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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH THE TRINITY MEDICAL WNY, P.C. ARTICLES OF INCORPORATION, THE SOLE, AUTHORIZED SHAREHOLDER IS DR. MICHAEL J. EDBAUER, D.O.</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 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</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>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>144 GENESEE STREET</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14203</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HEALTH CARE DELIVERY SYSTEM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY HOSPITAL OF BUFFALO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>515 ABBOTT ROAD</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14220</ZIPCd>
        </USAddress>
        <EIN>160756336</EIN>
        <PrimaryActivitiesTxt>ACUTE CARE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
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        </DisregardedEntityName>
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          <AddressLine1Txt>291 NORTH STREET</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14201</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST ELIZABETH HOME FOR THE AGED</BusinessNameLine1Txt>
        </DisregardedEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        </DisregardedEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST FRANCIS OF BUFFALO INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>34 BENWOOD AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14214</ZIPCd>
        </USAddress>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>ST VINCENT MANOR</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14048</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>6400 POWERS ROAD</AddressLine1Txt>
          <CityNm>ORCHARD PARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
        <EIN>161434368</EIN>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NIAGARA HOMEMAKER SERVICES (MERCY HOME CARE)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14203</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C</ExemptCodeSectionTxt>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MCAULEY SETON HOMECARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
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        </USAddress>
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      <IdRelatedTaxExemptOrgGrp>
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      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
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</Return>
