2023-11-02T13:12:52-05:00 2022-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2022-01-01 222348211 TWIN TIER HOME HEALTH INC TWIN 6077638946 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 KARLA DOTTS CEO 6077638946 2023-11-02 1 KARLA DOTTS 999009999 0 MARY MADONIA P00405803 7168472651 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KARLA DOTTS 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 7593981 0 X NYUHS.ORG X 1981 NY "SEE SCHEDULE O" 9 7 110 7 0 0 227378 1956 7953952 7591610 397 415 1124 0 8182851 7593981 0 0 0 0 6823680 6726446 0 0 0 2008471 1737919 8832151 8464365 -649300 -870384 4460824 4014969 6947865 7372394 -2487041 -3357425 AT TWIN TIER HOME HEALTH, INC., WE HELP PEOPLE REMAIN IN THEIR HOMES BY PROVIDING DEPENDABLE HOME HEALTH SERVICES THAT IMPROVES THE PATIENTS' QUALITY OF LIFE WHILE PROVIDING SECURITY AND PEACE OF MIND FOR OUR PATIENTS AND THEIR FAMILIES. 0 0 6363317 7591610 PROVIDE HOME-BASED HEALTHCARE CONSISTING OF SKILLED NURSING, HOME HEALTH AIDES AND THERAPY SERVICES, TOTAL VISITS FOR 2022 WERE 41,739 AN AVERAGE OF 3,478 PER MONTH. NURSING STAFF PROVIDE INFUSION THERAPY, WOUND CARE, PATIENT EDUCATION AND DISEASE MANAGEMENT SERVICES IN THE HOME. THE THERAPY STAFF TEACH TRANSFER SKILLS, PROVIDE AMBULATION TRAINING, ACTIVITIES OF DAILY LIVING TRAINING, EQUIPMENT TRAINING AND RESTORATIVE EXERCISES. THE SPEECH PATHOLOGISTS PROVIDE ASSESSMENT AND TREATMENT OF SWALLOWING DISORDERS AND TRAINING IN COMMUNICATION SKILLS. THE NUTRITIONIST PROVIDES NUTRITION COUNSELING AND SPECIAL DIET INSTRUCTION. MEDICAL SOCIAL WORKERS PROVIDE COUNSELING RELATED TO MEDICAL LIMITATIONS AND EDUCATION ABOUT COMMUNITY RESOURCES. 6363317 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 110 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X CYNTHIA WINE 6077638946 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 LINDA BEST BOARD MEMBER/CHAIR 2.00 2.00 X X 0 0 0 JOHN CARRIGG BOARD MEMBER/2ND VICE CHAIR 2.00 55.00 X X 0 1579359 94357 NATALIE THOMPSON BOARD MEMBER/SECRETARY/TREASURER 2.00 2.00 X X 0 0 0 THOMAS GENESE BOARD MEMBER 2.00 2.00 X 0 0 0 DOUGLAS KERR MD BOARD MEMBER 1.00 1.00 X 0 0 0 SUSAN SEIBOLD SIMPSON BOARD MEMBER 1.00 1.00 X 0 0 0 NANCY RONGO BOARD MEMBER 2.00 55.00 X 0 269900 58663 JODI SUTHERLAND BOARD MEMBER 1.00 1.00 X 0 0 0 MARISSA ROBBINS BOARD MEMBER 1.00 1.00 X 0 0 0 FRANCIS SRNKA-DEBNAR BOARD MEMBER TO 5/31/22 1.00 1.00 X X 0 0 0 CYNTHIA WINE VP OF FINANCE 31.90 23.10 X 73226 53026 14419 KARLA DOTTS PRESIDENT/CEO 27.50 27.50 X 107922 107922 13766 BOBBI JO NORRIS CASE MANAGER 55.00 X 150434 0 27381 MARY O'CONNOR PHYSICAL THERAPY 55.00 X 126414 0 13241 ALANNA BOWMAN CASE MANAGER 55.00 X 125708 0 3099 583704 2010207 224926 4 0 1 0 NETSMART TECH (DBA MCBEE ASSOCIATION) PO BOX 713519 PHILADELPHIA PA 19171 SOFTWARE 109440 1 1956 1956 PAYMENTS FOR HOME HEAL 621610 7591610 7591610 7591610 415 415 7593981 7591610 0 415 181149 181149 5188186 4365995 822191 87704 69807 17897 852341 678410 173931 417066 331958 85108 22473 9437 13036 1334 560 774 28080 11791 16289 603816 253545 350271 278216 116824 161392 247560 103952 143608 76789 32244 44545 326608 325321 1287 3439 1444 1995 67518 67518 15136 6356 8780 HEALTH FACILITY ASSESSM 25222 25222 BAD DEBT 22288 22288 TRAINING MISC 13877 5827 8050 PROFESSIONAL FEES 5563 2336 3227 8464365 6363317 2101048 0 2258908 1442774 1369838 1543557 50122 50986 55496 1643719 1086511 624727 557208 156365 365812 4460824 4014969 981813 819285 102742 109820 50122 5863310 6393167 6947865 7372394 X -2487041 -3357425 -2487041 -3357425 4460824 4014969 -870384 0 X 0 1 X 0 0 X 4197 6145 1551179 227378 1956 1790855 7398366 7013071 7581389 7955076 7591610 37539512 7402563 7019216 9132568 8182454 7593566 39330367 0 0 0 39330367 22306 1700 432 397 415 25250 22306 1700 432 397 415 25250 7424869 7020916 9133000 8182851 7593981 39355617 0.99940 0.99910 0.00060 0.00090 X 0 930183 396676 533507 713536 689835 23701 557208 DUE FROM AFFILIATES 365812 365812 DUE TO AFFILIATES 6393167 6393167 X 7571693 0 7571693 22288 22288 7593981 8442077 0 8442077 22288 22288 8464365 PART X, LINE 2: FORM 990 PART XII LINE 2B: TWIN TIER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31,2022 AND 2021, TWIN TIER DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2019 THROUGH 2022. TWIN TIER DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 22,288. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 22,288. X 0 0 X X X X 0 0 0 0 0 0 0 0 0 JOHN CARRIGG BOARD MEMBER/2ND VICE CHAIR 0 981834 0 50000 0 547525 0 71251 0 23106 0 1673716 0 0 NANCY RONGO BOARD MEMBER 0 259900 0 10000 0 0 0 35727 0 22936 0 328563 0 0 KARLA DOTTS PRESIDENT/CEO 107922 107922 0 0 0 0 1088 1088 5795 5795 114805 114805 0 0 BOBBI JO NORRIS CASE MANAGER 150434 0 0 0 0 0 3791 0 23590 0 177815 0 0 0 PART I, LINE 3 IT IS THE PHILOSOPHY OF TWIN TIER HOME HEALTH (TTHH) THAT ALL STAFF, INCLUDING THE EXECUTIVE STAFF, BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW TTHH TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES, TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR TWIN TIER HOME HEALTH, INC SENIOR MANAGEMENT STAFF. THE ANNUAL REPORT FOCUSES ON TWO KEY AREAS: 1) THE COMPETITIVENESS OF SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS) AND A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S. TREASURY DEPT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THE CALENDAR YEAR. PART II, LINE 1, BIII PAYMENT IN 2022 FROM A NON-QUALIFIED PLAN: JOHN CARRIGG FOR $540,006 OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $540,006 INCLUDES NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). EARLY SERP DISTRIBUTIONS WERE RELATED TO INCOME TAX PAYMENTS; THE REMAINING AMOUNTS ARE DEFERRED UNTIL SUBSEQUENT TRIGGERING EVENTS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11B THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE TWIN TIER HOME HEALTH BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE UNITED HEALTH SERVICES FINANCE DIVISION PREPARED THE 990 WHICH WAS REVIEWED BY THE TWIN TIER HOME HEALTH CARE'S VP OF FINANCE AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF TTHH THAT ALL STAFF INCLUDING THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW TTHH TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES, TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS: 1)THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS) AND A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S.TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THE CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST. FORM 990 PART IX, LINE 5: TWIN TIER HOME HEALTH CARE (TTHH)HAS AN INTERCOMPANY CONTRACT WITH PROFESSIONAL HOME CARE INC (PHC) FOR CLINICAL AND FINANCIAL SERVICES. KARLA DOTTS, CEO/VP OF CLINICAL SERVICES, SPENDS 50% OF HER TIME PERFORMING DUTIES FOR TTHH AND 50% OF HER TIME FOR PHC. CYNTHIA WINE, VP OF FINANCE SPENDS 58% OF HER TIME PERFORMING DUTIES FOR TTHH AND 42% OF HER TIME FOR PHC. FORM 990, PART XII, LINE 2C: NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE CURRENT YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. UNITED HEALTH SERVICES HOSPITALS 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 161165049 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) LINE 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING CORP 508 HIGH AVENUE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501(C)(3) LINE 10 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER 508 HIGH AVENUE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) LINE 3 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME MEDICAL NY 501(C)(3) LINE 10 UNITED HEALTH SERVICES INC 0 CHENANGO MEMORIAL HOSPITAL 179 N BROAD STREET NORWICH NY 13815 150532180 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) LINE 3 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL ONE TITUS PLACE WALTON NY 13856 150524324 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) LINE 3 UNITED HEALTH SERVICES INC 0 UNITED HEALTH SERVICES INC 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) LINE 10 BOARD OF DIRECTORS 0 0 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0