered meals, insurance premium assistance, emergency financial aid, mental health, transportation services, and expanded dental care. Current efforts to significantly reduce the 340B program would have a devastating negative impact on the health and welfare of the patients, families, and communities we serve, as we cannot affordably shift these costs into the limited revenues for the clinical services TWCCH provides. TWCCH initiated a CEO outreach to other FQHCs in Northeast Pennsylvania in an effort to optimize public resources through collaboration in areas such as healthcare workforce development and FQHC participation in learning networks and accountable care initiatives. The CEOs were invited to connect on a quarterly basis to prompt robust discussions of individual organization and regional health and health workforce needs, promoting a sense of shared responsibility, mutual support, and shared learning among colleagues to spread knowledge and best practices. To further advance the impactful synergy of federal resource opportunities during the covered period, TWCCH began exploration of various Health Center Controlled Networks (HCCNs) to ensure optimal alignment with TWCCH's mission, priorities, and capacity. In 2026, the United States will mark its 250th anniversary of the signing of the Declaration of Independence. The mission of America250 is to celebrate and commemorate this Semiquincentennial. In 2018, Pennsylvania's legislature and Governor established America250PA to plan, encourage, develop, and coordinate the commemoration of the 250th anniversary of the founding of the United States, Pennsylvania's integral role in that event, and the impact of its people on the nation's past, present, and future. TWCCH enthusiastically supports America250PA, and has engaged in two of its initiatives during the reporting period. The goal of the Liberty Tree Project, co-sponsored by America250PA and the Pennsylvania Freemasons, is to have a certified Liberty Tree planted in each of Pennsylvania's 67 counties through 2026. According to American250PA, "during the American Revolutionary War, the Sons of Liberty often convened under the nation's original Liberty Tree in Boston to discuss their opposition to British rule in the colonies. This historic tree became a beacon of hope to colonists and a symbol of American freedom. In an attempt to stymie these colonists, the British destroyed Boston's Liberty Tree. Suddenly, patriots throughout the 13 colonies began to designate new Liberty Trees. The last known original Liberty Tree sat on the campus of Saint John's University in Maryland, until it was destroyed by Hurricane Floyd in 1999. Today, seeds from a scion of the original tree are being collected, grown into seedlings, and planted across the Commonwealth." TWCCH earned selection to receive a certified Liberty Tree, a living symbol of American independence, that was planted at VFW Park in Dickson City - the site of one of TWCCH's newest practice locations on land that has historical ties to the American Revolution. The historic tulip poplar sponsored by TWCCH will be the only Liberty Tree to take root in Lackawanna County as part of a statewide effort to honor the nation's founding. Its presence will reinforce TWCCH's noble mission commitment to improving the health and welfare of our communities. The second America250PA project celebrating the Semiquincentennial in which TWCCH engaged is its Bells Across PA art initiative. The fiberglass Liberty Bells will be infused with beauty and artfully decorated by local artists. Like the Liberty Tree Project, the goal is to place at least one bell in each of Pennsylvania's 67 counties. TWCCH has sponsored and designed five Liberty Bells in Pennsylvania counties in its service area.
Form 990, Part III, Line 2 NEW PROGRAM SERVICES	As mentioned above, TWCCH proudly received its second Gold Advocacy Center of Excellence recognition from the National Association of Community Health Centers (NACHC). TWCCH was first awarded Gold ACE status in January 2022, the first community health center in Pennsylvania to achieve the recognition. Being awarded a second Gold ACE status in December 2023 shows TWCCH's continued dedication to advocating for and supporting comprehensive whole-person primary health services for all, regardless of ability to pay, zip code, or insurance status. TWCCH is committed to mission-driven advocacy efforts to ensure that elected officials at local, state, and federal levels genuinely understand and commit to investing in the comprehensive, affordable, and innovative primary health services and interprofessional workforce development that Teaching Community Health Centers such as TWCCH provide for people of all ages, income levels, and insurance statuses. Additionally, TWCCH's Public Health Policy and Advocacy Department continued its work throughout the year to educate elected officials and government administrators on the value of its community-immersed Graduate Medical Education Safety-Net Consortium (GME-SNC) as a powerful, fiscally responsible, and replicable solution to the America's primary care shortage and mis-distribution, and related health, healthcare services, and healthcare career needs and challenges. TWCCH also responded to multiple federal, state, and professional networks associations' Requests for Information, sharing lessons and insights from the trenches of the primary care delivery and health workforce training sites in order to share and learn best practice, and to inform policy development at the state and federal levels. Joining TWCCH's Mid Valley and Clarks Summit FQHC Look-Alike Teaching Health Centers, our Scranton and Wilkes-Barre Teaching Health Centers received NCQA's Patient-Centered Medical Home (PCMH) certificates of recognition. This accomplishment acknowledges that each THC has the tools, systems, and resources to provide patients with the right care at the right time in the right venue. PCMH practices are designed to allow patients and their care teams to build better relationships; support patients to more effectively control chronic conditions; and improve the overall patient and provider experience. In addition, the PCMH model has been shown to reduce overall health care costs. The NCQA was founded in 1990 with support from the Robert Wood Johnson Foundation, and seeks to improve healthcare quality through measurement, transparency, and accountability. TWCCH officially became a certified American Heart Association (AHA) Training Site in August 2023, enabling it to deliver important life saving training services to the interprofessional health care providers and students, as well as general community members in our service area. TWCCH, as an AHA Training Center, offers a robust, high quality training curriculum. For health professionals, including TWCCH and TWCGME staff and learners as well as other medical providers and students in the region, TWCCH provided certifications and recertifications in Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Pediatric Emergency Assessment, Recognition and Stabilization (PEARS). For the community at large, TWCCH offered Heartsaver Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) as well as NARCAN training. Heart Code Skills testing were available for all disciplines as well. To date, TWCCH awarded 2,743 certifications/re-certifications: 1,647 certifications/re-certifications in BLS, 352 in ACLS, 105 in PALS, and 639 in CPR. Moreover, TWCCH's Training Center also provided non-certification training to 848 individuals in the following areas: Hands Only CPR, use of NARCAN, Stop The Bleed, IV insertion, Advanced Airway, and Mock Codes, among others. All training conducted adhered to the AHA's superior training site guidelines, which are widely considered the gold standard. During the reporting period, TWCCH also engaged in activities of the American College of Physicians such as the ACP Day of Giving, and promoted the concept of "participatory citizenship" internally to empower our staff and learners to better understand our shared public health service responsibilities and the important role each person plays in contributing to TWCCH's mission delivery. TWCCH also continued its support of staff and learner engagement on relevant external committees with associations such as the ACGME, the American Association of Teaching Health Centers (AATHC), the Pennsylvania Association of Community Health Centers (PACHC), National Association of Community Health Centers (NACHC), the Pennsylvania and Northeast Pennsylvania Medical Societies, the Area Health Education Center, The Institute of Public Policy and Economic Development, and in other community forums in support of its "participatory citizenship" philosophy. TWCCH continued its clinical training partnership with A.T. Still University's School of Osteopathic Medicine (SOMA), hosting 30 osteopathic medical students for didactics and clinical training in Scranton, Pennsylvania. TWCCH successfully entered its second year as a training site for the public health oriented Central Coast Physician Assistant Program (CCPAP), its similarly designed Hometown Scholars pipeline partnership with A.T. Still University School of Health Sciences, NACHC, and the Community Health Centers of the Central Coast California. Additionally, TWCCH developed and trained its own medical assistants (MAs) in partnership with the National Institute for Medical Assistant Advancement (NIMAA), and also community health workers (CHWs) through both the AHEC-affiliated Community Health Worker Training Program and the National Health Corps, as well as the local Readiness in Skilled Employment (RISE) academic initiative.
Form 990, Part III, Line 2 NEW PROGRAM SERVICES	TWCCH, in partnership with TWCGME, presented its Wilkes-Barre Health City Hub New Markets Tax Credit (NMTC) project in May 2024 in Miami, Florida to multiple Community Development Entities (CDEs), and since that time, several have gauged interest. TWCCH also received a second Redevelopment Assistance Capital Program (RACP) grant from the Governor for this important GME-SNC project in Wilkes-Barre, PA. TWCCH also submitted a second RACP grant application for its Teaching Health Center FQHC Look-Alike in Jermyn, PA. TWCCH continued its work toward the development and deployment of an effective partner satisfaction survey, in addition to its mission-critical climate surveys of TWCGME's residents and faculty. During this period, The Institute for Public Policy and Economic Development in Wilkes-Barre, PA (now known as "The Institute") was engaged to design and administer multiple surveys, including but not limited to the above as well as the semi-annual employee satisfaction survey, and also the annual Agency for Healthcare Research and Quality (AHRQ) Medical Office Surveys on Patient Safety Culture (MOSOPS) and Patient-Centered Medical Home Assessment (PCMH-A) surveys. TWCCH continued to connect clinical educational programming with TWCGME and affiliated hospital operations, aspiring towards the vision of the ACGME Sponsoring Institution 2025 (SI2025) that calls forth the seamless integration of clinical and educational programming. This includes working toward a more successful integration of dental, mental, and behavioral health into primary health services delivery. With the increased focus on value-based care (VBC) in clinical delivery sites and concordant dynamics in value-based payment changes, TWCCH supported TWCGME's integration of VBC initiatives into its Sponsoring Institutional Population Health Curriculum to enhance the education of residents and fellows to best prepare them for the future. During the reporting period, TWCCH also invested significant effort in preparedness for a successful and impactful ACGME Clinical Learning Environment Review (CLER) site visit for TWCGME's ambulatory and hospital partners. The CLER Program was implemented by the ACGME as part of the Next Accreditation System in recognition of the "public's need for a physician workforce capable of meeting the challenges of a rapidly evolving health care environment." Therefore, the ACGME CLER Program provides periodic feedback to clinical settings affiliated with ACGME-accredited programs and institutions, addressing the following six areas of importance to resident and fellow physician training: patient safety; health care quality; teaming; supervision; well-being; and professionalism. GMEC launched a CLER Subcommittee led by Clinical Leadership of TWCCH (TWCGME's primary ambulatory clinical training environment partner). CLER materials have been updated to reflect version 3.0 of CLER Pathways to Excellence, released by the ACGME in February 2024. CLER mock site visits during the covered period occurred at: Geisinger Community Medical Center (GCMC), TWCCH's Mid Valley and Scranton FQHC Look-Alike Teaching Health Centers, and Regional Hospital in June 2024. During the covered period, TWCCH developed a multi-tier approach to systematizing the Quintuple Aim, adapted from the Institute for Healthcare Improvement's (IHI's) Triple Aim and consisting of the following components: the patient experience of care (including quality and satisfaction), improving the health of the population, reducing per capita cost of care for the benefit of communities, the well-being of the healthcare workforce, and advancing health equity. TWCCH made strides in demonstrating improved standardization of clinical care across all clinical locations and services lines. The Azara platform was implemented, which now allows for the dissemination of individualized clinician, team, and clinic level report cards to promote the organization's commitment to a culture of visibility, transparency, and continuous quality improvement as related to standards of care. This commitment to quality improvement requires continuous focused team efforts and, to date, has yielded positive results according to the US Health Resources and Services Administration's (HRSA's) Uniform Data System (UDS) reporting measures. Proudly, TWCCH was one of the pioneering health centers that submitted its outcomes reporting through HRSA's newly launched UDS+ platform during the reporting period. The outcomes data demonstrated measurable decreases in variability in prioritized clinical practices, indicating improved standardization, particularly evident in the area of preventative care, including screenings for mental health (MH), sleep apnea, illicit substance use, alcohol use, as well as breast, colorectal, and cervical cancer. TWCCH is continuously enhancing its facilities and information technology infrastructure to improve the delivery of our clinical and educational services. For example, TWCCH equipped waiting rooms with electronic tablets for patients to complete essential screenings listed above, streamlining the process while empowering patients to take an active ownership role in their health and health services.
Form 990, Part III, Line 2 NEW PROGRAM SERVICES	During the covered period, TWCCH actively prepared for its next HRSA FQHC Look-Alike Operational Site Visit (OSV) while also preparing its application for an anticipated HRSA Notice of Funding Opportunity to become a full FQHC H80 grantee of the Public Health Service Act through New Access Point (NAP) funding. HRSA's OSV is an onsite evaluation by experienced reviewers engaged and trained by HRSA's Bureau of Primary Health Care (BPHC) to evaluate health center compliance with Health Center Program requirements as specified in the Health Center Compliance Manual. Although TWCCH's OSV took place on November 19-20, 2024 (after the close of the reporting period), TWCCH was diligently preparing and thoroughly validating that it was in a constant state of compliance and readiness for the OSV throughout the covered period. This level of enterprise-wide preparation resulted in an extremely successful OSV in November, during which TWCCH was found to be in 100% compliance with all applicable requirements. The OSV review team meticulously reviewed documents, challenged and questioned certain practices where appropriate, and provided constructive feedback for consideration to inform TWCCH's journey to excellence. OSVs provide incredible experiential and reflective opportunities to expand mission-driven operations and compliance efforts, as well as ensuring alignment with the evolving priorities of HRSA, BPHC, and HHS to maintain public trust. The incredible work invested into preparation for HRSA's OSV perfectly positioned TWCCH to submit a high-quality NAP application. On May 30, 2024, the web-based NAP application portal was made available to current or aspiring HRSA-designated Federally Qualified Health Centers in supporting the development of new health center services and delivery sites to expand affordable, accessible, and high-quality primary health services for underserved communities and populations. The first phase of TWCCH's application was timely submitted before the deadline of August 30, 2024, with the second phase successfully submitted prior to the October 2, 2024 deadline. In support of this application and in furtherance of TWCCH's mission, TWCCH secured a new location in Blakeslee, Pennsylvania where unmet health needs indicated a NAP clinical location would be most impactful. Identifying such a location in Monroe County, Pennsylvania, TWCCH engaged in due diligence to secure that property during the covered period. The closing on that property occurred during fiscal year 2024-2025, therefore, additional information about the Monroe County location will be included on TWCCH's subsequent Form 990. During the covered period, the Audit Committee of the Board approved the new Compliance Program, which prompted the appointment of a new Chief Compliance Officer and the posting and hiring of a Director of Clinical Compliance. Additionally, the Balanced Scorecard (BSC)/Key Performance Indicators (KPIs) were published to the Board of Directors through the governance web-based portal in the spring of 2024 to ensure that governance had full visibility into organizational performance metrics upon demand. Additionally, the Balanced Scorecard (BSC)/Key Performance Indicators (KPIs) were published to the Board of Directors through the governance web-based portal in the spring of 2024 to ensure that governance had full visibility into these metrics upon demand. TWCCH analyzed its de-identified population health data to ensure alignment with any specific needs-responsive community service projects in the respective service area of each FQHC Look-Alike Teaching Health Center. TWCCH's governing board's Planning and Development Committee reviewed and evaluated the needs of each clinical location and worked with the TWCPCE Directors and volunteer board members to schedule responsive community service events accordingly. During the covered period, food insecurity and clothing assistance emerged as predominant health needs across clinical locations. TWCCH and TWCPCE held 26 food pantries that served 1,247 families, and multiple Community Closet activities. Learning specifically of the increased need for socks, TWCPCE secured an organizational donation of 10,000 pairs of Bombas socks that were distributed to patients and families. The increased need for community-based support catalyzed the hiring of additional CHWs to enhance TWCCH's CHW team, two for the Scranton location and one additional CHW for the Wilkes-Barre location.
Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION	CURRENT EFFORTS TO SIGNIFICANTLY REDUCE THE 340B PROGRAM WOULD HAVE A DEVASTATING NEGATIVE IMPACT ON THE HEALTH AND WELFARE OF THE PATIENTS, FAMILIES, AND COMMUNITIES WE SERVE, AS WE CANNOT AFFORDABLY SHIFT THESE COSTS INTO THE LIMITED REVENUES FOR THE CLINICAL SERVICES WE PROVIDE.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	City of Scranton, American Rescue Plan Act - Overdose Prevention, Harm Reduction, and Long-Term Recovery Support (Total: $31,082) Purpose of Assistance: The City of Scranton awarded American Rescue Plan Act (ARPA) funds, through the Non-Profit Grant Program, to The Wright Center for Community Health (TWCCH) for an Overdose Prevention Program focusing on harm reduction and long-term recovery support. The funds support training related to overdose prevention, opioid use disorder, and medication-assisted treatment impacted by the COVID-19 Pandemic. The program helps expand the capacity of TWCCH's Opioid Use Disorder Center of Excellence and incorporates harm reduction services designed for community-based treatment programs and interventions. City of Scranton, American Rescue Plan Act - Wellness Programming (Total: $21,207) Purpose of Assistance: The City of Scranton awarded American Rescue Plan Act (ARPA) funds, through the Non-Profit Grant Program, to The Wright Center for Community Health for Wellness Programming for those impacted by the COVID-19 Pandemic. The funds are used to incorporate Lifestyle Medicine into everyday practice, improving the delivery of primary care health services and treating obesity as a chronic disease. It also supports access to intensive diet therapy for vulnerable populations. City of Scranton, American Rescue Plan Act & Scranton Area Community Foundation - Centralized Data Reporting and Analytics (Total: $22,419) Purpose of Assistance: The City of Scranton awarded American Rescue Plan Act (ARPA) funds, through the Non-Profit Grant Program (administered by the Scranton Area Community Foundation), to The Wright Center for Community Health to support a centralized data reporting and analytics solution for Community Health Centers and Primary Care Associations which is used to facilitate care transformation, drive quality improvement, aid in cost reduction, and simplify mandated reporting for organizations impacted by the COVID-19 Pandemic. This system is implemented at our Scranton Federally Qualified Health Center Look-Alike location, 501 South Washington Avenue, Scranton. Commonwealth of Pennsylvania, Department of Community and Economic Development - Increasing COVID-19 Vaccination Rates Among Populations Facing Disparities (Total: $14,397) Purpose of Assistance: The Commonwealth of Pennsylvania's Department of Community and Economic Development awarded funds to The Wright Center for Community Health (TWCCH) through CDC COVID-19 funding to support our grassroots outreach efforts in the communities we serve about COVID-19 vaccines. The program strives to increase vaccination rates across racial and ethnic adult populations experiencing disparities. TWCCH worked to educate communities about the COVID-19 vaccine to improve vaccine uptake, address concerns and barriers, and overall, promote the health and safety of Pennsylvania residents. The communities of priority included 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 Community and Economic Development - Mid Valley Federally Qualified Health Center Look-Alike Teaching Health Center Expansion located in Jermyn, PA (Total: $333,333) Purpose of Assistance: This funding will support several improvements to The Wright Center for Community Health's Mid Valley Federally Qualified Health Center Look-Alike Teaching Health Center, including a community garden, community center, and walking trails. The community garden and community center will be committed to community-based therapeutics, including Integrative Community Therapy, cooking classes, Mental Health First Aid, and community-driven events, in addition to supporting local artists. This will also include displaying a Liberty Bell as part of the America250PA initiative. The Program promotes community participation and collaboration among residents, nonprofit organizations, and businesses, producing outcomes by assisting a distressed area or low-income population in a neighborhood. Commonwealth of Pennsylvania Department of Drug and Alcohol Programs - Pregnancy Support Services for Moms with Opioid Use Disorder (Total: $434,664) Purpose of Assistance: The Pennsylvania Department of Drug and Alcohol Programs awarded funds to The Wright Center for Community Health (TWCCH) through the American Rescue Plan Act (ARPA) funds for a pregnancy support services grant to extend the reach of its Healthy Maternal Opiate Medical Support Program into Luzerne, Wayne, and Susquehanna Counties. In concert with its partners, TWCCH is coordinating the delivery of medication-assisted treatment as well as pregnancy and postpartum maternal and child support services in communities that lack a strong network of collaborating health and social service agencies to address this need.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	Commonwealth of Pennsylvania Department of Health - Support for a New Federally Qualified Health Center Look-Alike Teaching Health Center located in Covington Township, PA (Total: $120,391) Purpose of Assistance: The Pennsylvania Department of Health awarded funding to The Wright Center for Community Health (TWCCH) to support the establishment of a Federally Qualified Health Center (FQHC) Look-Alike Teaching Health Center located in Covington Township, Lackawanna County, which is proximal to rural Wayne and Monroe counties. TWCCH's North Pocono Federally Qualified Health Center Look-Alike clinical location is a full-service, family-friendly clinic that offers primary health services and accepts patients of all ages. The advanced practitioners provide primary care as well as behavioral health and addiction and recovery services, effectively increasing access for the uninsured, underinsured, and underserved populations living in this region. Commonwealth of Pennsylvania Department of Human Services - Expanding the Outreach of Mobile Health and Trauma-Responsive Practices (Total: $52,097) Purpose of Assistance: The Pennsylvania Department of Human Services awarded funds to The Wright Center for Community Health through the American Rescue Plan Act (ARPA) to expand the outreach of its mobile health clinic, Driving Better Health, and increase access to healthcare in medically underserved communities and populations. Additionally, funds were used to provide culturally competent programs and services aligned with trauma-responsive practices, in support of our Sanctuary Institute training. Commonwealth of Pennsylvania Redevelopment Assistance Capital Program - Renovation Costs for a New Federally Qualified Health Center Look-Alike Teaching Health Center located in Wilkes-Barre, PA (Total: $907,617) Purpose of Assistance: The Pennsylvania Redevelopment Assistance Capital Program provided funds to The Wright Center for Community Health (TWCCH) for the construction costs of renovating a 35,000-square-foot facility into a service location for a new Federally Qualified Health Center Look-Alike Teaching Health Center location in Wilkes-Barre, Pennsylvania. This new Wilkes-Barre Teaching Health Center is the new location of TWCCH's relocated Kingston, Pennsylvania, Federally Qualified Health Center Look-Alike Teaching Health Center. Our Kingston location, TWCCH, historically served more than 5,000 patients. The expanded Teaching Health Center in Wilkes-Barre expanded TWCCH's capacity to provide non-discriminatory, comprehensive, whole-person primary health services to approximately 25,000 patients annually, regardless of insurance status, zip code, or ability to pay. This incredible new Teaching Health Center has furthered the shared, noble mission of TWCCH and its primary affiliate, The Wright Center for Graduate Medical Education (TWCGME), to improve the health and welfare of our communities through responsive whole person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. The notable expansion of educational capacity extends the community benefit beyond training primary care physicians to include medical students and interprofessional health students from regionally and nationally affiliated academic institutions, such as the Geisinger Commonwealth School of Medicine, Lake Erie College of Medicine, and A.T. Still University School of Osteopathic Medicine in Arizona. County of Pike, Pennsylvania - Pregnancy Support Services for Moms with Substance Use Disorder (Total: $28,723) Purpose of Assistance: Pike County, Pennsylvania, awarded funds to The Wright Center for Community Health (TWCCH) for pregnancy support services to extend the reach of its Healthy Maternal Opiate Medical Support Program into Pike County. In concert with its partners, TWCCH is coordinating the delivery of medication-assisted treatment as well as pregnancy and postpartum maternal and child support services in communities that lack a strong network of collaborating health and social service agencies to address this need. Direct Relief - Donations of Medical Resources to Healthcare Providers Serving Underinsured or Uninsured Communities (Total: $29,549) Purpose of Assistance: Direct Relief donated medical supplies to The Wright Center for Community Health to support healthcare for those in need, namely for uninsured or low-income patients. Direct Relief is a non-denominational, non-political organization that focuses on providing self-help through medical supplies and services to improve healthcare. The organization is committed to enhancing the quality of life and restoring human dignity by collaborating with healthcare organizations to process and distribute donated medical supplies to hospitals, clinics, and dispensaries in around 60 countries. Federal Communications Commission COVID-19 (Total: $105,457) Purpose of Assistance: The Federal Communications Commission awarded funds to The Wright Center for Community Health (TWCCH) and our critical access hospital partner, Endless Mountains Health Systems, to purchase and install devices and supporting information services related to telehealth. TWCCH's electronic health record platform, MEDENT, has integrated telehealth capabilities and will serve as the platform for the requested telehealth devices and information services. This funding is in response to those impacted by the COVID-19 Pandemic. The devices will utilize existing high-speed broadband connections with a HIPAA-compliant patient/doctor interface. The services will be used to enhance patient portals, digital applications, and other tools to support scheduling, displaying rates, and follow-up for telehealth visits related to COVID-19, and will not duplicate any existing telehealth services. Health Resources and Services Administration - Bridge Access Program - Continuing Essential COVID-19-Related Services (Total: $863) Purpose of Assistance: The Health Resources and Services Administration awarded funds to The Wright Center for Community Health through the American Rescue Plan Act (ARPA) to continue essential COVID-19-related services and mitigate the adverse impacts of COVID-19 on underserved populations. Services include COVID-19 testing and vaccinations, as well as enabling services such as outreach, education, enrollment assistance, transportation, translation, and care coordination. Health Resources and Services Administration - Expanding COVID-19 Vaccinations (ECV) (Total: $40,826) Purpose of Assistance: The Health Resources and Services Administration awarded funds to The Wright Center for Community Health (TWCCH) through the Paycheck Protection Program to expand COVID-19 vaccination funding for health centers. The goal was to support health centers in increasing access to, confidence in, and demand for updated COVID-19 vaccines within their service areas. TWCCH intentionally focused on engagement with Spanish-speaking communities in Scranton and Wilkes-Barre, PA, via the training and use of bilingual Community-Clinic Navigators. A marketing campaign complemented this effort by providing COVID-19 information and education in English and Spanish across the service area. This formula-funded program was awarded through the Paycheck Protection Program and Health Care Enhancement Act, as well as the Public Health and Social Services Emergency Fund. Health Resources and Services Administration - Postdoctoral Training in General, Pediatric, and Public Health Dentistry and Dental Hygiene Program (Total: $444,611) Purpose of Assistance: The Health Resources and Services Administration (HRSA), Postdoctoral Training in General, Pediatric, and Public Health Dentistry and Dental Hygiene Program awarded funds to The Wright Center for Community Health (TWCCH) to collaborate with the New York University (NYU) Langone Advanced Education in General Dentistry (AEGD) Residency Program to become a clinical learning environment in an expansion of their AEGD Program. The TWCCH/NYU Langone residency focuses on vulnerable and medically complex populations, including older adults, homeless individuals, victims of abuse and/or trauma, individuals with mental health and/or substance-related disorders, individuals with disabilities, and individuals with HIV/AIDS and HCV. The AEGD residency is embedded in TWCCH's National Committee for Quality Assurance-certified Patient-Centered Medical Home, which facilitates the comprehensive integration of oral health with physical and mental/behavioral health.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	Health Resources and Services Administration - Rural Communities Opioid Response Program (RCORP) Neonatal Abstinence Syndrome Round One (Total: $18,059) Purpose of Assistance: The Health Resources and Services Administration awarded funds to The Wright Center for Community Health for the Rural Communities Opioid Response Program's Neonatal Abstinence Syndrome grant project. This project was developed to reduce the morbidity and mortality associated with substance use disorders, including opioid use disorder, in rural communities. These funds were targeted to patients residing in Wayne and Susquehanna Counties, focusing on females in their childbearing years who were at risk of having a baby exposed to harmful substances. Funds were utilized for personnel, subcontracted services, prevention education, travel, and other costs. Health Resources and Services Administration - Rural Communities Opioid Response Program (RCORP) Neonatal Abstinence Syndrome Round Two (Total: $249,086) Purpose of Assistance: The Health Resources and Services Administration awarded funds to The Wright Center for Community Health for the Rural Communities Opioid Response Program Neonatal Abstinence Syndrome (NAS) grant project. The purpose of this initiative is to reduce the incidence and impact of NAS in rural communities by improving systems of care, family support, and non-medical factors impacting health. As a sustainability strategy, all services covered by reimbursement will be billed, and case managers will continue to work to ensure that eligible participants are enrolled in Medicaid. Funds are utilized for personnel, subcontracted services, prevention education, travel, and other costs. The program benefits pregnant and postpartum mothers participating in the Healthy Maternal Opiate Medical Support Program.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	Health Resources and Services Administration - Ryan White HIV/AIDS Program Part C (Total: $262,564) Purpose of Assistance: The Health Resources and Services Administration (HRSA) awarded funds to The Wright Center for Community Health (TWCCH) to provide a comprehensive system of HIV primary medical care, essential support services, and medications for low-income patients with HIV/AIDS residing in a seven-county area (Part C funding). 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 is the designated service area's sole provider of HIV/AIDS primary care and readily collaborates with all community-based agencies operating in the service area with the shared goal to reduce the number of people infected with HIV, facilitate better access to a continuum of care, enroll and maintain patients in care, and reduce HIV-related health disparities while avoiding duplication of effort. This program targets People Living with HIV/AIDS in seven counties, reaching rural, low-income, hard-to-reach, and traditionally underserved areas in Northeast Pennsylvania. Health Resources and Services Administration - Ryan White HIV/AIDS Program Part C Capacity Building Program for Dental (Total: $28,927) Purpose of Assistance: The Health Resources and Services Administration awarded funds to The Wright Center for Community Health for capacity building to enhance dental services. Funds were used for the development of infrastructure related to integrating Primary Care with Oral Health, 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. This special funding enhances and complements the existing Part C funding. Health Resources and Services Administration - Teaching Health Center Planning and Development Program - Pediatric Dental Residency (Total: $125,568) Purpose of Assistance: The Health Resources and Services Administration Teaching Health Center Planning and Development Program awarded funds through the American Rescue Plan Act (ARPA) to establish a new community-based residency program that is accredited by the Commission on Dental Accreditation at The Wright Center for Community Health. The new COVID-19 funded residency program will be achieved by utilizing grant funds to support the development of a new Pediatric Dental Residency Program in an area where primary care and pediatric dental services are limited. The shortage of dental professionals is intensifying and will significantly impact the oral health of Pennsylvanians. Janey Montgomery Scott - Private Donation for the Health City Hub - Engaging the Community to Address Public Health Challenges (Total: $5,000) Purpose of Assistance: Private individuals donated funds to The Wright Center for Community Health to create a Health City Hub, which is built on progressive community engagement in visioning and engineering non-discriminatory, comprehensive, whole person primary health services, strategically integrating clinical activities, interprofessional workforce development, and community-focused public health education and outreach in one location. The Health City Hub will appropriately address prevalent community health challenges such as health literacy, sedentary lifestyles, poor nutrition, tobacco, alcohol, substance misuse, and more. Jewish Healthcare Foundation - Expanding Access to Doula Care and Services for Pregnant Women with Substance Use Disorder (Total: $21,765) Purpose of Assistance: The Jewish Healthcare Foundation, through the Pennsylvania Department of Human Services, awarded federal Coronavirus State Fiscal Recovery Funds through the American Rescue Plan Act (ARPA) to The Wright Center for Community Health. This grant enhances training and educational opportunities for program participants and clinicians in Basic Life Support, Pediatric Advanced Life Support, and Neonatal Resuscitation Program, also known as Neonatal Advanced Life Support. It is also used to train hospital nurses in medication-assisted treatment, distribute Narcan kits, and integrate Doula services into home visits. This grant covers personnel costs, supplies for Doula training, and travel expenses for patient transport vans. It is intended to benefit pregnant and postpartum mothers participating in the Healthy Maternal Opiate Medical Support Program. Jewish Healthcare Foundation - Angel Eyes - Integrating Information Technology into the Local Hospital Neonatal Intensive Care Unit (Total: $17,597) Purpose of Assistance: The Jewish Healthcare Foundation, through the Pennsylvania Department of Human Services, awarded federal Coronavirus State Fiscal Recovery Funds through the American Rescue Plan Act to The Wright Center for Community Health (TWCCH). TWCCH will partner with the local hospital neonatal intensive care unit (NICU) to provide a camera system offering live-streaming video access to a child's bedside for parents who must leave their babies in the NICU for prolonged treatment. This innovative solution can help ease the stress and anxiety of parents with children in the NICU or pediatric unit, foster stronger connections when they are unable to be at the hospital, and enable care teams to share important updates and heartwarming moments through real-time texts, photos, and videos. It will benefit postpartum mothers participating in the Healthy Maternal Opiate Medical Support Program.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	Moses Taylor Foundation - Expanding Dental Access at Federally Qualified Health Center Look- Alike Teaching Health Center in Wilkes-Barre, PA (Total: $148,400) Purpose of Assistance: The Moses Taylor Foundation awarded funds to The Wright Center for Community Health (TWCCH) to address significant oral health disparities and unmet dental care needs within the Federally Qualified Health Center Look-Alike Teaching Health Center in Wilkes-Barre, PA (Luzerne County). TWCCH is working to establish ten total dental service units, and the Moses Taylor Foundation funded three of the comprehensive dental operatories. According to the Health Resources and Services Administration, Luzerne County is a Dental Health Professional Shortage Area (HPSA ID 6421267498) in the low-income population designation. National Association of Community Health Centers Learning Collaborative - Addressing Disparities in Opioid Prescribing, Substance Use Disorder Treatment and Linkages to Care (Total: $91,667) Purpose of Assistance: The National Association of Community Health Centers (NACHC), in partnership with the National Health Care for the Homeless Council and the Fenway Institute, and supported by the Centers for Disease Control and Prevention, awarded funds to The Wright Center for Community Health (COVID-19 funding). NACHC has designed a Learning Community for Community Health Centers, Primary Care Associations, and Health Center Controlled Networks to plan and implement evidence-based learning opportunities to address disparities among racial, ethnic, and identity-based minorities and the unique needs related to pain management and opioid prescribing, substance use disorder treatment, and linkages to care. The funds support personnel and training costs for the NACHC Collaborative. National Health Care for the Homeless Council - COVID-19 Vaccine Outreach to People Experiencing Homelessness and People with Substance Use Disorders (Total: $105,000) Purpose of 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 with COVID-19 funding to The Wright Center for Community Health (TWCCH) to create a Community Vaccine Ambassador Program for a Health Care Enabling Services Workforce that conducted community outreach to increase vaccination rates in people who are experiencing homelessness and people with substance use disorders. This COVID-19 funding supported TWCCH's community health workers, medical clinics, and Driving Better Health mobile clinic to increase immunization rates in these underserved populations. Pennsylvania Association of Community Health Centers (PACHC), American Rescue Plan Act - Vaccine Administration Management System (Total: $39,420) Purpose of Assistance: The Pennsylvania Association of Community Health Centers, in partnership with the Pennsylvania Department of Health, awarded funds through the American Rescue Plan Act (ARPA) to The Wright Center for Community Health to purchase a vaccine administration management system (VAMS) for the newly opened North Scranton Federally Qualified Health Center Look-Alike Teaching Health Center. This COVID-19 funding for the VAMS provided better inventory tracking for vaccines, improved access, and had a positive impact on workflow. Pennsylvania Association of Community Health Centers (PACHC), American Rescue Plan Act - Reducing COVID-19 Vaccine Hesitancy - Staff Training (Total: $43,742) Purpose of Assistance: The Pennsylvania Association of Community Health Centers, in partnership with the Pennsylvania Department of Health, awarded funds through the American Rescue Plan Act (ARPA) to The Wright Center for Community Health (TWCCH) to reduce hesitancy in receiving the COVID-19 vaccine and boosters, and to increase the number of critical frontline workers. TWCCH used the funds to train and hire Community Health Workers who worked within their communities, educating residents about the effectiveness and safety of the COVID-19 vaccines. This COVID-19 funding was also utilized to hire Medical Assistants who assisted in the vaccination process by supporting clinicians and patients. Pennsylvania Association of Community Health Centers (PACHC), American Rescue Plan Act - Reducing COVID-19 Vaccine Hesitancy - Staff Recruitment (Total: $63,769) Purpose of Assistance: The Pennsylvania Association of Community Health Centers (PACHC), in partnership with the Pennsylvania Department of Health, 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 vaccine boosters and for a workforce marketing campaign that recruited medical staff to provide vaccines and respond to COVID-19. PACHC partnered with an advertising and marketing firm to develop the campaign and provided funding to TWCCH to help implement it.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	Pennsylvania Association of Community Health Centers (PACHC), American Rescue Plan Act - Reducing COVID-19 Vaccine Hesitancy - Patient Education (Total: $43,109) Purpose of Assistance: The Pennsylvania Association of Community Health Centers, in partnership with the Pennsylvania Department of Health, awarded funds through the American Rescue Plan Act (ARPA) to The Wright Center for Community Health to increase efforts addressing vaccine hesitancy in our catchment area. These COVID-19 funds were used to develop a messaging system that decreases vaccine hesitancy through patient education, communication of vaccine opportunities, increased patient engagement, and community outreach. Pennsylvania Association of Community Health Centers (PACHC), American Rescue Plan Act - Increasing Access to COVID-19 Testing and Preventative Services (Total: $138,910) Purpose of Assistance: The Pennsylvania Association of Community Health Centers, in partnership with the Pennsylvania Department of Health, with funding through the American Rescue Plan Act 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. TWCCH used the funds to provide access to COVID-19 testing and preventative services within the counties we serve, reaching vulnerable populations. Pennsylvania Association of Community Health Centers (PACHC), the Health Resources and Services Administration (HRSA) Title V Maternal and Child Health Services Block Grant - Supporting Children and Youth with Special Healthcare Needs (Total: $48,040) Purpose of Assistance: The Pennsylvania Association of Community Health Centers and the Pennsylvania Department of Health awarded the Health Resources and Services Administration Title V funding to The Wright Center for Community Health to support engagement among Pennsylvania's Federally Qualified Health Centers, children with special healthcare needs, and their families. The project aimed to increase access to quality healthcare for low-income mothers and their children, including preventive health services, rehabilitative services, and community-based systems of coordinated care. Pennsylvania Chapter, American Academy of Pediatrics (AAP) - Increasing Access to Vaccines in Underserved Communities (Total: $101,700) Purpose of Assistance: The Pennsylvania Immunization Coalition and the Pennsylvania Chapter of the American Academy of Pediatrics received funds from the Centers for Disease Control and Prevention (CDC) with COVID-19 funding to The Wright Center for Community Health. This funding will address access to and education about vaccines, particularly the COVID-19 vaccine. Funds are 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 (AAP) - Improving Breastfeeding Rates Among Women with Substance Use Disorder - First Food: Improving Breastfeeding Rates (Total: $6,454) Purpose of 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 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 Program are connected with breastfeeding peer support and are provided with breastfeeding-related supplies. Pennsylvania School-Based Health Alliance - Mental Health Services (Total: $195,000) Purpose of Assistance: The Pennsylvania School-Based Health Alliance, through a health equity grant funded by Coronavirus State Fiscal Recovery Funds through the American Rescue Plan Act (ARPA), awarded funds to The Wright Center for Community Health to invest in mental health services at three school-based health centers. These COVID-19-related funds were used to provide mental health screening, care coordination, and mental health counseling for students in the school-based health centers. Robert L. Tambur - Private Donation for the Health City Hub - Engaging the Community to Address Public Health Challenges (Total: $6,000) Purpose of Assistance: Private individuals donated funds to The Wright Center for Community Health to create a Health City Hub, which is built on progressive community engagement in visioning and engineering non-discriminatory, comprehensive, whole-person primary health services, strategically integrating clinical activities, interprofessional workforce development, and community-focused public health education and outreach in one location. This Health City Hub will appropriately address prevalent community health challenges such as health literacy, sedentary lifestyles, poor nutrition, tobacco, alcohol, substance misuse, and more.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION	Scranton Area Community Foundation - Lackawanna County Flood Relief Program (Total: $10,000) Purpose of Assistance: The Lackawanna County Flood Relief Program, administered through the Scranton Area Community Foundation, awarded funds to The Wright Center for Community Health (TWCCH) to assist with the cost of repairs to TWCCH's Clarks Summit Practice caused by the flooding events in Northeast Pennsylvania on September 9, 2023. This fund was established to support community organizations and small businesses that experienced financial hardships directly related to property damage, water mitigation, debris removal, and replacement of furniture and equipment. Spitz Foundation - Providing Housing Assistance to Help Moms in Recovery (Total: $8,244) Purpose of Assistance: The Robert H. Spitz Foundation, administered through the Scranton Area Community Foundation, awarded funds to The Wright Center for Community Health to support participants in the Healthy Maternal Opiate Medical Support (Healthy MOMS) Program who experienced financial hardships exacerbated by the pandemic. The funds provided to Healthy MOMS participants with financial assistance to help with initial housing costs, such as security, rent, and utility bills. The Pennsylvania State University - Oral Health Curriculum Development and Quality Improvement Career Development Subaward (Total: $2,619) Purpose of Assistance: The Pennsylvania State University awarded funds to The Wright Center for Community Health through a subaward from the Health Resources and Services Administration, which funded the Primary Care Medicine and Dentistry Clinician Educator Career Development Award. The award supported Dr. Stephanie Gill and focused on oral health curriculum development and quality improvement. Dr. Gill completed the evaluation research and publications and worked with the Northeast Pennsylvania Area Health Education Center to provide continuing education on this topic. The Wright Center for Graduate Medical Education - Medicare Shared Savings Program Accountable Care Organization (ACO) (Total: $1,192,606) Purpose of Assistance: The Wright Center for Community Health received a shared savings payment as a participating provider in a Medicare Shared Savings Program Accountable Care Organization (ACO). This payment recognizes the health center's contribution to achieving cost savings and meeting quality performance standards for Medicare beneficiaries within the ACO. These funds will be reinvested to further enhance patient care and improve health outcomes. United Way of Wyoming Valley - Ryan White HIV/AIDS Program Part B Medical Case Management Services (Total: $1,381,406) Purpose of Assistance: The United Way of Wyoming Valley, in Wilkes-Barre, Pennsylvania, awarded funds to The Wright Center for Community Health as a sub-grantee to offer Ryan White Part B medical case management services across a seven-county area to people living with HIV/AIDS, and to provide support services for medical transportation, emergency financial assistance, oral healthcare, health insurance premiums, healthcare referrals, and mental health services. United Way of Wyoming Valley - See to Succeed, Providing Eye Exams and Corrective Lenses in Underserved School Districts (Total: $12,888) Purpose of Assistance: The United Way of Wyoming Valley, in Wilkes-Barre, Pennsylvania, awarded funds to The Wright Center for Community Health for the "See To Succeed" program from a prime award through the Moses Taylor Foundation. This program coordinates partnerships and operates an eye care clinic that rotates among high-need school districts in Luzerne County, Pennsylvania, to ensure that every student has access to an eye exam and corrective eyewear, as mandated by the state. A budget line is included to cover costs for uninsured or underinsured students. Upstream USA - Training and Technical Assistance to Increase Access to Contraception (Total: $60,000) Purpose of Assistance: Upstream USA awarded funds to The Wright Center for Community Health (TWCCH) to provide training and technical assistance services, helping clinical staff adopt best practices in clinical and administrative care for women of childbearing age at TWCCH clinics.
Form 990, Part III, Line 2 New program services	In the covered period, The Wright Center for Community Health (TWCCH) expanded or commenced planning for the further expansion of its primary health services FQHC Look-Alike footprint to four new clinical locations. During fiscal year 2022-2023, TWCCH was requested to engage with an independent, well-established, trusted primary care physician who practiced in North Scranton, Pennsylvania for nearly forty years to ensure that, upon his impending retirement, those he served had continued access to high quality, non-discriminatory primary health services. During the covered period, TWCCH opened FQHC Look-Alike services at this practice site and welcomed all of the impacted patients who wished to transition their care to TWCCH. In order to assure uninterrupted access to primary health services in that local community and for the convenience of patients, from July through December, 2023, TWCCH leased and renovated that clinical space in North Scranton before ultimately purchasing the property in April 2024. This TWCCH location is currently thriving, sustainable, and growing, notably expanding TWCCH's Pennsylvania Center of Opioid Use Disorder Excellence. A neighboring facility has since been purchased by TWCCH to with plans to construct a new state-of-the-art FQHC Look-Alike facility to expand operations to honor and meet the health needs of the patients in the community. Similarly, the acute departure of two well-established primary care physicians in practice for over twenty-five years prompted TWCCH's invitation to responsively open FQHC Look-Alike services in Dickson City, Pennsylvania during the covered period. TWCCH implemented a rapid action strategy and plan to purchase and renovate the building where those physicians practiced, opening the doors to a new TWCCH FQHC Look-Alike Health Center in Dickson City in October 2024 that prevented a serious gap in access to primary health services for the patients and families in that community, many of whom belong to vulnerable populations. Just as in North Scranton, the Dickson City Practice is sustainable and thriving today. During the covered period, TWCCH actively explored another expansion opportunity to increase access to non-discriminatory whole-person primary health services in Scranton, this time co-locating with a well-established area mental and behavioral health provider. TWCCH was invited to collaborate with Friendship House, a community governed non-profit mental health services agency. This new co-location arrangement came to fruition in November 2024 with a new TWCCH FQHC Look-Alike Health Center within Friendship House's new building located on Wyoming Avenue in downtown Scranton. This mission-aligned collaboration aims to ensure the continued expansion of access and coordination of whole-person, patient-centered primary care and behavioral health services for the convenience and benefit of patients, including for individuals with complex serious mental health and/or substance use disorder needs. These essential community provider health services are available to individuals of all ages, regardless of their insurance status, ZIP code, or ability to pay. Patients do not need to be clients of Friendship House to receive health services at TWCCH's FQHC Look-Alike Wyoming Avenue Health Center. Continuously growing and expanding primary health services and job creation during the covered period, TWCCH also took the opportunity to purchase a property adjacent to its FQHC Look-Alike Teaching Health Center in Jermyn, PA. This expansion was supported with funding from the Pennsylvania Neighborhood Assistance Program, a tax credit program that encourages businesses to invest in projects that improve distressed areas or support neighborhood conservation. TWCCH is currently engaged in planning for future development of that property to support the operations of the FQHC Look-Alike Teaching Health Center to better meet the needs of patients, families, and physician and interprofessional learners served. TWCCH implemented a number of new initiatives to enrich non-discriminatory, whole-person primary health services to better care for patients and families and to better train the physician and interprofessional healthcare workforce. In response to the ever-growing demand for mental and behavioral health services and the crucial shortage of mental and behavioral health workforce, during the reporting period, TWCCH continued to advance its efforts for primary care and behavioral health integration while nurturing grass roots partnerships and collaborations with community mental and behavioral health service providers. TWCCH strategically enhanced its mental and behavioral health service line through increasing investments in the growth of mental and behavioral health providers by encouraging psychiatry certification of its primary care nurse practitioners and physician assistants, and also recruiting additional licensed clinical social workers and licensed professional counselors. Schedules were also made visible to optimize available slots against the waiting list for appointments. TWCCH intentionally deepened its relationship with a local psychiatry practice to enhance its ability to provide primary care integrated needs-responsive mental and behavioral health services to patients and families. This psychiatry practice historically has a strong bi-directional referral relationship with TWCCH. Its psychiatrists thankfully engaged to provide contracted supervision services for TWCCH's psychiatry-certified nurse practitioners and physician assistants. Additionally, TWCCH undertook renewed strategic recruitment efforts to secure two full-time public health psychiatrists for employment with TWCCH in northeast Pennsylvania. Proudly, this work led to TWCCH being selected as one of three practices in the Commonwealth of Pennsylvania to participate in a Pennsylvania Department of Human Services grant awarded in FYE 2025 from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) promoting the Collaborative Care Model (CoCM) to integrate primary care and psychiatry services. A five year opportunity, TWCCH's participation in this grant holds much promise for innovative integration tools and methods that will positively impact health outcomes of the populations served while informing optimal business modeling to ensure long-term sustainability.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 111,742 including grants of $ 126,000)(Revenue $ 542,445)
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 TWCCH's Board of Directors, the Chair of TWCGME's Board of Directors, TWCCH's affiliate entity, and served as a volunteer director on TWCCH's other affiliated entities as well. On July 12, 2019, Mr. Ferrario resigned from TWCCH's Board of Directors and from all Boards of Directors of its affiliated organizations. At the time the lease transaction was consummated, Mr. Ferrario owned more than 35% of Wyoming Avenue Development, LLC. Mr. Ferrario's conflict of interest was fully disclosed and communicated, ethically assessed, and approved by the Board of Directors of TWCCH and TWCGME prior to entering into the transaction. The conflict of interest policy described in Form 990, Part VI, Section B, Line 12c was followed, and a legal ethics opinion approving and offering best practices for addressing and managing a conflict of interest on a non-profit board was obtained from outside legal counsel, with all guidance being followed. On July 25, 2019, the 15-year lease agreement was amended for purposes of complying with the federal New Markets Tax Credit program requirements, and TWCGME became the sole lessee of the rented space. TWCGME subleases space to TWCCH at 501 South Washington Avenue, Scranton, Pennsylvania for FQHC Look-Alike primary health services 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, utilizing additional space on the second floor of the property for educational and other activities. 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 2a COMMON PAYMASTER	TWCCH is affiliated with TWCGME (EIN: 23-2007832), sharing a mission to improve the health and welfare of our communities through responsive whole-person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. To streamline operational efficiency, TWCGME serves as the common paymaster for both TWCGME and TWCCH, adhering to IRS regulations for W-2 reporting. This consolidated payroll system covers all employees except for TWCCH's President and Chief Executive Officer, Chief Medical and Information Officer, and Chief Clinical Operating Officer, who are directly employed by TWCCH. The services of TWCCH's Chief Executive and Chief Medical and Information Officer are contracted for services as key employees/executives for TWCGME in the positions of President and CEO and SVP of Clinical Educational Integration, respectively. TWCGME reports all remaining employees on its Form W-3. Therefore, all Full-Time Equivalents (FTEs) are accurately allocated to each respective entity, avoiding duplication, based on a shared mission covenant and related staffing lease agreements.
Form 990, Part VI, Line 12a 12b, & 12c - CONFLICT OF INTEREST POLICY	A written Conflict of Interest Policy recommended by the SVP for Enterprise Integrity has been approved by the President and CEO and Board of Directors. The SVP of Enterprise Integrity and the Chief Compliance Officer work together to ensure it is reviewed, updated if necessary, and renewed annually, or more frequently when necessary or appropriate. The SVP for Enterprise Integrity, along with the Governance and Chief Compliance Officers, ensure that the Conflict of Interest Disclosure Form is completed annually by all governing board members ("directors") and officers. Together, this team, along with the VP of Human Resources, ensures that the Conflict of Interest Disclosure Form is completed annually by executive management and all staff, including but not limited to key employees of the organization. Should a conflict of interest or potential conflict arise during the year among directors and officers, the Governance Officer and the SVP for Enterprise Integrity ensure the Conflict of Interest Disclosure Form is updated to reflect the possible conflict. Potential conflicts of directors and officers, if any, are fully disclosed, vetted by internal counsel and the Audit/Compliance Committee, and reviewed by the Board, with outside ethics consultation obtained when appropriate. Education on conflicts of interest is provided to new directors and officers during Board Orientation and to the full Board annually during the review, update, and renewal of the Conflict of Interest Policy. Directors officers' compliance with the policy is monitored by the Audit/Compliance Committee of the Board and supported by the Governance Officer and SVP for Enterprise Integrity. Education on conflicts of interest, including any revisions to the Conflict of Interest Policy, is provided to new employees during orientation, and annually during the performance review process. Adherence by staff to the Conflict of Interest policy is monitored by managers with the supportive oversight of the VP of Human Resources, the SVP for Enterprise Integrity and the Chief Compliance Officer.
Form 990, Part VI, Line 11b Review of form 990 by governing body	TWCCH'S Form 990 is prepared by the senior leadership team of the Finance and Enterprise Integrity Departments with detailed review and input from the executive management team and President and CEO. The draft Form 990 is then reviewed by an independent, contracted CPA firm. The refined Form 990 is then distributed to the Audit/Compliance and Executive Committees of the Board of Directors and subsequently to the full Board of Directors for review, input, and approval for federal filing. Upon completion of this review, necessary revisions, and approval, the Form 990 is finalized, signed by the organization's President and 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 are kept in a secure location at every required operational site where they may be reviewed in hard copy upon request, consistent with IRS applicable laws, rules, and regulations.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	TWCCH contracts .25 FTE of its President and CEO to TWCGME to perform the role as President and CEO of TWCGME. The Executive Committee of the TWCCH Board leads the process for determining the compensation of The Wright Center For Community Health's (TWCCH) President & CEO, engaging a third-party external consultant to conduct a formal, periodic objective, comprehensive, organization-wide compensation study generally every three to five years. During contract negotiations with the President and CEO, the relevant components of the study are appropriately aged and supplemented by data from sources such as the American Job Center Network, Medical Group Management Association (MGMA), Form 990s of comparable organizations, and compensation surveys from the Pennsylvania and National Associations of Community Health Centers, among other relevant regional and national benchmarks. Annually, the Executive Committees collaboratively conduct a thorough performance evaluation of the chief executive officer's performance for each organization, assessing the appropriateness of salary and benefit adjustments. These adjustments, if made between contract terms, are benchmarked against publicly available comparable data. Ultimately, the chief executive officer's compensation is determined based on a robust performance evaluation, organizational performance, and careful consideration of the independent compensation study, market comparability, and financial feasibility. The Executive Committees' deliberations and decisions regarding executive compensation are meticulously documented in meeting minutes within 60 days of the evaluation's completion and the compensation determination.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	In addition to the President & CEO, the Chief Medical and Information Officer and Chief Clinical Operating Officer are directly employed by The Wright Center For Community Health (TWCCH). The compensation of all other employees, including key employees, is determined by the chief executive (TWCCH President & CEO) and the Human Resources Department, guided by a formal, periodic objective, comprehensive, organization-wide compensation study completed generally every three to five years. The VP of HR and the President & CEO may also consider additional data in determining compensation levels 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, among other regional and national benchmarks. TWCCH also leases the services of TWCCH's Chief Medical and Information Officer to TWCGME as a key employee/executive for TWCGME in the position of SVP of Clinical Educational Integration. The third-party external compensation consultant jointly engaged by TWCCH and TWCGME also includes the services of this position, like all executive positions, in its formal, periodic objective, comprehensive, organization-wide compensation study completed generally every three to five years.
Form 990, Part VI, Line 19 Required documents available to the public	The Wright Center For Community Health's (TWCCH) documents, conflict of interest policy, and financial statements are kept in a secure location and are available for public inspection 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. Hard copies are provided upon request for review. TWCCH's three most recently filed 990s, along with three sequential annual reports, are also available on its website in a downloadable format.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

THE WRIGHT CENTER MEDICAL GROUP

Employer identification number

23-2772504

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION 501 S WASHINGTON AVE STE 1000 SCRANTON,PA18505 23-2007832	SEE NARRATIVE	PA	501(c)(3)	10	NA		No
(2)THE WRIGHT CENTER ALLIANCE 501 S WASHINGTON AVE STE 1000 SCRANTON,PA18505 81-2982874	SEE NARRATIVE	PA	501(c)(3)	Type I	TWCGME	Yes
(3)PATIENT ENGAGEMENT COUNCIL 501 S WASHINGTON AVE STE 1000 SCRANTON,PA18505 81-3053323	SEE NARRATIVE	PA	501(c)(3)	7	TWCCH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

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

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

Part IV

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

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

Schedule R (Form 990) 2023

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) PATIENT ENGAGEMENT COUNCIL	B	109,630	CASH PAID

Schedule R (Form 990) 2023

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

Schedule R, Part II COLUMN B, PRIMARY ACTIVITY

NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) TWCGME, a 501(c)(3) nonprofit corporation and anchor member of a Graduate Medical Education Safety-Net Consortium (GME-SNC), serves as the independent Accreditation Council for Graduate Medical Education (ACGME)-accredited Sponsoring Institution of graduate medical education residency and fellowship programs that train primary care resident and specialty fellow physicians in a safety-net health services network of Essential Community Providers. During the reporting period, TWCGME's training programs included Internal Medicine, Family Medicine, Psychiatry, and Physical Medicine & Rehabilitation residencies and Geriatrics, Cardiovascular Disease, and Gastroenterology fellowships. TWCGME's GME-SNC strategically engages numerous partnering organizations in its governance and the training of its residents and fellows. These partners include TWCCH, TWCGME's primary affiliated Federally Qualified Health Center Look-Alike (FQHC LAL), as well as four partnering national FQHCs, numerous CMS GME-funded community-based hospital systems, our regional Veteran Affairs Medical Center, two CMS GME-funded Inpatient Rehabilitation Facilities (IRFs), our regional Northeast Pennsylvania Area Health Education Center (AHEC), community resource agencies including The Institute for Public Policy and Economic Development, and also patients of TWCCH and members of the communities served at large. TWCCH and TWCGME share a noble mission to improve the health and welfare of our communities through responsive whole-person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. PATIENT ENGAGEMENT COUNCIL D/B/A THE WRIGHT CENTER FOR PATIENT & COMMUNITY ENGAGEMENT (TWCPCE) TWCCH serves as the sole corporate member of TWCPCE, a Pennsylvania tax-exempt non-profit corporation. TWCPCE's mission is to empower patients to actively participate in the delivery, enhancement, and transformation of healthcare services and interprofessional workforce development. It aims to improve community health through education, advocacy, patient-centered services, and targeted initiatives that address patient and community resource needs that negatively impact health outcomes. NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER ALLIANCE (ALLIANCE) The Wright Center Alliance, a Pennsylvania tax-exempt non-profit corporation, was established as a supporting parent organization to The Wright Center for Graduate Medical Education (TWCGME). Its purpose is to align, enable, and optimize the shared mission delivery and community benefit impact of all affiliated non-profit Wright Center entities.

Schedule R (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,899,796	7,168,030
9	Program service revenue (Part VIII, line 2g) .........	56,601,639	61,799,185
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	192,988	816,452
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	151,052	200,366
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	64,845,475	69,984,033
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,248,946	1,197,894
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	29,417,725	30,278,387
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	27,515,157	32,213,701
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	58,181,828	63,689,982
19	Revenue less expenses. Subtract line 18 from line 12.......	6,663,647	6,294,051
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	44,888,850	47,089,679
21	Total liabilities (Part X, line 26).............	14,231,400	10,138,178
22	Net assets or fund balances. Subtract line 21 from line 20.....	30,657,450	36,951,501

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 30,162,960 including grants of $ 0 ) (Revenue $ 61,256,740 )
	CLINICAL SERVICES: A U.S. Health Resources and Services Administration (HRSA) designated Federally Qualified Health Center Look-Alike (FQHC Look-Alike), The Wright Center For Community Health (TWCCH) submitted its required annual Uniform Data System reports providing the impact metrics of TWCCH's Patient-Centered Medical Home provision of fully-integrated and comprehensive whole-person non-discriminatory primary health services, regardless of ZIP code, insurance status, or ability to pay. During the covered period, TWCCH served 36,734 unique patients and engaged in 132,909 total billable visits between July 2023 and June 2024, which included 85,294 medical visits, 14,443 behavioral health visits, 13,696 dental visits, and 19,476 inpatient hospital visits. These numbers include house calls and also visits in Skilled Nursing, Assisted Living, Inpatient and Transitional Rehabilitation, 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. TWCCH has executed Memoranda of Understanding and Shared Care Compacts with numerous primary and specialty medical, dental, mental, behavioral, and substance use disorder health service providers, hospitals, integrated delivery systems, nursing homes, home health and community-based resource agencies that comprise an extensive, enriched, non-discriminatory resource network. TWCCH is 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. TWCCH offers robust primary medical, geriatric, rheumatological, mental, behavioral, dental, infectious disease, and Ryan White health services within the PCMH framework, coordinating a full spectrum of comprehensive, whole-person health services for our patients. TWCCH is deeply invested in community-based living and aging in place, and offers the empowering services of community health workers, medical assistants, certified recovery specialists, enrollment service providers, spiritual aides, case workers, and nurse care managers to optimize resources in improving the health and welfare of the patients and families it serves. TWCCH cares for the entire age spectrum of patients in thirteen FQHC Look-Alike Teaching Health Centers staffed with mission-driven interprofessional care teams that also provide house calls and hospitalist, skilled nursing facility, hospice, and inpatient acute rehabilitation services for our patients in partnering community-based institutions. TWCCH's collaborative care teams integrate Family Medicine, Pediatrics, Internal Medicine, Rheumatology, Infectious Disease, Addiction Medicine, Obesity Medicine, Nutrition, and Geriatrics board certified physicians, complemented by primary care trained Physician Assistants and Nurse Practitioners trained in primary care, geriatrics, mental and behavioral health, and addiction treatment and recovery services. Progressive careers of RNs and LPNs, Medical Assistants, Community Health Workers, Enrollment Specialists, Certified Recovery Specialists, Mental Health Peer Specialists, Case Workers, Medical and Licensed Clinical Social Workers, 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 that we provide to patients and families. Enriched primary care services with specialty integration activities allow TWCCH to expand non-discriminatory access for patients and interprofessional learners to partnering specialty providers. Central to TWCCH's mission is a deep commitment to community immersion, recognizing that genuine impact stems from strategies designed in close proximity to the needs of those we serve. This central characteristic of our GME-SNC model is exemplified by our strategic co-location of clinical practices within vital community hubs. For instance, our co-location with two legacy public mental health service agencies allows us to address the complex needs of patients grappling with serious mental illness, adverse experiences, and multifaceted co-morbidities and non-medical challenges. Similarly, TWCCH has a clinical presence within a public school setting in our service area that underscores the critical role of school-based health services. By offering accessible medical, mental, dental, and well-being resources to students, families, school employees, and the wider community, we remove barriers to fundamental primary health services, while fostering a nurturing environment conducive to learning and well-being. This integrated approach ensures that healthcare is not just delivered, but embedded within the very fabric of the communities served, enabling us to proactively address health care services and health care career access needs and challenges. Pipeline recruitment from the communities served promotes concordance from the workforce with the populations served, empowering recruitment from, retention in, and restoration of the communities.

4b	(Code: ) (Expenses $ 17,511,451 including grants of $ 0 ) (Revenue $ 0 )
	340B DRUG PRICING PROGRAM: To further enhance our high integrity reinvestment of 340B resources into service delivery for patients and families, TWCCH began its re-assessment of the intentional allocation of 340B revenues. As a long-standing participant in the US Department of Health and Human Services 340B Drug Pricing Program as a Ryan White Program HRSA grantee and Title X service provider, The Wright Center For Community Health (TWCCH) has consistently prioritized affordable access to medication. However, with its designation as a FQHC Look-Alike effective June 1, 2019, TWCCH expanded its 340B participation across primary care, enhancing and enriching the non-discriminatory whole-person primary health services we provide. This critically important federal program enables eligible healthcare providers to purchase outpatient prescription drugs at reduced prices from pharmaceutical manufacturers. This discount is then passed on to qualifying patients through partnerships with participating pharmacies, thereby increasing access to essential medications for vulnerable populations. Patient eligibility for 340B discounts is determined based on income and demonstrated hardship, ensuring that those with the greatest need receive crucial support. Critical 340B Program revenues generated through Ryan White and FQHC Look-Alike services are strategically reinvested in each respective program to enhance and enrich the non-discriminatory, comprehensive, whole-person primary health services TWCCH provides to improve health outcomes, expand access to essential community provider health services, reduce emergency department utilization, and reduce the overall costs of TWCCH's health care system. Furthermore, 340B revenues fuel impactful community outreach initiatives strategically designed to address the non-medical factors that influence health outcomes and promote whole-person wellness. These initiatives include health fairs, free screenings (e.g., blood glucose, blood pressure, Body Mass Index (BMI), and cholesterol), pop-up food and clothing pantries, and targeted public health education campaigns. TWCCH focuses on empowering vulnerable populations with chronic conditions such as substance use disorder, HIV/AIDS, Hepatitis C, obesity, diabetes, and ischemic heart disease to adopt healthier nutritional habits and lifestyles. Specifically, Ryan White-related 340B funding provides comprehensive support to individuals living with HIV/AIDS, encompassing medical, laboratory, and telehealth services, medical case management, home-delivered meals, insurance premium assistance, emergency financial aid, mental health, transportation services, and expanded dental care.

4c	(Code: ) (Expenses $ 5,361,893 including grants of $ 1,071,894 ) (Revenue $ 0 )
	GRANT PROGRAMS: The Wright Center for Community Health (TWCCH) is a FQHC Look-Alike, non-profit, tax-exempt 501(c)(3) Teaching Health Center that passionately applies for mission-aligned and mission-amplifying federal, state, local, and philanthropic agencies' grant funding initiatives as needed and appropriate to ensure, accelerate, and further the delivery of TWCCH's noble mission to improve the health and welfare of our communities through responsive whole-person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. TWCCH rigorously evaluates all potential grant initiatives, ensuring mission alignment with community health needs and demonstrating feasibility, measurable outcomes, and long-term sustainability. Driven by an unwavering commitment to authenticity, integrity, and the highest stewardship and accountability standards, we cultivate strategic partnerships with local, regional, state, and national funders. This collaborative approach fosters unprecedented, high-impact, cross-organizational synergies and collaborations, promoting shared purpose, accountability, and collective action strategies. TWCCH is dedicated to demonstrating responsible and transformational stewardship of public resources, effectively addressing community health needs and driving tangible improvements in population health, non-discriminatory and affordable essential community provider health services, and overall community well-being. The following detailed information of material grant-funded programs supports those grants listed on Schedule B: A.T. Still University - School of Osteopathic Medicine in Arizona - Primary Care Training and Enhancement (Total: $9,000) Purpose of Assistance: A.T. Still University's School of Osteopathic Medicine in Arizona (ATSU-SOMA) awarded funds to The Wright Center for Community Health through a subaward of a Health Resources and Services Administration Primary Care Training and Enhancement grant. This funding supports clinical and administrative leadership in building and nurturing the seamless integration of behavioral and mental health services into primary care, delivering fully integrated, whole-person health services within clinical learning environments for ATSU-SOMA medical students. American Cancer Society - Prevention and Screening - Early Detection of Colorectal Cancer (Total: $20,000) Purpose of Assistance: The American Cancer Society (ACS) awarded funds to The Wright Center for Community Health to collaborate with ACS staff in enhancing cancer prevention and screening navigation. The focus of this project is early detection of colorectal cancer, including care coordination, patient education, and transportation costs to reduce barriers to screening for patients between the ages of 45 and 75. The funds are used for personnel, including the Director of the Geriatric Service Line, who served as a clinical champion for colorectal cancer screening awareness, and RevSpring, a platform for sending patients regular automated reminders for screening appointments. American Medical Association - Using AI to Train Family Medicine Residents in Population Behavioral Health (Total: $25,000) Purpose of Assistance: The American Medical Association awarded funds to The Wright Center for Community Health to participate in the ChangeMedEd Consortium, a group committed to systematic change to better train future physicians. The project uses data analysis and artificial intelligence to improve how family medicine residents learn about population behavioral health services, aligning with medical standards and correlating their performance with patient outcomes in a Community Health Center setting. Appalachian Regional Commission - Job Training for Adults in Recovery (Total: $92,938) Purpose of Assistance: The Appalachian Regional Commission awarded funds to The Wright Center for Community Health to address the substance use disorder crisis by expanding a recovery ecosystem, leading to workforce entry or reentry. Enhanced job training is provided for Certified Peer Recovery Support Specialists and Community Health Workers in conjunction with The Institute for Public Policy and Economic Development, Area Health Education Center, Luzerne County Community College, and other community partners. The goal of this grant is to improve the education, knowledge, skills, and health of residents so they can 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, American Rescue Plan Act - Training for Health Center Employees to Develop a Trauma-Responsive Community (Total: $6,316) Purpose of Assistance: The City of Scranton awarded American Rescue Plan Act (ARPA) funds, through the Non-Profit Grant Program, to The Wright Center for Community Health (TWCCH) to offset the Sanctuary Institute training costs. The Sanctuary Model is a blueprint for clinical and organizational change, which, at its core, promotes safety and recovery from adversity by actively creating a trauma-responsive community. This grant is designed to help our frontline workforce, including providers and staff, overcome challenges caused by the COVID-19 Pandemic.

	(Code: ) (Expenses $ 111,742 including grants of $ 126,000 ) (Revenue $ 542,445 )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 111,742 including grants of $ 126,000 ) (Revenue $ 542,445 )
4e	Total program service expenses53,148,046

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	3,992,015	2,243,479	596,658

		Business Code
2a	NET PATIENT SERVICES REVENUE	621400	56,924,959	56,924,959
b	TEACHING REVENUE	621400	4,331,781	4,331,781
c	OTHER PROGRAM SERVICE REVENUE	621400	542,445	542,445
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		61,799,185

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	393
6	Total number of volunteers (estimate if necessary) .............	6	18
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

1a	Federated campaigns..		1a	1,381,406
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,192,606
e	Government grants (contributions)		1e	4,233,760

f	All other contributions, gifts, grants, and similar amounts not included above		1f	360,258

g	Noncash contributions included in lines 1a - 1f:$		1g	29,549

h Total. Add lines 1a-1f.......		7,168,030

3 Investment income (including dividends, interest, and othersimilar amounts) ......			816,452			816,452
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	19,507
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	19,507	0
d	Net rental income or (loss).......			19,507			19,507
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c	0	0
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MISCELLANEOUS REVENUE		900099	148,522			148,522
b	PURCHASE DISCOUNTS		900099	32,337			32,337
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			180,859
12	Total revenue. See instructions.....			69,984,033	61,799,185	0	1,016,818

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	475,297	475,297
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	722,597	722,597
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	3,173,085	2,658,528	514,557
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	21,678,399	17,064,564	4,613,835
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,449,612	1,091,525	358,087
9	Other employee benefits .......	2,349,946	1,689,748	660,198
10	Payroll taxes ...........	1,627,345	1,238,493	388,852
11	Fees for services (non-employees):
a	Management ......	3,443,171	3,443,171
b	Legal .........	6,198	6,198
c	Accounting ...........	153,489		153,489
d	Lobbying ...........	69,198		69,198
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,568,575	720,743	847,832	0
12	Advertising and promotion ....	171,478	167,761	3,717
13	Office expenses .......	411,918	357,873	54,045
14	Information technology ......	328,853	248,004	80,849
15	Royalties ..
16	Occupancy ...........	1,733,302	1,256,797	476,505
17	Travel ............	37,974	37,059	915
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	80,365	65,476	14,889
20	Interest ...........	166,701	125,559	41,142
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	692,639	692,639
23	Insurance ...	578,469	483,221	95,248
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICATION EXPENSE	12,714,794	12,714,794
b	ADMINISTRATION & SUPPORT	6,057,066	4,438,168	1,618,898
c	DIRECT MEDICAL EXPENSE	3,136,334	2,935,464	200,870
d	REPAIRS & MAINTENANCE	616,237	307,013	309,224
e	All other expenses	246,940	207,354	39,586	0
25	Total functional expenses. Add lines 1 through 24e	63,689,982	53,148,046	10,541,936	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1,250	1	1,400
2	Savings and temporary cash investments .........			14,983,188	2	13,072,901
3	Pledges and grants receivable, net ......			3,821,627	3	3,259,293
4	Accounts receivable, net .............			6,451,187	4	7,236,946
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6	0
7	Notes and loans receivable, net ...........			6,284,150	7	6,284,150
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			23,477	9	79,849
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	17,336,679
b	Less: accumulated depreciation	10b	3,649,793	9,512,134	10c	13,686,886
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			3,811,837	15	3,468,254
16	Total assets. Add lines 1 through 15 (must equal line 33)...			44,888,850	16	47,089,679

17	Accounts payable and accrued expenses .....	3,344,967	17	3,856,787
18	Grants payable ...		18
19	Deferred revenue .........	151,455	19	63,444
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	3,589,357	23	1,287,635
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	7,145,621	25	4,930,312
26	Total liabilities. Add lines 17 through 25..	14,231,400	26	10,138,178

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	30,609,362	27	36,389,825
28	Net assets with donor restrictions ...........	48,088	28	561,676
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	30,657,450	32	36,951,501
33	Total liabilities and net assets/fund balances ........	44,888,850	33	47,089,679