2019-11-15T13:01:17-06:00 2018-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2018-01-01 222348211 TWIN TIER HOME HEALTH INC TWIN 6077638946 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 KARLA DOTTS CEO 6077638946 2019-11-15 1 MARY MADONIA P00405803 7168472651 2019-11-15 104.193.28.34 2019-11-15 09:13:37 ES P 65907F497E7129E5640A7D71EBEC8492987A22B4 60CB041813EDB9037E2EB4886947A362507152EC 2018 2020-03-31 21:24:44Z KARLA DOTTS 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 7424869 0 X NYUHS.ORG X 1981 NY "SEE SCHEDULE O" 8 6 132 6 0 0 4665 24900 8104180 7374147 11753 22306 492 3516 8121090 7424869 0 0 0 0 7254076 7162327 0 0 0 1570167 1608706 8824243 8771033 -703153 -1346164 5526926 4579835 4045657 4427051 1481269 152784 X 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 6745142 7377663 PROVIDE HOME-BASED HEALTHCARE CONSISTING OF SKILLED NURSING, HOME HEALTH AIDES AND THERAPY SERVICES, TOTAL VISITS FOR 2018 WERE 47,618, AN AVERAGE OF 3,968 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. TWIN TIER HOME HEALTH PROVIDED 21 VISITS AT NO CHARGE TO PATIENTS WHO HAVE INCOME BELOW 200% OF THE NATIONAL POVERTY LEVEL AND HAVE NO INSURANCE. INDIVIDUALS WHO HAD INSURANCE WITH CO-PAYS BUT MET THE ABOVE INCOME GUIDELINES HAD THEIR CO-PAYS FORGIVEN. TWIN TIER HOME HEALTH GAVE 4 HOURS OF PAID TIME TO EACH EMPLOYEE WHO VOLUNTEERED TO PERFORM VARIOUS COMMUNITY BENEFIT ACTIVITIES FOR THE UNITED WAY DAY OF CARING. 6745142 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 10 0 1 132 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 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 CHAIRPERSON 2.00 X X 0 0 0 FRAN SRNKA-DEBNAR 1ST VICE CHAIR 2.00 X X 0 0 0 JOHN CARRIGG 2ND VICE CHAIR 2.00 55.00 X X 0 839640 38625 NATALIE THOMPSON SECRETARY, TREASURER 2.00 X X 0 0 0 THOMAS GENESE TRUSTEE 2.00 X 0 0 0 DOUG KERR TRUSTEE 2.00 X 0 0 0 LINDA MACKENZIE TRUSTEE 2.00 X 0 0 0 NANCY RONGO TRUSTEE 2.00 55.00 X 0 298311 36609 JOSEPH CERRA CEO 5.50 49.50 X 39873 358856 31978 CYNTHIA WINE VP FINANCE 26.50 28.50 X 55946 58229 10496 KARLA DOTTS COO/VP CLINICAL SERVICES 27.50 27.50 X 65063 65063 18914 BOBBI JO NORRIS CASE MANAGER 55.00 X 188069 0 20818 MATTHEW SALANGER FORMER 2ND VICE CHAIR 0.00 55.00 X 0 1511816 23147 348951 3131915 180587 1 1 1 0 BINGHAMTON GIANT MARKET PO BOX 895 VESTAL NY 13851 RENT 167407 1 4197 20703 24900 PAYMENTS FOR HOME HEAL 621610 7374147 7374147 7374147 22306 22306 3516 3516 3516 7424869 7377663 0 22306 160882 160882 5601183 4737330 863853 82699 65828 16871 874124 695737 178387 443439 352977 90462 24528 14153 10375 5793 3343 2450 21747 12548 9199 456758 256881 199877 326503 188392 138111 137943 79593 58350 91419 52749 38670 278362 160615 117747 6598 3807 2791 90278 14445 75833 14589 8416 6173 TELEMONITORING 71848 41456 30392 TRAINING MISC 27842 16065 11777 HEALTH FACILITY ASSESSM 24748 14280 10468 BAD DEBTS 22130 22130 7620 4397 3223 8771033 6745142 2025891 0 1350583 1531778 1943922 2113932 48440 41237 1971769 1129886 899652 841883 1212512 71817 51005 5526926 4579835 3628072 4132578 417585 294473 4045657 4427051 X 1481269 152784 1481269 152784 5526926 4579835 X -1346164 17679 X 0 1 X 0 0 X 2541 4396 1870 4665 4197 17669 9055488 8941214 8397345 8104672 7398366 41897085 9058029 8945610 8399215 8109337 7402563 41914754 0 0 0 41914754 2629 2514 1911 11753 22306 41113 2629 2514 1911 11753 22306 41113 9060658 8948124 8401126 8121090 7424869 41955867 0.99900 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 930183 210639 719544 1041586 919247 122339 841883 X 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 31,2018 AND 2017, 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 2015 THROUGH 2018. TWIN TIER DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. X X X X 0 0 0 0 0 1 1 0 0 JOHN CARRIGG 2ND VICE CHAIR 0 678078 0 151062 0 10500 0 18500 0 20125 0 878265 0 0 NANCY RONGO TRUSTEE 0 244163 0 54148 0 0 0 18500 0 18109 0 334920 0 0 JOSEPH CERRA CEO 32819 295373 7054 63483 0 0 1850 16650 1348 12130 43071 387636 0 0 BOBBI JO NORRIS CASE MANAGER 188069 0 0 0 0 0 2445 0 18373 0 208887 0 0 0 MATTHEW SALANGER FORMER 2ND VICE CHAIR 0 276469 0 373208 0 862139 0 18500 0 4647 0 1534963 0 0 PART I, LINE 3 IT IS THE PHILOSOPHY OF TWIN TIER HOME HEALTH 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 PHC 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 I, LINE 6 THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDES CLINICAL EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2017 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO MEETING GOALS OF COMBINED NET INCOME, AS WELL AS QUALITY AND PATIENT SAFETY. FERRIS AKEL FORMER TREASURER 167407 TTHH LEASES SPACE FROM THE BINGHAMTON GIANT MARKET WHICH THE AKEL FAMILY OWNS. 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS THE AKEL FAMILY OWNS BINGHAMTON GIANT MARKET, INC. TOTAL RENT PAID TO GIANT MARKET IN 2018=$167,407 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, COO/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 49% OF HER TIME PERFORMING DUTIES FOR TTHH AND 51% OF HER TIME FOR PHC. J0SEPH CERRA, CEO SPENDS 10% OF HIS TIME PERFORMING DUTIES FOR TTHH. 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. FORM 990, PART XI, LINE 9: EARNINGS FROM WHOLLY OWNED SUBSIDIARY THAT FILES 990 17,679. 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 PROJECT HEAR 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161462675 HOME ALARM NY 501(C)(3) LINE 10 TWIN TIER HOME HEALTH 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 0 1 PROJECT HEAR S 1238848 BOOK VALUE