Civic Intelligence

Trinity Home Health Services Inc

EIN 38-2621935 • 501(c)3 • Livonia, MI

Profile

We, trinity home health services and trinity health, serve together in the spirit of the gospel as a compassionate and transforming healing presence within our communities. Trinity home health services is a member of trinity health.

PO Box 532020Livonia, MI 48153

www.trinityhealthathome.org

Siviq Scores

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

Liabilities / Assets

75th percentile

0.62x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

46th percentile

0.36x

Higher debt load relative to revenue than 46% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

30th percentile

-0.6%

Higher net margin than 30% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

95th percentile

$2,999,690

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

10th percentile

-5.5%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

63rd percentile

13%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$100,734,604

Down $5,858,628 (-5.5%) from 2023

Liabilities

Down

$62,721,184

Down $5,222,356 (-7.7%) from 2023

Net Assets

Down

$38,013,420

Down $636,272 (-1.6%) from 2023

Revenue

Up

$174,672,056

Up $20,341,561 (+13%) from 2023

Expenses

Up

$175,683,533

Up $20,494,085 (+13%) from 2023

Net Income

Down

-$1,011,477

Down $152,524 (-18%) from 2023

Trend Graphs

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2011: $27,120,776Liabilities 2011: $16,920,078Net Assets 2011: $10,200,6982011Assets 2012: $25,637,775Liabilities 2012: $14,436,096Net Assets 2012: $11,201,6792012Assets 2013: $28,170,504Liabilities 2013: $15,698,010Net Assets 2013: $12,472,4942013Assets 2014: $32,298,918Liabilities 2014: $17,253,304Net Assets 2014: $15,045,6142014Assets 2015: $33,302,040Liabilities 2015: $17,699,068Net Assets 2015: $15,602,9722015Assets 2016: $26,939,827Liabilities 2016: $14,620,603Net Assets 2016: $12,319,2242016Assets 2017: $27,685,286Liabilities 2017: $14,439,535Net Assets 2017: $13,245,7512017Assets 2018: $40,506,982Liabilities 2018: $22,875,442Net Assets 2018: $17,631,5402018Assets 2019: $37,713,189Liabilities 2019: $23,694,754Net Assets 2019: $14,018,4352019Assets 2020: $39,816,506Liabilities 2020: $31,741,370Net Assets 2020: $8,075,1362020Assets 2021: $77,004,764Liabilities 2021: $60,626,198Net Assets 2021: $16,378,5662021Assets 2022: $71,550,163Liabilities 2022: $48,211,480Net Assets 2022: $23,338,6832022Assets 2023: $106,593,232Liabilities 2023: $67,943,540Net Assets 2023: $38,649,6922023Assets 2024: $100,734,604Liabilities 2024: $62,721,184Net Assets 2024: $38,013,4202024

Highlighted filing

2024

Assets$100,734,604
Liabilities$62,721,184
Net Assets$38,013,420

Operations Trend

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

$200M$150M$100M$50M$0-$50MExpenses 2011: $31,640,0502011Expenses 2012: $37,720,0042012Revenue 2013: $46,808,109Expenses 2013: $45,702,726Net Income 2013: $1,105,3832013Revenue 2014: $64,636,094Expenses 2014: $62,936,881Net Income 2014: $1,699,2132014Revenue 2015: $80,767,731Expenses 2015: $76,832,661Net Income 2015: $3,935,0702015Revenue 2016: $82,311,246Expenses 2016: $84,007,989Net Income 2016: -$1,696,7432016Revenue 2017: $96,232,666Expenses 2017: $92,784,078Net Income 2017: $3,448,5882017Revenue 2018: $123,912,045Expenses 2018: $122,688,343Net Income 2018: $1,223,7022018Revenue 2019: $129,118,404Expenses 2019: $130,461,195Net Income 2019: -$1,342,7912019Revenue 2020: $130,187,489Expenses 2020: $127,624,625Net Income 2020: $2,562,8642020Revenue 2021: $156,729,223Expenses 2021: $142,197,145Net Income 2021: $14,532,0782021Revenue 2022: $154,289,947Expenses 2022: $154,995,889Net Income 2022: -$705,9422022Revenue 2023: $154,330,495Expenses 2023: $155,189,448Net Income 2023: -$858,9532023Revenue 2024: $174,672,056Expenses 2024: $175,683,533Net Income 2024: -$1,011,4772024

Highlighted filing

2024

Revenue$174,672,056
Expenses$175,683,533
Net Income-$1,011,477

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$101$62.7$38.0$175$176$1.01
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$107$67.9$38.6$154$155$0.86
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$71.6$48.2$23.3$154$155$0.71
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$77.0$60.6$16.4$157$142$14.5
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$39.8$31.7$8.08$130$128$2.56
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$37.7$23.7$14.0$129$130$1.34
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$40.5$22.9$17.6$124$123$1.22
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$27.7$14.4$13.2$96.2$92.8$3.45
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26.9$14.6$12.3$82.3$84.0$1.70
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$33.3$17.7$15.6$80.8$76.8$3.94
2014Detailed filing. Detailed filing data is available for this year.$32.3$17.3$15.0$64.6$62.9$1.70
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.2$15.7$12.5$46.8$45.7$1.11
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.6$14.4$11.2$37.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$27.1$16.9$10.2$31.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 12, 2025
Return Version
2023v6.0
Gross Receipts
$174,721,311
Mission and Program Overview

Mission

We, trinity home health services and trinity health, serve together in the spirit of the gospel as a compassionate and transforming healing presence within our communities. Trinity home health services is a member of trinity health.

To provide hospice and home health services and home health system management services

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$25,799,860$24,250,132▼ $1,549,728
Intangible Assets$22,430,205$22,430,205→ $0
Investments in Publicly Traded Securities$17,642,621$20,250,470▲ $2,607,849
Investments Other Securities$13,468,828$8,512,094▼ $4,956,734
Land, Buildings, and Equipment, Net$329,138$490,975▲ $161,837
Prepaid Expenses and Deferred Charges$395,784$371,107▼ $24,677
Inventories for Sale or Use$344,946$314,279▼ $30,667
Pledges and Grants Receivable-$51,491-
Cash and Non-Interest-Bearing Accounts$4,147$6,295▲ $2,148
Total Assets$106,593,232$100,734,604▼ $5,858,628
Other Assets Total$26,177,703$24,057,556▼ $2,120,147
Liabilities
Other Liabilities$41,495,518$38,663,157▼ $2,832,361
Accounts Payable and Accrued Expenses$21,539,147$19,215,217▼ $2,323,930
Deferred Revenue$4,908,875$4,842,810▼ $66,065
Total Liabilities$67,943,540$62,721,184▼ $5,222,356
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$38,016,366$37,500,910▼ $515,456
Net Assets With Donor Restrictions$633,326$512,510▼ $120,816
Total Net Assets Fund Balance$38,649,692$38,013,420▼ $636,272
Total Liabilities and Net Assets / Fund Balance$106,593,232$100,734,604▼ $5,858,628

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$178,705$509,221$687,926
Leasehold Improvements$312,270$276,330$588,600
Other Assets Org$2,119,785--
Other Securities$851,209--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$54,635---$54,635
2023$54,635---$54,635
2022$54,635---$54,635
2021$54,635---$54,635
2020$54,635---$54,635
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Susan TombsVP, Strategy, Sales & MarketingFT$259,321$92,582$351,903
Nathan Chase MdMedical DirectorFT$279,395$41,249$320,644
Rodney CarnifaxVP, Operational ExcellenceFT$238,743$80,305$319,048
Donald MathewsVP, Hospice and Palliative CareFT$217,381$88,706$306,087
Karen JoyceVP, Clinical & Virtual OperationsFT$208,676$94,286$302,962

Board Members and Trustees

NameTitle
Arthur HenkelDIRECTOR; CHAIR
Mark McphersonDirector, President & CEO Thr 8/23
Anna Marie Tag RsmDIRECTOR; VICE CHAIR
David DefrainVice President, Finance as of 2/24
Patrick BrownVice President, Finance Through 2/24
Antonia VillarruelDirector
Dewayne WellsDirector
Joanne HandyDirector
Lejon PooleDirector
William MinnixDirector
Marjorie Tapia RsmDirector Through 7/23
Beverly JonesDirector Through 8/23
Benjamin CarterDIRECTOR; TRINITY HEALTH EVP & COO
Ruth MartynowiczDIR, INTERIM PRES & CEO AT 8/23; COO
Donna RazianoFormer Key Employee
Mandi MurraySECRETARY; TRIN VP MANAGING COUNSEL
Marcus BowensTREASURER; CFO CONTINUING CARE

Highest Paid Contractors

ContractorServicesLocationCompensation
Enclara Pharmacia INCPharmacy ServicesPO BOX 95000-7220, Philadelphia, PA 19195-7220$1,059,410
Mckesson Pharmacy Optimization LLCPharmacy ServicesPO BOX 848442, Dallas, TX 75284$976,024
Harger Howe & Associates LLCEmployee Recruitment Services111 SOUTH BEDFORD ST STE 201, Burlington, MA 01803$461,333
Worldview Services LtdSoftware Services5005 S 153RD ST STE 203, Omaha, NE 68137$248,641
Strategic Healthcare ProgramsQuality Metrics Reporting ServicesPO BOX 101019, Atlanta, GA 30392$241,367
Revenue and Support

Revenue Composition

Contributions and Grants
$538,613
Program Service Revenue
$172,008,790
Investment Income
$1,193,621
Other Revenue
$931,032
All Other Contributions
$512,983
Change in Net Assets
$-1,011,477
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$145,864,274
Other Expenses$29,819,259
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$94,461,005$20,498,535-$114,959,540
Other Employee Benefits$11,256,517$2,529,230-$13,785,747
Payroll Taxes$6,811,279$1,581,745-$8,393,024
Pension Plan Contributions$5,845,972$1,310,138-$7,156,110
Fees for Services Other$5,324,885$524,777-$5,849,662
Travel$3,138,764$728,897-$3,867,661
Information Technology$3,138,366$728,805-$3,867,171
Occupancy$1,846,727$428,855-$2,275,582
Office Expenses$1,665,112$386,679-$2,051,791
Current Officers, Directors, Trustees, and Key Employees-$1,317,781-$1,317,781
Depreciation Depletion$903,132$209,729-$1,112,861
Interest$680,590--$680,590
Insurance$373,130$86,649-$459,779
All Other Expenses$314,725$73,087-$387,812
Advertising$252,663$58,674-$311,337
Comp Disqual Persons-$252,072-$252,072
Conferences and Meetings$68,398$15,884-$84,282
Fees for Service Investment Mgmnt Fees-$56,765-$56,765
Other Expenses$36,736$8,530-$45,266
Total Functional Expenses$144,584,698$31,098,835$0$175,683,533
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Accounts Payable$25,307,136
Intercompany Notes Payable$9,502,222
Operating Lease Liabilities$2,422,016
Other Current Liabilities$1,042,866
Deferred Compensation Liability$388,917
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
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of trinity home health services is trinity health corporation. See line 7 for additional information.

Form 990, Part VI, Section A, Line 7A

Trinity health corporation is the sole member of trinity home health services. Trinity health corporation has the right to appoint all persons to the board of directors of trinity home health services.

Form 990, Part VI, Section A, Line 7B

As sole member, trinity health corporation must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Trinity health corporation must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents.

Form 990, Part VI, Section A, Line 8B

Line 8b is answered "no" because trinity home health services had no committees with authority to act on behalf of the governing body.

Form 990, Part VI, Section B, Line 11B

Prior to filing, the form 990 for trinity home health services is reviewed by senior management. In addition, certain key sections of the form are reviewed by the board of directors. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Trinity home health services has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of trinity home health services, which includes directors, principal officers and key employees. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of trinity home health services and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to the integrity and compliance officer, who collaborates with internal legal counsel to assess the conflict and identify a conflict management plan when necessary. Additionally, the integrity and compliance officer along with legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of trinity home health services on a yearly basis. Interested persons are required to make full disclosure to trinity home health services of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of trinity home health services is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of trinity home health services. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.

Form 990, Part VI, Section B, Line 15

Questions 15a and 15b are answered "no" because the compensation for certain officers and key management officials of trinity home health services is established by trinity health, a related organization. In establishing ceo, cfo, and vice president finance compensation, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of the ceo, cfo, and vice president finance of trinity home health services are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements. For other executives who are not part of the rebuttable presumption process, trinity health uses a market analysis to determine the appropriateness of the executive's compensation.

Form 990, Part VI, Section C, Line 19

Trinity home health services is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. Trinity home health services' governing documents and conflict of interest policy are available upon request.

Filing and Contact Details

Filer

Filer Name
Trinity Home Health Services
EIN
38-2621935
Phone
7343436570
Address
PO BOX 532020, LIVONIA, MI 48153
Doing Business As
See Schedule O

Signing Officer

Name
Marcus Bowens
Title
CFO Continuing Care
Phone
7343436570
Signed
2025-05-12

Organization Details

Principal Officer
Daniel Drake
Formed
1985
Legal Domicile
Mi
Voting Board Members
9
Independent Board Members
7
Employees
2,365
Volunteers
152
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Equity transfers to affiliates -1,796,996. Equity gain in unconsolidated affiliates 77,859. Asset impairment -57,271. Inherent contribution upon acquisition of subsidiary

FORM 990, PART XII, LINE 2:

Trinity home health services' financial statements were included in the fy24 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.

FORM 990, PAGE 1, PART C, DOING BUSINESS AS NAMES:

Above and beyond home health care above and beyond hospice care caring partners at home holy cross home care and hospice loyola medicine home care loyola medicine hospice mercy healthcare at home mercy home care, sioux city mercy hospice, oakland mercyone des moines home care mercyone des moines home infusion mercyone des moines hospice care mercyone dubuque home health mercyone siouxland home care mount carmel home care saint agnes home health and hospice saint joseph health system vna home care saint joseph vna home care st. Francis home care st. Joseph mercy home care st. Joseph mercy home care & hospice st. Joseph mercy home care, chelsea st. Joseph mercy home care, livingston st. Joseph mercy hospice st. Joseph mercy hospice, ann arbor st. Joseph mercy hospice, livingston st. Mary's home health and hospice st. Mary's home health care services st. Mary's hospice services st. Mary's palliative care thhs oakland trinity health at home trinity health of new england at home trinity health at home - grand rapids trinity health at home - muskegon trinity health at home - southeast michigan

Financial Statement Notes

Part V, Line 4

Trinity home health services has a permanently restricted endowment fund, the income from which is used for staff education, training, conferences and bereavement leave.

Raw XML AppendixShowing 400 of 4,848 raw XML fields

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/Desc0TRINITY HOME HEALTH SERVICES (THHS), LOCATED IN LIVONIA, MI, MANAGES AND SUPPORTS SEVERAL HOME HEALTH CARE AND HOSPICE SITES AFFILIATED WITH TRINITY HEALTH. IN ADDITION, THHS OPERATES HOME CARE/HOSPICE SITES SERVING RESIDENTS IN CALIFORNIA, CONNECTICUT, DELAWARE, FLORIDA, ILLINOIS, INDIANA, IOWA, MARYLAND, MASSACHUSETTS, MICHIGAN, NEBRASKA, OHIO, AND SOUTH DAKOTA. THHS RESPONDS TO INDIVIDUAL AND COMMUNITY HEALTH NEEDS BY PROVIDING HEALTH SERVICES TO INDIVIDUALS IN THEIR HOMES. SERVICES INCLUDE SKILLED NURSING, HOME HEALTH AIDES, THERAPY, SOCIAL WORK VISITS, NEEDS ASSESSMENT AND CARE PLAN DEVELOPMENT, AND PATIENT EDUCATION RELATED TO CURRENT MEDICAL CONDITIONS AND CHRONIC ILLNESS. HOSPICE HELPS PEOPLE WITH LIFE-LIMITING ILLNESSES LIVE THEIR REMAINING LIVES ALERT AND PAIN FREE, NOURISHED BY THE SUPPORT OF THEIR LOVED ONES. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, TRINITY HOME HEALTH SERVICES PROVIDED OVER 517,160 HOME CARE VISITS AND 203,180 DAYS OF HOSPICE CARE.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR PROGRAMS AND SERVICES: WWW.TRINITYHEALTHATHOME.ORG
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR; TRINITY HEALTH EVP & COO
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER; CFO CONTINUING CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY; TRIN VP MANAGING COUNSEL
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IRS990/Form990PartVIISectionAGrp/TitleTxt5VP, STRATEGY, SALES & MARKETING
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IRS990/Form990PartVIISectionAGrp/TitleTxt7MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8VP, OPERATIONAL EXCELLENCE
IRS990/Form990PartVIISectionAGrp/TitleTxt9VP, HOSPICE AND PALLIATIVE CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt10VP, CLINICAL & VIRTUAL OPERATIONS
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IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR; VICE CHAIR
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IRS990/MissionDesc0WE, TRINITY HOME HEALTH SERVICES AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. TRINITY HOME HEALTH SERVICES IS A MEMBER OF TRINITY HEALTH.
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