2022-11-04T13:25:07-05:00 2021-12-31 990 2021-01-01 272576645 TRINITY MEDICAL WNY PC TRIN 7168282069 144 GENESEE STREET BUFFALO NY 14203 DR THOMAS CUMBO PRESIDENT 7162983000 2022-11-04 DR THOMAS CUMBO 999009999 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DR THOMAS CUMBO 144 GENESEE STREET BUFFALO NY 14203 52294640 0 X N/A X 2010 NY To 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. 2 0 481 0 0 0 1285905 62403 39620655 51709621 10850 0 725271 522616 41642681 52294640 0 0 0 0 46235030 53807804 0 0 0 14831899 14063450 61066929 67871254 -19424248 -15576614 19568392 24179434 72886225 93073538 -53317833 -68894104 X To 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. 0 0 65560511 51709621 Trinity 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. 65560511 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 43 0 1 481 1 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 NY X X Russell Edwards 7169232968 144 GENESEE STREET BUFFALO NY 14203 Dr Thomas Cumbo PRESIDENT 8.00 28.00 X 0 266668 24147 Leonardo Sette-Camara General Counsel - Secretar 4.00 55.00 X 0 297399 28558 Dr Henry Meltser PHYSICIAN 55.00 1.00 X 880408 0 5567 Dr Paul Anain PHYSICIAN 55.00 1.00 X 1433150 0 28798 Dr Paul Lapoint PHYSICIAN 55.00 1.00 X 1028252 0 23001 Dr Thaddeus Szarzanowicz PHYSICIAN 55.00 1.00 X 1036768 0 8550 Dr Benjamin Rueda PHYSICIAN 55.00 1.00 X 1128367 0 8550 5506945 564067 127171 91 0 1 0 HEALTHCARE SOLUTIONS INC 3719 UNION RD SUITE 218 CHEEKTOWAGA NY 14225 Financial Services 1232254 Telco Construction Inc 500 Buffalo Rd East Aurora NY 14052 Construction Services 453171 TRIMEDX 5451 Lakeview PKWY S Drive Indianapolis IN 46268 Healthcare Services 297378 Coverall 165 Lawrence Bell Dr Suite 122 Williamsville NY 14221 Cleaning Services 207578 Community Computer Service Inc 15 Hulbert St Auburn NY 13021 Computer Service 121030 6 62403 62403 PATIENT SERVICE REVENU 621110 44161758 44161758 Leased Providers 621110 6065278 6065278 Incentives 621110 1231051 1231051 Research 621110 251534 251534 51709621 Other Misc Revenue 621110 267547 267547 Rental Revenue 621110 255069 255069 522616 52294640 52232237 0 0 48088368 48088368 529559 529559 2815140 2810959 4181 2374737 2374737 11518 11518 704808 703298 1510 1606221 550621 1055600 607956 577528 30428 4171423 4164206 7217 12691 12691 1364774 205629 1159145 657319 625088 32231 1001058 1001058 MEDICAL SUPPLIES 3154824 3154824 Contracted Services 388226 408641 -20415 OTHER 240153 209107 31046 REPAIRS & MAINTENANCE 142479 144197 -1718 67871254 65560511 2310743 0 2497060 3855978 4991329 7353853 363281 265740 5026564 1750208 2546868 3276356 842774 842774 8327080 8584733 19568392 24179434 64424310 84091808 8461915 8981730 72886225 93073538 X -53323944 -68900559 6111 6455 -53317833 -68894104 19568392 24179434 X -15576614 343 X 0 1 X 1 0 X X X 1 CATHOLIC HEALTH SYSTEM INC 222565278 3 1 18423781 0 1 18423781 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1855034 332378 1522656 3171530 1417830 1753700 3276356 ROU Asset-Operating Leases 8584733 8584733 Current Portion of Debt 61302 Current Portion-Operating Leases 1458340 Long Term Debt 186683 Long Term Portion-Operating Leases 7275405 8981730 990 Sch D Page 3 Part X ROU Operating Lease Footnote: Operating Lease Right-of-Use Assets: The System records an operating lease right-of-use asset (that is an asset that represents the System's right to use the leased asset for the lease term) for leases that do not meet the criteria as a financing lease. The right-of-use asset is recorded at the present value of future lease payments, adding initial direct costs and prepaid lease payments, reduced by any lease incentives. Operating right-of-use assets are amortized using the straight-line method over the related lease term. For the years ended December 31, 2021 and 2020, amortization of operating lease right-of-use assets is included in other expenses in the accompanying consolidated statements of operations and changes in net assets. 0 0 0 0 0 0 0 0 0 Dr Paul Anain PHYSICIAN 1012420 0 419738 0 992 0 8550 0 20248 0 1461948 0 0 0 Dr Benjamin Rueda PHYSICIAN 896889 0 227937 0 3541 0 8550 0 0 0 1136917 0 0 0 Dr Paul Lapoint PHYSICIAN 1024787 0 0 0 3465 0 8550 0 14451 0 1051253 0 0 0 Dr Thaddeus Szarzanowicz PHYSICIAN 1016060 0 0 0 20708 0 8550 0 0 0 1045318 0 0 0 Dr Henry Meltser PHYSICIAN 859754 0 0 0 20654 0 5567 0 0 0 885975 0 0 0 Leonardo Sette-Camara General Counsel - Secretar 0 297097 0 0 0 302 0 6680 0 21878 0 325957 0 0 Dr Thomas Cumbo PRESIDENT 0 248070 0 0 0 18598 0 9149 0 14998 0 290815 0 0 Carrie Sette-Camara Wife of Key Employee, Leonardo Sette-Camara 87782 Public Relations Manager, Sisters Hospital 0 Form 990, Part VI, Section A, line 6 IN ACCORDANCE WITH THE TRINITY MEDICAL WNY, P.C. ARTICLES OF INCORPORATION, THE SOLE, AUTHORIZED SHAREHOLDER IS DR. Dr. Thomas Cumbo. Form 990, Part VI, Section A, line 8a FORMAL 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 8b FORMAL 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 11b Yes, 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 12c Trinity 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 15 There is a compensation policy that has been established within the by-laws of Trinity Medical. Form 990, Part VI, Section C, line 19 We 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. Form 990, Part XI, Line 9, Change in Net Assets AP Discount Suspense $347 Invoice Tolerance $-2 CATHOLIC HEALTH SYSTEM INC 144 GENESEE STREET BUFFALO NY 14203 222565278 HEALTH CARE DELIVERY SYSTEM NY 501 C 509 (a) (2) N/A 0 MERCY HOSPITAL OF BUFFALO 515 ABBOTT ROAD BUFFALO NY 14220 160756336 ACUTE CARE HOSPITAL NY 501 C 509 (a) (1), 170 (b) CATHOLIC HEALTH SYSTEM INC 0 SISTERS OF CHARITY HOSPITAL 2157 MAIN STREET BUFFALO NY 14214 160743187 ACUTE CARE HOSPITAL NY 501 C 509 (a) (1), 170 (b) CATHOLIC HEALTH SYSTEM INC 0 KENMORE MERCY HOSPITAL 2950 ELMWOOD AVENUE KENMORE NY 14217 160762843 ACUTE CARE HOSPITAL NY 501 C 509 (a) (1), 170 (b) CATHOLIC HEALTH SYSTEM INC 0 NAZARETH HOME OF THE FRANCISCAN SISTERS 291 NORTH STREET BUFFALO NY 14201 160813142 SKILLED NURSING FACILITY NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 ST ELIZABETH HOME FOR THE AGED 5539 BROADWAY LANCASTER NY 14086 160743154 ADULT HOME NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 ST FRANCIS HOME OF WILLIAMSVILLE 147 REIST STREET WILLIAMSVILLE NY 14221 160743153 SKILLED NURSING FACILITY NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 ST FRANCIS OF BUFFALO INC 34 BENWOOD AVENUE BUFFALO NY 14214 161523535 SKILLED NURSING FACILITY NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 ST VINCENT MANOR 319 WASHINGTON AVENUE DUNKIRK NY 14048 160743167 ADULT HOME NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 WNY CATHOLIC LONG TERM CARE INC 6400 POWERS ROAD ORCHARD PARK NY 14127 161434368 SKILLED NURSING FACILITY NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 NIAGARA HOMEMAKER SERVICES (MERCY HOME CARE) 144 GENESEE STREET BUFFALO NY 14203 161317960 HOME CARE PROVIDER NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 MCAULEY SETON HOMECARE 144 GENESEE STREET BUFFALO NY 14203 161310062 HOME CARE PROVIDER NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 CATHOLIC HEALTH SYSTEM INFUSION PHARMACY INC 6350 TRANSIT ROAD DEPEW NY 14043 200198518 HOME CARE INFUSION SERVICES NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 MOUNT ST MARY'S HOSPITAL OF NIAGARA FALLS 5300 MILITARY ROAD LEWISTON NY 14092 161523353 ACUTE CARE HOSPITAL NY 501 C 509 (a) (1), 170 (b) CATHOLIC HEALTH SYSTEM INC 0 OLV RENAISSANCE CORPORATION 144 GENESEE STREET BUFFALO NY 14203 200167745 REAL ESTATE HOLDING COMPANY NY 501 C 509 (a) (2) CATHOLIC HEALTH SYSTEM INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0