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TRINITY MEDICAL WNY PC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TRINITY MEDICAL WNY PC (EIN 27-2576645)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202303179349308300
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-13T14:31:24-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN272576645EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY MEDICAL WNY PCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTRINBusinessNameControlTxt
Phone7168282069PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 GENESEE STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR HANS CASSAGNOLPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7162983000PhoneNum
Signature2023-11-13SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDRPersonFirstNm
Person LastHANS CASSAGNOLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR HANS CASSAGNOLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 GENESEE STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$50,084,717GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTo provide medical services to all persons without regard to age, color, creed, sex, or the ability to pay for services; to promote the highest level of health care available, and to improve access to primary health care services for indigent and other medically underserved residents in Erie County. 2022 Primary Care Visits 47,387 2022 Clinic Visits 211,939ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee472TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$62,403PYContributionsGrantsAmt
CY Contributions Grants$775,918CYContributionsGrantsAmt
PY Program Service Revenue$51,709,621PYProgramServiceRevenueAmt
CY Program Service Revenue$48,952,906CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$522,616PYOtherRevenueAmt
CY Other Revenue$355,893CYOtherRevenueAmt
PY Total Revenue$52,294,640PYTotalRevenueAmt
CY Total Revenue$50,084,717CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,807,804PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$57,534,195CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,063,450PYOtherExpensesAmt
CY Other Expenses$13,183,136CYOtherExpensesAmt
PY Total Expenses$67,871,254PYTotalExpensesAmt
CY Total Expenses$70,717,331CYTotalExpensesAmt
PY Revenues Less Expenses-$15,576,614PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$20,632,614CYRevenuesLessExpensesAmt
Total Assets BOY$24,179,434TotalAssetsBOYAmt
Total Assets EOY$20,145,338TotalAssetsEOYAmt
Total Liabilities BOY$93,073,538TotalLiabilitiesBOYAmt
Total Liabilities EOY$109,671,542TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$68,894,104NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$89,526,204NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo provide medical services to all persons without regard to age, color, creed, sex or the ability to pay for services; to promote the highest level of health care available, and to improve access of indigent and other medically underserved residents in Erie County and surrounding areas to primary health care services.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$69,588,094ExpenseAmt
Revenue$48,952,906RevenueAmt
DescTrinity Medical WNY, P.C. provides medical services to all persons without regard to age, color, creed, sex or the ability to pay for services; to promote the highest level of health care available, and to improve access of indigent and other medically underserved residents in Erie County and surrounding areas to primary health care services.2022 Visits:Primary Care Visits 47,387Clinic Visits 211,939Total Visits 2022 259,326Desc
Total Program Service Expenses$69,588,094TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee472EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing Body0MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Russell Edwards - VP FinanceCorporate Controller CHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7169232968PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 GENESEE STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Dr Thomas Cumbo
President - Former8.0028.00Yes (X)$0$154,541$4,990
Leonardo Sette-Camara
General Counsel - Secretar4.0055.00Yes (X)$0$328,158$19,941
Hans Cassagnol
President & CEO0.0055.00Yes (X)$0$623,902$30,245Yes (X)
Dr Henry Meltser
Physician55.001.00$1,011,478$0$479Yes (X)
Dr Paul Anain
Physician55.001.00$1,032,253$0$21,520Yes (X)
Dr Paul Lapoint
Physician55.001.00$1,014,007$0$15,509Yes (X)
Dr Thaddeus Szarzanowicz
Physician55.001.00$1,017,706$0$479Yes (X)
Dr Eram Chaudhry
Physician55.001.00$948,337$0$14,841Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,023,781TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,106,601TotReportableCompRltdOrgAmt
Total Other Compensation$108,004TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K96IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Verma Nitin
565 Abbott RdBuffaloNY14220Physician Services$556,825
Telco Construction Inc
500 Buffalo RdEast AuroraNY14052Construction Services$369,885
Philips Medical Capital
1111 Old Eagle School RdWaynePA19087Financial Services$263,913
Teladoc Health Inc
2 Manhattanville RdPurchaseNY10577Healthcare Services$255,000
TRIMEDX
5451 Lakeview PKWY S DriveIndianapolisIN46268Healthcare Services$221,640
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$775,918GovernmentGrantsAmt
Total Contributions$775,918TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$41,239,785$41,239,785
Research621110$6,203,033$6,203,033
Incentives621110$1,297,988$1,297,988
Leased Providers621110$212,100$212,100
FieldValueIRS element (for citing)
Total Program Service Revenue$48,952,906TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Rental Revenue621110$202,368$202,368
Other Misc Revenue621110$153,525$153,525
FieldValueIRS element (for citing)
Other Revenue Total$355,893OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,084,717TotalRevenueColumnAmt
Related Or Exempt Func Income$49,308,799RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$50,890,604TotalAmt
Program Services$50,890,604ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$813,114TotalAmt
Program Services$813,114ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,314,050TotalAmt
Program Services$3,310,517ProgramServicesAmt
Management And General$3,533ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,516,427TotalAmt
Program Services$2,516,427ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,244TotalAmt
Management And General$6,244ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$73,974TotalAmt
Program Services$71,742ProgramServicesAmt
Management And General$2,232ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,558,319TotalAmt
Program Services$1,707,394ProgramServicesAmt
Management And General$850,925ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$257,273TotalAmt
Program Services$257,273ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$501,265TotalAmt
Program Services$479,034ProgramServicesAmt
Management And General$22,231ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$151,479TotalAmt
Program Services$151,479ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,160,530TotalAmt
Program Services$3,942,517ProgramServicesAmt
Management And General$218,013ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,336TotalAmt
Program Services$6,336ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,624TotalAmt
Program Services$9,624ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$574,515TotalAmt
Program Services$555,586ProgramServicesAmt
Management And General$18,929ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$831,743TotalAmt
Program Services$831,743ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,465,239$3,464,183$1,056
OTHER$292,162$291,887$275
Contracted Services$197,829$190,317$7,512
REPAIRS & MAINTENANCE$96,604$98,317-$1,713

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$70,717,331TotalAmt
Program Services$69,588,094ProgramServicesAmt
Management And General$1,129,237ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,855,978BOYAmt
EOY$180,572EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,353,853BOYAmt
EOY$5,488,586EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$265,740BOYAmt
EOY$368,831EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,664,321LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,789,236LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,276,356BOYAmt
EOY$2,875,085EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$842,774BOYAmt
EOY$842,774EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,584,733BOYAmt
EOY$10,389,490EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,179,434BOYAmt
EOY$20,145,338EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$84,091,808BOYAmt
EOY$5,207,918EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$191,531EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,981,730BOYAmt
EOY$104,272,093EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,073,538BOYAmt
EOY$109,671,542EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$68,900,559BOYAmt
EOY-$89,526,204EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,455BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$68,894,104BOYAmt
EOY-$89,526,204EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,179,434BOYAmt
EOY$20,145,338EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$20,632,614ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$514OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN222565278EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$15,180,170SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$15,180,170SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,964,835OtherCostOrOtherBasisAmt
Depreciation$489,149DepreciationAmt
Book Value$1,475,686BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,699,486OtherCostOrOtherBasisAmt
Depreciation$2,300,087DepreciationAmt
Book Value$1,399,399BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,875,085TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
ROU Asset-Operating Leases$8,231,623
HPL Recovery$1,621,575
Other Receivables$176,973
Due from Affiliates$359,319
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,389,490TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Current Portion-Operating Leases$1,827,778
Long Term Portion-Operating Leases$6,604,830
Professional Gen Liab LT IBNR$983,065
Due to Affiliates$94,856,420
FieldValueIRS element (for citing)
Total Liability$104,272,093TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr Paul Anain
Physician$1,031,112$0$0$0$1,141$0$0$0$21,520$0$1,053,773$0$0$0
Dr Paul Lapoint
Physician$1,012,256$0$0$0$1,751$0$0$0$15,509$0$1,029,516$0$0$0
Dr Thaddeus Szarzanowicz
Physician$996,816$0$0$0$20,890$0$0$0$479$0$1,018,185$0$0$0
Dr Henry Meltser
Physician$990,588$0$0$0$20,890$0$0$0$479$0$1,011,957$0$0$0
Dr Eram Chaudhry
Physician$947,196$0$0$0$1,141$0$0$0$14,841$0$963,178$0$0$0
Hans Cassagnol
President & CEO$0$586,116$0$0$0$37,786$0$7,654$0$22,591$0$654,147$0$0
Leonardo Sette-Camara
General Counsel - Secretar$0$327,603$0$25$0$530$0-$2,400$0$22,341$0$348,099$0$0
Dr Thomas Cumbo
President - Former$0$151,514$0$0$0$3,027$0-$5,061$0$10,051$0$159,531$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II Column CFormAndLineReferenceDesc
ExplanationThe change in present value shown for each participant represents the change in the actuarial value of the accrued benefit, whether or not funded, vested or subject to substantial risk of forfeiture. Note that the change in present value is partly due to changes in the discount rate and, for those accruing under the cash balance formula, the assumptions for future cash balance interest crediting rates and factors applicable to annuity conversions.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonCarrie Sette-CamaraPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionWife of Key Employee, Leonardo Sette-CamaraRelationshipDescriptionTxt
Transaction$91,142TransactionAmt
TransactionPublic Relations Manager, Sisters HospitalTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6IN ACCORDANCE WITH THE TRINITY MEDICAL WNY, P.C. ARTICLES OF INCORPORATION, THE SOLE, AUTHORIZED SHAREHOLDER IS DR. HANS CASSAGNOL.
Form 990, Part VI, Section A, line 8aFORMAL BOARD MEETINGS SPECIFIC TO TRINITY ARE NOT HELD. SENIOR LEADERSHIP WITHIN THE CATHOLIC HEALTH SYSTEM MEET ON A REGULAR BASIS AND DISCUSS ISSUES RELATED TO TRINITY MEDICAL ON AN AS NEEDED BASIS.
Form 990, Part VI, Section A, line 8bFORMAL BOARD MEETINGS SPECIFIC TO TRINITY ARE NOT HELD. SENIOR LEADERSHIP WITHIN THE CATHOLIC HEALTH SYSTEM MEET ON A REGULAR BASIS AND DISCUSS ISSUES RELATED TO TRINITY MEDICAL ON AN AS NEEDED BASIS.
Form 990, Part VI, Section B, line 11bYes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities that file a 990. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information
Form 990, Part VI, Section B, line 12cTrinity Medical follows the conflict of interest policy established within the Catholic Health System (CHS). Monitoring of conflicts are done at the CHS level.
Form 990, Part VI, Section B, line 15There is a compensation policy that has been established within the by-laws of Trinity Medical.
Form 990, Part VI, Section C, line 19We make our form 990 open for public inspection upon request. Our website includes an annual report which includes selected financial information. Our financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws.
Part XII, line 2cThe organization has not changed its oversight process or selection process from prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CATHOLIC HEALTH SYSTEM INC
144 GENESEE STREETBUFFALONY14203222565278HEALTH CARE DELIVERY SYSTEMNY501 C509 (a) (2)N/A0
MERCY HOSPITAL OF BUFFALO
515 ABBOTT ROADBUFFALONY14220160756336ACUTE CARE HOSPITALNY501 C509 (a) (1), 170 (b)0CATHOLIC HEALTH SYSTEM INC
SISTERS OF CHARITY HOSPITAL
2157 MAIN STREETBUFFALONY14214160743187ACUTE CARE HOSPITALNY501 C509 (a) (1), 170 (b)0CATHOLIC HEALTH SYSTEM INC
KENMORE MERCY HOSPITAL
2950 ELMWOOD AVENUEKENMORENY14217160762843ACUTE CARE HOSPITALNY501 C509 (a) (1), 170 (b)0CATHOLIC HEALTH SYSTEM INC
NAZARETH HOME OF THE FRANCISCAN SISTERS
291 NORTH STREETBUFFALONY14201160813142SKILLED NURSING FACILITYNY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
ST ELIZABETH HOME FOR THE AGED
5539 BROADWAYLANCASTERNY14086160743154ADULT HOMENY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
ST FRANCIS HOME OF WILLIAMSVILLE
147 REIST STREETWILLIAMSVILLENY14221160743153SKILLED NURSING FACILITYNY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
ST FRANCIS OF BUFFALO INC
34 BENWOOD AVENUEBUFFALONY14214161523535SKILLED NURSING FACILITYNY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
ST VINCENT MANOR
319 WASHINGTON AVENUEDUNKIRKNY14048160743167ADULT HOMENY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
WNY CATHOLIC LONG TERM CARE INC
6400 POWERS ROADORCHARD PARKNY14127161434368SKILLED NURSING FACILITYNY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
NIAGARA HOMEMAKER SERVICES (MERCY HOME CARE)
144 GENESEE STREETBUFFALONY14203161317960HOME CARE PROVIDERNY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
MCAULEY SETON HOMECARE
144 GENESEE STREETBUFFALONY14203161310062HOME CARE PROVIDERNY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
CATHOLIC HEALTH SYSTEM INFUSION PHARMACY INC
6350 TRANSIT ROADDEPEWNY14043200198518HOME CARE INFUSION SERVICESNY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
MOUNT ST MARY'S HOSPITAL OF NIAGARA FALLS
5300 MILITARY ROADLEWISTONNY14092161523353ACUTE CARE HOSPITALNY501 C509 (a) (1), 170 (b)0CATHOLIC HEALTH SYSTEM INC
OLV RENAISSANCE CORPORATION
144 GENESEE STREETBUFFALONY14203200167745REAL ESTATE HOLDING COMPANYNY501 C509 (a) (2)0CATHOLIC HEALTH SYSTEM INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd