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        <PersonNm>JENNIFER WALSH ESQ</PersonNm>
        <TitleTxt>SVP GENERAL COUNSEL</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY BURKE DO</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR FOR AOA/PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAJIV BANSAL MD</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR/PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ENRIQUE SAMONTE MD</PersonNm>
        <TitleTxt>ASST. PROGRAM DIR/PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN LITCHMAN MD</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR/PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE M FLETCHER</PersonNm>
        <TitleTxt>SVP FINANCE - RESIGNED MAY 2020</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH SPRING MD</PersonNm>
        <TitleTxt>ASST. PROGRAM DIR FOR FM/PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BOJANA MILEKIC MD ASST PROGRAM</PersonNm>
        <TitleTxt>DIR FOR IM/PHYSICIAN TO 6/20</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA EDWARDS</PersonNm>
        <TitleTxt>VP STRATEGIC INITIATIVES TO 3/20</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN JANOSKY</PersonNm>
        <TitleTxt>VP INFORMATION TECHNOLOGY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH FERRARIO</PersonNm>
        <TitleTxt>CHAIRMAN - RESIGNED 7/12/19</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HARROLD BAILLIE PHD</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES GAVIN</PersonNm>
        <TitleTxt>VICE CHAIRMAN</TitleTxt>
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        <PersonNm>JOHN KEARNEY</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT NAISMITH PHD</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GERARD GEOFFROY</PersonNm>
        <TitleTxt>DIRECTOR - RESIGNED 9/20</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT JENKINS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SISTER MARY ALICE JACQUINOT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY MARRARA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARLON PREATE</PersonNm>
        <TitleTxt>DIRECTOR - RESIGNED 4/20</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LIA RICHARDS-PALMITER PHD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL PAGLIA MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUDY FEATHERSTONE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT KEANE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIM PATTON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS SPEGMAN MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS BISIGNANI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL RUBEL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON OBADIA DO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK CONABOY MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD DANIELS</PersonNm>
        <TitleTxt>CFO - APRIL 2020</TitleTxt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEAN BYRNE CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>349 REAR N MAIN STREET</AddressLine1Txt>
            <CityNm>DICKSON CITY</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18519</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WYOMING AVENUE DEVELOPMENT LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>321 SPRUCE ST STE 1100</AddressLine1Txt>
            <CityNm>SCRANTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE CONSTRUCTION</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AT STILL UNIVERSITY OF HEALTH SCIENCES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>800 W JEFFERSON ST</AddressLine1Txt>
            <CityNm>KIRKSVILLE</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63501</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHASOR CORPORATION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>210 DIVISION STREET - SUITE 7</AddressLine1Txt>
            <CityNm>KINGSTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18704</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE CONSTRUCTION</ServicesDesc>
        <CompensationAmt>309515</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ABM</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>140 ADAMS AVENUE</AddressLine1Txt>
            <CityNm>SCRANTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE-PARKING</ServicesDesc>
        <CompensationAmt>125724</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <RelatedOrganizationsAmt>73500</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>17245445</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>16000</AllOtherContributionsAmt>
      <TotalContributionsAmt>17334945</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENCY PROGRAM REV</Desc>
        <BusinessCd>611310</BusinessCd>
        <TotalRevenueColumnAmt>12679720</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12679720</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SUPPORT SERVICE REVENUE</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>2098163</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2098163</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>IRB AND RESEARCH FEES</Desc>
        <BusinessCd>611310</BusinessCd>
        <TotalRevenueColumnAmt>9705</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9705</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14787588</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>142379</TotalRevenueColumnAmt>
        <ExclusionAmt>142379</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>560994</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>189994</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>371000</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>371000</TotalRevenueColumnAmt>
        <ExclusionAmt>371000</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2458751</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2598298</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-139547</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-139547</TotalRevenueColumnAmt>
        <ExclusionAmt>-139547</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMBURSEMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>20437</TotalRevenueColumnAmt>
        <ExclusionAmt>20437</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4914</TotalRevenueColumnAmt>
        <ExclusionAmt>4914</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>RESEARCH &amp; EDUCATIONAL STUDIES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4428</TotalRevenueColumnAmt>
        <ExclusionAmt>4428</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>7897</TotalRevenueColumnAmt>
        <ExclusionAmt>7897</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>37676</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>32534041</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14787588</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>411508</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1213884</TotalAmt>
        <ProgramServicesAmt>1213884</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1300606</TotalAmt>
        <ProgramServicesAmt>860939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>439667</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>15974248</TotalAmt>
        <ProgramServicesAmt>13099460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2874788</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>477616</TotalAmt>
        <ProgramServicesAmt>318896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158720</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1835660</TotalAmt>
        <ProgramServicesAmt>1465115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>370545</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1152283</TotalAmt>
        <ProgramServicesAmt>824259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>328024</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>60333</TotalAmt>
        <ProgramServicesAmt>53508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6825</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>47760</TotalAmt>
        <ManagementAndGeneralAmt>47760</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>125409</TotalAmt>
        <ManagementAndGeneralAmt>125409</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>26545</TotalAmt>
        <ManagementAndGeneralAmt>26545</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2550080</TotalAmt>
        <ProgramServicesAmt>1757504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>792576</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>194321</TotalAmt>
        <ProgramServicesAmt>40215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154106</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>512413</TotalAmt>
        <ProgramServicesAmt>19845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>492568</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>258480</TotalAmt>
        <ProgramServicesAmt>165926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92554</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>231307</TotalAmt>
        <ProgramServicesAmt>7739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>223568</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>76773</TotalAmt>
        <ProgramServicesAmt>42329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34444</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>404998</TotalAmt>
        <ProgramServicesAmt>313538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91460</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>193286</TotalAmt>
        <ManagementAndGeneralAmt>193286</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>688208</TotalAmt>
        <ProgramServicesAmt>14183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>674025</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>662515</TotalAmt>
        <ProgramServicesAmt>649023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13492</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>LEARNING ENVIRONMTS-THC</Desc>
        <TotalAmt>3989133</TotalAmt>
        <ProgramServicesAmt>3989133</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>396396</TotalAmt>
        <ProgramServicesAmt>2071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>394325</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND MEMBERSHIPS</Desc>
        <TotalAmt>331850</TotalAmt>
        <ProgramServicesAmt>249692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82158</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT EXPENSE</Desc>
        <TotalAmt>267656</TotalAmt>
        <ProgramServicesAmt>120658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146998</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>29230</TotalAmt>
        <ProgramServicesAmt>2931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26299</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>33000990</TotalAmt>
        <ProgramServicesAmt>25210848</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7790142</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1206238</BOYAmt>
        <EOYAmt>2399962</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>143227</BOYAmt>
        <EOYAmt>84228</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1613747</BOYAmt>
        <EOYAmt>882654</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>284083</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8974447</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1382478</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>113443</BOYAmt>
        <EOYAmt>7591969</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>5410082</BOYAmt>
        <EOYAmt>5419703</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>903007</BOYAmt>
        <EOYAmt>1139423</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>666741</EOYAmt>
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        <EOYAmt>10108624</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>28577387</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3387936</BOYAmt>
        <EOYAmt>8672753</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>12166068</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3397364</BOYAmt>
        <EOYAmt>20838821</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8172173</BOYAmt>
        <EOYAmt>7738566</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8172173</BOYAmt>
        <EOYAmt>7738566</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11569537</BOYAmt>
        <EOYAmt>28577387</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-466949</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>33342</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>10737249</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12730219</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15826039</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16798105</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17334945</CurrentTaxYearAmt>
        <TotalAmt>73426557</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>13582150</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13617127</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12636961</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13415299</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14787588</CurrentTaxYearAmt>
        <TotalAmt>68039125</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>24319399</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26347346</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28463000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>30213404</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32122533</CurrentTaxYearAmt>
        <TotalAmt>141465682</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>141465682</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>101098</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>125839</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>149433</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>703373</CurrentTaxYearAmt>
        <TotalAmt>1211070</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>131327</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>101098</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>125839</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>149433</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>703373</CurrentTaxYearAmt>
        <TotalAmt>1211070</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearAmt>37676</CurrentTaxYearAmt>
        <TotalAmt>37676</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>24450726</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26448444</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28588839</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>30362837</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32863582</CurrentTaxYearAmt>
        <TotalAmt>142714428</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99130</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99540</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00850</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00460</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2019 AMOUNT: $ 4,914. REIMBURSEMENTS - 2019 AMOUNT: $ 20,437. RESEARCH EDUCATIONAL STUDIES - 2019 AMOUNT: $ 4,428. REBATE PROGRAM - 2019 AMOUNT: $ 2,905. STATE OF MD BOARD INC - 2019 AMOUNT: $ 2,575. EMPLOYEE COLLECTIONS - 2019 AMOUNT: $ 2,417.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>125409</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>125409</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>32875581</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>33000990</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>1500000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearAmt>125409</CurrentYearAmt>
        <TotalAmt>125409</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>250000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>375000</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearAmt>0</CurrentYearAmt>
      </AvgGrassrootsLobbyingExpendGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-A, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>TWCGME ENGAGED THE FIRM OF COZEN O'CONNOR PUBLIC STRATEGIES (COZEN) ON APRIL 23, 2019, TO ASSIST WITH LOBBYING ACTIVITIES TO ADVOCATE FOR PUBLIC HEALTH POLICY AND PROGRAMS, INCLUDING THE TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION LEGISLATION. TWCGME PAID COZEN $102,248 FOR THESE SERVICES IN FY 2019-2020. IN ADDITION TO COZEN'S SERVICES, TWO PAID STAFF MEMBERS HAD DIRECT VIRTUAL CONTACT WITH FEDERAL LEGISLATORS AND/OR THEIR STAFF MEMBERS TO ADVOCATE FOR APPROPRIATIONS FOR THE FEDERALLY-FUNDED THC GME PROGRAM. PAID STAFF ALSO DRAFTED LETTERS AND COMMENTS FOR SUBMISSION TO LEGISLATORS AND ADMINISTRATION CONCERNING THE THC GME PROGRAM. DUE TO COVID-19, THERE WAS NO IN-PERSON ENGAGEMENT OF LEGISLATORS/STAFFERS DURING FY 2019-2020. COZEN WAS ALSO ENGAGED BY TWCCH, A FQHC-LOOK-ALIKE AND TWCGME'S AFFILIATED ORGANIZATION, TO ADVOCATE FOR LEGISLATION SUPPORTING THE FUNDING OF FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), FQHC-LOOK-ALIKES AND THE NATIONAL HEALTH SERVICE CORPS LOAN REPAYMENT PROGRAM (COLLECTIVELY, "PUBLIC HEALTH PROGRAMS''). TWCCH PAID COZEN $67,500 FOR THESE SERVICES IN FY 2019-2020, WHICH AMOUNTS ARE REFLECTED ON ITS OWN FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>4010550</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>226160</DepreciationAmt>
        <BookValueAmt>3784390</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4963897</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1156318</DepreciationAmt>
        <BookValueAmt>3807579</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>7591969</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>5862977</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESTRICTED CASH</Desc>
        <BookValueAmt>4245647</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>10108624</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>32730832</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>33342</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-26545</OtherRevenueAmt>
      <RevenueNotReportedAmt>6797</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>32724035</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-189994</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-189994</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>32534041</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>33164439</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>189994</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>189994</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>32974445</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>26545</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>26545</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>33000990</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2020 AND 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT EXPENSES -26,545.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -189,994.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 189,994.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESMENT EXPENSES 26,545.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AT STILL SCHOOL OF OSTEOPATHIC MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5850 E STILL CIRCLE</AddressLine1Txt>
          <CityNm>MESA</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85206</ZIPCd>
        </USAddress>
        <RecipientEIN>430356250</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75594</CashGrantAmt>
        <PurposeOfGrantTxt>SEE PART IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARYWOOD UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2300 ADAMS AVE</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18509</ZIPCd>
        </USAddress>
        <RecipientEIN>240795453</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP OF COMMUNITY LEADERSHIP CELEBRATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LACKAWANNA PRO BONO INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>233 PENN AVE</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18503</ZIPCd>
        </USAddress>
        <RecipientEIN>232887494</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>SEE PART IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE WRIGHT CENTER MEDICAL GROUP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>501 S WASHINGTON AVENUE</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18505</ZIPCd>
        </USAddress>
        <RecipientEIN>232772504</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1128290</CashGrantAmt>
        <PurposeOfGrantTxt>SEE PART IV</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A GRANTS DEPARTMENT THAT MONITORS THE USE OF GRANT FUNDS THROUGH ITS COMPLIANCE PROGRAM. APPROPRIATE MONITORING IS IN PLACE TO TRACK AND REPORT TO GRANTORS AS REQUIRED BY THE TERMS OF EACH RESPECTIVE GRANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 1, COLUMN (H)</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME OF ORGANIZATION OR GOVERNMENT: A.T. STILL SCHOOL OF OSTEOPATHIC MEDICINE (H) PURPOSE OF GRANT OR ASSISTANCE: A.T. STILL UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE IN ARIZONA (ATSU-SOMA) IS A SUBAWARD RECIPIENT FROM TWCGME FOR A U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) PRIMARY CARE TRAINING ENHANCEMENT (PCTE) GRANT PROJECT TITLED "SERVING, TEACHING AND LEARNING WHERE THE NEED IS GREATEST," WHEREBY ATSU-SOMA WORKS WITH TWCGME LEADERS TO 1) PREPARE PATIENT-CENTERED MEDICAL HOME CHAMPIONS FOR CARE TEAMS FOCUSED ON PROFESSIONALISM, LEADERSHIP AND PRACTICE; 2) IMPLEMENT A COMMUNITY HEALTH CENTER MODEL FOR HEALTH CARE DELIVERY SCIENCE TRAINING; 3) EXPLORE FEASIBILITY OF EXTENDING THE ENHANCED NATIONAL FAMILY MEDICINE RESIDENCY TO NEW LOCATIONS; AND 4) EVALUATE AND DISSEMINATE PROJECT OUTCOMES. NAME OF ORGANIZATION OR GOVERNMENT: MARYWOOD UNIVERSITY (H) PURPOSE OF GRANT OR ASSISTANCE: SPONSORSHIP OF COMMUNITY LEADERSHIP CELEBRATION NAME OF ORGANIZATION OR GOVERNMENT: LACKAWANNA PRO BONO, INC. (H) PURPOSE OF GRANT OR ASSISTANCE: SPONSORSHIP FOR FUNDRAISING GALA TO SUPPORT LEGAL SERVICES TO LOW- AND NO-INCOME INDIVIDUALS IN NEED NAME OF ORGANIZATION OR GOVERNMENT: THE WRIGHT CENTER MEDICAL GROUP (H) PURPOSE OF GRANT OR ASSISTANCE: TO FACILITATE THE CONSTRUCTION OF A NEW, STATE-OF-THE-ART CLINICAL, EDUCATIONAL AND ADMINISTRATIVE HUB AT 501 S. WASHINGTON AVENUE, SCRANTON, PA. TWCGME MADE A GRANT TO TWCCH FOR $1,128,290. RESPONDING TO GOVERNOR TOM WOLF'S CALL-TO-ACTION FOR PENNSYLVANIA, IN DECEMBER 2019, THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) AND ITS AFFILIATED ENTITY, THE WRIGHT CENTER MEDICAL GROUP DBA THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH) OPENED A ONE-OF-A-KIND, FULLY-INTEGRATED PRIMARY AND PREVENTIVE FQHC-LOOK-ALIKE HEALTH CENTER THAT OFFERS MENTAL AND BEHAVIORAL HEALTH, WOMEN'S AND FAMILY HEALTH, ADDICTION AND RECOVERY SERVICES, DENTAL AND INTEGRATED RYAN WHITE HIV/AIDS PROGRAMS WITH IMMERSED PHYSICIAN AND INTERPROFESSIONAL HEALTH WORKFORCE DEVELOPMENT. THIS FACILITY IS LOCATED IN A SEVERELY DISTRESSED CENSUS TRACT (NO. 42069102500) AND FOOD DESERT ON THE OUTSKIRTS OF DOWNTOWN SCRANTON, PA. HAVING CREATED MORE THAN 125 NEW JOBS, THIS PROJECT IS ONLY THE MOST RECENT EFFORT BY TWCGME THAT IS RESPONSIVE TO GOVERNOR WOLF'S ACTION PLAN FOR PENNSYLVANIA, ANSWERING THE CALL TO "IMPROVE HEALTH CARE ACCESS AND OPTIONS," "FIGHT THE HEROIN AND OPIOID EPIDEMIC, AND TO "GROW JOBS AND SUPPORT WORKERS." THIS PROJECT WAS FUNDED BY MULTIPLE SOURCES, INCLUSIVE OF BUT NOT LIMITED TO A FEDERAL NEW MARKETS TAX CREDIT ALLOCATION, A COMMONWEALTH OF PENNSYLVANIA REDEVELOPMENT ASSISTANCE CAPITAL GRANT, FUNDING FROM MULTIPLE PRIVATE FOUNDATIONS AND ORGANIZATIONAL INVESTMENTS.</ExplanationTxt>
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    </IRS990ScheduleI>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>24106</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>12980</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>5605</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>31020</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>287930</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsRltdOrgsAmt>7142</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>147279</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusFilingOrganizationAmount>762</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>5586</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>1794</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13156</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1644</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12053</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>31357</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>229943</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BOJANA MILEKIC MD ASST PROGRAM</PersonNm>
        <TitleTxt>DIR FOR IM/PHYSICIAN TO 6/20</TitleTxt>
        <BaseCompensationFilingOrgAmt>33390</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>189208</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1003</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>5681</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1350</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7650</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2172</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>12311</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>758</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4293</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>38673</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>219143</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA EDWARDS</PersonNm>
        <TitleTxt>VP STRATEGIC INITIATIVES TO 3/20</TitleTxt>
        <BaseCompensationFilingOrgAmt>65292</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>97938</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1800</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2700</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>17250</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5627</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8440</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>84219</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>126328</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN JANOSKY</PersonNm>
        <TitleTxt>VP INFORMATION TECHNOLOGY</TitleTxt>
        <BaseCompensationFilingOrgAmt>78970</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>78970</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3625</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>3625</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14159</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14159</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7024</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7024</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>103778</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>103778</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TWCGME CONTRACTS WITH THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), ITS AFFILIATED ENTITY, FOR THE SERVICES OF TWCGME'S CHIEF EXECUTIVE AS PRESIDENT OF TWCGME, AND THEREFORE DOES NOT COMPENSATE THE CHIEF EXECUTIVE DIRECTLY. NONETHELESS, TWCGME AND TWCCH JOINTLY ENGAGE A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT BEFORE EACH EMPLOYMENT CONTRACT IS NEGOTIATED TO PROVIDE A COMPREHENSIVE, OBJECTIVE COMPENSATION STUDY TO ENSURE THAT TWCGME'S PAYMENT TO TWCCH REFLECTS FAIR MARKET VALUE FOR THE CHIEF EXECUTIVE'S SERVICES. IN ADDITION, TWCGME'S EXECUTIVE COMMITTEE PERFORMS A ROBUST AND COMPREHENSIVE REVIEW OF THE TOP EXECUTIVE'S PERFORMANCE AND THE ORGANIZATION'S PERFORMANCE IN DETERMINING WHETHER PAYMENT ADJUSTMENTS TO TWCCH FOR FUTURE SERVICES ARE APPROPRIATE. THE EXECUTIVE COMMITTEE'S DELIBERATIONS, CONSIDERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMMITTEE MEETING MINUTES WITHIN 60 DAYS OF THE DECISION. 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 CHIEF EXECUTIVE AND HUMAN RESOURCES DEPARTMENT, WHO RELY ON A PERIODIC ORGANIZATION-WIDE COMPENSATION ASSESSMENT BY AN OBJECTIVE THIRD-PARTY VENDOR (TYPICALLY EVERY THREE TO FIVE YEARS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>TWCGME IS OPERATIONALLY AFFILIATED WITH TWCCH. TO INCREASE ORGANIZATIONAL EFFICIENCIES, TWCGME IS A COMMON PAY AGENT FOR W-2 REPORTING OF BOTH ENTITIES, WITH THE NOTABLE EXCEPTION THAT TWCCH DIRECTLY EMPLOYS ITS CHIEF EXECUTIVE OFFICER, CHIEF MEDICAL OFFICER AND CHIEF OPERATING OFFICER. TWCGME REPORTS ALL OTHER EMPLOYEES ON ITS FORM W-3; HOWEVER, EACH ENTITY'S RESPECTIVE EMPLOYEE FTES ARE ALLOCATED APPROPRIATELY TO EACH ENTITY WITHOUT DUPLICATION BASED ON LEASE AGREEMENTS BETWEEN THE ORGANIZATIONS. TWCGME AND TWCCH ESTABLISHED A NONGOVERNMENTAL TAX EXEMPT ENTITY NONQUALIFIED DEFERRED COMPENSATION PLAN FOR THE CHIEF EXECUTIVE AND A SEPARATE PLAN FOR ELIGIBLE EXECUTIVES, BOTH UNDER IRC 457(B). THE TERMS OF PARTICIPATION ARE REFLECTED IN EACH RESPECTIVE PLAN DOCUMENT. PARTICIPANTS IN THE PLAN VEST IMMEDIATELY. CONTRIBUTIONS TO THE PLAN AMOUNTED TO $253,003.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES OF TWCGME ARE ELIGIBLE FOR AN ANNUAL, PERFORMANCE-BASED INCENTIVE BONUS CONTINGENT UPON BOARD APPROVAL, SUCCESSFUL PERFORMANCE EVALUATIONS BY MANAGEMENT AND AFFORDABILITY. HOWEVER, THERE ARE SEVERAL THRESHOLD REQUIREMENTS TO PERFORMANCE-BASED BONUS ELIGIBILITY, INCLUDING BUT NOT LIMITED TO ACTIVE PARTICIPATION IN TWCGME'S PLAN/DO/STUDY/ACT (PDSA) QUALITY IMPROVEMENT AND SAFE EVENT REPORTING AND COMMUNITY SERVICE EXPERIENCES. ONCE DETERMINED TO BE AFFORDABLE, THE MERIT-BASED BONUS PAYMENT AMOUNT OF EMPLOYEES' BONUSES CORRELATES TO INDIVIDUAL PERFORMANCE SCORES. EMPLOYEES IN A PROBATIONARY STATUS ARE INELIGIBLE. THE 2019-2020 INCENTIVE PLAN CONSISTED OF A PERFORMANCE BONUS RANGING BETWEEN 0% AND 4% OF BASE SALARY. THE TOTAL BONUS PROGRAM AMOUNTED TO APPROXIMATELY 3% OF TOTAL BASE SALARIES ACROSS THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOSEPH FERRARIO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER TO 7/12/2019, CHAIRMAN OF TWCGME BOARD OF DIRECTORS TO 7/12/19</RelationshipDescriptionTxt>
        <TransactionAmt>701033</TransactionAmt>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>(D) DESCRIPTION OF TRANSACTION:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN NOVEMBER 2017, TWCGME AND ITS AFFILIATED ORGANIZATION, TWCCH, EXECUTED A LEASE AGREEMENT WITH WYOMING AVENUE DEVELOPMENT, LLC TO RENT A 36,500 SQ FT FLAGSHIP CLINICAL, EDUCATIONAL AND ADMINISTRATIVE HUB AT 501 S. WASHINGTON AVENUE, SCRANTON, PENNSYLVANIA. JOSEPH FERRARIO WAS A DIRECTOR AND CHAIRMAN OF TWCGME UNTIL JULY 12, 2019 WHEN HE RESIGNED FROM TWCGME'S BOARD OF DIRECTORS AND FROM ALL BOARDS OF DIRECTORS OF TWGME'S AFFILIATED ORGANIZATIONS. AT THE TIME THE TRANSACTION WAS CONSUMMATED, MR. FERRARIO OWNED MORE THAN 35% OF WYOMING AVENUE DEVELOPMENT, LLC. MR. FERRARIO'S CONFLICT OF INTEREST WAS FULLY DISCLOSED AND APROVED BY TWCGME'S BOARD OF DIRECTORS 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 A CONFLICT OF INTEREST ON A NON-PROFIT BOARD WAS OBTAINED FROM OUTSIDE LEGAL COUNSEL. ON JULY 25, 2019, THE LEASE AGREEMENT WAS AMENDED FOR PURPOSES OF COMPLYING WITH FEDERAL NEW MARKET TAX CREDIT PROGRAM REQUIREMENTS, AND TWCGME BECAME THE SOLE LESSEE OF THE RENTED SPACE. TWCGME SUBLEASES SPACE TO TWCCH AT 501 S. WASHINGTON AVENUE FOR FQHC-LOOK-ALIKE CLINICAL AND ADMINISTRATIVE OPERATIONS. THE LEASE WENT INTO EFFECT ON NOVEMBER 26, 2019, CLARIFYING THAT TWCGME WAS THE PRIMARY LESSEE OF 41,990 SQUARE FEET OF SPACE. RENOVATIONS OF THE DEMISED PREMISES ON THE FIRST AND SECOND FLOORS OF THE BUILDING OCCURRED BETWEEN EARLY 2018 AND DECEMBER OF 2019, WITH THE COMMENCEMENT DATE OF THE AMENDED AND RESTATED LEASE AGREEMENT FOR THE FIRST FLOOR OCCURRING ON NOVEMBER 26, 2019.THE TRANSACTION IS PAYMENT TO WYOMING AVENUE DEVELOPMENT, LLC TO REIMBURSE IT FOR INFORMATION TECHNOLOGY AND OTHER RENOVATION COSTS WHICH WERE THE FINANCIAL RESPONSIBILITY OF TWCGME, BUT WERE PAID BY WYOMING AVENUE DEVELOPMENT, LLC IN CONNECTION WITH BUILDING RENOVATIONS DISCUSSED IN PART IV, LINE 28C. THIS AMOUNTED TO $444,442. MONTHLY PAYMENTS TO WYOMING AVENUE DEVELOPMENT FOR THE LEASE AGREEMENT FOR THE LEASED PROPERTY LOCATED AT 501 S. WASHINGTON AVENUE IN SCRANTON, PA WITH THE COMMENCEMENT DATE OF NOVEMBER 26, 2019 AMOUNTED TO $256,591.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV LINE 28C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN NOVEMBER 2017, TWCGME AND ITS AFFILIATED ORGANIZATION, TWCCH, EXECUTED A LEASE AGREEMENT WITH WYOMING AVENUE DEVELOPMENT, LLC TO RENT A 36,500 SQ FT FLAGSHIP CLINICAL, EDUCATIONAL AND ADMINISTRATIVE HUB AT 501 S. WASHINGTON AVENUE, SCRANTON, PENNSYLVANIA. JOSEPH FERRARIO WAS A DIRECTOR AND CHAIRMAN OF TWCGME UNTIL JULY 12, 2019 WHEN HE RESIGNED FROM TWCGME'S BOARD OF DIRECTORS AND FROM ALL BOARDS OF DIRECTORS OF TWCGME'S AFFILIATED ORGANIZATIONS. AT THE TIME THE TRANSACTION WAS CONSUMMATED, MR. FERRARIO OWNED MORE THAN 35% OF WYOMING AVENUE DEVELOPMENT, LLC. MR. FERRARIO'S CONFLICT OF INTEREST WAS FULLY DISCLOSED AND APROVED BY TWCGME'S BOARD OF DIRECTORS 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 A CONFLICT OF INTEREST ON A NON-PROFIT BOARD WAS OBTAINED FROM OUTSIDE LEGAL COUNSEL. ON JULY 25, 2019, THE LEASE AGREEMENT WAS AMENDED FOR PURPOSES OF COMPLYING WITH FEDERAL NEW MARKET TAX CREDIT PROGRAM REQUIREMENTS, AND TWCGME BECAME THE SOLE LESSEE OF THE RENTED SPACE. TWCGME SUBLEASES SPACE TO TWCCH AT 501 S. WASHINGTON AVENUE FOR FQHC-LOOK-ALIKE CLINICAL AND ADMINISTRATIVE OPERATIONS. THE LEASE WENT INTO EFFECT ON NOVEMBER 26, 2019, CLARIFYING THAT TWCGME WAS THE PRIMARY LESSEE OF 41,990 SQUARE FEET OF SPACE. RENOVATIONS OF THE DEMISED PREMISES ON THE FIRST AND SECOND FLOORS OF THE BUILDING OCCURRED BETWEEN EARLY 2018 AND DECEMBER OF 2019, WITH THE COMMENCEMENT DATE OF THE AMENDED AND RESTATED LEASE AGREEMENT FOR THE FIRST FLOOR OCCURRING ON NOVEMBER 26, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TWCGME IS OPERATIONALLY 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 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 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 TWCGME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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 OR FELLOW TRAINING AND WHICH HAS AN ACTIVE PRESENCE IN THE NORTHEAST PA REGION AS DETERMINED SOLELY BY TWCGME. CLASS II MEMBERS INCLUDE REPRESENTATIVES OF TWCGME'S AFFILIATED CORPORATIONS, INCLUDING TWCCH 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. IN 2019-2020, TWCGME WELCOMED TO THE BOARD THE EMPOWERED VOICE OF REPRESENTATIVE MEMBERS FROM ITS NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM'S PARTNERING FQHCS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATE TWCGME SPONSORING INSTITUTIONAL CONSORTIUM FOR AT LEAST TEN RESIDENT AND/OR FELLOW SLOTS SHALL HAVE THE RIGHT TO APPOINT ONE CLASS II-A DIRECTOR TO TWCGME'S BOARD. CLASS I MEMBERS WHO, THROUGH AFFILIATION, COMPENSATE TWCGME SPONSORING INSTITUTIONAL CONSORTIUM FOR AT LEAST TWENTY-FIVE RESIDENT AND/OR FELLOW SLOTS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>TWCGME'S FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT WITH INPUT FROM EXECUTIVES ACROSS ALL DEPARTMENTS, THEN IS REVIEWED BY AN OUTSIDE CPA FIRM BEFORE BEING FINALIZED AND APPROVED BY THE PRESIDENT. THE FORM 990 IS THEN DISTRIBUTED TO THE AUDIT COMMITTEE AND EXECUTIVE COMMITTEE OF THE BOARD FOR REVIEW BEFORE BEING PRESENTED TO THE ENTIRE BOARD OF DIRECTORS FOR REVIEW. UPON COMPLETION OF THIS REVIEW AND ANY NECESSARY REVISIONS, THE FORM 990 IS SIGNED BY THE ORGANIZATION'S PRESIDENT AND FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST POLICY HAS BEEN APPROVED BY THE BOARD OF DIRECTORS. AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED AND UPDATED BY THE DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE CORPORATION, AND AS MORE FREQUENTLY AS NECESSARY SHOULD A CONFLICT OR POTENTIAL CONFLICT ARISE DURING THE YEAR. POTENTIAL CONFLICTS OF DIRECTORS, IF ANY, ARE FULLY DISCLOSED, VETTED BY THE AUDIT COMMITTEE AND REVIEWED BY THE BOARD. EDUCATION ON CONFLICTS OF INTEREST IS PROVIDED TO THE BOARD ANNUALLY DURING REVIEW 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. OFFICERS, KEY EMPLOYEES AND ALL STAFF OF THE ORGANIZATION ARE ALSO REQUIRED TO COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND AS FREQUENTLY AS NECESSARY SHOULD A CONFLICT ARISE DURING THE FISCAL YEAR. COMPLIANCE OF STAFF WITH THE CONFLICT OF INTEREST POLICY IS MONITORED BY MANAGERS WITH SUPPORT OF THE HUMAN RESOURCES DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>15A: TWCGME CONTRACTS WITH THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), ITS AFFILIATED ENTITY, FOR THE SERVICES OF TWCGME'S CHIEF EXECUTIVE AS PRESIDENT OF TWCGME, AND THEREFORE DOES NOT COMPENSATE THE CHIEF EXECUTIVE DIRECTLY. NONETHELESS, TWCGME AND TWCCH JOINTLY ENGAGE A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT BEFORE EACH CHIEF EXECUTIVE EMPLOYMENT CONTRACT IS NEGOTIATED BETWEEN TWCGME AND TWCCH TO PROVIDE A COMPREHENSIVE, OBJECTIVE COMPENSATION STUDY TO ENSURE THAT TWCGME'S PAYMENT TO TWCCH FOR CHIEF EXECUTIVE SERVICES REFLECTS FAIR MARKET VALUE. IN ADDITION, TWCGME'S EXECUTIVE COMMITTEE PERFORMS A ROBUST AND COMPREHENSIVE REVIEW OF THE CHIEF EXECUTIVE'S PERFORMANCE AND THE ORGANIZATION'S PERFORMANCE IN DETERMINING WHETHER PAYMENT ADJUSTMENTS TO TWCCH FOR FUTURE SERVICES ARE APPROPRIATE AND, IF SO, FAIR MARKET VALUE BASED ON ALL CIRCUMSTANCES. THE EXECUTIVE COMMITTEE'S DELIBERATIONS, CONSIDERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMMITTEE MEETING MINUTES WITHIN 60 DAYS OF THE DECISION. 15B: COMPENSATION OF OFFICERS, KEY EMPLOYEES AND EXECUTIVES IS DETERMINED BY THE ORGANIZATION'S PRESIDENT AND HUMAN RESOURCES DEPARTMENT. A THIRD-PARTY EXTERNAL COMPENSATION CONSULTANT IS ENGAGED TO PERFORM AN ORGANIZATION-WIDE COMPENSATION STUDY AND ANALYSIS PERIODICALLY (TYPICALLY EVERY THREE TO FIVE YEARS), WHICH IS PRESENTED TO THE CHIEF EXECUTIVE AS WELL AS THE EXECUTIVE AND PERSONNEL/COMPENSATION COMMITTEES OF THE BOARD OF DIRECTORS. MOREOVER, DATA FROM THE AMERICAN JOB CENTER NETWORK WEBSITE, MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA), FORM 990S OF COMPARABLE ORGANIZATIONS AND OTHER REGIONAL AND NATIONAL SOURCES MAY BE CONSULTED WHEN NECESSARY TO PROVIDE ADDITIONAL COMPARABLE SALARY RANGES FOR VARIOUS POSITIONS WITHIN THE ORGANIZATION, INCLUDING BUT NOT LIMITED TO EXECUTIVES, OFFICERS 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 EXECUTIVE IN ITS COMPENSATION STUDY ANALYSIS PERFORMED PERIODICALLY (TYPICALLY EVERY THREE TO FIVE YEARS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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 IN SCRANTON, WITH COPIES PROVIDED UPON REQUEST. TWCGME'S FORMS 990 ARE AVAILABLE ONLINE AND ONSITE IN ACCORDANCE WITH APPLICABLE LAWS, RULES AND REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC</FormAndLineReferenceDesc>
        <ExplanationTxt>SUZANNE M. FLETCHER - 301 COUNTRYWOOD DRIVE, HANOVER TWP, PA 18706. BOJANA MILEKIC, MD, ASST. PROGRAM - 317 E. 73RD STREET, APT 2FW, NEW YORK, NY 10021. MARIA EDWARDS - 930 MEADOWLARK DRIVE, MADISON TWP, PA 18444. JOSEPH FERRARIO - 530-2 SHERWOOD AVE, DUNMORE, PA 18512. SCOTT JENKINS - 30 KEITH STREET, HANOVER TWP, PA 18706. SISTER MARY ALICE JACQUINOT - 2010 ADAMS AVE, SCRANTON, PA 18509. CARLON PREATE - 715 GLENBURN ROAD, CLARK SUMMIT, PA 18411.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 2B OF THE STATEMENT OF REVENUE REPRESENTS THE REVENUE RECORDED FOR SUPPORT SERVICES THAT TWCGME PERFORMS ON BEHALF OF TWCCH, AN AFFILIATED ORGANIZATION, PURSUANT TO MEMORANDA OF UNDERSTANDING AND INTERCOMPANY 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 STAFF AND SERVICES, FOR WHICH TWCCH PAYS TWCGME THROUGH WELL-VALIDATED FTE-BASED INTERCOMPANY ALLOCATION METHODOLOGIES. THROUGH THESE LEASES, TWCCH LEASES MANAGEMENT SERVICES AND BACK OFFICE SUPPORT SERVICES INCLUDING, BUT NOT LIMITED TO, HUMAN RESOURCES, INFORMATION TECHNOLOGY, MARKETING &amp; COMMUNICATIONS, FINANCE, GRANTS, 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 OF TWCGME.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE WRIGHT CENTER MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>501 S WASHINGTON AVENUE SUITE 1000</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18505</ZIPCd>
        </USAddress>
        <EIN>232772504</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH HUB</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>501 S WASHINGTON AVENUE SUITE 1000</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18505</ZIPCd>
        </USAddress>
        <EIN>273582779</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE WRIGHT CENTER ALLIANCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>501 S WASHINGTON AVENUE SUITE 1000</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18505</ZIPCd>
        </USAddress>
        <EIN>812982874</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PATIENT ENGAGEMENT COUNCIL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>501 S WASHINGTON AVENUE SUITE 1000</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18505</ZIPCd>
        </USAddress>
        <EIN>813053323</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER MEDICAL GROUP PRIMARY ACTIVITY: AN FQHC-LOOK-ALIKE PROVIDING SAFETY-NET, NONDISCRIMINATORY PRIMARY HEALTH SERVICES AND RYAN WHITE/INFECTIOUS DISEASE SERVICES NAME OF RELATED ORGANIZATION: COMMUNITY HEALTH HUB PRIMARY ACTIVITY: PROMOTES THE HEALTH AND WELLNESS OF THE NORTHEAST PA COMMUNITY AND ACCESS TO HIGH-QUALITY, NON-DISCRIMINATORY, COMPREHENSIVE PRIMARY HEALTH SERVICES NAME OF RELATED ORGANIZATION: THE WRIGHT CENTER ALLIANCE PRIMARY ACTIVITY: CREATED TO ALIGN NON-PROFIT WRIGHT CENTER AFFILIATES WITH SHARED PURPOSE IN OPTIMIZING MISSION DELIVERY ACHIEVEMENT. THE WRIGHT CENTER ALLIANCE WAS CONTROLLED BY THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION DURING FY 2019-2020. NAME OF RELATED ORGANIZATION: PATIENT ENGAGEMENT COUNCIL PRIMARY ACTIVITY: WITH PARTICULAR FOCUS ON SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH, PATIENT ENGAGEMENT COUNCIL PROMOTES PATIENT AND COMMUNITY ENGAGEMENT AND EMPOWERMENT FOR MEANINGFUL CONTRIBUTIONS TO OWN AND OPTIMIZE HEALTH. FROM JULY 2019 THROUGH JANUARY 2020, PATIENT ENGAGEMENT COUNCIL WAS INITIALLY CONTROLLED BY THE WRIGHT CENTER ALLIANCE WHICH WAS A SUPPORTING PARENT ORGANIZATION OF TWCGME. IN JANUARY OF 2020, THE ALLIANCE TRANSFERRED ITS MEMBERSHIP INTEREST IN PATIENT ENGAGEMENT COUNCIL TO TWCCH TO BETTER SUPPORT PATIENTS AND FAMILIES OF TWCCH AS ITS FQHC-LOOK-ALIKE IDENTITY BLOSSOMED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>