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        <NontaxableBenefitsRltdOrgsAmt>9574</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>250027</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Severance Payments/Change of Control Payments were made to: Hans Cassagnol: $133,023.28</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain portions of the incentive compensation paid in 2024 are a result of the targets that were achieved in previous years. Deferred compensation reported in 2024 includes both the qualified deferred pension compensation, as well as deferred compensation and employer contribution for 403(b) for certain associates for the amounts that are able to be estimated in 2024. Actual W-2 compensation paid to the exectutive is as per Schedule J Part II (B).</ExplanationTxt>
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          <PersonNm>Carrie Sette-Camara</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Wife of Key Employee, Leonardo Sette-Camara</RelationshipDescriptionTxt>
        <TransactionAmt>123606</TransactionAmt>
        <TransactionDesc>Director Public and Media Relations</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>In accordance with the Trinity Medical WNY, P.C. article of incorporation, the sole, authorized shareholder is Dr. Eric Koch.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8a</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Trinity Medical follows the conflict of interest policy established within the Catholic Health System (CHS). Monitoring of conflicts are done at the CHS level.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>There is a compensation policy that has been established within the by-laws of Trinity Medical.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Changes in Net Assets 6,843.</ExplanationTxt>
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          <BusinessNameLine1Txt>NIAGARA HOMEMAKER SERVICES (MERCY HOME CARE)</BusinessNameLine1Txt>
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</Return>