Civic Intelligence

Trinity Medical Wny PC

EIN 27-2576645 • 501(c)3 • Buffalo, NY

Profile

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. Trinity works 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.

144 Genesee StreetBuffalo, NY 14203

www.trinitymedicalwny.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

7.13x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

87th percentile

2.37x

Higher debt load relative to revenue than 87% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

6th percentile

-36%

Higher net margin than 6% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

48th percentile

5.6%

Faster asset growth than 48% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Revenue Growth

69th percentile

16%

Faster revenue growth than 69% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Assets

Up

$22,449,334

Up $2,762,654 (+14%) from 2023

Liabilities

Up

$160,108,244

Up $26,952,985 (+20%) from 2023

Net Assets

Down

-$137,658,910

Down $24,190,331 (-21%) from 2023

Revenue

Up

$67,480,814

Up $11,742,644 (+21%) from 2023

Expenses

Up

$91,677,988

Up $12,005,813 (+15%) from 2023

Net Income

Down

-$24,197,174

Down $263,169 (-1.1%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$100M$0-$100M-$200MAssets 2014: $115,163Liabilities 2014: $1,754,022Net Assets 2014: -$1,638,8592014Assets 2015: $110,361Liabilities 2015: $1,754,074Net Assets 2015: -$1,643,7132015Assets 2016: $699,324Liabilities 2016: $2,622,348Net Assets 2016: -$1,923,0242016Assets 2017: $4,123,851Liabilities 2017: $14,012,747Net Assets 2017: -$9,888,8962017Assets 2018: $4,499,991Liabilities 2018: $25,017,406Net Assets 2018: -$20,517,4152018Assets 2019: $15,882,720Liabilities 2019: $49,782,313Net Assets 2019: -$33,899,5932019Assets 2020: $19,568,392Liabilities 2020: $72,886,225Net Assets 2020: -$53,317,8332020Assets 2021: $24,179,434Liabilities 2021: $93,073,538Net Assets 2021: -$68,894,1042021Assets 2022: $20,145,338Liabilities 2022: $109,671,542Net Assets 2022: -$89,526,2042022Assets 2023: $19,686,680Liabilities 2023: $133,155,259Net Assets 2023: -$113,468,5792023Assets 2024: $22,449,334Liabilities 2024: $160,108,244Net Assets 2024: -$137,658,9102024

Highlighted filing

2024

Assets$22,449,334
Liabilities$160,108,244
Net Assets-$137,658,910

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MRevenue 2014: $953,439Expenses 2014: $1,276,413Net Income 2014: -$322,9742014Revenue 2015: $56,152Expenses 2015: $61,006Net Income 2015: -$4,8542015Revenue 2016: $215Expenses 2016: $279,526Net Income 2016: -$279,3112016Revenue 2017: $20,923,906Expenses 2017: $28,889,778Net Income 2017: -$7,965,8722017Revenue 2018: $28,348,649Expenses 2018: $38,977,167Net Income 2018: -$10,628,5182018Revenue 2019: $30,451,863Expenses 2019: $43,834,041Net Income 2019: -$13,382,1782019Revenue 2020: $41,642,681Expenses 2020: $61,066,929Net Income 2020: -$19,424,2482020Revenue 2021: $52,294,640Expenses 2021: $67,871,254Net Income 2021: -$15,576,6142021Revenue 2022: $50,084,717Expenses 2022: $70,717,331Net Income 2022: -$20,632,6142022Revenue 2023: $55,738,170Expenses 2023: $79,672,175Net Income 2023: -$23,934,0052023Revenue 2024: $67,480,814Expenses 2024: $91,677,988Net Income 2024: -$24,197,1742024

Highlighted filing

2024

Revenue$67,480,814
Expenses$91,677,988
Net Income-$24,197,174

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$67,480,814
Mission and Program Overview

Mission

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.

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. Trinity works 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,354,447$4,405,417▲ $3,050,970
Accounts Receivable$4,546,710$4,130,703▼ $416,007
Land, Buildings, and Equipment, Net$2,486,265$2,050,620▼ $435,645
Intangible Assets$842,774$842,774→ $0
Prepaid Expenses and Deferred Charges$68,576$117,256▲ $48,680
Total Assets$19,686,680$22,449,334▲ $2,762,654
Other Assets Total$10,387,908$10,902,564▲ $514,656
Liabilities
Other Liabilities$126,650,730$152,025,405▲ $25,374,675
Accounts Payable and Accrued Expenses$6,368,633$8,001,156▲ $1,632,523
Mortgage Notes Payable Secured by Investment Property$135,896$81,683▼ $54,213
Total Liabilities$133,155,259$160,108,244▲ $26,952,985
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-113,468,579$-137,658,910▼ $24,190,331
Total Net Assets Fund Balance$-113,468,579$-137,658,910▼ $24,190,331
Total Liabilities and Net Assets / Fund Balance$19,686,680$22,449,334▲ $2,762,654

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$888,478$3,136,900$4,025,378
Leasehold Improvements$1,162,142$802,693$1,964,835
Other Assets Org$1,051,491--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Wassim MoslehPhysicianFT$1,042,210$7,928$1,050,138
Dr Henry MeltserPhysicianFT$1,042,332$982$1,043,314
Dr Andrew MackPhysicianFT$1,005,643$23,940$1,029,583
Dr Paul AnainPhysicianFT$997,016$24,780$1,021,796
Dr Benjamin RuedaPhysicianFT$988,311$27,234$1,015,545

Board Members and Trustees

NameTitle
Eric KochPresident
Hans CassagnolPresident-former
Leonardo Sette-CamaraGeneral Counsel-Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Coverall Service CompanyMedical Services4939 Brittonfield Pkwy Ste 202, East Syracuse, NY 13057$293,193
Trimedx LLCCommercial Cleaning Service165 Lawrence Bell Dr 122, Williamsville, NY 14221$288,800
Southtowns RadiologyMedical Services3065 Southwestern Blvd 202, Orchard Park, NY 14127$261,563
-Healthcare Services5451 Lakeview Pkwy S Drive, Indianapolis, IN 46268$243,503
-Medical Services3040 Amsdell Road, Hamburg, NY 14075$208,333
Revenue and Support

Revenue Composition

Contributions and Grants
$19,110
Program Service Revenue
$66,555,963
Investment Income
$9,908
Other Revenue
$895,833
Change in Net Assets
$-24,197,174

Audited Revenue Reconciliation

Revenue per Audited Statements
$67,480,814
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$67,480,814
Total Revenue per Form 990
$67,480,814
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$76,384,436
Other Expenses$15,293,552
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$68,203,195$16,929-$68,220,124
Occupancy$4,419,494$437,090-$4,856,584
Other Employee Benefits$4,474,470$5,508-$4,479,978
Fees for Services Other$2,407,763$972,888-$3,380,651
Payroll Taxes$3,267,839--$3,267,839
Insurance$1,366,566--$1,366,566
Office Expenses$524,176$32,849-$557,025
Depreciation Depletion$539,635$7,103-$546,738
Pension Plan Contributions$416,495--$416,495
Advertising$185,290$2,334-$187,624
Other Expenses$64,684$75,800-$140,484
Information Technology$138,748$579-$139,327
Fees for Services Accounting$86,375$4,524-$90,899
Travel$13,739$7,745-$21,484
Fees for Services Management-$7,410-$7,410
Interest$5,415--$5,415
Total Functional Expenses$90,027,418$1,650,570$0$91,677,988

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$91,677,988
Total Expenses per Audited Statements$91,677,988
Total Expenses per Form 990$91,677,988
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Carrie Sette-CamaraWife of Key Employee, Leonardo Sette-CamaraDirector Public and Media RelationsNo$123,606
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$140,496,201
Operating Lease Liabilities$7,961,222
Professional Gen Liab LT IBNR$3,567,982
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

In accordance with the Trinity Medical WNY, P.C. article of incorporation, the sole, authorized shareholder is Dr. Eric Koch.

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 4. Employees and Independent Contractors 5. Schedule J: Compensation Information 6. Schedule L: Transactions with Interested Persons 7. Schedule R: Related Organizations and Unrelated Partnerships 8. 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.

Filing and Contact Details

Filer

Filer Name
Trinity Medical Wny Pc
EIN
27-2576645
Phone
7169232968
Address
144 GENESEE STREET, BUFFALO, NY 14203

Signing Officer

Name
Dr Eric Koch
Title
President
Phone
7166350688
Signed
2025-11-13

Organization Details

Principal Officer
Dr Eric Koch
Formed
2010
Legal Domicile
Ny
Voting Board Members
2
Independent Board Members
0
Employees
537
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Other Changes in Net Assets 6,843.

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IRS990/Form990PartVIISectionAGrp/PersonNm6Dr Benjamin Rueda
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IRS990/MissionDesc0Trinity Medical WNY, P.C. provides medical services to all persons without regard to age, color, creed, sex or the ability to pay for services. Trinity works 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.
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