Trinity Health - Michigan
Nonprofit profile at a glance
- EIN
- 382113393
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Livonia, MI, USA
- Phone
- 7343431000
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Community Health Systems
Reported finances
- Revenue
- $3,554,925,366
- Expenses
- $3,291,284,021
- Assets
- $5,655,695,551
- Liabilities
- $1,557,913,310
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
39 people listed
Executive titles in this filing
- SHANNON STRIEBICH (DIR; PRESIDENT & CEO,MICHIGAN MARKET)
- ALONZO LEWIS (PRESIDENT TRINITY HEALTH ANN ARBOR)
- JOHN O'MALLEY (PRESIDENT TRINITY HEALTH LIVINGSTON)
- MATTHEW BIERSACK MD (PRESIDENT TRINITY HLTH GRAND RAPIDS)
- ROBERT CASALOU (FMR OFFICER;PRES & CEO MI AND SE REG)
Highest reported compensation
- ROBERT CASALOU (FMR OFFICER;PRES & CEO MI AND SE REG): $2,207,040 total reported compensation
- EDMUND HODGE (DIRECTOR; TRINITY HEALTH EVP, CHRO): $1,847,032 total reported compensation
- SHANNON STRIEBICH (DIR; PRESIDENT & CEO,MICHIGAN MARKET): $1,528,569 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
We, trinity health-Michigan and trinity health, serve together in the spirit of the gospel as a compassionate and transforming healing presence within our communities. Trinity health-Michigan is a member of trinity health.
What it reported doing in 2024
Trinity health-Michigan (th-mi), a health care and hospital system, has been a leader in patient care for more than 100 years, committed to the quality care of patients and their families. Th-mi operates five hospitals across Michigan, containing 1,801 licensed beds, as well as outpatient health centers, urgent care facilities, physician offices and specialty centers, and community outreach sites. During fiscal year 2025, th-mi hospitals' employees, physicians and volunteers provided over 456,000 days of care, and provided health care services for over 2.7 million outpatient visits, and over 326,000 emergency room visits.th-mi also operates mercy primary care center in detroit, providing medical services to uninsured and underinsured adults, as well as special personal assistance services to the homeless, including showers and clean clothing, and assistance in accessing existing community programs for housing and substance abuse treatment.in fiscal 2025, trinity health - Michigan (th-mi) hospitals provided over $88 million in uncompensated benefits to the community. Th-mi is actively engaged in the community through business, civic and service organizations, and through its financial support of other not-for-profit organizations and social services agencies.please see schedule h and visit our website for additional information about our services, recognitions and awards: www.trinityhealthmichigan.org
Operating model
- Revenue model
- Earned-program. 94% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and fundraising costs are high for each dollar raised.
Rating breakdown
- Financial Efficiency: 82
- Transparency & Controls: 76
- Accountability: 75
- Sustainability: 65
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 82.6%; rating input score 83
- Program expense ratio: 90.4%; rating input score 90
- Fundraising efficiency: $14.59 raised per $1 spent on fundraising; rating input score 51; 51st percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 72.7%; rating input score 73; 22nd percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 7.4%; rating input score 65; 65th percentile among comparable filings
- Total-asset coverage ratio: 1.72; rating input score 58; 58th percentile among comparable filings
- Liabilities to assets ratio: 0.28; rating input score 59; 59th percentile among comparable filings
- Officer compensation ratio: 0.2%; rating input score 91; 91st percentile among comparable filings
Growth
- Program expense growth: 2.5% per year; rating input score 100; 18th percentile among comparable filings
- Revenue growth: 2.7% per year; rating input score 100; 20th percentile among comparable filings
- Asset growth: 4.2% per year; rating input score 100; 29th percentile among comparable filings
Details
- Where the money goes: 82.6% of revenue deployed · 90.4% of spending went to programs
- Governance: 8 of 11 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $3B in reported program spending
- Leadership: top reported pay $2.2M · 39 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $49.1M reported
- Consistency: 41 of 41 current checks pass
- Schedules: 11 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 66 filed money-flow records
- Related organizations: 369 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Financial Efficiency: Fundraising efficiency scored 51/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Review — Sustainability: Total-asset coverage ratio scored 58/100.
- Review — Sustainability: Liabilities to assets ratio scored 59/100.