Civic Intelligence

Trinity Medical Wny PC

990 • Fiscal year 2019 • EIN 27-2576645

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 13, 2020

144 Genesee StreetBuffalo, NY 14203

(716) 828-2069

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

3.13x

Higher debt load relative to assets than 99% of similar nonprofits.

2019 filings • NTEE E • $25M-$50M nonprofits • Source year 2019

Liabilities / Revenue

92nd percentile

1.63x

Higher debt load relative to revenue than 92% of similar nonprofits.

2019 filings • NTEE E • $25M-$50M nonprofits • Source year 2019

Net Margin

9th percentile

-44%

Higher net margin than 9% of similar nonprofits.

2019 filings • NTEE E • $25M-$50M nonprofits • Source year 2019

Top Officer Pay

77th percentile

$1,023,000

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 3.4% of source-year revenue.

2019 filings • NTEE E • $25M-$50M nonprofits • Source year 2019

Asset Growth

98th percentile

253%

Faster asset growth than 98% of similar nonprofits.

2019 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2018 to 2019

Revenue Growth

69th percentile

7.4%

Faster revenue growth than 69% of similar nonprofits.

2019 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2018 to 2019

Assets

Up

$15,882,720

Up $11,382,729 (+253%) from 2018

Net Assets

Down

-$33,899,593

Down $13,382,178 (-65%) from 2018

Liabilities

Up

$49,782,313

Up $24,764,907 (+99%) from 2018

Revenue

Up

$30,451,863

Up $2,103,214 (+7.4%) from 2018

Expenses

Up

$43,834,041

Up $4,856,874 (+12%) from 2018

Net Income

Down

-$13,382,178

Down $2,753,660 (-26%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2019

Assets$15,882,720
Liabilities$49,782,313
Net Assets-$33,899,593

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2019

Revenue$30,451,863
Expenses$43,834,041
Net Income-$13,382,178
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 13, 2020
Return Version
2019v5.1
Gross Receipts
$30,451,863
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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$2,840,811$2,870,339▲ $29,528
Land, Buildings, and Equipment, Net$692,630$1,659,133▲ $966,503
Cash and Non-Interest-Bearing Accounts$666,261$1,648,854▲ $982,593
Prepaid Expenses and Deferred Charges$300,289$322,563▲ $22,274
Intangible Assets-$276,898-
Cap Stk Tr Prin Current Funds$100$100→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-20,517,515$-33,899,693▼ $13,382,178
Total Assets$4,499,991$15,882,720▲ $11,382,729
Other Assets Total$0$9,104,933▲ $9,104,933
Liabilities
Accounts Payable and Accrued Expenses$25,017,406$40,601,589▲ $15,584,183
Other Liabilities$0$9,180,724▲ $9,180,724
Total Liabilities$25,017,406$49,782,313▲ $24,764,907
Net Assets / Fund Balance
Total Net Assets Fund Balance$-20,517,415$-33,899,593▼ $13,382,178
Total Liabilities and Net Assets / Fund Balance$4,499,991$15,882,720▲ $11,382,729

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$213,317--
Equipment$659,286$1,052,775-
Leasehold Improvements$786,530$37,237-
Other Assets Org$9,104,933--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Henry MeltserPhysicianFT$510,845$512,155$1,023,000
Dr Michael HongPhysicianFT$450,757$454,915$905,672
Dr Joseph GelorminiPhysicianFT$557,826$203,799$761,625
Dr Mohan MadhusudananPhysicianFT$457,908$297,401$755,309
Dr Benjamin RuedaPhysicianFT$440,726$289,147$729,873

Board Members and Trustees

NameTitle
Dr Thomas CumboPresident
Nancy SheehanSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Healthcare Solutions INCFinancial Services3719 UNION RD SUITE 218, Cheektowaga, NY 14225$848,970
East Aurora Medical Bldg LPConstruction Services112 Olean St 220, East Aurora, NY 14052$256,820
MVP Network ConsultingComputer Services1297 Hertel Avenue, Buffalo, NY 14216$133,233
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$29,641,639
Investment Income
$0
Other Revenue
$810,224
Change in Net Assets
$-13,382,178

Audited Revenue Reconciliation

Revenue per Audited Statements
$30,451,864
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$30,451,864
Total Revenue per Form 990
$30,451,864
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$33,149,321
Other Expenses$10,684,720
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$26,635,966$3,234,230-$29,870,196
Fees for Services Other$1,835,686$924,132-$2,759,818
Occupancy$1,686,168$272,466-$1,958,634
Other Employee Benefits$1,434,771$173,978-$1,608,749
Payroll Taxes$1,237,019$149,999-$1,387,018
Interest$638,071$146,054-$784,125
Office Expenses$605,223$48,532-$653,755
Insurance$567,067$3,992-$571,059
Depreciation Depletion$373,526$27,366-$400,892
Other Expenses$304,540$45,610-$350,150
Pension Plan Contributions$252,714$30,644-$283,358
Information Technology$119,772$17,938-$137,710
Fees for Services Accounting$85,259$42,921-$128,180
Advertising$26,721$4,002-$30,723
Travel$14,298$2,310-$16,608
Fees for Services Management$7,736$3,895-$11,631
Fees for Services Legal$1,922$968-$2,890
Conferences and Meetings$258$42-$300
Total Functional Expenses$38,521,679$5,312,362$0$43,834,041

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$43,834,041
Total Expenses per Audited Statements$43,834,041
Total Expenses per Form 990$43,834,041
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Long Term Portion-Operating Leases$7,527,506
Current Portion-Operating Leases$1,584,687
Long Term Debt$37,500
Current Portion of Debt$31,031
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
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. Articles of incorporation, the sole, authorized shareholder is dr. Michael j. Edbauer, d.o.

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.

Filing and Contact Details

Filer

Filer Name
Trinity Medical Wny Pc
EIN
27-2576645
Phone
7168282069
Address
144 GENESEE STREET, BUFFALO, NY 14203

Signing Officer

Name
Dr Thomas Cumbo
Title
President
Phone
7162983000
Signed
2020-11-13

Organization Details

Principal Officer
Dr Thomas Cumbo
Formed
2010
Legal Domicile
Ny
Voting Board Members
2
Independent Board Members
0
Employees
343
Volunteers
0
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd00
IRS990/MissionDesc0To 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.
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IRS990/MoreThan5000KToOrgInd00
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IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt048532
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IRS990/OfficeExpensesGrp/TotalAmt0653755
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IRS990/OperateHospitalInd00
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IRS990/OtherExpensesGrp/ProgramServicesAmt2468741
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IRS990/ReportLandBuildingEquipmentInd01
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IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0-20517515
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IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0CATHOLIC HEALTH SYSTEM INC
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt4557826

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