Colonel Terence T Cunningham IV


Colonel Terence T Cunningham IV is the Commander, 59th
Medical Support Group, 59th Medical Wing, Joint Base San
Antonio-Lackland, Texas. He leads 1,200 military, civilian, and
contract personnel, executes $255M annual operations budget, and
provides the 59th Medical Wing with medical support and
readiness, ancillary services, and supply chain operations. He is
responsible for $26M in health information technology assets,
$138M in medical equipment, $70M in annual contract services,
and 66 buildings. Col Cunningham administers the Air Force’s
largest medial evaluation board (MEB), referral management, and
medical records programs with 1,300 annual MEB packages, 320K
referrals processed annually and 292K records maintained
respectively. He ensures comprehensive pharmacy, medical
laboratory, and nutritional medicine services are provided to
245,000 regional beneficiaries, and oversees 500 annual
deployments supporting global operations. Additionally, he leads
the Air Force’s largest Airman Medical Transition Unit ensuring the
coordination and delivery of care to some of the Service’s highest
acuity wounded, ill and injured members.
Colonel Cunningham received a direct civilian commission into the
Air Force in May 1995. He has served in multiple leadership roles
at the flight, squadron and group level. His staff assignments
include: Headquarters U.S. Air Force, Air Force Medical Element, Air Force Medical Support Agency, Office of the Under
Secretary of Defense (Comptroller), and as the Executive Officer to the 21st Air Force Surgeon General.
Prior to this position, he served as Commander, 35th Medical Group, Misawa Air Base, Japan. In this capacity, he ensured
maximum wartime readiness by operating a community based healthcare system maintaining the health, welfare and morale
for over 7,000 beneficiaries. He commanded a group of 5 squadron commanders and 442 personnel in support of a 23-bed
hospital with the capability of expanding to 75 beds during contingency operations.


1995 Bachelor of Architecture, Miami University, Oxford, Oh.
2000 Squadron Officers School (in-residence), Maxwell Air Force Baes, Al.
2005 Master of Healthcare Administration, Ohio State University, Columbus Oh.
2006 Air Command and Staff College (correspondence)
2010 Air War College (correspondence)
2018 Interagency Institute for Federal Health Care Executives, Bethesda Md.


1. June 1995 – June 1999, Regional Health Facilities Officer, Air Force Medical Element, Sam Nunn Federal Center,
Atlanta, Ga.
2. June 1999 – August 2001, Project Health Facilities Officer, Air Force Medical Support Agency, Andrews AFB, Md. and
Dover AFB, Del.

3. August 2001 – August 2003, Chief, Health Facilities Programming, Headquarters Air Force, Bolling AFB, D.C.
4. August 2003 – May 2005, Student, AFIT - Civilian Institute, Ohio State University, Columbus, Oh.
5. June 2005 – October 2007, Flight Commander, Resource Management, and Administrator, 99th Medical Group, Nellis
AFB, Nev.
6. October 2007 – April 2008, Group Practice Manager, Family Medicine Residency, 99th Medical Group, Nellis AFB, Nev.
7. April 2008 – September 2010, Senior Budget Analyst, Defense Health Program, Under Secretary of Defense
(Comptroller), Pentagon
8. September 2010 – June 2011, Deputy Director, Program Analysis & Evaluation Division, Headquarters United States Air
Force, Rosslyn, Va.
9. June 2011 – Jun 2013, Commander, 49th Medical Support Squadron; Administrator, 49th Medical Group; and Deputy
Commander, 49th Medical Group, Holloman AFB, N.M.
10. June 2013 – Jun 2015, Executive Officer, Air Force Surgeon General, Headquarters United States Air Force, Pentagon
11. June 2015 – June 2017, Assistant Deputy Director, Strategic Medical Plans and Programs, Headquarters United States
Air Force, Falls Church, Va.
12. June 2017 – July 2020, Commander, 35th Medical Group, Misawa Air Base, Japan
13. August 2020 – present, Commander, 59th Medical Support Group, Joint Base San Antonio-Lackland, Tx


Legion of Merit
Defense Meritorious Service Medal
Meritorious Service Medal (six oak leaf clusters)
Air Force Commendation Medal
Air Force Achievement Medal (two oak leaf clusters)
Air Force Outstanding Unit Award (one oak leaf cluster)
Air Force Organizational Excellence Award
Nuclear Deterrence Operations Service Medal
Small Arms Expert Marksmanship Ribbon


Second Lieutenant: 23 May 1995
First Lieutenant: 23 May 1997
Captain: 23 May 1999
Major: 1 January 2005
Lt Colonel: 1 August 2009
Colonel: 1 February 2016

(Current as of 7 Sep 2020)

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