Form 990 for tax year 2023

Totals

Total revenue

$47,901,407

Total expenses

$46,698,121

Contributions and grants received

$24,465,550

Grants paid

$1,664,526

Program service revenue

$20,897,932

Investment income

$639,193

Other revenue

$1,898,732

Total assets, end of year

$37,454,889

Total liabilities, end of year

$19,773,144

Net assets or fund balances, end of year

$17,681,745

Program services expenses (Part IX)

$30,735,017

Management and general expenses

$15,963,104

Fundraising expenses

$0

Program service expenses (Part III)

$30,735,017

Program services were 65.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2023

• 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, health care, and career access needs and challenges. TWCGME's mission is to improve the health and welfare of our communities through responsive, whole person health services for all and the sustainable renewal of an inspired, 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 200 medical residents and fellows each year through its unique Graduate Medical Education Safety-Net Consortium (GME-SNC), which is funded by three federal GME funding 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 health care organizations that provide clinical learning environments for residents/fellows, who have already graduated from medical school and joined TWCGME to complete postgraduate clinical and educational training that makes them eligible for independent practice and to sit for board certifying examinations with the American Board of Medical Specialties and/or the American Osteopathic Association. TWCGME's residency and fellowship programs are strategically designed to respond to primary care and public health workforce needs, while empowering learners as innovators and nimble public health servant leaders who respond to the needs of the local communities they serve both in TWCCH FQHC Look-Alike and Ryan White clinics and in partnering hospitals and specialty offices throughout Lackawanna, Wayne, and Luzerne Counties in Northeast Pennsylvania. Resident physicians in our pioneering 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, Tuscan, Arizona, and Seattle, Washington. During the reporting period, TWCGME's Regional Family Medicine Residency, National Family Medicine Residency, Internal Medicine Residency, Psychiatry Residency, and Geriatrics Fellowship were wholly or partially funded by HRSA through the Teaching Health Center Graduate Medical Education (THCGME) Program, which funds primary care medical and dental residency and fellowship 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 essential community provider, primary care ambulatory clinical learning environments. As one of the largest HRSA-funded THC GME-SNCs, 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, D.C. These health centers share a primary care and public health-oriented partnership not only with TWCGME but also with the National Association of Community Health Centers, 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 congruence of the physician workforce with the population served by recruiting from, retaining in, and thereby restoring primary care health workforce, essential community providers of primary health services, and the communities they serve.

  Expenses $15,790,940

• 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, health care, and health care career access needs and challenges, TWCGME is a 501(c)(3) nonprofit corporation and anchoring member of a Graduate Medical Education Safety-Net Consortium (GME-SNC) that, during the reporting period, served as the independent ACGME-accredited Sponsoring Institution of residency programs in Internal Medicine, Family Medicine, Psychiatry, and 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 regional hospitals owned and operated by Commonwealth Health Systems, Geisinger Health System, and the Wilkes-Barre Veterans Affairs Medical Center (WBVAMC), as well as Allied Services and John Heinz Inpatient Rehabilitation Facilities (IRF) and their 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 were 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 were wholly funded by HRSA's Teaching Health Center GME Program and received no resources from CMS GME affiliates or the WBVAMC. GME funding for the Internal Medicine Residency, as well as the Gastroenterology and Cardiovascular Disease fellowships, was provided to TWCGME directly by the WBVAMC and through CMS-funded hospitals via affiliation agreements. GME funding for the Physical Medicine & Rehabilitation Residency was provided to TWCGME through CMS-funded acute and IRF hospitals via affiliation agreements. The GME-SNC tracks and meticulously reports rotational reconciled FTEs by program across specified federal GME cost centers.

  Expenses $12,079,689 · Revenue $14,009,875

• 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 responsive, whole person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. We vet all potential mission-aligned grant initiatives for community health needs-responsiveness and community benefit impact, as well as feasibility, outcomes achievability, and sustainability. With a fervent commitment to authenticity and the highest stewardship 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; foster shared purpose and accountability and mutually reinforcing collective impact-oriented action strategies; and demonstrate trusted transformational stewardship of public resources to address community health needs and promote the health and welfare of communities served. 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: Obstetrics & Gynecology Residency Program (Total: $99,989) Purpose of Assistance: The Health Resources and Services Administration (HRSA) awarded funds to The Wright Center for Graduate Medical Education (TWCGME) from the Teaching Health Center Planning and Development Program (THC-PD) to establish a new community-based residency program that is accredited by the Accreditation Council for Graduate Medical Education (ACGME) and affiliated with The Wright Center for Community Health (TWCCH). Grant funds will be utilized to support the development of a new community-based Obstetrics and Gynecology Residency Program in an area where primary care, OB/GYN services, and related workforce programming are limited. The mission-driven program will improve the health and welfare of communities through responsive whole-person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. Health Resources and Services Administration (HRSA) - Teaching Health Center Planning and Development: Pediatric Medicine (Total: $124,638) Purpose of Assistance: The Health Resources and Services Administration (HRSA) awarded funds to The Wright Center for Graduate Medical Education (TWCGME) from the Teaching Health Center Planning and Development Program (THC-PD) to establish a new community-based residency program that is accredited by the Accreditation Council for Graduate Medical Education (ACGME) and affiliated with The Wright Center for Community Health (TWCCH). Grant funds will be utilized to support the development of a new community-based Pediatric Residency Program in an area where primary care, pediatric services, and related workforce programming are limited. The mission-driven program will improve the health and welfare of communities through responsive whole-person health services for all and the sustainable renewal of an inspired and competent workforce that is privileged to serve. Children living in the Service Area represent a unique and vulnerable population with discrete health, health care, geographic, and economic disadvantages and health related social needs. Health Resources and Services Administration (HRSA) -Teaching Health Center Planning and Development: Family Medicine - Brooklyn, NY (Total: $148,296) Purpose of Assistance: The Health Resources and Services Administration (HRSA) awarded funds to The Wright Center for Graduate Medical Education (TWCGME) from the Teaching Health Center Planning and Development Program (THC-PD) to establish a new community-based Family Medicine (FM) Residency Program that was intended to be accredited by the Accreditation Council on Graduate Medical Education (ACGME) in the medically underserved setting of Brooklyn, New York. This project was a partnership with Wyckoff Heights Medical Center (Wyckoff) exploring the intention and feasibility of adding a planned Wyckoff Family Medicine Residency Program to TWCGME's Sponsoring Institution Consortium. The program was to be located in a community-based clinical site in Bushwick, Brooklyn, designated as both a Medically Underserved Area (MUA) and a Health Professional Shortage Area (HPSA). Due to insurmountable internal challenges at Wyckoff Heights Medical Center, the envisioned project could not come to fruition as intended. Health Resources and Services Administration (HRSA) - Rural Residency Planning and Development: Family Medicine (Total: $208,007) Purpose of Assistance: The Health Resources and Services Administration (HRSA), in concert with the Federal Office of Rural Health Policy (FOHRP), awarded funds to The Wright Center for Graduate Medical Education (TWCGME) from the Rural Residency Planning and Development Program (RRPD) to collaboratively support creation of a rural family medicine residency program in partnership with Wayne Memorial Health Center that will respond to the health needs of the communities in rurally designated Wayne County, PA. The population in this county, also designated as both a Medically Underserved Area (MUA) and a Health Professional Shortage Area (HPSA), is notably struggling with obesity and its cardiovascular and multiple other comorbidities, physical inactivity, mental health, and substance use disorders. The proposed rural family medicine residency 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, dental, behavioral/mental health, and specialty health services, including Hepatitis C treatment, Ryan White and infectious disease services, as well as substance abuse recovery support services including medication-assisted treatment (MAT). Health Resources and Services Administration (HRSA) - Primary Care Training and Enhancement - Residency Training in Mental and Behavioral Health (Total: $613,171) Purpose of Assistance: The Health Resources and Services Administration (HRSA) awarded funds to The Wright Center for Graduate Medical Education (TWCGME) via the Primary Care Training and Enhancement Grant for Residency Training in Mental and Behavioral Health Program to provide primary care 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 program (NFMR) sites in underserved communities in Washington, DC, Ohio, Washington, and Arizona. Through this funding, TWCGME/NFMR will assure consistent and cost-effective delivery of a challenging and satisfying local training experience in the mental and behavioral health conditions for the pediatric, adolescent, and young adult populations served by the four partnering FQHCs. Health Resources and Services Administration (HRSA) - Primary Care Training and Enhancement - Language and Disability Access (Total: $407,228) Purpose of Assistance: The Health Resources and Services Administration (HRSA) awarded funds to The Wright Center for Graduate Medical Education (TWCGME) via the Primary Care Training and Enhancement Grant for Language and Disability Access Program to increase access to high-quality primary care services for individuals with limited English proficiency (LEP) and individuals with physical and/or intellectual or developmental disabilities (PIDD). Through this program, TWCGME will develop and implement curricula for internal medicine residents, faculty, and preceptors to educate these primary care physicians on best practices in the care of patients with LEP and PIDD and to provide opportunities for clinical staff education and PIDD-related facility upgrades in community-based settings.

  Expenses $1,514,056 · Grants $434,753

• Other - Common Paymaster: In accordance with IRS regulations, TWCGME acts as the common paymaster for its primary affiliate, The Wright Center for Community Health (TWCCH), a Federally Qualified Health Center Look-Alike. To operationalize this common paymaster function, TWCGME and TWCCH have established shared mission-driven covenants and staffing lease agreements for the provision of various services. TWCCH compensated TWCGME through intercompany allocation methodologies for these services, which include clinical, executive, administrative, and back-office support, encompassing human resources, information technology, marketing and communications, finance, billing, grants, governance support, government relations, legal, and other related services. The revenue recorded for these support services, as performed by TWCGME on behalf of TWCCH, is represented on Line 2B of the statement of revenue ($6,325,776). In operationalizing the common paymaster functionality, TWCGME has entered into staffing lease agreements with TWCCH for the provision of certain administrative and executive services. This consolidated payroll system covers all employees except for TWCCH's President and Chief Executive Officer, Chief Medical and Information Officer, and Chief Clinical Operating Officer, who are directly employed by TWCCH. The services of TWCCH's Chief Executive and Chief Medical and Information Officer are contracted for services as key employees/executives for TWCGME in the positions of President and CEO and SVP of Clinical Educational Integration, respectively. TWCGME reports all remaining employees on its Form W-3. Therefore, all Full-Time Equivalents (FTEs) are accurately allocated to each respective entity, avoiding duplication, based on a shared mission covenant and related staffing lease agreements. TWCCH reimbursed TWCGME for these services through well-validated FTE-based intercompany allocation methodologies. Through these shared mission-driven staffing lease agreements, TWCCH leases clinical staff, management services, and back office support services from TWCGME including, but not limited to, human resources, information technology, marketing and communications, finance, grants, governance support, governmental relations, legal and other administrative support 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's Form 990, section IX (Statement of Functional Expenses), column C. Other - Office of Research Support and Compliance: TWCGME facilitates opportunities for trainees, staff, and faculty to participate in community-oriented primary care scholarly activity and research, contingent upon funding availability. During the reporting period, two staff members supported this department, collaborating with one resident physician program chief and two resident physician leaders to advance scholarly activity, which is subsequently reported to the ACGME to fulfill training program and sponsoring institutional accreditation requirements. Furthermore, TWCGME operates an Institutional Review Board (IRB). The IRB's mission is to safeguard the rights, welfare, and informed participation of human subjects involved in research conducted within TWCGME educational or TWCCH clinical learning environments, partner organizations' clinical settings, or by TWCGME residents, fellows, and faculty in the communities served. The IRB comprises physicians, educators, academic and clinical research experts, and community members.

  Expenses $1,350,332 · Grants $1,229,773 · Revenue $8,048,111

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

• The Wright Center Medical Group

  $1,192,606

  SEE NARRATIVES

• Wyckoff Heights Medical Center

  $144,606

  SEE NARRATIVES

• Wayne Memorial Community Health Centers

  $113,042

  SEE NARRATIVES

• Health Point CHC

  $89,525

  SEE NARRATIVES

• Health Source of Ohio

  $87,580

  SEE NARRATIVES

• America250PA

  $17,167

  SEE NARRATIVES

• Hospice of the Sacred Heart

  $7,500

  SEE NARRATIVES

• Scranton Area Foundation

  $6,500

  SEE NARRATIVES

• The Institute For Public Policy and Economic Development

  $6,000

  SEE NARRATIVES

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• THE WRIGHT CENTER MEDICAL GROUP

  501(c)(3) · SEE NARRATIVE · PA

  Directly controlled by NA

• THE WRIGHT CENTER ALLIANCE

  501(c)(3) · SEE NARRATIVE · PA · controlled entity

  Directly controlled by TWCGME

• PATIENT ENGAGEMENT COUNCIL

  501(c)(3) · SEE NARRATIVE · PA · controlled entity

  Directly controlled by TWCCH

Provenance

Return type

form_990

Tax year

2023

Filed

14 May 2025

IRS schema version

2023v6.0

Source object

202531349349308353

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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