2024-05-13T14:11:35-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 232007832 THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION % SANDRA YASTREMSKI CFO WRIG 5703432383 501 S WASHINGTON AVENUE Suite 1000 SCRANTON PA 18505 LINDA THOMAS-HEMAK MD PRESIDENT 1111111111 2024-03-31 true LINDA THOMAS-HEMAK XXX-XX-XXXX Krystal K Creach P01248198 4178658701 3 2022 2023-04-26 12:10:37Z LINDA THOMAS-HEMAK MD 501 S WASHINGTON AVENUE SCRANTON PA 18505 45354258 false X THEWRIGHTCENTER.ORG X 1976 PA THE MISSION OF THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) IS TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE. SEE SCHEDULE O FOR MORE. 17 16 447 22 0 0 19850852 21445463 17576749 19268341 293345 524813 1885068 2589826 39606014 43828443 38106 267817 0 0 26350776 28377333 0 0 0 11877024 13204792 38265906 41849942 1340108 1978501 27756136 34173526 14440652 18512266 13315484 15661260 X SEE SCHEDULE O. true false 15295156 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) FUNDING: A COMMUNITY-BASED AND GOVERNED, PHYSICIAN-LED, 501(C)(3) NONPROFIT ORGANIZATION, TWCGME IS AN ANCHORING EDUCATIONAL MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) STRIVING TO ADDRESS OUR NATION'S PRIMARY CARE PHYSICIAN SHORTAGE AND MIS-DISTRIBUTION, AND RELATED HEALTH, HEALTHCARE, AND CAREER ACCESS DISPARITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 11564906 13340241 CMS AND VA FUNDING FOR GRADUATE MEDICAL EDUCATION: AS A COMMUNITY-BASED, PHYSICIAN-LED NONPROFIT ORGANIZATION STRIVING TO ADDRESS OUR NATION'S PRIMARY CARE PHYSICIAN SHORTAGE AND RELATED HEALTH, HEALTHCARE, AND HEALTHCARE CAREER ACCESS DISPARITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 439465 194317 GRANT PROGRAMS: TWCGME IS A NONPROFIT, TAX-EXEMPT 501(C)(3) THAT PASSIONATELY APPLIES FOR MISSION-ALIGNED AND MISSION-AMPLIFYING FEDERAL, STATE, LOCAL, AND PHILANTHROPIC AGENCIES' GRANT FUNDING INITIATIVES AS NEEDED AND APPROPRIATE TO ENSURE, ACCELERATE, AND FURTHER THE DELIVERY OF OUR MISSION TO IMPROVE THE HEALTH AND WELFARE OF OUR COMMUNITIES THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 235311 73500 5928100 SEE NARRATIVES 235311 73500 5928100 27534838 true true false true false false false false false false true false false true true false true false false false false false false false false false false true false true false false false false false false false false false false false false false true true false false false true X 84 0 true 447 true false false false false false false false false false false false false X 17 16 false false false false true true false true true false false true true true true true true true true false PA X X SANDRA YASTREMSKI CFO 5703432383 501 S WASHINGTON AVE STE 1000 SCRANTON PA 18505 LINDA THOMAS-HEMAK MD PRESIDENT & CEO 15.0 40.0 X X 226090 678269 41372 JIGNESH SHETH MD SVP CLINICAL OPERATIONS/PHY 15.0 40.0 X 148182 444547 41372 WILLIAM DEMPSEY MD ASSOCIATE PROGRAM DIRECTOR/PHY 5.0 50.0 X 35983 323850 38608 JUMEE BAROOAH MD DIO AND PHYSICIAN/ NON VOTING 25.0 30.0 X 148734 197158 40741 VINOD SHARMA MD PROGRAM DIRECTOR/PHYSICIAN 30.0 25.0 X 172243 172243 39077 ENRIQUE SAMONTE MD PROGRAM DIRECTOR/PHYSICIAN 5.0 50.0 X 35157 284451 36748 TIMOTHY BURKE DO PROGRAM DIRECTOR/PHYSICIAN 20.0 35.0 X 116796 198868 38726 MAUREEN LITCHMAN MD ASSOCIATE PROGRAM DIRECTOR/PHY 15.0 40.0 X 96285 224665 29495 JENNIFER WALSH ESQ SVP ENT COMP INTEG 55.0 0.0 X 319624 0 27860 RONALD DANIELS CPA CFO 55.0 0.0 X 309658 0 34699 RAJIV BANSAL MD DIRECTOR OF HOSPITAL SERVICES 5.0 50.0 X 34896 255902 37086 JOHN JANOSKY CHIEF INFORMATION OFFICER 55.0 0.0 X 266342 0 32932 DEBORAH SPRING MD ASSOCIATE PROGRAM DIRECTOR/PHY 5.0 50.0 X 31849 233562 32666 JOSEPH SILEO ESQ SVP LEGAL SERVICES & GENERAL C 55.0 0.0 X 266467 0 19919 MEAGHAN RUDDY PHD CHIEF R&D OFFICER & SVP ACADEM 40.0 15.0 X 184820 61607 30135 VENARD KOERWER PHD EVP & CHIEF ADMINISTRATIVE OFF 55.0 0.0 X 226190 0 10076 CAROL RUBEL SECRETARY 5.0 1.0 X X 0 0 0 DEBRA YOUNGFELT DIRECTOR 1.0 0.0 X 0 0 0 DOUGLAS SPEGMAN MD DIRECTOR 1.0 0.0 X 0 0 0 ELENI O'DONOVAN MD DIRECTOR 1.0 0.0 X 0 0 0 GERTRUDE MCGOWAN ESQ DIRECTOR END 03/23 1.0 0.0 X 0 0 0 HAROLD BAILLIE PHD CHAIRMAN 5.0 0.0 X X 0 0 0 JAMES GAVIN VICE CHAIR 5.0 1.0 X X 0 0 0 JOHN KEARNEY TREASURER END 05/23 5.0 0.0 X X 0 0 0 JUDY FEATHERSTONE MD DIRECTOR 1.0 0.0 X 0 0 0 KEVIN SULLIVAN DIRECTOR END 12/22 1.0 0.0 X 0 0 0 KIM PATTON DIRECTOR 1.0 0.0 X 0 0 0 LIA RICHARDS-PALMITER PHD DIRECTOR END 09/22 1.0 0.0 X 0 0 0 MICHAEL CURRAN DIRECTOR BEG 05/23 1.0 0.0 X 0 0 0 MICHAEL PAGLIA MD PHD DIRECTOR 1.0 0.0 X 0 0 0 PATRICK CONABOY MD DIRECTOR END 09/22 1.0 0.0 X 0 0 0 PETER AMATO PHD DNM DIRECTOR BEG 05/23 1.0 0.0 X 0 0 0 RONALD BUKOWSKI DIRECTOR 1.0 0.0 X 0 0 0 SCOTT SCHERMERHORN DIRECTOR BEG 12/22 1.0 0.0 X 0 0 0 SHARON OBADIA DO DIRECTOR 1.0 0.0 X 0 0 0 TERI OOMS TREASURER BEG 06/23 5.0 0.0 X X 0 0 0 THOMAS BISIGNANI DIRECTOR END 05/23 1.0 0.0 X 0 0 0 ARIANE CONABOY DO DIRECTOR BEG 09/22 1.0 0.0 X 0 0 0 2619316 3075122 531512 18 false true false UNITY HEALTH CARE INC 1100 NEW JERSEY AVENUE SE SUITE 5 WASHINGTON DC 20003 PROFESSIONAL FEES 942289 EL RIO HEALTH 1230 S CHERRYBELL STRA TUCSON AZ 85713 PROFESSIONAL FEES 730729 HEALTH POINT 923 AUBURN WAY NORTH AUBURN WA 98002 PROFESSIONAL FEES 728229 HEALTH SOURCE OF OHIO 424 WARDS CORNER ROAD SUITE 200 LOVELAND OH 45140 PROFESSIONAL FEES 343330 PAYLOCITY CORPORATION 1400 AMERICAN LANE SCHAUMBURG IL 60173 PROFESSIONAL FEES 216115 7 126000 21312796 6667 21445463 RESIDENCY PROGRAM REV 611310 13340241 13340241 SUPPORT SERVICE REVENUE 561000 5752897 5752897 IRB AND RESEARCH FEES 611310 8100 8100 OTHER REVENUE 611310 167103 167103 19268341 321145 321145 0 0 1005875 346951 658924 0 658924 658924 1382532 1178864 203668 203668 203668 0 0 0 0 0 0 0 0 0 INCOME ON EQUITY INVESTEE 900099 1930902 1930902 1930902 43828443 19268341 3114639 267817 267817 0 0 0 2145668 615158 1530510 0 21217308 15299145 5918163 957958 364831 593127 2510782 1874790 635992 1545617 896230 649387 0 293623 27980 265643 127092 127092 97822 97822 0 32587 32587 2810094 2063561 746533 142526 17955 124571 290454 20177 270277 580811 138992 441819 0 293404 354 293050 254820 114072 140748 0 729984 445478 284506 159556 159556 0 1071513 1071513 988181 961890 26291 Learning Environments - THC 4160156 4160156 Repairs and Maintenance 645318 25187 620131 Dues and Memberships 244220 175652 68568 Recruitment Expense 210508 60025 150483 72123 5388 66735 41849942 27534838 14315104 0 4613370 21474 0 8405748 244912 1221573 2084048 1640062 0 0 0 0 0 0 0 0 212345 298286 8390658 3899214 5542318 4491444 8404682 9898316 0 0 363144 323859 0 0 6291317 7872764 27756136 34173526 3748466 2553482 0 0 0 72456 0 0 0 0 0 0 8620644 8669832 0 0 2071542 7216496 14440652 18512266 X 13315484 15661260 0 0 13315484 15661260 27756136 34173526 1978501 367275 X false true X true false X 16798105 17334945 23651071 19850852 21445463 99080436 13415299 14787588 17692901 17576749 19268341 82740878 0 0 0 30213404 32122533 41343972 37427601 40713804 181821314 0 0 0 181821314 149433 703373 1096841 1131212 1327020 4407879 0 149433 703373 1096841 1131212 1327020 4407879 0 37676 862117 1226144 1930902 4056839 30362837 32863582 43302930 39784957 43971726 190286032 0.95552 0.96950 0.02316 0.01830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 97822 97822 27534838 27632660 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 125409 90360 79484 97822 393075 250000 250000 250000 250000 1000000 1500000 FORM 990, SCHEDULE C, PART IV, SUPPLEMENTAL INFORMATION POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES: TWCGME ENGAGES COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) AND ERG PARTNERS TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR MISSION-ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT POLICIES AND PROGRAMS, INCLUDING LEGISLATION SUPPORTING THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM, AND OTHER FEDERAL AND STATE PUBLIC HEALTH AND HEALTH WORKFORCE DEVELOPMENT PROGRAMS. TWCGME PAID COZEN O'CONNOR $45,000 AND ERG PARTNERS $4,500 FOR THESE SERVICES, AMOUNTS THAT ARE INCLUDED IN THE TOTAL REFLECTED ON TWCGME'S FORM 990. IN ADDITION TO COZEN AND ERG PARTNERS, THREE PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH STATE AND FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR MISSION-ALIGNED PRIMARY CARE AND PUBLIC HEALTH WORKFORCE DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC MISSION-ALIGNED PRIMARY CARE AND PUBLIC-HEALTH SERVICES AND WORKFORCE DEVELOPMENT-ORIENTED LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING MISSION-ALIGNED PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND, IN SOME CASES, PRIMARY CARE AND PUBLIC HEALTH SERVICES AND WORKFORCE DEVELOPMENT LEGISLATION. MOREOVER, DURING THE 2022-2023 FISCAL YEAR, THERE WAS A SMALL GROUP OF OTHER PAID STAFF, INCLUDING BUT NOT LIMITED TO TWCCH'S PRESIDENT & CEO AND A CHIEF RESIDENT AND RESIDENT LEADER OF ADVOCACY, WHO PARTICIPATED IN ADVOCACY AND LOBBYING ACTIVITIES TO PROMOTE SPECIFIC MISSION-ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT LEGISLATION ON SEVERAL OCCASIONS. IN ALL, TWCGME DIRECTLY SPENT $64,822 ON REPORTABLE LOBBYING ACTIVITIES. ADDITIONALLY, TWCGME IS A CORPORATE MEMBER OF THE AMERICAN ASSOCIATION OF TEACHING HEALTH CENTERS (AATHC), A 501(C)(6) TAX EXEMPT ENTITY. DURING THE REPORTING PERIOD, $33,000 OF DUES PAID TO AATHC WAS DEDICATED TO REPORTABLE LOBBYING ACTIVITIES. TWCCH ALSO ENGAGES THE FIRM OF COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) AND ERG PARTNERS TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR PUBLIC HEALTH IMPROVEMENT POLICIES AND PROGRAMS, INCLUDING LEGISLATION SUPPORTING THE FUNDING OF FEDERALLY QUALIFIED HEALTH CENTERS AND LOOK-ALIKES AND THE NATIONAL HEALTH SERVICE CORPS (NHSC) LOAN REPAYMENT PROGRAM (COLLECTIVELY, "PUBLIC HEALTH PROGRAMS''). TWCCH PAID COZEN $45,000 AND ERG PARTNERS $4,500 DURING THE FISCAL YEAR THROUGH TWCGME, ITS AFFILIATED ENTITY AND COMMON PAYMASTER, FOR THESE SERVICES. THESE AMOUNTS ARE INCLUDED IN THE TOTAL REFLECTED ON TWCCH'S FORM 990. IN ADDITION TO COZEN AND ERG PARTNERS, THREE PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR FEDERALLY-FUNDED PRIMARY CARE AND PUBLIC HEALTH AND PRIMARY CARE WORKFORCE DEVELOPMENT PROGRAMS AND, IN SOME INSTANCES, TO LOBBY FOR SPECIFIC PRIMARY CARE AND PUBLIC-HEALTH SERVICES AND WORKFORCE DEVELOPMENT LEGISLATION. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING PRIMARY CARE AND PUBLIC HEALTH PROGRAMS AND, IN SOME CASES, PRIMARY CARE AND MISSION-ALIGNED PUBLIC HEALTH-ORIENTED LEGISLATION. MOREOVER, DURING THE 2022-2023 FISCAL YEAR, THERE WAS A SMALL GROUP OF OTHER PAID STAFF, INCLUDING BUT NOT LIMITED TO TWCCH'S PRESIDENT & CEO, A CHIEF RESIDENT AND RESIDENT LEADER OF ADVOCACY, WHO PARTICIPATED IN ADVOCACY AND LOBBYING ACTIVITIES TO PROMOTE SPECIFIC MISSION ALIGNED PUBLIC HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT LEGISLATION ON SEVERAL OCCASIONS. IN ALL, TWCCH DIRECTLY SPENT $60,609 ON REPORTABLE LOBBYING ACTIVITIES. 4010550 1032091 2978459 4380108 2867123 1512985 4491444 DUE FROM AFFILIATES 3312450 RESTRICTED CASH 96349 ROU - LEASE ASSET 4463965 7872764 0 DEFERRED COMPENSATION 2714156 ROU - LEASE LIABILITY 4502340 7216496 44510082 367275 367275 44142807 32587 -346951 -314364 43828443 42164306 346951 346951 41817355 32587 32587 41849942 SCHEDULE D, PART X, LINE 2 THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2023 AND 2022. SCHEDULE D, PART XI, LINE 4B REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT LINE 1: $ (346,951) RENTAL EXPENSES SCHEDULE D, PART XII, LINE 2D EXPENSES INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 346,951 RENTAL EXPENSES true COMMONWEALTH DENTAL CARE INITIATIVE 425 BIDEN STREET 200 SCRANTON PA 18503 884372847 501(C)(3) 12500 SEE NARRATIVES NATIVITYMIGUEL SCHOOL OF SCRANTON 2300 ADAMS AVENUE SCRANTON PA 18509 463590340 501(C)(3) 37500 SEE NARRATIVES SCRANTON TOMORROW 307 LINDEN STREET SCRANTON PA 18503 232701934 501(C)(3) 17500 SEE NARRATIVES THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVEL 85 S MAIN STREET 201 WILKESBARRE PA 18701 240795506 501(C)(3) 6000 SEE NARRATIVES WYCKOFF HEIGHTS MEDICAL CENTER 374 STOCKHOLM STREET BROOKLYN NY 11237 111631837 501(C)(3) 194317 SEE NARRATIVES 5 SCHEDULE I, PART I, LINE 2 GRANT MONITORING: THE ORGANIZATION HAS A GRANTS DEPARTMENT THAT MONITORS THE USE OF GRANT FUNDS THROUGH COMPREHENSIVE GRANTS MANAGEMENT AND COMPLIANCE PROCESSES. APPROPRIATE MONITORING IS IN PLACE TO METICULOUSLY TRACK AND REPORT TO GRANTORS AS REQUIRED BY THE TERMS OF EACH RESPECTIVE GRANT. OUR GRANTS DEPARTMENT LEADERSHIP HAS CREATED A VETTING MATRIX THAT IS USED TO DETERMINE MISSION ALIGNMENT, FEASIBILITY, AND LOGISTICAL TIMING AND CAPACITY FIT, ACHIEVABILITY, AND SUSTAINABILITY FOR ANY POTENTIAL GRANT OPPORTUNITY. STRATEGIC LOGIC MODELS, STAGE-GATE ANALYSIS, PROJECT PLANNING, AND MANAGEMENT OVERSIGHT INCLUDES THE MAPPING OF COLLABORATIVE NECESSARY PARTNERS FOR DELIVERING GRANT OUTCOMES INTO LONGVIEW INTEGRATION STRATEGIES FOR SUSTAINABLE, STANDARDIZABLE WORK, THEREBY ENSURING FEASIBILITY, READINESS, SUSTAINABILITY, AND ACTUALIZATION OF OUR COMMITMENT TO HIGH-INTEGRITY STEWARDSHIP OF PUBLIC AND PRIVATE FUNDING. BOTH TWCGME AND ITS PRIMARY AFFILIATE TWCCH ENSURE ALL REQUIRED GRANT-RELATED AUDITING BY AN INDEPENDENT AUDITOR IS COMPLETED, INCLUSIVE OF ANY MANDATORY SINGLE AUDITS FOR GRANTS THAT EXCEED FEDERAL THRESHOLDS. DESPITE HAVING VALIDATED HRSA THCGME'S FEDERAL PROGRAMMATIC EXEMPTION FROM SINGLE AUDIT REQUIREMENTS, TWCGME ACTUALLY ALSO VOLUNTARILY INVESTS AND ENGAGES IN A YEARLY SINGLE AUDIT EQUIVALENT FOR ITS HRSA THCGME PROGRAM TO ENSURE THE HIGHEST COMPLIANCE AND STEWARDSHIP AUTHENTICITY. ALTHOUGH DIRECTED BY OUR CURRENT AUDITORS NOT TO SUBMIT THIS VOLUNTARY AUDIT TO THE FEDERAL CLEARING HOUSE, WE BELIEVE THIS SINGLE AUDIT EQUIVALENT PROCESS FOR THE THCGME PROGRAM IS VALUABLE TO OUR NATIONAL GME FINANCIAL STEWARDSHIP AND PUBLIC ACCOUNTABILITY CONVERSATIONS. THE GRANTS DEPARTMENT DEVELOPED A PROJECT MANAGEMENT OFFICE IN APRIL 2021 TO FOCUS ON SPONSORED PROJECT IMPLEMENTATION, MONITORING, AND COMPLIANCE, AND INTEGRATING STANDARDIZED USE OF SMARTSHEET PROJECT MANAGEMENT SOFTWARE FOR TRACKING AND DASHBOARD VISUALIZATIONS OF GRANT PROCESSES, CENTRALIZED EXPENSE TRACKING, AND OUTCOMES METRICS. TWCGME AND TWCCH ARE COMPLIANT WITH ALL FEDERAL, STATE, COUNTY, AND PRIVATE PHILANTHROPY REPORTING REQUIREMENTS FOR ALL GRANTS. FOR ALL COVID-19 PANDEMIC-RELATED FUNDING, TWCGME AND TWCCH CONTINUE TO EFFECTIVELY AND METICULOUSLY UTILIZE A NATIONALLY ESTABLISHED FUNDING MATRIX CROSS-WALK PLATFORM THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND A WELL-RESPECTED NATIONAL ACCOUNTING FIRM FOR THIS PURPOSE. SCHEDULE I, PART II, COLUMN H COMMONWEALTH DENTAL CARE INITIATIVE ($12,500) TWCGME, ALONG WITH ITS AFFILIATED ENTITY, TWCCH, EACH CONTRIBUTED $12,500 TO THE COMMONWEALTH DENTAL CARE INITIATIVE (CDCI), A PENNSYLVANIA NON-PROFIT CORPORATION WHOSE MISSION IS TO "DEVELOP A NEW COST-EFFECTIVE INNOVATIVE DENTAL SCHOOL IN NEPA SERVING RURAL PATIENTS, THE UNDERSERVED, AND VETERANS, WHILE PROVIDING PREFERENTIAL ADMISSION TO PENNSYLVANIA RESIDENTS WITH A PROPENSITY TO LIVE AND PRACTICE DENTISTRY IN RURAL AREAS OF THE STATE." CDCI COMMISSIONED AN INDEPENDENT STUDY TO EVALUATE THE FEASIBILITY OF ESTABLISHING A NEW AND INNOVATIVE DENTAL SCHOOL IN NORTHEAST PENNSYLVANIA TO BETTER SERVE VULNERABLE POPULATIONS, ESPECIALLY IN THE STATE'S RURAL AREAS. SPECIFICALLY, THE GOAL OF THIS FEASIBILITY STUDY AND ECONOMIC IMPACT STATEMENT WAS TO EVALUATE THE FEASIBILITY OF DEVELOPING A NEW COST-EFFECTIVE AND INNOVATIVE DENTAL SCHOOL IN NEPA SERVING RURAL, UNDERSERVED, AND MILITARY VETERAN PATIENTS. THE CDCI THEREAFTER RETAINED TRIPP UMBACH, A NATIONAL LEADING HEALTH SCIENCE EDUCATION CONSULTING FIRM, TO EVALUATE THE OPPORTUNITY TO DOCUMENT THE UNMET ORAL HEALTH NEEDS OF ALL RELEVANT POPULATIONS IN NORTHEAST PENNSYLVANIA AND THE FEASIBILITY OF CDCI'S ACADEMIC ENTERPRISE INITIATIVE. IN COLLABORATION WITH AN APPROPRIATE LOCAL UNIVERSITY SPONSOR, THE CDCI AIMS TO CREATE A HUB-AND-SPOKE MODEL OF EDUCATION AND CLINICAL CARE WITH REGIONAL COMMUNITY HEALTH CENTERS, SPECIFICALLY FOCUSED ON BETTER SERVING THE STATE'S RURAL AREAS AND VULNERABLE POPULATIONS. NATIVITYMIGUEL SCHOOL OF SCRANTON ($37,500) THE WRIGHT CENTER SPONSORED THE ANNUAL NATIVITYMIGUEL SCHOOL OF SCRANTON'S 5TH ANNUAL TRIBUTE DINNER, WHICH WAS HELD ON OCT. 27, 2022, IN HONOR OF DR. ROBERT E. WRIGHT, THE NAMESAKE FOUNDER OF THE WRIGHT CENTERS FOR GRADUATE MEDICAL EDUCATION AND COMMUNITY HEALTH, AND HIS LATE WIFE, CAROLE. THE COUPLE SHEPHERDED THIS SCHOOL SERVING STUDENTS OF GREATER ECONOMIC NEED FROM THE SCRANTON AND WILKES-BARRE AREA PENNSYLVANIA AND STRIVING TO BREAK CYCLES OF POVERTY ONE STUDENT AT A TIME FROM CONCEPT TO REALITY. TODAY, THE TUITION-FREE MIDDLE SCHOOL EMPOWERS DIVERSE STUDENTS TO REACH THEIR FULL POTENTIAL AS STUDENTS, LEADERS, AND ROLE MODELS. THE SCHOOL'S MISSION IS TO EMPOWER OUR STUDENTS, OF ALL RACES AND BELIEFS, TO REACH THEIR FULL POTENTIAL. WE OFFER A HOLISTIC APPROACH TO ACADEMIC AND CHARACTER DEVELOPMENT THROUGH OUR CORE VALUES OF FAITH AND HONOR, INTEGRITY AND RESPECT, AND LEADERSHIP AND PERSEVERANCE. SCRANTON TOMORROW ($17,500) SCRANTON TOMORROW IS A TAX EXEMPT, NONPROFIT, NONPARTISAN COMMUNITY AND ECONOMIC DEVELOPMENT ORGANIZATION LOCATED AT 307 LINDEN STREET IN HISTORIC DOWNTOWN SCRANTON, PENNSYLVANIA. WORKING DILIGENTLY TO ESTABLISH, MANAGE, AND ACCOMPLISH THE CITY OF SCRANTON'S SHARED GOALS AND OBJECTIVES THROUGH COLLABORATIVE EFFORTS, THE MISSION OF SCRANTON TOMORROW IS TO MOBILIZE RESOURCES TO ENHANCE A VIBRANT ENVIRONMENT FOR SCRANTON RESIDENTS, BUSINESSES, AND VISITORS. TWCGME CONTRIBUTED $12,500 TO BECOME A GOLD SPONSOR OF THE ELECTRIC CITY CLASSIC CRITERIUM (CRIT RACE), A SCRANTON TOMORROW PROJECT THAT PROMOTES HEALTH AND WELLNESS THROUGH AN OUTDOOR PERSONAL AND PUBLIC HEALTH PROMOTING ATHLETIC ACTIVITY AND ENGAGEMENT IN COMMUNITY CELEBRATIONS. TWCGME ALSO PROUDLY CONTRIBUTED $5,000 TO SCRANTON TOMORROW TO SUPPORT THE ENGAGEMENT OF MURAL ARTIST MATTHEW WILLEY TO BRING HIS GLOBALLY RECOGNIZED MURAL "THE GOOD OF THE HIVE" TO SCRANTON, PENNSYLVANIA. THROUGH HIS ART, THIS WORLD-RENOWNED MURALIST IS RAISING AWARENESS AND UNIFYING HUMANITY AROUND SHARED RESPONSIBILITIES FOR ENVIRONMENTAL STEWARDSHIP AND COLLECTIVE OPPORTUNITIES TO PROTECT ENVIRONMENTALLY CRITICAL POLLINATORS. THE MURAL PAINTED ON THE SCRANTON CIVIC BALLET THEATRE IS A PROUD DEMONSTRATION OF TWCGME'S COMMITMENT TO PROMOTE AND DEMONSTRATE RESPONSIBLE, PARTICIPATORY CORPORATE CITIZENSHIP FOR ENVIRONMENTAL STEWARDSHIP, CLIMATE RESILIENCE, AND PROMOTING THE COMMON GOOD. THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT ($6,000) THE INSTITUTE IS A NON-PROFIT RESEARCH ORGANIZATION DEDICATED TO EMPOWERING BUSINESS AND COMMUNITY LEADERS WITH RESEARCH-BASED STRATEGIES FOR INFORMED DECISION MAKING. THE INSTITUTE IS A COLLABORATION AMONG JOHNSON COLLEGE, KEYSTONE COLLEGE, KING'S COLLEGE, LACKAWANNA COLLEGE, LUZERNE COUNTY COMMUNITY COLLEGE, MARYWOOD UNIVERSITY, MISERICORDIA UNIVERSITY, PENN STATE SCRANTON, PENN STATE WILKES-BARRE, THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, UNIVERSITY OF SCRANTON, WILKES UNIVERSITY, AND GEISINGER COMMONWEALTH SCHOOL OF MEDICINE. IT CONDUCTS INDEPENDENT, NON-BIASED RESEARCH TO IDENTIFY THE OPPORTUNITIES, ISSUES AND CHALLENGES UNIQUE TO THE REGION AND FIND INNOVATIVE SOLUTIONS TO HELP SOLVE THE PROBLEMS FACING OUR COMMUNITIES. THE INSTITUTE ALSO OFFERS A WIDE ARRAY OF RESEARCH, CONSULTING AND SUPPORT SERVICES TO HELP ORGANIZATIONS BOOST PRODUCTIVITY, INCREASE PROFITABILITY, AND BE SUCCESSFUL IN THEIR MISSIONS. TWCGME RELIES ON THE INSTITUTE'S ANNUAL INDICATORS TO PROVIDE EVIDENCE-BASED DATA RELATING TO UNMET POPULATION AND COMMUNITY HEALTH AND WORKFORCE NEEDS. WYCKOFF HEIGHTS MEDICAL CENTER ($194,317) THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO ESTABLISH A NEW COMMUNITY-BASED FAMILY MEDICINE (FM) RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) IN THE MEDICALLY UNDERSERVED SETTING OF BROOKLYN, NEW YORK. GRANT FUNDS WERE USED TO SUPPORT THE EXPLORATION OF THE FEASIBILITY AND LOGISTICAL AND OPERATIONAL STRATEGIES TO DEVELOP AND SECURE ACGME ACCREDITATION OF A NEW, COMMUNITY HEALTH NEEDS RESPONSIVE FAMILY MEDICINE RESIDENCY PROGRAM IN PARTNERSHIP WITH WYCKOFF HEIGHTS MEDICAL CENTER (WYCKOFF). AS A NEW CLINICAL PARTNER IN OUR EXISTING GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM, WYCKOFF PLANS TO LOCATE THE PROPOSED FAMILY MEDICINE RESIDENCY PROGRAM IN A COMMUNITY-BASED CLINICAL SITE IN BUSHWICK, BROOKLYN, WHICH IS DESIGNATED AS BOTH A MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). X X X X false false false false false false false true false ENRIQUE SAMONTE MD PROGRAM DIRECTOR/PHYSICIAN 30906 250051 1904 15409 2347 18991 2486 20117 1556 12589 39199 317157 0 0 JENNIFER WALSH ESQ SVP ENT COMP INTEG 271784 0 26891 0 20949 0 21611 0 6249 0 347484 0 0 0 JIGNESH SHETH MD SVP CLINICAL OPERATIONS/PHY 131264 393792 11746 35239 5172 15516 6100 18300 4243 12729 158525 475576 0 0 JUMEE BAROOAH MD DIO AND PHYSICIAN/ NON VOTING 126853 168153 12940 17153 8941 11852 10226 13556 7292 9667 166252 220381 0 0 MEAGHAN RUDDY PHD CHIEF R&D OFFICER & SVP ACADEM 163845 54615 5381 1794 15594 5198 13392 4464 9209 3070 207421 69141 0 0 RAJIV BANSAL MD DIRECTOR OF HOSPITAL SERVICES 31895 233896 2966 21749 35 257 2484 18215 1966 14421 39346 288538 0 0 TIMOTHY BURKE DO PROGRAM DIRECTOR/PHYSICIAN 98818 168254 10228 17416 7750 13198 8071 13743 6257 10655 131124 223266 0 0 VENARD KOERWER PHD EVP & CHIEF ADMINISTRATIVE OFF 225609 0 0 0 581 0 0 0 10076 0 236266 0 0 0 VINOD SHARMA MD PROGRAM DIRECTOR/PHYSICIAN 157010 157010 4895 4895 10338 10338 12200 12199 7339 7339 191782 191781 0 0 LINDA THOMAS-HEMAK MD PRESIDENT & CEO 201482 604446 19375 58125 5233 15698 6100 18300 4243 12729 236433 709298 0 0 RONALD DANIELS CPA CFO 260421 0 26260 0 22977 0 21104 0 13595 0 344357 0 0 0 DEBORAH SPRING MD ASSOCIATE PROGRAM DIRECTOR/PHY 30404 222968 1148 8415 297 2179 2484 18215 1436 10531 35769 262308 0 0 JOHN JANOSKY CHIEF INFORMATION OFFICER 224442 0 21205 0 20695 0 16640 0 16292 0 299274 0 0 0 JOSEPH SILEO ESQ SVP LEGAL SERVICES & GENERAL C 223408 0 21720 0 21339 0 17857 0 2062 0 286386 0 0 0 MAUREEN LITCHMAN MD ASSOCIATE PROGRAM DIRECTOR/PHY 82616 192769 6776 15812 6893 16084 6697 15625 2152 5021 105134 245311 0 0 WILLIAM DEMPSEY MD ASSOCIATE PROGRAM DIRECTOR/PHY 30804 277244 2881 25927 2298 20679 2440 21959 1421 12788 39844 358597 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION DETERMINATION: TWCGME CONTRACTS WITH THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), ITS AFFILIATED ENTITY, FOR THE SERVICES OF TWCGME'S CHIEF EXECUTIVE AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TWCGME, AND THEREFORE DOES NOT COMPENSATE THE CHIEF EXECUTIVE DIRECTLY. NONETHELESS, THE PROCESS FOR DETERMINING THE COMPENSATION OF TWCGME TO TWCCH FOR THE SERVICES OF CHIEF EXECUTIVE OFFICER (CEO) IS LED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEES ENGAGE A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT PERIODICALLY (GENERALLY EVERY THREE TO FIVE YEARS) TO PROVIDE A COMPREHENSIVE OBJECTIVE COMPENSATION STUDY, ASSESSMENT, AND ANALYSIS EACH TIME THE CEO'S CONTRACT, SALARY, AND COMPENSATION ARE NEGOTIATED. ADDITIONAL DATA CONSIDERED MAY INCLUDE INFORMATION FROM THE AMERICAN JOB CENTER NETWORK WEBSITE, MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), FORM 990S OF COMPARABLE ORGANIZATIONS, AS WELL AS COMPENSATION SURVEYS OF THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, OR OTHER RELEVANT REGIONAL AND NATIONAL SOURCES. THE EXECUTIVE COMMITTEES OF TWCGME AND TWCCH BOARDS ANNUALLY PERFORM A DETAILED, ROBUST, COMPREHENSIVE PERFORMANCE EVALUATION OF THE PRESIDENT & CEO'S AND BOTH ORGANIZATIONS' PERFORMANCE. THIS ANNUAL PROCESS INCLUDES ASSESSMENT OF WHETHER BASE CHANGES OR MERIT BONUS PAYMENT ADJUSTMENTS TO THE SALARY AND BENEFITS OF THE PRESIDENT & CEO SERVICES ARE APPROPRIATE AND, IF SO, OF FAIR VALUE BASED ON ALL FACTS AND CIRCUMSTANCES. ANY ADJUSTMENTS TO THE PRESIDENT & CEO'S COMPENSATION IN BETWEEN CONTRACT TERMS ARE ASSESSED AGAINST PUBLICLY AVAILABLE COMPARABLE DATA. ULTIMATELY, THE OVERALL COMPENSATION OF THE PRESIDENT & CEO IS DETERMINED BASED ON A ROBUST PERFORMANCE ASSESSMENT AND THE OVERALL PERFORMANCE OF TWCGME AND TWCCH ORGANIZATIONS, WITH DUE CONSIDERATION OF THE CONTRACTED INDEPENDENT THIRD-PARTY COMPENSATION STUDY, MARKET COMPARABILITY, AND AFFORDABILITY. THE EXECUTIVE COMMITTEES' ANNUAL DELIBERATIONS, CONSIDERATIONS, AND DECISIONS REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN EXECUTIVE COMMITTEES' MEETING MINUTES WITHIN 60 DAYS OF THE EVALUATION COMPLETION AND COMPENSATION DECISION AND THEN REPORTED TO AND RATIFIED BY THE FULL BOARDS OF TWCGME AS WELL AS TWCCH. COMPENSATION OF ALL OTHER EMPLOYEES, INCLUDING BUT NOT LIMITED TO EXECUTIVE EMPLOYEES, KEY EMPLOYEES, THE HIGHEST COMPENSATED EMPLOYEES, AND ALL STAFF IS DETERMINED BY THE ORGANIZATION'S PRESIDENT & CEO AND HUMAN RESOURCES DEPARTMENT, WHO RELY ON A FORMAL, PERIODIC ORGANIZATION-WIDE COMPENSATION ASSESSMENT BY AN OBJECTIVE THIRD-PARTY VENDOR, TYPICALLY EVERY THREE TO FIVE YEARS. SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS: ALL EMPLOYEES MAY BE ELIGIBLE FOR AN ANNUAL, PERFORMANCE-BASED INCENTIVE BONUS CONTINGENT UPON BOARD APPROVAL, AFFORDABILITY, AND SUCCESSFUL PERFORMANCE EVALUATIONS BY MANAGEMENT. THERE ARE SEVERAL THRESHOLD REQUIREMENTS FOR PERFORMANCE-BASED BONUS ELIGIBILITY, INCLUDING BUT NOT LIMITED TO SPECIFIED, ACTIVE PARTICIPATION IN THE PLAN/DO/STUDY/ACT (PDSA) QUALITY IMPROVEMENT PROGRAM, SAFE EVENT REPORTING SYSTEM, AND ALSO MEANINGFUL ENGAGEMENT IN COMMUNITY VOLUNTEER SERVICE EXPERIENCES. ONCE DETERMINED TO BE AFFORDABLE AND APPROVED IN TOTAL BY THE GOVERNING BOARDS OF DIRECTORS OF TWCGME AND TWCCH, THE MERIT-BASED BONUS PAYMENTS TO ELIGIBLE EMPLOYEES CORRELATES TO INDIVIDUAL JOB PERFORMANCE SCORES CALCULATED DURING THE PERFORMANCE EVALUATION PROCESS. EMPLOYEES IN A NEW EMPLOYMENT PROBATIONARY STATUS OR THOSE WHO HAVE NOTIFIED THE ORGANIZATION OF THEIR RESIGNATIONS ARE INELIGIBLE FOR BONUSES. THE ELIGIBILITY OF THOSE ON A PERFORMANCE IMPROVEMENT PLAN IS AT THE DISCRETION OF THE DIRECT SUPERVISOR. THE 2022-2023 INCENTIVE PLAN CONSISTED OF A PERFORMANCE BONUS RANGING BETWEEN 0% AND 7% OF BASE SALARY. THE TOTAL BONUS POOL WAS BUDGETED AT 5% OF PAYROLL, AND ISSUED BONUSES TOTALED LESS THAN THE BUDGETED AMOUNT. FORM 990, PART I, LINE 1 DESCRIPTION OF ORGANIZATION MISSION: WE DO THIS THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. TWCGME IS A 501(C)(3) NONPROFIT CORPORATION AND ANCHOR MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) SERVING AS THE INDEPENDENT ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME)-ACCREDITED SPONSORING INSTITUTION OF GRADUATE MEDICAL EDUCATION RESIDENCY AND FELLOWSHIP PROGRAMS THAT TRAIN RESIDENT AND FELLOWS PHYSICIANS IN A SAFETY NET HEALTH SERVICES NETWORK OF ESSENTIAL COMMUNITY PROVIDERS. TWCGME'S TRAINING PROGRAMS INCLUDE INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY, PHYSICAL MEDICINE & REHABILITATION RESIDENCIES AND GERIATRICS, CARDIOVASCULAR DISEASE AND GASTROENTEROLOGY FELLOWSHIPS. TWCGME'S GME-SNC ENGAGES NUMEROUS PARTNERING ORGANIZATIONS IN ITS GOVERNANCE AND THE TRAINING OF ITS RESIDENTS AND FELLOWS. THESE PARTNERS INCLUDE TWCGME'S PRIMARY AFFILIATE FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE (FQHC LAL), THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), AS WELL AS FOUR PARTNERING NATIONAL FQHCS, AND ALSO NUMEROUS COMMUNITY-BASED HOSPITAL SYSTEMS, THE VETERAN AFFAIRS MEDICAL CENTER, AND A CMS GME-FUNDED INPATIENT REHABILITATION FACILITY (IRF). TWCGME ALSO PROUDLY PARTNERS WITH AND HOSTS NEARLY 200 INTERPROFESSIONAL STUDENTS FROM MORE THAN A DOZEN ACADEMIC INSTITUTIONS OF HIGHER EDUCATION, INCLUDING THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM) AND A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (SOMA) AND CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM (CCPAP). PARTNERING COMMUNITY HEALTH CENTERS, GEISINGER, AND ATSU SOMA HAVE AN EMPOWERED VOTING PRESENCE ON TWCGME'S GOVERNING BOARD, AS DOES COMMONWEALTH HEALTH SYSTEMS AND THE NORTHEAST PENNSYLVANIA AREA HEALTH EDUCATION CENTER (AHEC). COMMITTED TO COMMUNITY HEALTH NEEDS RESPONSIVE HEALTH SERVICES AND WORKFORCE DEVELOPMENT, TWCGME'S GME-SNC PASSIONATELY STRIVES TO ADDRESS AMERICA'S PRIMARY CARE WORKFORCE SHORTAGES, MIS-DISTRIBUTION, AND RELATED HEALTH, HEALTHCARE, AND HEALTHCARE CAREER ACCESS DISPARITIES. FORM 990, PART III, LINE 1 ORGANIZATION MISSION: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) AND ITS PRIMARY AFFILIATE THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) SHARE A MISSION TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED, COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. TWCGME'S PASSIONATE PURPOSE IS TO DEMONSTRATE AN "ACHIEVABLE BY ALL" GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) MODEL THAT CO-CREATES TRANSFORMATIONAL HEALTHCARE TEAMS OF LEADERS WHO EMPOWER PEOPLE, FAMILIES, AND COMMUNITIES TO OWN AND OPTIMIZE THEIR HEALTH, HEALTHCARE DELIVERY SYSTEMS, AND DEVELOPMENT OF THEIR INTERPROFESSIONAL HEALTH CARE WORKFORCE. WITH INCLUSIVE ENGAGEMENT OF TWCGME STAKEHOLDERS, THE GME-SNC ASPIRES TOWARD AN INCLUSIVE COLLECTIVE IMPACT FRAMEWORK TO EFFECTIVELY ADDRESS AMERICA'S PRIMARY CARE WORKFORCE SHORTAGE AND MIS-DISTRIBUTION, AND RELATED HEALTH, HEALTHCARE, AND HEALTHCARE CAREER ACCESS DISPARITIES. AS A GME-SNC, TWCGME PARTNERS WITH AN INCLUSIVE NETWORK OF SAFETY NET HEALTH SERVICES PROVIDERS AND INTEGRATES GME FEDERAL RESOURCES DIRECTLY FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION'S (HRSA) THCGME PROGRAM AND THE DEPARTMENT OF VETERAN AFFAIRS, AS WELL THROUGH AFFILIATION AGREEMENTS WITH CMS GME-FUNDED PARTNERING HOSPITALS AND AN INPATIENT REHABILITATION FACILITY. TWCGME PROUDLY BECAME A PIONEERING THCGME GRANTEE IN 2011 WHEN HRSA LAUNCHED ITS THCGME PROGRAM RESOURCED THROUGH THE AFFORDABLE CARE ACT. SINCE THEN, THCGME GRANTEES, INCLUDING TWCGME, HAVE BEEN DEVELOPING AND EXPANDING COMMUNITY-BASED CLINICAL LEARNING ENVIRONMENTS IN COMMUNITY HEALTH CENTERS (CHCS) AND PARTNERING HOSPITALS ACROSS OUR NATION TO TRAIN PRIMARY CARE RESIDENT PHYSICIANS TO SERVE HISTORICALLY MARGINALIZED POPULATIONS IN MEDICALLY UNDERSERVED SETTINGS. EVIDENCE DEMONSTRATES THAT PHYSICIANS WHO TRAIN AT CHCS ARE MORE LIKELY TO WORK IN A CHC OR OTHER UNDERSERVED SETTINGS, A FINDING VALIDATED BY TWCGME'S HISTORICAL GRADUATE PRACTICE PATTERN OUTCOMES, SHOWING A HIGHER-THAN-NATIONAL-AVERAGE NUMBERS OF PRIMARY CARE PHYSICIANS SELECTING CAREERS IN HISTORICALLY UNDERSERVED SETTINGS, INCLUDING IN FQHCS AND RURAL COMMUNITIES. HRSA'S THCGME PROGRAM HAS BEEN AN EFFECTIVE TOOL IN ADDRESSING ONE OF THE MOST CRUCIAL ASPECTS OF THE PRIMARY CARE CLIFF: ACCESS TO PRIMARY HEALTH SERVICES IN UNDERSERVED AREAS DUE TO A NATIONAL PRIMARY CARE PHYSICIAN SHORTAGE AND MIS-DISTRIBUTION. ACCORDING TO DATA PUBLISHED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) IN JUNE 2021, THE UNITED STATES COULD SEE AN ESTIMATED SHORTAGE OF BETWEEN 37,800 AND 124,000 PHYSICIANS BY 2034, INCLUDING BOTH PRIMARY AND SPECIALTY CARE, WITH THE SHORTAGE OF PRIMARY CARE PHYSICIANS RANGING BETWEEN 17,800 AND 48,000. PER THE AAMC, MORE THAN TWO OF EVERY FIVE ACTIVE PHYSICIANS IN THE U.S. WILL BE 65 OR OLDER WITHIN THE NEXT DECADE, AND THEIR RETIREMENT DECISIONS "WILL DRAMATICALLY AFFECT THE MAGNITUDE OF NATIONAL WORKFORCE SHORTAGES." THIS LOOMING CRISIS COMPOUNDS THE PHYSICIAN AND PROVIDER BURNOUT CHALLENGES EXACERBATED BY THE COVID-19 PANDEMIC. TWCGME'S GME-SNC PHYSICIAN TRAINING MODEL IS DESIGNED TO MITIGATE THE HEALTH, HEALTHCARE, AND HEALTHCARE CAREER ACCESS DISPARITIES RESULTING FROM THIS NATIONAL SHORTAGE, WHILE GENERATING UNPRECEDENTED COLLABORATION AND STRIVING FOR ADVANCEMENT OF THE QUINTUPLE AIM. ADAPTED FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM, THE QUINTUPLE AIM IS A FRAMEWORK TO OPTIMIZE HEALTHCARE SYSTEM PERFORMANCE BY IMPROVING HEALTH EQUITY, CLINICIAN WELL-BEING, AND THE PURSUIT OF BETTER HEALTHCARE, IMPROVED HEALTH OUTCOMES, AND LOWER COSTS. TWCGME'S CURRENT SPONSORING INSTITUTIONAL AND PROGRAMMATIC PRIMARY HEALTH SERVICES CURRICULA ARE ROOTED IN COMMUNITY-ORIENTED, PUBLIC HEALTH NEEDS-RESPONSIVE, WHOLE PERSON PRIMARY CARE TRAINING FOR FAMILY MEDICINE, INTERNAL MEDICINE, PSYCHIATRY RESIDENTS, AND GERIATRIC MEDICINE FELLOWS, AS WELL AS FUTURE SPECIALTY PHYSICIANS. DURING FISCAL YEAR 2022-2023, RESIDENTS WERE STILL DEEPLY IMMERSED IN COMMUNITY-DRIVEN, RESPONSIVE SOLUTIONS TO THE EASING BUT ONGOING COVID-19 PANDEMIC, RELENTLESS OPIOID EPIDEMIC, CONTINUING BATTLES WITH HIV/AIDS AND HEPATITIS C, ESCALATING PUBLIC HEALTH CHALLENGES RELATED TO MENTAL HEALTH STRUGGLES, OBESITY, DIABETES, CARDIOVASCULAR DISEASE, AND CANCER, AND WIDENING GAPS IN CHILDHOOD AND ADULT VACCINATION RATES FOR PREVENTABLE ILLNESSES. OUR COMMUNITY-BASED TRAINING MODEL WITHIN ESSENTIAL COMMUNITY PROVIDER NETWORKS LEVERAGES CROSS-INSTITUTIONAL COLLABORATIVE LEARNING AND BROAD EXPOSURE OF TRAINEES TO INTERPROFESSIONAL TEAM-BASED CARE, AS WELL AS A VARIETY OF HEALTH INFORMATION TECHNOLOGY PLATFORMS, FOR BOTH CARE DELIVERY AND INSTITUTIONAL OUTCOMES REPORTING AND IMPROVEMENTS. TWCGME'S PARTNERING CLINICAL LEARNING ENVIRONMENTS DEMONSTRATE AND ENGAGE ITS LEARNERS IN CONTINUOUS QUALITY IMPROVEMENT AND VALUE-DRIVEN WORKFLOW REDESIGN THAT PROMOTES PATIENT-CENTERED MEDICAL HOME (PCMH) PHYSICIAN-LED CARE TEAMS, ENGAGED AND EMPOWERED PATIENTS AND FAMILIES, ROBUST REFERRAL NETWORKS OF COMMUNITY RESOURCE AGENCIES, AND BOTH MEANINGFUL USE AND CONNECTIVITY/INTEROPERABILITY OF HEALTH AND EDUCATION INFORMATION TECHNOLOGY PLATFORMS. MISSION-DRIVEN, TOP-LICENSE PCMH FACULTY PRACTICE AND ROLE-MODELING WITHIN THESE INCLUSIVE, SAFETY-NET LEARNING ENVIRONMENTS EFFICIENTLY OPTIMIZES WORKFLOW REDISTRIBUTION SO THAT EVERY TEAM MEMBER, INCLUDING FRONT-LINE STAFF AND LEARNERS, ENGAGE IN PURPOSEFUL, MEANINGFUL PRACTICE WHILE CONTRIBUTING TO ITERATIVE CONTINUOUS QUALITY IMPROVEMENTS OF BOTH CARE DELIVERY AND EDUCATIONAL SYSTEMS. TWCGME'S SPONSORING INSTITUTIONAL COMMITMENT TO ADVANCING PUBLIC HEALTH ALIGNS STRONGLY WITH THE MISSION OF COMMUNITY HEALTH CENTERS AND PARTNERING COMMUNITY-BASED HOSPITALS, AS WELL AS THE ACGME'S VISIONARY CLINICAL LEARNING ENVIRONMENT REVIEW PROGRAM FRAMEWORK FOCUSING ON PATIENT SAFETY; HEALTH CARE QUALITY; TEAMING; SUPERVISION; WELL-BEING; AND PROFESSIONALISM. TWCGME'S GME-SNC ENSURES TRAINEES HAVE BROAD EXPOSURE TO SEAMLESS, CROSS-INSTITUTIONAL, INTERPROFESSIONAL MULTIDISCIPLINARY ENVIRONMENTS THAT EXERCISE AND NURTURE THEIR LONGITUDINAL AND TRANSITIONAL CARE SKILLS, PREPARING THEM FOR MODERN CLINICAL PRACTICE AND CAREERS OF PUBLIC SERVICE AS PUBLIC HEALTH ENTHUSIASTS. FORM 990, PART III, LINE 2 NEW PROGRAM SERVICES: TWCGME IS PROUD TO SHARE TESTIMONY OF ITS MISSION DELIVERY IN RECRUITING AND ONBOARDING THREE FAMILY MEDICINE RESIDENT GRADUATES WHO BECAME FACULTY ATTENDINGS DURING FISCAL YEAR 2022-2023 FOR ITS REGIONAL FAMILY MEDICINE RESIDENCY PROGRAM TO TEACH RESIDENTS AND INTERPROFESSIONAL LEARNERS. THESE THREE GRADUATES ARE PROVIDING COMPREHENSIVE PRIMARY HEALTH SERVICES DELIVERY AT TWCGME'S PRIMARY AFFILIATE THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). SIMILARLY, TWCCH RECRUITED AND ON-BOARDED A TWCGME PSYCHIATRY RESIDENT GRADUATE AS A FACULTY ATTENDING TO PROVIDE PSYCHIATRIC SERVICES AND TRAIN PSYCHIATRY RESIDENTS AT OUR ESTABLISHED TEACHING HEALTH CENTER IN SCRANTON, PENNSYLVANIA AND ALSO AN INTERNAL MEDICINE RESIDENT GRADUATE TO LEAD ITS CARE TEAM IN THE NEARBY RURAL COMMUNITY OF HAWLEY, PENNSYLVANIA. ADDING THESE AMAZING GRADUATES TO OUR PROVIDER CARE TEAMS AS CLINICIANS AND TEACHERS OF THE NEXT GENERATION OF FAMILY MEDICINE, INTERNAL MEDICINE AND PSYCHIATRY PHYSICIANS IS TRULY A TESTAMENT OF TWCGME'S CRUCIAL PRIMARY CARE WORKFORCE DEVELOPMENT OUTCOMES ADDRESSING THE SHORTAGE AND MISDISTRIBUTION OF PRIMARY CARE PHYSICIANS IN NORTHEASTERN PENNSYLVANIA. SIMILAR EMPLOYMENT OF OUR GRADUATES BY REGIONAL FQHCS AND ALSO PARTNERING FQHCS IN FOUR STATES PARTICIPATING IN TWCGME'S NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM FURTHER VALIDATES OUR REGIONAL AND NATIONAL IMPACT ON PRIMARY CARE WORKFORCE DEVELOPMENT AS WELL. DURING FISCAL YEAR 2022-2023, TWCGME'S ACGME-ACCREDITED SPONSORING INSTITUTION HUMBLY CONTINUED ITS PROBATIONARY ACCREDITATION STATUS. IN ORDER TO OPTIMIZE OUR SPONSORING INSTITUTION (SI) AND RESTORE ITS HISTORICALLY STRONG ACGME CONTINUING ACCREDITATION, TWCGME IMPLEMENTED MULTIPLE MISSION-DRIVEN IMPROVEMENTS TO ENHANCE SPONSORING INSTITUTIONAL AND PROGRAM AUTHORITY AND OVERSIGHT. THE GRADUATE MEDICAL EDUCATION COMMITTEE (GMEC) OF TWCGME'S GOVERNING BOARD HOLDS THE JURISDICTION FOR THAT RESPONSIBILITY. GMEC MEETINGS WERE RESTRUCTURED TO ENHANCE THE VISIBILITY AND ACCOUNTABILITY OF GMEC AS A SUBCOMMITTEE OF THE SI'S GOVERNING BOARD. GMEC RESPONSIBILITIES WERE EMBEDDED IN AN ACGME COMPLIANCE AND ACCOUNTABILITY FRAMEWORK, LINKED TO THE SI'S OVERARCHING CORRECTIVE ACTION PLAN (CAP), STRATEGIC SPECIAL REVIEW PROCESS, AN ANNUAL GMEC WORK PLAN/CALENDAR, AND GMEC/GMEC SUBCOMMITTEE PROACTIVELY PLANNED AND INTENTIONALLY MANAGED MEETING AGENDAS AND COMPREHENSIVE MINUTES, ALL WITH ASSIMILATED ACGME ENDORSED SPECIFIC LANGUAGE. GMEC MEETINGS INCREASED IN FREQUENCY AND LENGTH TO ENSURE ROBUST GOVERNANCE ENGAGEMENT IN AUTHORITY AND OVERSIGHT RESPONSIBILITIES. THE CAP WAS CREATED BY A WORKGROUP COMPOSED OF THE DESIGNATED INSTITUTIONAL OFFICIAL, PROGRAM DIRECTORS, INSTITUTIONAL COORDINATOR, CROSS-DEPARTMENTAL SI LEADERSHIP, AND GMEC MEMBERS. THE CAP INCLUDED A SWOT ANALYSIS, IMPROVEMENT RECOMMENDATIONS, COMPREHENSIVE SI AND THEN INCLUSIVE PROGRAMS' POLICY REVIEW AND REVISIONS, REVIEW AND INPUT INTO ACGME INSTITUTIONAL REVIEW QUESTIONS AND RESPONSES TO ALL CITATIONS. THIS INTENSE AND CRITICALLY IMPORTANT WORK CULMINATED IN A PLANNED ACGME SPONSORING INSTITUTIONAL SITE VISIT IN SEPTEMBER OF 2023, WHICH NOTABLY AND JOYFULLY RESULTED IN A FULL RESTORATION OF CONTINUING ACCREDITATION STATUS FOR TWCGME'S SPONSORING INSTITUTION IN OCTOBER 2023. AT THE SI LEVEL, SEVERAL POSITIVE CHANGES WERE IMPLEMENTED DURING THIS REPORTING PERIOD. TWCGME'S WELLNESS AND RESILIENCY SPECIALIST POSITION WAS ELEVATED TO A DIRECTOR OF GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION EXPERIENCE AND WELLNESS. THE ACADEMIC LEADER WORKS WITH HOUSE STAFF AND PROGRAMS TO SUPPORT TRAINEE EXPERIENCES BOTH IN DIDACTIC AND CLINICAL LEARNING ENVIRONMENTS. SHOULD CONCERNS ARISE, THE DMEE WORKS WITH TRAINEES, SITE DIRECTORS, FACULTY, PROGRAM COORDINATORS, PROGRAM DIRECTORS, ASSOCIATE DESIGNATED INSTITUTIONAL OFFICIAL AND DESIGNATED INSTITUTIONAL OFFICIAL TOWARD RESOLUTION. IN ADDITION TO INCORPORATING MEDICAL, PARENTAL, AND CAREGIVER LEAVES OF ABSENCE IN AY 22-23, TO PROMOTE DIVERSITY, EQUITY AND INCLUSION (DEI), TWCGME CHANGED THE SI'S 11 SPECIFIC PAID HOLIDAYS TO 11 FLOATING PAID HOLIDAYS FOR RESIDENTS AND FELLOWS. ADDITIONALLY, TRAINEE SALARIES WERE INCREASED TO HONOR RESIDENT REQUESTS FOR PROGRESSIVE PGY YEAR INCREASES ACROSS TRAINING YEARS 1-4. THE 2022-2023 ACGME RESIDENT/FELLOW SURVEYS WERE REVIEWED BY GMEC IN MAY 2023, WITH IMPROVEMENT IN 3-YEAR TRENDS IN ALL 8 CATEGORIES NOTED. TWCGME ALSO CREATED A NEW ROLE FOR A VICE PRESIDENT OF SI CURRICULUM, QUALITY IMPROVEMENT/QUALITY ASSURANCE (QI/QA) AND FACULTY DEVELOPMENT. AN IMPORTANT FOCUS OF THIS ROLE WAS TO SUPPORT RESIDENT/FELLOW/FACULTY EDUCATION AND COMFORT LEVEL IN REPORTING CONCERNS WITHOUT FEAR OF RETALIATION, CONDUCTING ROOT CAUSE ANALYSES AND INSPIRING IMPROVEMENT PROJECTS. THE 2022-23 ACGME FACULTY SURVEY SHOWED IMPROVEMENT IN PROFESSIONALISM AND RESOURCES. THE SI IMPLEMENTED PROFESSIONAL COACHING OPPORTUNITIES AND ROBUST FACULTY DEVELOPMENT THROUGH THE ESTABLISHMENT OF A FACULTY DEVELOPMENT SUBCOMMITTEE OF GMEC AND THE NEW VP OF SI CURRICULUM, QI/QA AND FACULTY DEVELOPMENT. GMEC APPOINTED DR. STEPHANIE GILL AS CHAIR, FACULTY DEVELOPMENT SUBCOMMITTEE. GMEC ALSO ESTABLISHED A CLINICAL LEARNING ENVIRONMENT REVIEW (CLER) SUBCOMMITTEE CHAIRED BY THE CHIEF MEDICAL OFFICER OF A CLINICAL LEARNING ENVIRONMENT PARTICIPATING (CLEP) SITE TO ENSURE SUBSTANTIAL COMPLIANCE WITH ALL ACGME CLER REQUIREMENTS AND TO PROMOTE THE VISIONARY ACGME SI 2025. A STANDING SPECIAL REVIEW SUBCOMMITTEE OF THE GMEC WAS ESTABLISHED TO OVERSEE ALL SPECIAL REVIEW ACTIVITIES THAT THE GMEC CALLS FOR DURING THE ACADEMIC YEAR TO ADDRESS IDENTIFIED OR ANTICIPATED CHALLENGES QUICKLY. DURING THE FISCAL YEAR, ALL CHIEF AND RESIDENT LEADER JOB DESCRIPTIONS WERE UPDATED TO OPTIMIZE THE ENGAGEMENT OF THE RESIDENTS/FELLOWS. IN ADDITION TO PROGRAMMATIC CHIEF AND RESIDENT LEADER POSITIONS, DURING 2022-2023, TWCGME ESTABLISHED CHIEF AND RESIDENT LEADER ROLES IN THE AREAS OF ADVOCACY, SAFETY & QUALITY, AS WELL AS PATIENT & COMMUNITY ENGAGEMENT. EACH OF THESE ROLES ARE POSTED FOR RESIDENTS TO FORMALLY APPLY AND GO THROUGH A FORMAL INTERVIEW AND SELECTION PROCESS WHICH IS SPEARHEADED BY THE RESPECTIVE COMMITTEES OF THE BOARDS OF DIRECTORS OF TWCGME AND TWCCH. THE ADVOCACY CHIEF AND RESIDENTS LEADERS PLAY A LEAD ROLE IN FORTIFYING INTERDEPARTMENTAL COLLABORATIVE PARTNERSHIP BETWEEN RESIDENTS AND THE ADVOCACY TEAM, REPRESENT TWCGME IN ADVOCACY FORUMS TO EDUCATE FEDERAL, STATE AND REGIONAL ADMINISTRATORS AND ELECTED OFFICIALS ABOUT THE IMPORTANCE OF TWCGME'S MISSION AND THE GME-SNC MODEL. THE ADVOCACY TEAM TAKES ON CRITICAL MISSION ALIGNED ASPECTS OF PUBLIC HEALTH AND HEALTHCARE WORKFORCE POLICIES AND LEGISLATION BRINGING A CLINICAL AND EDUCATIONAL LENS AS NEEDED FOR INTERNAL AND EXTERNAL EDUCATION PURPOSES TO ADVOCATE FOR PUBLIC HEALTH AND HEALTH WORKFORCE DEVELOPMENT TO MEET OUR NATION'S NEEDS. ONE CHIEF AND RESIDENT LEADERS ARE ALSO SELECTED TO SERVE ON AND BRING AN EMPOWERED VOICE OF THE LEARNERS TO THE BOARD OF DIRECTORS OF THE WRIGHT CENTER FOR PATIENT & COMMUNITY ENGAGEMENT (TWCPCE), A SUBSIDIARY CORPORATION OF TWCCH. THESE INDIVIDUALS ACTIVELY PARTICIPATE IN MEETINGS, ACTIVITIES AND DECISION-MAKING PROCESSES, CHARGED WITH BRINGING THE VOICE OF THE PATIENTS, FAMILIES AND THE COMMUNITY TO INFORM GME STAKEHOLDERS IN THEIR DECISION-MAKING PROCESSES AND CLINICAL DELIVERY SYSTEM PROCESS IMPROVEMENTS. TOGETHER WITH THE TWCPCE BOARD, THESE ROLES POSITION OUR LEARNERS TO ENVISION, DEVELOP AND IMPLEMENT PROGRAMS AND RESOURCES TO IMPROVE THE ENGAGEMENT OF PATIENTS AND FAMILIES AS ACTIVE PARTNERS IN THEIR HEALTH CARE. THE CHIEF AND RESIDENT LEADER FOR PATIENT SAFETY AND QUALITY IMPROVEMENT IS RESPONSIBLE TO SUPPORT QI ACTIVITIES WITHIN TWCGME. THESE ROLES ARE REPRESENTATIVES THAT PROVIDE GUIDANCE AND EDUCATION TO RESIDENTS AND FELLOWS IN THE TERMS OF DIDACTICS, PUBLICATIONS AND PRESENTATION DEVELOPMENT FOR ALL QI PROJECTS. PROGRAMMATICALLY, DURING FISCAL YEAR 2021-2022, THE REGIONAL FAMILY MEDICINE RESIDENCY PROGRAM WAS PLACED ON PROBATIONARY ACCREDITATION STATUS IN THE MIDST OF A RESPONSIVE PROGRAM DIRECTOR TRANSITION AND ACTIVE REMEDIATION STRATEGY TO IMPROVE HISTORICALLY CHALLENGED ACGME RESIDENT SATISFACTION SURVEYS. SIGNIFICANT IMPROVEMENT ON SUBSEQUENT INTERNAL CLIMATE SURVEYS AND THE ACGME SURVEY ITSELF RESULTED. DURING FISCAL YEAR 2022-2023, CONFIRMING THE LEGITIMACY OF THE INITIAL POSITIVE INTERNAL FEEDBACK REGARDING THE REMEDIATION STRATEGY, THE REGIONAL FAMILY MEDICINE RESIDENCY PROGRAM RESIDENT SATISFACTION SURVEY SCORES JUMPED FROM 36% TO AN IMPRESSIVE 84% ON THE FORMAL ACGME SURVEY, A TRIBUTE TO THE WORK OF THE PROGRAM AND SPONSORING INSTITUTION LEADERSHIP. THANKFULLY, IN EARLY FEBRUARY 2023, THE COLLECTIVE WORK RESULTED IN THE ELEVATION OF THE FAMILY MEDICINE RESIDENCY PROGRAM FROM PROBATIONARY TO CONTINUED ACCREDITATION WITH WARNING WITH NOTABLE RESOLUTION OF EACH AND EVERY PRIOR CITATION. FORM 990, PART III, LINE 2 CONTINUED NEW PROGRAM SERVICES CONTINUED: AFTER A SERIES OF CHALLENGES IN OUR LOCAL COMMUNITY INCLUDING PROGRAM LEADERSHIP TRANSITION FOR CAUSE AND THE CLOSURE OF OUR TWO MAJOR INPATIENT PSYCHIATRY UNITS, THE ACGME PSYCHIATRY RESIDENCY REVIEW COMMITTEE UNFORTUNATELY WITHDREW ACCREDITATION OF OUR PSYCHIATRY RESIDENCY PROGRAM. ACTION RELATED TO THIS DECISION HAPPENED OUTSIDE OF THE REPORTING PERIOD FOR JULY 2022 - JUNE 2023, AND WILL BE DETAILED IN THE NEXT REPORT. MEANWHILE, OUR COMMUNITY IS GRIEVING BUT RALLYING, RESPONSIVE TO UNDENIABLE MENTAL HEALTH SERVICES AND WORKFORCE NEEDS, FOR PREPARATION AND HOPEFUL CONSIDERATION OF A RESUBMISSION FOR ACCREDITATION OF A NEW COMMUNITY-BASED PSYCHIATRY RESIDENCY PROGRAM. NOTABLY, TWCGME HAS SINCE 2012 SERVED AS THE ACGME SPONSORING INSTITUTION OF A UNIQUE, PIONEERING NATIONAL FAMILY MEDICINE RESIDENCY (NFMR) PROGRAM CONSORTIUM THAT TRAINS 52 FAMILY MEDICINE RESIDENTS IN PARTNERSHIP WITH FOUR NATIONAL FQHCS (UNITY IN WASHINGTON DC; HEALTH POINT IN SEATTLE, WASHINGTON; EL RIO IN TUCSON, ARIZONA; AND HEALTHSOURCE IN HILLSBORO, OHIO). THIS NFMR IS NOW POST-CURRENT REPORTING PERIOD EVOLVING INTO FOUR SEPARATE FQHC PLATFORMED FAMILY MEDICINE RESIDENCY PROGRAMS IN THE RESPECTIVE LOCAL COMMUNITIES, PROVING SCALABILITY AND REPLICATION OF TWCGME'S GME-SNC MODEL. THIS WELCOMED EVOLUTION AND PROOF OF CONCEPT WAS NOTABLY PROMPTED BY THE TRAUMATIC WITHDRAWAL OF ACCREDITATION BY THE ACGME'S RESIDENCY REVIEW COMMITTEE (RRC) FOR FAMILY MEDICINE (FM), WHICH SPECIFICALLY CITED SUPPORT FOR A GME CONSORTIUM TO BE A SPONSORING INSTITUTION BUT NOT A PROGRAM, DESPITE OUR NFMR CONSISTENTLY ACHIEVING 100% FAMILY MEDICINE BOARD PASS RATES FOR ALL OF ITS GRADUATES AND THEIR UNPRECEDENTED RETENTION IN UNDERSERVED AND COMMUNITIES PRACTICING PRIMARY CARE AND SERVING HISTORICALLY MARGINALIZED POPULATIONS. IN PARTNERSHIP WITH ALLIED SERVICES INTEGRATED HEALTH AND INPATIENT REHABILITATION FACILITY, TWCGME'S PHYSICAL MEDICINE & REHABILITATION (PM&R) RESIDENCY PROGRAM SUCCESSFULLY LAUNCHED ITS FIRST CLASS OF RESIDENTS ON JULY 1, 2022, WITH FIVE EXCITED PGY1 RESIDENTS. TWCCH EMBRACED THE OPPORTUNITY TO HOST AND TRAIN THESE AWESOME PM&R RESIDENTS IN OUR AMBULATORY, AS WELL AS INPATIENT HOSPITAL TEACHING VENUES, TO IMPROVE AND ENHANCE THE SCOPE AND QUALITY OF HEALTH SERVICES AND SEAMLESS CARE TRANSITIONS FOR THE PATIENTS WE SERVE ACROSS THE FULL SPECTRUM OF SERVICES INCLUDING AMBULATORY, INPATIENT-BASED ACUTE AND REHABILITATION VENUES. THE ADDITION OF THIS NEW RESIDENCY AND INTEGRATION OF THE PM&R RESIDENTS INTO OUR CLINICAL LEARNING ENVIRONMENTS HAS ABSOLUTELY AND UNDENIABLY ENRICHED PATIENT CARE AND THE TEAM BASED EDUCATIONAL EXPERIENCE OF ALL LEARNERS. DESPITE CMS GME FUNDING CHALLENGES FOR RESIDENCY PROGRAMS OPERATED WITHIN INPATIENT REHABILITATION FACILITIES, TWCGME'S GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM (GME-SNC) MODEL ENABLED THIS NEW GME PROGRAM TO LAUNCH THROUGH A COLLABORATION WITH A COMMUNITY-BASED CMS IPPS HOSPITAL WILLING TO HOST INPATIENT ACUTE CARE CLINICAL EDUCATIONAL EXPERIENCES NECESSARY FOR A PM&R RESIDENCY EXPERIENCE. OUR MORE ROBUST GME-SNC, AS ENVISIONED OVER 10 YEARS AGO, NOW FORMALLY INTEGRATES ALLIED SERVICES AND JOHN HEINZ INSTITUTE, NORTHEAST REHABILITATION ASSOCIATES, AND OTHER ESTABLISHED AND NEW CLINICAL LEARNING ENVIRONMENT PARTNERS TO PROMOTE THE WELCOMED DEVELOPMENT OF THE PHYSIATRIST WORKFORCE IN NORTHEAST PENNSYLVANIA. DURING FISCAL YEAR 2022-2023, TWCGME TRAINED NEARLY 250 RESIDENT AND FELLOW PHYSICIANS IN MULTIPLE DISCIPLINES, INCLUDING IN GERIATRIC MEDICINE. THE IMPORTANCE OF DEVELOPING QUALIFIED, COMPASSIONATE GERIATRICIANS HAS NEVER BEEN SO URGENT: PENNSYLVANIA STILL RANKS 9TH OUT OF THE 50 STATES FOR THE PERCENTAGE OF THE STATE POPULATION 65 AND OLDER, AND BY 2034, OLDER ADULTS WILL OUTNUMBER CHILDREN (ACCORDING TO CENSUS BUREAU PROJECTIONS). FURTHER, LACKAWANNA AND LUZERNE COUNTIES HAVE A SIGNIFICANTLY HIGHER NUMBER OF PERSONS 65 YEARS AND OLDER COMPARED TO STATE AND NATIONAL AVERAGES. THE CONTINUED DEVELOPMENT OF GERIATRIC COMPETENCIES SUPPORTS THE SHIFT INTO AGE-FRIENDLY HEALTH SERVICES BY HELPING PRIMARY CARE DOCTORS ALIGN WITH WHAT MATTERS TO OLDER ADULTS. DESPITE THE EXPECTED NATIONAL SHORTAGE OF NEARLY 30,000 FULL-TIME GERIATRICIANS BY 2025, THERE ARE NATIONAL RECRUITMENT CHALLENGES IN GERIATRICS: THE POSITION FILL RATE FOR GERIATRIC MEDICINE DECLINED TO 41.5 PERCENT IN 2023, DOWN FROM 43.1 PERCENT IN 2022. THE POSITION FILL RATE HAS RANGED BETWEEN 43.1 - 52 PERCENT SINCE THE 2019 MATCH. IN 2023, GERIATRICS OFFERED 419 CERTIFIED POSITIONS (BOTH INTERNAL MEDICINE AND FAMILY MEDICINE-BASED PROGRAMS) AND ONLY 174 POSITIONS FILLED. UNFORTUNATELY, BUT NOT SURPRISINGLY, TWCGME ALSO EXPERIENCED RECRUITMENT CHALLENGES FOR THE ACGME ACCREDITED GERIATRIC MEDICINE FELLOWSHIP REFLECTIVE OF THE NATIONAL RECRUITMENT ISSUES. HOWEVER, TWCGME ALSO UNFORTUNATELY IDENTIFIED THAT LICENSING BARRIERS WITH THE PENNSYLVANIA BOARD OF MEDICINE MAY ALSO BE INHIBITING RECRUITMENT OPPORTUNITIES. TWCGME CONTINUES TO ADVOCATE WITH BOTH THE STATE LICENSING AND ACCREDITING AGENCIES TO INCREASE THE GERIATRICS FELLOWSHIP APPLICANT POOL BY REMOVING THESE BARRIERS GIVEN THE CRUCIAL NEED FOR GERIATRIC SERVICE PROVIDERS IN OUR COUNTRY. NOTABLY, TWCCH, THE 8TH HEALTHCARE SYSTEM IN THE COUNTRY TO ADOPT UCLA'S JOHN A. HARTFORD FOUNDATION FUNDED, AWARD-WINNING ALZHEIMER'S AND DEMENTIA CARE (ADC) PROGRAM MODEL, CONTINUED TO OFFER ADC SERVICES FOR THE REGIONAL COMMUNITY, WHILE ALSO IMPLEMENTING THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "AGE FRIENDLY HEALTH SYSTEM" IN ALL OF ITS PRIMARY HEALTH SERVICES SITES FOR SENIORS. THESE INITIATIVES ENRICH THE GERIATRIC-SENSITIVE PREPARATION OF ALL INCUMBENT AND FUTURE WORKFORCE TRAINING AT TWCGME. AS A RECIPIENT OF A HRSA FIVE-YEAR DENTAL RESIDENCY AND CARE DELIVERY PLANNING GRANT, TWCGME CONTINUED TO FORMALLY SUPPORT TWCCH AS A CLINICAL LEARNING ENVIRONMENT AND COLLABORATING PARTNER IN NYU LANGONE'S ADVANCED EDUCATION IN GENERAL DENTISTRY (AEGD) RESIDENCY PROGRAM IN FISCAL YEAR 2022-2023. THE AEGD PROGRAM IS FULLY ACCREDITED BY THE COMMISSION ON DENTAL ACCREDITATION (CODA) OF THE AMERICAN DENTAL ASSOCIATION (ADA) TO ADVANCE A RESIDENT'S SKILLS IN PUBLIC HEALTH-ORIENTED GENERAL DENTISTRY. DENTAL RESIDENTS ARE GUIDED AND MENTORED ON-SITE BY FACULTY MEMBERS WHILE DELIVERING ORAL HEALTH SERVICES AND PERFORMING PROCEDURES ON ETHNICALLY-DIVERSE VULNERABLE POPULATIONS, INCLUDING THE POPULATION SERVED BY TWCCH'S OPIATE AND SUBSTANCE USE DISORDER CENTER OF EXCELLENCE AND RYAN WHITE SERVICE LINES. IT IS NYU LANGONE'S GOAL THAT, UPON SUCCESSFUL COMPLETION OF THE PROGRAM, RESIDENTS GRADUATE AS HIGHLY SKILLED AND CONFIDENT PUBLIC HEALTH DENTAL PRACTITIONERS, EQUIPPED TO SERVE THE MOST VULNERABLE POPULATIONS AND MEET THE CHALLENGES OF THE COMPLEX WORLD OF MODERN DENTISTRY. WITH TWCCH'S DENTAL FACULTY AND RESIDENTS, TWCCH PROVIDED 13,099 DENTAL VISITS DURING THE FISCAL YEAR, 2,221 MORE THAN THE YEAR BEFORE - A 20% INCREASE - RESULTING IN PART FROM THE ENHANCED FACULTY PRODUCTIVITY WHILE TRAINING THE RESIDENTS AND ALSO FROM RECRUITMENT OF AN ADDITIONAL FACULTY DENTIST IN SEPTEMBER 2022 AND THE EXPANSION OF DENTAL SPACE AND TWO NEW OPERATORIES TO INCREASE ACCESS TO ACCOMMODATE MORE PATIENTS. EXCITINGLY, IN EARLY 2024, TWCCH EXECUTED AN EMPLOYMENT CONTRACT TO HIRE ONE OF THE AEGD DENTAL RESIDENTS UPON GRADUATION FROM THIS PROGRAM, DEMONSTRATING THAT THE POWER OF THE COMMUNITY-BASED HOMEGROWN PIPELINE TRAINING MODEL IS JUST AS SUCCESSFUL WITH DENTAL RESIDENTS AS IT IS WITH MEDICAL RESIDENTS. TWCGME CONTINUED TO FORMALLY SUPPORT TWCCH'S CLINICAL TRAINING PARTNERSHIP WITH A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE (SOMA), WHICH HOSTED 29 OSTEOPATHIC MEDICAL STUDENTS FOR DIDACTICS AND CLINICAL TRAINING IN SCRANTON, PENNSYLVANIA. OF THOSE, THREE WERE HOMETOWN SCHOLARS NOTABLY RECRUITED FROM THE POPULATION SERVED BY TWCCH, ONE OF WHOM PROUDLY GRADUATED IN MAY 2023 TO PURSUE LOCAL RESIDENCY TRAINING IN THE MUCH NEEDED SPECIALITY OF GENERAL SURGERY. WITH ADDITIONAL HOMETOWN SCHOLARS IN THE PIPELINE AND ON OUR RECRUITMENT RADAR, WE CONTINUE TO AGGRESSIVELY PROMOTE THE DEVELOPMENT OF OUR LONGITUDINAL "GROW YOUR OWN" REGIONAL PHYSICIAN AND INTERPROFESSIONAL WORKFORCE PIPELINE. THE HOMETOWN SCHOLARS PROGRAM IS DIRECTLY ALIGNED WITH AND FUELS THE DELIVERY OF THE SHARED MISSION OF TWCGME AND TWCCH, AND WE WILL CONTINUE TO ENCOURAGE QUALIFIED, COMPASSIONATE LOCAL STARS TO ENTER THE MEDICAL FIELD AND OTHER HEALTH PROFESSIONS, PASSIONATELY PURSUING THEIR RECRUITMENT TO OUR GME PROGRAMS AND THEIR RETENTION IN PRACTICE TO RESTORE OUR PRIMARY CARE PHYSICIAN WORKFORCE. FORM 990, PART III, LINE 2 CONTINUED NEW PROGRAM SERVICES CONTINUED: TWCGME ALSO CONTINUED ITS FORMAL SUPPORT OF TWCCH ENTERING ITS SECOND YEAR OF ITS SIMILARLY DESIGNED HOMETOWN SCHOLAR PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF HEALTH SCIENCES, NACHC, AND THE COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST CALIFORNIA AS A SECOND-YEAR TRAINING SITE FOR THE NEW PUBLIC HEALTH ORIENTED CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM (CCPAP). ADDITIONALLY, WE CONTINUED OUR EFFORTS TO DEVELOP AND TRAIN OUR OWN MEDICAL ASSISTANTS (MAS) IN PARTNERSHIP WITH THE NATIONAL INSTITUTE FOR MEDICAL ASSISTANT ADVANCEMENT (NIMAA), AND ALSO COMMUNITY HEALTH WORKERS (CHWS) THROUGH THE AHEC-AFFILIATED COMMUNITY HEALTH WORKER TRAINING PROGRAM AND THE NATIONAL HEALTH CORPS. TWCGME IS ALSO THE PRIMARY GRANTEE OF A HRSA RURAL RESIDENCY PLANNING AND DEVELOPMENT GRANT (RRPD) WITH A RURAL HOSPITAL AND AFFILIATED FQHC PARTNER IN NORTHEAST PENNSYLVANIA, AS WELL AS PLANNING GRANTS FOR ESTABLISHING A PEDIATRIC RESIDENCY, A PEDIATRIC DENTAL RESIDENCY, AND AN OB/GYN RESIDENCY. AS A MULTIPLE THCGME PLANNING AND DEVELOPMENT GRANTEE, WE HAVE BEEN ACTIVELY PARTICIPATING IN HRSA-LEAD TECHNICAL ASSISTANCE WEBINARS, ACKNOWLEDGED BY PARTICIPANTS AS A SUBJECT MATTER EXPERT REGARDING HRSA'S TEACHING HEALTH CENTER PROGRAMS, PARTICULARLY IN THE GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM MODEL. IN RESPONSE TO THE ESCALATING DAILY CHALLENGES OF THE MEDICAL EDUCATION AND HEALTHCARE DELIVERY SYSTEMS THAT WERE EXACERBATED BY THE COVID-19 PANDEMIC, TWCGME CONTINUED ITS PASSIONATE, DEEP INVESTMENT IN THE TRANSFORMATIONAL WORK TO PROGRESS ON OUR THREE-YEAR JOURNEY FROM A HISTORICALLY TRAUMA-ORGANIZED FOUNDATION THROUGH SANCTUARY MODEL CERTIFICATION TO BECOME A TRAUMA-COMPETENT EMPLOYER, PROVIDER OF WHOLE PERSON HEALTH SERVICES, AND HEALTHCARE WORKFORCE DEVELOPMENT ENTERPRISE. FOUNDED BY DR. BLOOM AND CONTINUED BY THE WORK OF THE SANCTUARY INSTITUTE, THE SANCTUARY MODEL IS A BLUEPRINT FOR CLINICAL AND ORGANIZATIONAL CHANGE AND TRANSFORMATIONAL CULTURE SHIFT WHICH, AT ITS CORE, PROMOTES PHYSICAL, EMOTIONAL, AND PSYCHOLOGICAL SAFETY AND RECOVERY FROM TRAUMATIC ADVERSITY THROUGH THE ACTIVE CREATION OF A TRAUMA-INFORMED AND COMPETENT COMMUNITY. A TRAUMA-COMPETENT ORGANIZATION IS ONE THAT RECOGNIZES THE INHERENT VULNERABILITY OF ALL HUMAN BEINGS TO THE EFFECTS OF TRAUMA AND ORGANIZES SYSTEM-WIDE INTERVENTIONS AIMED AT MITIGATING THE NEGATIVE EFFECTS OF ADVERSITY AND STRESS THAT ARE MANIFESTED IN THOSE EMPLOYED IN AND SERVED BY THE ORGANIZATION AND THE ORGANIZATION ITSELF. SANDRA BLOOM'S THEORY INSPIRED SANCTUARY CERTIFICATION PROCESS EMPLOYS FOUR PILLARS OF SHARED KNOWLEDGE OF TRAUMA THEORY; SHARED VALUES OF NONVIOLENCE, EMOTIONAL INTELLIGENCE, SOCIAL LEARNING, DEMOCRACY, OPEN COMMUNICATION, SOCIAL RESPONSIBILITY, GROWTH AND CHANGE; SHARED LANGUAGE TO GUIDE REACTIONS AND BEHAVIORS IN TERMS OF SAFETY, EMOTIONS, LOSS AND FUTURE; AND SHARED PRACTICE USING SANCTUARY TOOLS AND INTERVENTIONS TO REINFORCE THE MODEL'S PHILOSOPHY. THE "SANCTUARY" APPROACH CAN BE OFFERED AS A GUIDING CONSTRUCTIVE FRAMEWORK FOR TRANSFORMATION FROM TRAUMA ORGANIZED, OFTEN DIVISIVE CARE DELIVERY AND EDUCATIONAL PLATFORMS TO TRAUMA COMPETENT SYSTEMATIZED APPROACHES FOR TEAMING THAT PROMOTE PSYCHOLOGICAL SAFETY, TRUST, PARTICIPATORY CITIZENSHIP, DEMOCRATIZATION, SOCIAL RESPONSIBILITY AND ACCOUNTABILITY, AND SOCIAL LEARNING. TWCGME BEGAN ITS DEEP INVESTMENT AND ROLL-OUT OF SANCTUARY TRAINING IN EARNEST IN AUGUST 2022 WITH A 2-DAY ONSITE VISIT BY A SANCTUARY INSTITUTE SENIOR FACULTY STAFF MEMBER. WE IMPLEMENTED MULTIPLE COHORTS OF 5-DAY IMMERSION TRAINING EVENTS TO SPREAD LEARNING ACROSS THE ORGANIZATION. THESE COHORTS INCLUDED TWCCH GOVERNING BOARD AND EXECUTIVE MANAGEMENT AS WELL AS NEARLY 80 EMPLOYEES AND A DOZEN TWCGME RESIDENT PHYSICIANS IN TRAINING. AN INTERNAL SANCTUARY STEERING COMMITTEE AND CORE TEAM HAVE BEEN IDENTIFIED AND ARE WORKING INTENTLY AND TIRELESSLY TO ENSURE CROSS-DEPARTMENTAL UNDERSTANDING AND WIDE-SPREAD ADOPTION OF THE SANCTUARY PHILOSOPHY, PILLARS, COMMITMENTS, AND IMPLEMENTATION TOOLS. A VITAL COMPONENT OF THE MODEL TO ENSURE EMPOWERING IN-HOUSE EXPERTISE OF INTERNAL SANCTUARY TRAINERS LAUNCHED DURING THE CURRENT FISCAL YEAR. TWCGME IS FULLY COMMITTED TO IMPROVING THE WAY WE WORK TO PROMOTE AND SYSTEMATIZE AN AWARENESS OF THE IMPORTANCE OF JUSTICE, EQUITY, DIVERSITY, INCLUSION AND BELONGING (JEDIB). DURING THE FISCAL YEAR REPORTED, TWCCH AND TWCGME WERE AGAIN SELECTED IN A COMPETITIVE PROCESS TO PARTICIPATE IN ANOTHER ROBERT WOOD JOHNSON FOUNDATION DESIGN SPRINT COLLABORATION BETWEEN THE WRIGHT CENTERS FOR COMMUNITY HEALTH AND GRADUATE MEDICAL EDUCATION AND OUR NORTHEAST PA AHEC. THIS PROJECT AIMED TO DEVELOP A JUSTICE, DIVERSITY, EQUITY, INCLUSION, AND BELONGING CURRICULUM FOR PHYSICIAN AND INTERPROFESSIONAL HEALTH WORKFORCE LEARNERS TO PROMOTE TEAM BUILDING AND AWARENESS ACROSS THE CARE DELIVERY TEAM LEARNING CONTINUUM. THE GOAL IS TO ELIMINATE THE IMPACT OF DISPARITIES IN HEALTH SERVICES AND TREATMENT DECISIONS, AS WELL AS IN CAREER ADVANCEMENT OPPORTUNITIES, RESULTING FROM EXPLICIT AND IMPLICIT BIASES. THE CURRICULUM'S FOCUS IS TO TEACH CULTURAL HUMILITY AND AUTHENTIC TEAMWORK ACROSS HEALTH PROFESSIONS, WHICH IS ESSENTIAL TO ACHIEVING A SHARED, TEAM-BASED UNDERSTANDING OF THE MOST EFFECTIVE DIAGNOSES, HEALTH CARE SERVICES PLAN, AND TREATMENT APPROACHES FOR THE BENEFIT OF PATIENTS, FAMILIES, AND OUR COMMUNITIES. ADDITIONALLY, WITH THE CONTINUED LEADERSHIP OF OUR VP OF DIVERSITY, EQUITY, AND INCLUSION (DEI), WE EXPANDED JEDIB PROGRAMMING AND ACTIVITIES ACROSS THE WRIGHT CENTER ENTERPRISE, AND INTRODUCED INTEGRATIVE COMMUNITY THERAPY (ICT) AS A NEW INITIATIVE IN OUR WORK TO PROMOTE MENTAL HEALTH, RESILIENCY, COPING SKILLS AND DEMONSTRATED VALUE OF THERAPEUTIC COMMUNITIES. SYSTEMATIZED ICT IS FUELED BY THE COMMUNITY AND ENGAGED MENTAL HEALTH PROFESSIONALS, NOTABLY NOT RELYING ON REFERRALS, DOCTORS, INSURANCE, OR WAIT LISTS TO OFFER IMMEDIATE, NO-COST ACCESS TO ANY COMMUNITY MEMBER NEEDING MENTAL HEALTH SUPPORT. ICT USES FACILITATED AND GUIDED CONVERSATION BETWEEN COMMUNITY MEMBERS WITH SHARED CHARACTERISTICS AS AN ALTERNATIVE SOLUTION OR RESPONSE TO LACK OF IMMEDIATE ACCESS TO APPROPRIATE MENTAL HEALTH SERVICES IN COMMUNITIES. EACH PARTICIPANT IN AN ICT SESSION LEARNS, CONTRIBUTES, AND HEALS BY SHARING THEIR AND LISTENING TO THE LIFE STORIES THAT ARE TOLD BY OTHERS. DURING THE FISCAL YEAR, TWCGME ALSO LAUNCHED ITS FORMAL CORPORATE COMMITMENT TO ENVIRONMENTAL RESPONSIBILITY AND CLIMATE RESILIENCE WITH A SUBSTANTIAL INVESTMENT INTO AN ENVIRONMENTAL, SOCIAL, AND GOVERNANCE (ESG) STRATEGIC PLAN. WE RECRUITED OUR VERY FIRST ESG SPECIALIST, AND DEVELOPED AN ORGANIZATIONAL CLIMATE PLEDGE FOR REVIEW AND ADOPTION BY OUR ENTIRE STAFF, INCLUDING OUR PHYSICIANS AND PROVIDER TEAMS AND TWCGME'S RESIDENT AND FELLOW PHYSICIANS IN TRAINING, TO PROMOTE AWARENESS THAT, AS AN ESSENTIAL COMMUNITY PROVIDER OF PRIMARY HEALTH SERVICES, WE SIMPLY CANNOT IGNORE THE DEVASTATING DISPARATE IMPACT THAT THE ENVIRONMENT AND CLIMATE HAS ON HEALTH, A DETRIMENTAL IMPACT THAT IS ONLY FORCE-MULTIPLIED BY THE POLITICAL AND SOCIOECONOMIC DETERMINANTS OF HEALTH. WE THEREFORE COMMITTED TO ENRICH AND EXPAND OUR COMMUNITY BENEFIT TO INCLUDE A ROBUST EXPLORATION AND IMPLEMENTATION OF REASONABLE "ACHIEVABLE BY ALL" PRACTICES THAT PROMOTE AWARENESS AND SUSTAINABILITY OF ENVIRONMENTAL AND CLIMATE RESILIENCE. FORM 990, PART III, LINE 4A PROGRAM SERVICES CONTINUED: TWCGME'S MISSION IS TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITY THROUGH INCLUSIVE AND RESPONSIVE HEALTH SERVICES AND THE SUSTAINABLE RENEWAL OF AN INSPIRED AND COMPETENT WORKFORCE THAT IS PRIVILEGED TO SERVE. TWCGME, AN INDEPENDENT NON-PROFIT SPONSORING INSTITUTION ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), TRAINS NEARLY 250 MEDICAL RESIDENTS AND FELLOWS EACH YEAR THROUGH ITS UNIQUE GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC), WHICH IS FUNDED BY THREE FEDERAL AGENCIES (HRSA, AFFILIATED HOSPITAL AND INPATIENT REHABILITATION FACILITY PARTNERS WHO RECEIVE REIMBURSEMENT FROM CMS, AND THE VA). OUR OPERATIONS ARE SUPPORTED BY AN ENRICHED COMMUNITY RESOURCE NETWORK OF MULTIPLE HEALTHCARE ORGANIZATIONS THAT PROVIDE CLINICAL LEARNING ENVIRONMENTS FOR RESIDENTS/FELLOWS, WHO HAVE ALREADY GRADUATED MEDICAL SCHOOL AND JOIN TWCGME TO COMPLETE POSTGRADUATE CLINICAL AND EDUCATIONAL TRAINING THAT MAKES THEM ELIGIBLE TO SIT FOR BOARD EXAMINATIONS WITH THE AMERICAN BOARD OF MEDICAL SPECIALITIES AND/OR THE AMERICAN OSTEOPATHIC ASSOCIATION. TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, PHYSICAL MEDICINE & REHABILITATION ("PM&R") AND PSYCHIATRY RESIDENCIES, AS WELL AS ITS CARDIOVASCULAR DISEASE, GASTROENTEROLOGY, AND GERIATRICS FELLOWSHIPS, ARE ALL STRATEGICALLY DESIGNED TO RESPOND TO PUBLIC HEALTH NEEDS, WHILE EMPOWERING LEARNERS AS INNOVATORS AND NIMBLE PUBLIC HEALTH SERVICE LEADERS WHO RESPOND TO THE NEEDS OF THE LOCAL COMMUNITIES THEY SERVE BOTH IN TWCCH CLINICS AND IN PARTNERING HOSPITALS AND SPECIALITY OFFICES THROUGHOUT LACKAWANNA, WAYNE, AND LUZERNE COUNTIES IN NORTHEAST PENNSYLVANIA. RESIDENT PHYSICIANS IN OUR NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM RESPOND SIMILARLY TO THE NEEDS OF THEIR FQHC BASED CLINICAL LEARNING NETWORKS AND SURROUNDING COMMUNITIES IN WASHINGTON DC, HILLSBORO, OHIO, TUCSON, ARIZONA, AND SEATTLE, WASHINGTON. TWCGME'S REGIONAL FAMILY MEDICINE RESIDENCY, NATIONAL FAMILY MEDICINE RESIDENCY, INTERNAL MEDICINE RESIDENCY, PSYCHIATRY RESIDENCY, AND GERIATRICS FELLOWSHIP ARE WHOLLY OR PARTIALLY FUNDED BY HRSA THROUGH THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) PROGRAM, WHICH FUNDS PRIMARY CARE MEDICAL AND DENTAL RESIDENCY PROGRAMS. THESE HRSA-FUNDED THCGME PROGRAMS OFFER AMPLE OPPORTUNITY FOR PHYSICIAN TRAINEES TO BE IMMERSED IN FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FQHC LOOK-ALIKES (FQHC-LALS) AS THEIR PRIMARY AMBULATORY CLINICAL LEARNING ENVIRONMENTS. AS ONE OF THE LARGEST HRSA-FUNDED THC GME-SNCS IN THE U.S., TWCGME PROUDLY ENGAGED EACH FQHC AND FQHC-LAL PARTNER WITH AN EMPOWERING VOICE ON OUR GOVERNING BOARD OF DIRECTORS. TWCGME'S CLINICAL LEARNING ENVIRONMENT PARTNERING CLINICAL EDUCATIONAL SITES INCLUDE TWCCH'S CLINICAL LOCATIONS ACROSS NORTHEAST PENNSYLVANIA, HEALTHSOURCE OF OHIO IN NEW RICHMOND AND HILLSBORO, OH, EL RIO HEALTH IN TUCSON, AZ, HEALTHPOINT IN AUBURN, WA, AND UNITY HEALTH CARE IN WASHINGTON, DC. THESE HEALTH CENTERS SHARE A PUBLIC HEALTH-ORIENTED PARTNERSHIP NOT ONLY WITH TWCGME BUT ALSO WITH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (SOMA) AND CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM (CCPAP). THESE MISSION DRIVEN COLLABORATORS PASSIONATELY SUPPORT AND ENGAGE IN ATSU'S HOMETOWN SCHOLAR PIPELINE PROGRAMS STRIVING TO ENHANCE THE DIVERSITY OF THE PHYSICIAN WORKFORCE AND ITS CONGRUENCE WITH THE POPULATION SERVED BY RECRUITING FROM, RETAINING IN, AND THEREBY RESTORING PRIMARY CARE HEALTH CENTERS AND THE COMMUNITIES THEY SERVE. FORM 990, PART III, LINE 4B PROGRAM SERVICE CONTINUED: TWCGME IS A 501(C)(3) NONPROFIT CORPORATION AND ANCHORING MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) THAT SERVES AS THE INDEPENDENT ACGME-ACCREDITED SPONSORING INSTITUTION OF RESIDENCY PROGRAMS IN INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY, PHYSICAL MEDICINE & REHABILITATION, AND FELLOWSHIP PROGRAMS IN GERIATRICS, CARDIOVASCULAR DISEASE AND GASTROENTEROLOGY. IN NORTHEAST PENNSYLVANIA, TWCGME'S RESIDENT AND FELLOW PHYSICIAN LEARNERS TRAIN EXPERIENTIALLY IN FIVE REGIONAL HOSPITALS OPERATED BY COMMONWEALTH HEALTH, GEISINGER HEALTH SYSTEM, AND/OR THE WILKES-BARRE VETERANS AFFAIRS MEDICAL CENTER (WBVAMC), AS WELL AS THE ALLIED SERVICES INPATIENT REHABILITATION FACILITY (IRF) AND ITS INTEGRATED DELIVERY SYSTEM THAT INCLUDES TRANSITIONAL REHABILITATION, SKILLED NURSING, INPATIENT HOSPICE AND ASSISTED LIVING FACILITIES. TWCGME'S INTERNAL MEDICINE, FAMILY MEDICINE, AND PSYCHIATRY RESIDENCY PROGRAMS ARE PARTIALLY FUNDED BY THE HRSA TEACHING HEALTH CENTER GME PROGRAM AS DESCRIBED IN LINE 4A ABOVE; TWCGME'S NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM AND GERIATRICS FELLOWSHIP ARE WHOLLY FUNDED BY HRSA'S TEACHING HEALTH CENTER GME PROGRAM AND RECEIVE NO RESOURCES FROM CMS GME AFFILIATES OR THE VA. NON-HRSA GME FUNDING IS PROVIDED TO TWCGME DIRECTLY BY THE WBVAMC AND THROUGH CMS-FUNDED HOSPITALS AND IRF VIA AFFILIATION AGREEMENTS. THE GME-SNC TRACKS AND METICULOUSLY REPORTS ROTATIONAL FTES BY PROGRAM ACROSS SPECIFIED FEDERAL COST CENTERS. FORM 990, PART III, LINE 4C PROGRAM SERVICE CONTINUED: WE VET ALL POTENTIAL MISSION-ALIGNED GRANT INITIATIVES FOR COMMUNITY HEALTH NEEDS-RESPONSIVENESS, FEASIBILITY, OUTCOMES ACHIEVABILITY AND SUSTAINABILITY. WITH A FERVENT COMMITMENT TO AUTHENTICITY AND THE HIGHEST INTEGRITY AND ACCOUNTABILITY STANDARDS, THROUGH ACTIVE PARTNERSHIPS WITH A WIDE VARIETY OF LOCAL, REGIONAL, STATE, AND NATIONAL FUNDERS, WE STRIVE TO PROMOTE UNPRECEDENTED, HIGH-IMPACT, CROSS-ORGANIZATIONAL COLLABORATION; TO FOSTER SHARED PURPOSE AND ACCOUNTABILITY AND COLLECTIVE IMPACT-ORIENTED ACTION STRATEGIES; AND TO DEMONSTRATE TRUSTED TRANSFORMATIONAL STEWARDSHIP OF PUBLIC RESOURCES TO ADDRESS COMMUNITY HEALTH NEEDS AND PROMOTE COMMUNITY HEALTH. THE FOLLOWING DETAILED INFORMATION OF MATERIAL GRANT-FUNDED PROGRAMS SUPPORTS THOSE GRANTS LISTED ON SCHEDULE B EXCEPT FOR THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION FUNDING DESCRIBED ON LINE 4A AND RELATED ORGANIZATION CONTRIBUTIONS: HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (TOTAL $376,683) THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO ESTABLISH A NEW COMMUNITY-BASED FAMILY MEDICINE (FM) RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) IN THE MEDICALLY UNDERSERVED SETTING OF BROOKLYN, NEW YORK. GRANT FUNDS WILL BE USED TO SUPPORT THE EXPLORATION OF THE FEASIBILITY AND LOGISTICAL AND OPERATIONAL STRATEGIES TO DEVELOP AND SECURE ACGME ACCREDITATION OF A NEW, COMMUNITY HEALTH NEEDS RESPONSIVE FAMILY MEDICINE RESIDENCY PROGRAM IN PARTNERSHIP WITH WYCKOFF HEIGHTS MEDICAL CENTER (WYCKOFF). AS A NEW CLINICAL PARTNER IN OUR EXISTING GRADUATE MEDICAL EDUCATION SAFETY NET CONSORTIUM, WYCKOFF PLANS TO LOCATE THE PROPOSED FAMILY MEDICINE RESIDENCY PROGRAM IN A COMMUNITY-BASED CLINICAL SITE IN BUSHWICK, BROOKLYN, WHICH IS DESIGNATED AS BOTH A MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). DURING FISCAL YEAR 2022-2023, TOTAL CONTRIBUTIONS AMOUNTED TO $287,062. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO CREATE A NEW, RURAL FAMILY MEDICINE (FM) RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) IN THE MEDICALLY UNDERSERVED RURAL DESIGNATED COUNTY OF WAYNE COUNTY, PA. THIS HIGH-NEEDS HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREA (MUA) DESIGNATED RURAL COUNTY IS STRUGGLING WITH OBESITY AND ITS MANY COMORBIDITIES, PHYSICAL INACTIVITY, MENTAL HEALTH, AND SUBSTANCE USE DISORDERS. THE PROPOSED RURAL FAMILY MEDICINE PROGRAM WILL ADDRESS THESE COMMUNITY HEALTH CONCERNS BY PROVIDING A PROGRAM DRIVEN BY A FULL-SCOPE FAMILY MEDICINE PRACTICE THAT INCLUDES EDUCATION IN AND CLINICAL EXPOSURE TO WHOLE PERSON PRIMARY HEALTH SERVICES INCLUDING MEDICAL, BEHAVIORAL/MENTAL HEALTH, DENTAL, AND NEEDED SPECIALTY OUTPATIENT CARE SUCH AS HEPATITIS C TREATMENT, RYAN WHITE AND INFECTIOUS DISEASE SERVICES, AS WELL AS SUBSTANCE ABUSE RECOVERY SUPPORT SERVICES INCLUDING MEDICATION-ASSISTED TREATMENT (MAT). DURING FISCAL YEAR 2022-2023, TOTAL CONTRIBUTIONS AMOUNTED TO $57,874. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO ESTABLISH A NEW COMMUNITY-BASED OBSTETRICS AND GYNECOLOGY RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). GRANT FUNDS WILL BE USED TO SUPPORT THE EXPLORATION OF THE FEASIBILITY AND LOGISTICAL AND OPERATIONAL STRATEGIES TO DEVELOP AND SECURE ACGME ACCREDITATION OF A NEW, COMMUNITY HEALTH NEEDS RESPONSIVE OBSTETRICS AND GYNECOLOGY RESIDENCY PROGRAM IN AN AREA WHERE PRIMARY CARE AND OB/GYN SERVICES ARE LIMITED. THE PROGRAM AIMS TO DECREASE HEALTHCARE DISPARITIES BY IDENTIFYING AND IMMERSING TRAINEES AND RESIDENCY PROGRAM FACULTY IN THE CARE OF LOW-INCOME VULNERABLE AND MARGINALIZED POPULATIONS. DURING FISCAL YEAR 2022-2023, TOTAL CONTRIBUTIONS AMOUNTED TO $12,461. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) FOR TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT (THC-PD) TO ESTABLISH A NEW COMMUNITY-BASED PEDIATRICS RESIDENCY PROGRAM THAT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). GRANT FUNDS WILL BE USED TO SUPPORT THE EXPLORATION OF THE FEASIBILITY AND LOGISTICAL AND OPERATIONAL STRATEGIES TO DEVELOP AND SECURE ACGME ACCREDITATION OF A NEW, COMMUNITY HEALTH NEEDS RESPONSIVE PEDIATRICS RESIDENCY PROGRAM IN AN AREA WHERE NONDISCRIMINATORY PRIMARY CARE AND PEDIATRICS SERVICES ARE LIMITED. THE PROGRAM AIMS TO DECREASE HEALTHCARE DISPARITIES BY IDENTIFYING AND IMMERSING TRAINEES AND RESIDENCY PROGRAM FACULTY IN THE CARE OF LOW-INCOME VULNERABLE AND MARGINALIZED POPULATIONS. CHILDREN LIVING IN THE SERVICE AREA REPRESENT A UNIQUE AND VULNERABLE POPULATION WITH DISCRETE HEALTH, HEALTHCARE, GEOGRAPHIC, AND SOCIOECONOMIC DISADVANTAGES. THE CLOSURE OF INPATIENT HOSPITAL PEDIATRICS UNITS HAVE FORCE MULTIPLIED THE PEDIATRICS PUBLIC HEALTH CHALLENGES OF THE SURROUNDING COMMUNITY. DURING FISCAL YEAR 2022-2023, TOTAL CONTRIBUTIONS AMOUNTED TO $19,286. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) - PRIMARY CARE TRAINING AND ENHANCEMENT - RESIDENCY TRAINING AND MENTAL AND BEHAVIORAL HEALTH (TOTAL $63,345) THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED FUNDS TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) VIA A PRIMARY CARE TRAINING AND ENHANCEMENT GRANT TO PROVIDE SPONSORING INSTITUTION-WIDE RESIDENCY TRAINING IN MENTAL AND BEHAVIORAL HEALTH WITH A FOCUS ON YOUTH MENTAL HEALTH. THIS PROGRAM WILL BE IMPLEMENTED ACROSS OUR NATIONAL FAMILY MEDICINE RESIDENCY NETWORK (NFMR) SITES IN UNDERSERVED COMMUNITIES IN WASHINGTON, DC, WASHINGTON, OHIO, AND ARIZONA, PARTNERING WITH OUR ACADEMIC LEADERS AT UNITY, HEALTHPOINT, HEALTH SOURCE, AND EL RIO FEDERALLY QUALIFIED HEALTH CENTERS. THROUGH THIS FUNDING, TWCGME'S NFMR WILL ASSURE CONSISTENT AND COST-EFFECTIVE DELIVERY OF A CHALLENGING AND SATISFYING LOCAL TRAINING EXPERIENCE IN THE MENTAL AND BEHAVIORAL HEALTH CONDITIONS FOR PEDIATRIC, ADOLESCENT, AND YOUNG ADULT POPULATIONS SERVED BY OUR HEALTH CENTER PARTNERS. A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (TOTAL $6,667) IN PARTNERSHIP WITH A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA), AS SUB-AWARDEE THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) PARTICIPATED IN AUGMENTATION OF TRAINING ACROSS THE PRIMARY CARE CONTINUUM BY INTEGRATING INTERPROFESSIONAL TEAM-BASED, PATIENT-CENTERED HEALTH PROFESSIONS EDUCATION WITHIN NATIONALLY DISTRIBUTED COMMUNITY HEALTH CENTER TRAINING SITES SEEKING TO IMPROVE ACCESS TO QUALITY HEALTHCARE FOR HIGHLY VULNERABLE AND HISTORICALLY UNDERSERVED POPULATIONS. THROUGH THIS PROJECT, ATSU-SOMA AND SUB-AWARDEES INCLUDING TWCGME, CREATED ENHANCED PRIMARY CARE DIDACTICS, CONTEXTUAL CLINICAL LEARNING ACTIVITIES AND ASSESSMENTS, AND LEADERSHIP CONTENT TO PREPARE TRAINEES FOR PRACTICE IN EVOLVING HEALTHCARE SYSTEMS AND FUTURE CAREERS AS PUBLIC HEALTH CHAMPIONS AND SERVANT LEADERS FOR THEIR COMMUNITIES. TOGETHER, ATSU-SOMA AND SUB-AWARDEES INCLUDING TWCGME, CREATED A MULTI-STATE COMMUNITY CARE TRAINING ALLIANCE THAT BRINGS TOGETHER LEADERSHIP FROM COMMUNITY HEALTH CENTERS, MEDICAL SCHOOLS AND GME SPONSORING INSTITUTIONS TO EXPLORE HOW TO BEST EVOLVE THE LONGITUDINAL MEDICAL EDUCATION CONTINUUM IN ORDER TO BETTER SERVE MEDICALLY UNDERSERVED COMMUNITIES. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: OTHER - COMMON PAYMASTER TWCGME SERVES AS THE COMMON PAYMASTER FOR ITS PRIMARY AFFILIATE, A FEDERALLY QUALIFIED HEALTH CENTER LOOK ALIKE, THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). IN OPERATIONALIZING THE COMMON PAYMASTER FUNCTIONALITY, TWCGME HAS ENTERED INTO A MISSION DRIVEN COVENANT AND RELATED LEASE AGREEMENTS WITH TWCCH FOR THE PROVISION OF CERTAIN ADMINISTRATIVE AND EXECUTIVE SERVICES, FOR WHICH TWCCH PAYS TWCGME THROUGH INTERCOMPANY ALLOCATION METHODOLOGIES. THROUGH THESE LEASE AGREEMENTS, TWCCH LEASES MANAGEMENT SERVICES AND BACK OFFICE SUPPORT SERVICES FROM TWCGME INCLUDING, BUT NOT LIMITED TO, HUMAN RESOURCES, INFORMATION TECHNOLOGY, MARKETING & COMMUNICATIONS, FINANCE, BILLING, GRANTS, GOVERNANCE SUPPORT, GOVERNMENTAL RELATIONS, LEGAL AND OTHER ADMINISTRATIVE SERVICES. LINE 2B ON THE STATEMENT OF REVENUE REPRESENTS THE REVENUE RECORDED FOR THESE SUPPORT SERVICES THAT TWCGME PERFORMS ON BEHALF OF TWCCH. THE COSTS ASSOCIATED WITH THIS REVENUE, IN ADDITION TO COSTS SUPPORTING TWCGME MANAGEMENT AND GENERAL EXPENSES, ARE RECORDED AS MANAGEMENT AND GENERAL EXPENSES ON TWCGME (REVENUE $5,752,897). OTHER - OFFICE OF RESEARCH SUPPORT AND COMPLIANCE TWCGME ENSURES THAT TRAINEES, STAFF, AND FACULTY HAVE OPPORTUNITIES TO ENGAGE IN COMMUNITY-ORIENTED PRIMARY CARE SCHOLARLY ACTIVITY AND RESEARCH AS FUNDING ALLOWS. DURING THE REPORTING PERIOD, TWO INDIVIDUALS STAFFED THIS DEPARTMENT AND ENGAGED WITH TRAINEE PROGRAM CHIEFS AND LEADERS DEDICATED TO SCHOLARLY ACTIVITY WHICH IN TURN IS REPORTED TO THE ACGME AS PART OF PROGRAM AND INSTITUTIONAL REQUIREMENTS. ADDITIONALLY, TWCGME OPERATES AN INSTITUTIONAL REVIEW BOARD (IRB). THE MISSION OF THE TWCGME IRB IS TO PROTECT THE RIGHTS, WELFARE AND KNOWLEDGE-BASED EMPOWERMENT OF HUMAN PARTICIPANTS RECRUITED TO ENGAGE IN RESEARCH ACTIVITIES OCCURRING IN TWCGME EDUCATIONAL OR TWCCH CLINICAL LEARNING ENVIRONMENTS, PARTNERING ORGANIZATIONS' CLINICAL LEARNING ENVIRONMENTS, AND/OR WITH TWCGME RESIDENTS, FELLOWS AND/OR FACULTY. PHYSICIANS, EDUCATORS, ACADEMIC AND CLINICAL RESEARCH EXPERTS AND COMMUNITY MEMBERS SERVE ON THE IRB. FORM 990, PART IV, LINE 28 BUSINESS TRANSACTIONS: IN NOVEMBER 2017, TWCGME AND ITS AFFILIATED ORGANIZATION TWCCH EXECUTED A LEASE AGREEMENT WITH WYOMING AVENUE DEVELOPMENT, LLC TO DEVELOP AND RENT A 36,500 SQ. FT. FLAGSHIP CLINICAL, EDUCATIONAL, AND ADMINISTRATIVE HUB AT 501 SOUTH WASHINGTON AVENUE, SCRANTON, PENNSYLVANIA, A FORMALLY ECONOMICALLY DISTRESSED CITY AT THAT TIME. MR. JOSEPH FERRARIO WAS A VOLUNTEER DIRECTOR ON AND CHAIR OF TWCGME BOARD OF DIRECTORS, AS WELL AS A BOARD MEMBER OF THE AFFILIATED TWCCH AND OTHER AFFILIATES, UNTIL JULY 12, 2019, WHEN HE RESIGNED FROM TWCGME'S BOARD OF DIRECTORS AND FROM ALL BOARDS OF DIRECTORS OF ITS AFFILIATED ORGANIZATIONS. AT THE TIME THE LEASE TRANSACTION WAS CONSUMMATED, MR. FERRARIO OWNED MORE THAN 35% OF WYOMING AVENUE DEVELOPMENT, LLC. MR. FERRARIO'S CONFLICT OF INTEREST WAS FULLY DISCLOSED AND COMMUNICATED, ETHICALLY ASSESSED, AND APPROVED BY THE BOARD OF DIRECTORS OF TWCGME AND TWCCH PRIOR TO ENTERING INTO THE TRANSACTION. THE CONFLICT OF INTEREST POLICY DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 12C WAS FOLLOWED, AND A LEGAL ETHICS OPINION APPROVING AND OFFERING BEST PRACTICES FOR ADDRESSING AND MANAGING A CONFLICT OF INTEREST ON A NON-PROFIT BOARD WAS OBTAINED FROM OUTSIDE LEGAL COUNSEL, WITH ALL GUIDANCE BEING FOLLOWED. ON JULY 25, 2019, THE 15-YEAR LEASE AGREEMENT WAS AMENDED FOR PURPOSES OF COMPLYING WITH THE FEDERAL NEW MARKETS TAX CREDIT PROGRAM REQUIREMENTS, AND TWCGME BECAME THE SOLE LESSEE OF THE RENTED SPACE. TWCGME SUBLEASES SPACE TO TWCCH AT 501 SOUTH WASHINGTON AVENUE, SCRANTON, PENNSYLVANIA FOR FQHC LAL CLINICAL AND ADMINISTRATIVE OPERATIONS. THE LEASE WENT INTO EFFECT ON NOVEMBER 26, 2019, CLARIFYING THAT TWCGME WAS THE PRIMARY LESSEE OF 41,990 SQ. FT. OF SPACE. RENOVATIONS OF THE DEMISED PREMISES ON THE FIRST AND SECOND FLOORS OF THE BUILDING OCCURRED BETWEEN EARLY 2018 AND DECEMBER 2019, WITH THE COMMENCEMENT DATE OF THE AMENDED AND RESTATED LEASE AGREEMENT FOR THE FIRST FLOOR OCCURRING ON NOVEMBER 26, 2019. FORM 990, PART V, LINE 2 COMMON PAYMASTER: TWCGME IS AFFILIATED WITH TWCCH (EIN: 23-2772504). TO INCREASE ORGANIZATIONAL EFFICIENCIES, TWCGME IS A COMMON PAY AGENT FOR W-2 REPORTING OF BOTH ENTITIES, WITH THE NOTABLE EXCEPTION THAT TWCCH DIRECTLY EMPLOYS ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER, CHIEF MEDICAL OFFICER, AND CHIEF OPERATING OFFICER. TWCGME REPORTS ALL OTHER EMPLOYEES ON ITS FORM W-3; HOWEVER, EACH ENTITY'S RESPECTIVE EMPLOYEE FTES ARE ALLOCATED APPROPRIATELY TO EACH ENTITY WITHOUT DUPLICATION BASED ON A SHARED MISSION COVENANT AND SERIES OF RELATED LEASE AGREEMENTS BETWEEN THE ORGANIZATIONS. PER IRS INSTRUCTIONS, EMPLOYEES INCLUDED ON PART V, LINE 2A, ARE THOSE DEEMED TO BE THE FTE EQUIVALENT OF EMPLOYEES ALLOCATED TO TWCCH. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS: TWCGME IS A NONPROFIT MEMBERSHIP CORPORATION WITH TWO CLASSES OF MEMBERS. CLASS I MEMBERS ARE HEALTH SYSTEMS WITH WHICH THE CORPORATION HAS AN EXECUTED AFFILIATION AGREEMENT FOR RESIDENT AND/OR FELLOW TRAINING AND WHICH HAVE AN ACTIVE PRESENCE IN THE NORTHEAST PENNSYLVANIA REGION AS DETERMINED SOLELY BY TWCGME. DURING FISCAL YEAR 2022-2023, GEISINGER HEALTH SYSTEM AND COMMONWEALTH HEALTH SYSTEMS WERE CLASS I MEMBERS. CLASS II MEMBERS CURRENTLY INCLUDE CLASS I DIRECTORS AND CLASS III DIRECTORS AS DEFINED IN TWCGME'S BYLAWS. CLASS II MEMBERS CURRENTLY INCLUDE REPRESENTATIVES OF TWCGME'S AFFILIATED CORPORATIONS, INCLUDING TWCCH, A HRSA-DESIGNATED FQHC LOOK-ALIKE. OTHER CLASS II MEMBERS INCLUDE REPRESENTATIVES OF CONSUMERS/PATIENTS, REGIONAL EMPLOYERS, OSTEOPATHIC, ALLOPATHIC AND INTER-PROFESSIONAL (NON-PHYSICIAN) HEALTH CARE AND EDUCATIONAL STAKEHOLDERS, COMMUNITY LEADERS, COMMUNITY-GOVERNED NON-PROFIT SERVICE ORGANIZATIONS, AND OTHER PERSONS WHOM THE MEMBER BELIEVES WILL CONTRIBUTE VALUE TO THE BOARD OF DIRECTORS. TWCGME ALSO ENSURES THE CONTINUED ENGAGEMENT OF REPRESENTATIVE MEMBERS FROM ITS NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM'S PARTNERING FQHCS (UNITY HEALTH CARE, HEALTHSOURCE OF OHIO, HEALTHPOINT AND EL RIO HEALTH) AS WELL AS NORTHEAST PA AHEC AND A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE AS CLASS II MEMBERS TO ENSURE AN EMPOWERED VOICE AT THE GOVERNING TABLE. FORM 990, PART VI, SECTION A, LINE 7A MEMBER POWERS: CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATE TWCGME'S SPONSORING INSTITUTIONAL CONSORTIUM FOR AT LEAST TEN RESIDENT AND/OR FELLOW FTES SHALL HAVE THE RIGHT TO APPOINT ONE CLASS II-A DIRECTOR TO TWCGME'S BOARD. CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATE TWCGME'S SPONSORING INSTITUTIONAL CONSORTIUM FOR AT LEAST TWENTY-FIVE RESIDENT AND/OR FELLOW FTES SHALL HAVE THE RIGHT TO APPOINT TWO CLASS II-A DIRECTORS TO TWCGME'S BOARD. NO CLASS I MEMBER SHALL APPOINT MORE THAN TWO VOTING DIRECTORS ON TWCGME'S BOARD AT ANY GIVEN TIME, AND NO CLASS I MEMBER MAY APPOINT DIRECTORS TO ANY CLASS OTHER THAN CLASS II-A. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW: TWCGME'S FORM 990 IS PREPARED BY THE SENIOR LEADERSHIP TEAM OF THE FINANCE DEPARTMENT AND ENTERPRISE COMPLIANCE AND INTEGRITY DEPARTMENT WITH DETAILED REVIEW AND INPUT FROM THE PRESIDENT & CEO, AND IT IS THEN REVIEWED BY AN INDEPENDENT, CONTRACTED CPA FIRM. THE FORM 990 IS DISTRIBUTED TO THE AUDIT AND EXECUTIVE COMMITTEES OF THE BOARD OF DIRECTORS AND THEN TO THE FULL BOARD OF DIRECTORS FOR REVIEW, INPUT, AND APPROVAL PRIOR TO FILING. UPON COMPLETION OF THIS REVIEW AND ANY NECESSARY REVISIONS, THE FORM 990 IS FINALIZED AND SIGNED BY THE ORGANIZATION'S PRESIDENT & CEO AND FILED WITH THE IRS. TWCGME'S THREE MOST RECENTLY FILED 990S, ALONG WITH THREE SEQUENTIAL ANNUAL REPORTS, ARE TRANSPARENTLY AVAILABLE ON OUR WEBSITE IN A DOWNLOADABLE FORMAT, AND THEY ARE KEPT IN A SECURE LOCATION AT EVERY REQUIRED OPERATIONAL SITE WHERE THEY MAY BE REVIEWED BY REQUEST CONSISTENT WITH IRS APPLICABLE LAWS, RULES, AND REGULATIONS. FORM 990, PART VI, SECTION B, LINE 12A, 12B, 12C CONFLICT OF INTEREST POLICY: A WRITTEN CONFLICT OF INTEREST POLICY HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, AND THE GOVERNANCE OFFICER AND THE SENIOR VICE PRESIDENT FOR ENTERPRISE COMPLIANCE AND INTEGRITY ENSURE IT IS REVIEWED, UPDATED IF NECESSARY, AND RENEWED ANNUALLY OR MORE FREQUENTLY WHEN NECESSARY OR APPROPRIATE. A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED ANNUALLY BY THE DIRECTORS, OFFICERS, AND ALL STAFF, INCLUDING KEY EMPLOYEES OF THE ORGANIZATION. SHOULD A CONFLICT OF INTEREST OR POTENTIAL CONFLICT ARISE DURING THE YEAR, THE GOVERNANCE OFFICER AND THE SENIOR VICE PRESIDENT FOR ENTERPRISE COMPLIANCE AND INTEGRITY ENSURE THE CONFLICT OF INTEREST DISCLOSURE FORM IS UPDATED AND REVIEWED. POTENTIAL CONFLICTS OF DIRECTORS, IF ANY, ARE FULLY DISCLOSED, VETTED BY INTERNAL COUNSEL AND THE AUDIT COMMITTEE, AND REVIEWED BY THE BOARD WITH OUTSIDE ETHICS CONSULTATION OBTAINED WHEN APPROPRIATE. EDUCATION ON CONFLICTS OF INTEREST IS PROVIDED TO THE BOARD ANNUALLY DURING THE REVIEW, UPDATE, AND RENEWAL OF THE CONFLICT OF INTEREST POLICY. DIRECTORS' COMPLIANCE WITH THE POLICY IS MONITORED BY THE AUDIT COMMITTEE AND SUPPORTED BY THE GOVERNANCE OFFICER AND SENIOR VICE PRESIDENT FOR ENTERPRISE COMPLIANCE AND INTEGRITY. COMPLIANCE OF STAFF WITH THE CONFLICT OF INTEREST POLICY IS MONITORED BY MANAGERS WITH THE SUPPORTIVE OVERSIGHT OF THE VICE PRESIDENT OF HUMAN RESOURCES, INTERNAL COUNSEL, AND THE SENIOR VICE PRESIDENT FOR ENTERPRISE COMPLIANCE AND INTEGRITY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION DETERMINATION: TWCGME CONTRACTS WITH THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), ITS AFFILIATED ENTITY, FOR THE SERVICES OF TWCGME'S CHIEF EXECUTIVE AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TWCGME, AND THEREFORE DOES NOT COMPENSATE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER DIRECTLY. NONETHELESS, THE PROCESS FOR DETERMINING THE COMPENSATION OF TWCGME'S TOP MANAGEMENT OFFICIAL, THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO), IS LED BY THE EXECUTIVE COMMITTEE OF TWCGME BOARD IN CONJUNCTION WITH THE EXECUTIVE COMMITTEE OF TWCCH. THE EXECUTIVE COMMITTEES ENGAGE A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT PERIODICALLY (GENERALLY EVERY THREE TO FIVE YEARS) TO PROVIDE A COMPREHENSIVE OBJECTIVE COMPENSATION STUDY, ASSESSMENT, AND ANALYSIS EACH TIME THE CEO'S CONTRACT, SALARY, AND COMPENSATION ARE NEGOTIATED. ADDITIONAL DATA CONSIDERED MAY INCLUDE INFORMATION FROM THE AMERICAN JOB CENTER NETWORK WEBSITE, MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), FORM 990S OF COMPARABLE ORGANIZATIONS, AS WELL AS COMPENSATION SURVEYS OF THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, OR OTHER RELEVANT REGIONAL AND NATIONAL SOURCES. THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY PERFORMS A DETAILED, ROBUST, COMPREHENSIVE PERFORMANCE EVALUATION OF THE PRESIDENT & CEO'S AND ORGANIZATION'S PERFORMANCE. THIS ANNUAL PROCESS INCLUDES ASSESSMENT OF WHETHER BASE CHANGES OR MERIT BONUS PAYMENT ADJUSTMENTS TO THE SALARY AND BENEFITS OF THE PRESIDENT & CEO SERVICES ARE APPROPRIATE AND, IF SO, ENSURE FAIR VALUE BASED ON ALL FACTS AND CIRCUMSTANCES. ANY ADJUSTMENTS TO THE PRESIDENT & CEO'S COMPENSATION IN BETWEEN CONTRACT TERMS ARE ASSESSED AGAINST PUBLICLY AVAILABLE COMPARABLE DATA. ULTIMATELY, THE OVERALL COMPENSATION OF THE PRESIDENT & CEO IS DETERMINED BASED ON A ROBUST PERFORMANCE ASSESSMENT AND THE OVERALL PERFORMANCE OF THE ORGANIZATION, WITH DUE CONSIDERATION OF THE CONTRACTED INDEPENDENT THIRD-PARTY COMPENSATION STUDY, MARKET COMPARABILITY, AND AFFORDABILITY. THE EXECUTIVE COMMITTEES' ANNUAL DELIBERATIONS, CONSIDERATIONS, AND DECISIONS REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN EXECUTIVE COMMITTEES MEETING MINUTES WITHIN 60 DAYS OF THE EVALUATION COMPLETION AND COMPENSATION DECISION AND THEN REPORTED TO AND RATIFIED BY THE FULL BOARDS OF BOTH TWCGME AND TWCCH. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION DETERMINATION: COMPENSATION OF ALL OTHER EMPLOYEES, INCLUDING BUT NOT LIMITED TO EXECUTIVES, OFFICERS, EMPLOYEES, KEY EMPLOYEES, THE HIGHEST COMPENSATED EMPLOYEES, AND ALL STAFF IS DETERMINED BY THE ORGANIZATION'S PRESIDENT & CEO AND HUMAN RESOURCES DEPARTMENT, WHO, WITH CONSIDERATION OF CURRENT AND FREQUENTLY SHIFTING MARKET DYNAMICS, RELY ON A FORMAL, PERIODIC ORGANIZATION-WIDE COMPENSATION ASSESSMENT BY AN OBJECTIVE THIRD-PARTY VENDOR, TYPICALLY EVERY THREE TO FIVE YEARS. THE THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT ENGAGED BY THE VICE PRESIDENT OF HUMAN RESOURCES PERFORMS AND PRESENTS THE ORGANIZATION-WIDE COMPENSATION STUDY TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER, AS WELL AS THE EXECUTIVE AND PERSONNEL/COMPENSATION COMMITTEES OF TWCGME'S AND TWCCH'S BOARDS OF DIRECTORS. THE PRESIDENT & CEO ALSO CONSIDERS ADDITIONAL DATA IN DETERMINATION OF COMPENSATION WITHIN THE ORGANIZATION, SUCH AS INFORMATION FROM THE AMERICAN JOB CENTER NETWORK WEBSITE, MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), FORM 990S OF COMPARABLE ORGANIZATIONS, AND COMPENSATION SURVEYS OF THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. OTHER REGIONAL AND NATIONAL SOURCES MAY BE CONSULTED WHEN NECESSARY TO PROVIDE ADDITIONAL COMPARABLE SALARY AND COMPENSATION RANGES FOR VARIOUS POSITIONS WITHIN THE ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO EXECUTIVES AND KEY EMPLOYEES. AS WITH THE SERVICES OF TWCGME'S CHIEF EXECUTIVE, TWCGME ALSO LEASES THE SERVICES OF TWCCH'S CHIEF MEDICAL OFFICER AS A KEY EMPLOYEE/EXECUTIVE FOR TWCGME IN THE POSITION OF SENIOR VICE PRESIDENT OF CLINICAL EDUCATIONAL INTEGRATION. THE THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT JOINTLY ENGAGED BY TWCGME AND TWCCH ALSO INCLUDES THE SERVICES OF THIS, LIKE ALL, EXECUTIVES IN ITS COMPENSATION STUDY ANALYSIS PERFORMED PERIODICALLY, TYPICALLY EVERY THREE TO FIVE YEARS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABLITY: TWCGME'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION BY APPOINTMENT DURING BUSINESS HOURS AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE AT 501 SOUTH WASHINGTON AVENUE, SUITE 1000 IN SCRANTON, PENNSYLVANIA, 18505, AND OTHER LOCATIONS AS REQUIRED BY IRS RULES AND REGULATIONS, WITH COPIES PROVIDED UPON REQUEST. TWCGME'S THREE MOST RECENTLY FILED 990S, ALONG WITH THREE SEQUENTIAL ANNUAL REPORTS, ARE TRANSPARENTLY AVAILABLE ON OUR WEBSITE IN A DOWNLOADABLE FORMAT, AND THEY ARE KEPT IN A SECURE LOCATION AT EVERY REQUIRED OPERATIONAL SITE WHERE THEY MAY BE REVIEWED BY REQUEST CONSISTENT WITH IRS APPLICABLE LAWS, RULES, AND REGULATIONS. FORM 990, PART VIII, LINE 2B STATEMENT OF REVENUE: LINE 2B ON THE STATEMENT OF REVENUE REPRESENTS THE REVENUE RECORDED FOR SUPPORT SERVICES THAT TWCGME PERFORMS AS THE COMMON PAYMASTER ON BEHALF OF TWCCH, AN AFFILIATED ORGANIZATION, PURSUANT TO INTERCOMPANY SHARED MISSION COVENANT AND RELATED LEASE AGREEMENTS. TWCGME SERVES AS THE COMMON PAYMASTER FOR TWCCH. IN OPERATIONALIZING THE COMMON PAYMASTER FUNCTIONALITY, TWCGME HAS ENTERED INTO LEASE AGREEMENTS WITH TWCCH FOR THE PROVISION OF CERTAIN ADMINISTRATIVE AND EXECUTIVE SERVICES, FOR WHICH TWCCH PAYS TWCGME THROUGH WELL-VALIDATED FTE-BASED INTERCOMPANY ALLOCATION METHODOLOGIES. THROUGH THESE SHARED MISSION DRIVEN LEASE AGREEMENTS, TWCCH LEASES MANAGEMENT SERVICES AND BACK OFFICE SUPPORT SERVICES FROM TWCGME INCLUDING, BUT NOT LIMITED TO, HUMAN RESOURCES, INFORMATION TECHNOLOGY, MARKETING & COMMUNICATIONS, FINANCE, GRANTS, GOVERNANCE SUPPORT, GOVERNMENTAL RELATIONS, LEGAL AND OTHER ADMINISTRATIVE SERVICES. THE COSTS ASSOCIATED WITH THIS REVENUE, IN ADDITION TO COSTS SUPPORTING TWCGME MANAGEMENT AND GENERAL EXPENSES, ARE RECORDED AS MANAGEMENT AND GENERAL EXPENSES ON TWCGME. THE WRIGHT CENTER MEDICAL GROUP 501 S WASHINGTON AVENUE 1000 SCRANTON PA 18505 232772504 SEE NARRATIVE PA 501(C)(3) 10 NA false THE WRIGHT CENTER ALLIANCE 501 S WASHINGTON AVENUE 1000 SCRANTON PA 18505 812982874 SEE NARRATIVE PA 501(C)(3) 12AI TWCGME true PATIENT ENGAGEMENT COUNCIL 501 S WASHINGTON AVENUE 1000 SCRANTON PA 18505 813053323 SEE NARRATIVE PA 501(C)(3) 7 TWCCH true false false true true true false false false false true false true true true true true true false false SCHEDULE R, PART II NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER MEDICAL GROUP DBA THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) A PENNSYLVANIA TAX-EXEMPT NON-PROFIT CORPORATION, TWCCH OPERATES AS A HRSA-DESIGNATED FQHC LOOK-ALIKE ESSENTIAL COMMUNITY PROVIDER OFFERING SAFETY-NET, NONDISCRIMINATORY PRIMARY WHOLE PERSON HEALTH AND RYAN WHITE/INFECTIOUS DISEASE SERVICES WITHOUT REGARD FOR INSURANCE STATUS, ZIP CODE OR ABILITY TO PAY. AS A HRSA RECOGNIZED, PIONEERING TEACHING HEALTH CENTER, TWCCH SERVES AS THE PREDOMINANT AMBULATORY CLINICAL LEARNING ENVIRONMENTS IN NORTHEAST PENNSYLVANIA FOR TWCGME'S RESIDENT AND FELLOW PHYSICIAN TRAINEES, AS WELL AS MEDICAL STUDENTS FROM THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE AND A.T. STILL UNIVERSITY'S SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (SOMA) AND CENTRAL COAST PHYSICIAN ASSISTANT PROGRAM (CCPAP), ALONG WITH INTERPROFESSIONAL HEALTHCARE LEARNERS FROM A MULTITUDE OF ACADEMIC INSTITUTIONS. NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER ALLIANCE (ALLIANCE) A PENNSYLVANIA TAX-EXEMPT NON-PROFIT CORPORATION, THE WRIGHT CENTER ALLIANCE WAS CREATED AS A SUPPORTING PARENT ORGANIZATION TO THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) IN ORDER TO ALIGN, ENABLE, AND OPTIMIZE SHARED MISSION DELIVERY ACHIEVEMENT AND COMMUNITY BENEFIT IMPACT OF ANY AFFILIATED, NONPROFIT WRIGHT CENTER ENTITIES. NAME OF RELATED ORGANIZATION: PATIENT ENGAGEMENT COUNCIL DBA THE WRIGHT CENTER FOR PATIENT & COMMUNITY ENGAGEMENT (TWCPCE) A PENNSYLVANIA TAX-EXEMPT NON-PROFIT CORPORATION, TWCPCE'S PURPOSE IS TO EMPOWER PATIENTS TO MAKE MEANINGFUL CONTRIBUTIONS TO THE DELIVERY, ENHANCEMENT, AND TRANSFORMATION OF HEALTH CARE SERVICES AND INTER-PROFESSIONAL WORKFORCE DEVELOPMENT AND TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH EDUCATION, ADVOCACY, PATIENT-CENTERED SERVICES, AND EFFORTS SPECIFICALLY DIRECTED TO ADDRESS THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH. TWCCH IS THE SOLE CORPORATE MEMBER OF TWCPCE.