The Wright Center for Graduate Medical Education

What it reported doing in 2024

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 health 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 nonprofit 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 specialities 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's fqhc look-alike and ryan white clinics and in partnering hospitals and specialty offices throughout lackawanna, luzerne, wayne, and Wyoming 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, tucson, Arizona, and seattle, Washington. During the covered period, twcgme's family medicine and internal medicine residency programs and the geriatric medicine fellowship program 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 opportunities for physician trainees to be immersed in federally qualified health centers (fqhcs) and fqhc look-alikes (fqhc-lals) as essential community providers, 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 as 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 school of osteopathic medicine in Arizona (atsu-soma), and its central coast physician assistant program (atsu-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 the primary care health workforce, essential community

Financial Efficiency

• Mission deployment rate: 61.6%; rating input score 62
• Program expense ratio: 61.2%; rating input score 61
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 17th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 94.4%; rating input score 94; 28th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.5%; rating input score 40; 40th percentile among comparable filings
• Total-asset coverage ratio: 0.91; rating input score 33; 33rd percentile among comparable filings
• Liabilities to assets ratio: 0.51; rating input score 28; 28th percentile among comparable filings
• Officer compensation ratio: 8.5%; rating input score 27; 27th percentile among comparable filings

Growth

• Program expense growth: 4% per year; rating input score 100; 34th percentile among comparable filings
• Revenue growth: 10.3% per year; rating input score 100; 75th percentile among comparable filings
• Asset growth: 15.5% per year; rating input score 100; 82nd percentile among comparable filings