Trinity Health At Home

Legal name: Trinity Home Health Services

Nonprofit profile at a glance

EIN
382621935
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2022
Location
Livonia, MI, USA
Phone
844-877-4842
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Home Health Care

Official website

Reported finances

Revenue
$177,153,822
Expenses
$184,275,011
Assets
$90,509,970
Liabilities
$59,180,362

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

25 people listed

Executive titles in this filing

  • DANIEL DRAKE (DIRECTOR, PRESIDENT & CEO AS OF 8/24)
  • RUTH MARTYNOWICZ (DIR, INT PRES & CEO THR 7/24; COO)
  • DAVID DEFRAIN (VICE PRESIDENT, FINANCE)

Highest reported compensation

  • BENJAMIN CARTER (DIR; CHAIR AT 1/25; TRIN EVP & COO): $3,488,982 total reported compensation
  • DANIEL ISACKSEN (DIRECTOR AT 1/25; TRINITY EVP, CFO): $2,827,147 total reported compensation
  • DANIEL ROTH MD (DIR AT 1/25; TRIN CHIEF CLIN OFFCR): $2,494,986 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Trinity Health At Home provides compassionate home health and hospice care to help patients recover from illness or surgery and live the life they love.

What it reported doing in 2024

Trinity 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, 2025, trinity home health services provided over 511,851 home care visits and 221,640 days of hospice care.please visit our website for additional information about our programs and services: www.trinityhealthathome.org

Operating model

Revenue model
Earned-program. 99% 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.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 71
  • Accountability: 32
  • Sustainability: 22
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.3%; rating input score 85
  • Program expense ratio: 82.3%; rating input score 82
  • Fundraising efficiency: Limited

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: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 4th 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: -4%; rating input score 14; 14th percentile among comparable filings
  • Total-asset coverage ratio: 0.49; rating input score 18; 18th percentile among comparable filings
  • Liabilities to assets ratio: 0.65; rating input score 25; 25th percentile among comparable filings
  • Officer compensation ratio: 1.7%; rating input score 61; 61st percentile among comparable filings

Growth

  • Program expense growth: 8.5% per year; rating input score 100; 67th percentile among comparable filings
  • Revenue growth: 10.4% per year; rating input score 100; 78th percentile among comparable filings
  • Asset growth: 10.8% per year; rating input score 100; 74th percentile among comparable filings

Details

  • What they do: 4 programs and campaigns described on the official site
  • Where the money goes: 85.3% of revenue deployed · 82.3% of spending went to programs
  • Governance: 0 of 7 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $151.6M in reported program spending
  • Leadership: top reported pay $3.5M · 25 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.9M reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 5 filed money-flow records
  • Related organizations: 308 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 — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Operating margin scored 14/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 18/100.
  • High — Sustainability: Liabilities to assets ratio scored 25/100.