2018-11-02T13:10:20-05:00 2017-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2017-01-01 222348211 TWIN TIER HOME HEALTH INC TWIN 6077638946 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 JOSEPH CERRA PRESIDENT/CEO 6077638946 2018-10-09 1 ANGELA M FRANCO P00589741 3154463600 2018-10-09 24.39.85.114 2018-10-09 15:15:24 ED P 7E9C33F7C5CD1DA8693DD78F29AF2560BCFF7C5D 2B26D0CF862F5C09AB62214FFDF324E4AA0177DB 2017 2018-06-14 16:35:46Z JOSEPH CERRA 601 RIVERSIDE DR JOHNSON CITY NY 13790 8121090 0 X NYUHS.ORG X 1981 NY THE MISSION OF TWIN TIER HOME HEALTH IS TO HELP PEOPLE REMAIN IN THEIR HOMES BY PROVIDING DEPENDABLE HOME HEALTH SERVICES THAT IMPROVE THE PATIENT'S QUALITY OF LIFE WHILE PROVIDING SECURITY AND PEACE OF MIND FOR OUR PATIENTS AND THEIR FAMILIES. 8 6 132 0 0 0 1870 4665 8393546 8104180 1911 11753 3799 492 8401126 8121090 0 0 0 0 7504809 7254076 0 0 0 1752235 1570167 9257044 8824243 -855918 -703153 4596570 5526926 2466129 4045657 2130441 1481269 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 7663493 8104672 PROVIDE HOME-BASED HEALTHCARE CONSISTING OF SKILLED NURSING, HOME HEALTH AIDES AND THERAPY SERVICES, TOTAL VISITS FOR 2017 WERE 53,361, AN AVERAGE OF 4,447 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 14 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. 7663493 1 0 0 0 0 0 0 0 0 0 1 0 1 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 0 0 0 1 5 0 1 132 1 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 DOUGLAS KERR MD 1ST VICE CHAIR 2.00 X X 0 0 0 MATTHEW SALANGER 2ND VICE CHAIR 2.00 55.00 X X 0 2121709 42439 DIANE BROWN SECRETARY 2.00 X X 0 0 0 FERRIS AKEL TREASURER 2.00 X X 0 0 0 LINDA MACKENZIE TRUSTEE 2.00 X 0 0 0 FRANCES SRNKA-DEBNAR TRUSTEE 2.00 X 0 0 0 NATALIE THOMPSON TRUSTEE 2.00 X 0 0 0 JOSEPH CERRA CEO 5.50 49.50 X 36708 330372 30189 CYNTHIA WINE VP FINANCE 26.50 28.50 X 52936 57348 9855 KARLA DOTTS COO/VP CLINICAL SERVICES 27.00 28.00 X 62498 65048 18691 BOBBI JO NORRIS CASE MANAGER 55.00 X 179394 0 19020 331536 2574477 120194 1 0 1 0 THORNBERRY LTD 180 GOOD DRIVE LANCASTER PA 17603 SOFTWARE 121255 1 4665 4665 PAYMENTS FOR HOME HEAL 621610 8104180 8104180 8104180 11753 11753 492 492 492 8121090 8104672 0 11753 X 169049 169049 5746550 5341055 405495 75380 75380 805164 704191 100973 457933 417394 40539 100608 100608 9604 9604 25599 25599 352099 316056 36043 341792 280724 61068 140119 131706 8413 93649 66155 27494 248322 244903 3419 8299 7771 528 101993 73330 28663 12565 9580 2985 TELEMONITORING 63999 63999 HEALTH FACILITY ASSESSM 26789 26789 BAD DEBTS 19557 19557 EQUIP REPAIR 10770 0 10770 14403 6629 7774 8824243 7663493 1160750 0 178134 825587 630207 524996 1548826 1943922 54364 48440 1918429 1018777 995559 899652 1158530 1212512 30950 71817 4596570 5526926 2078146 4045657 387983 2466129 4045657 X 2130441 1481269 2130441 1481269 4596570 5526926 X -703153 53981 X X 0 1 X 1 0 X 6803697 8074038 7994778 7385593 6986070 37244176 6803697 8074038 7994778 7385593 6986070 37244176 37244176 3963 2629 2514 1912 11752 22770 37266946 0.99940 0.99960 X 0 930183 164130 766053 988246 854647 133599 899652 PROJECT HEAR-WHOLLY OWNED SUBSIDIARY 1212512 C 1212512 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 31,2017 AND 2016, 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 2014 THROUGH 2017. SCHEDULE D, PART VIII PROJECT HEAR'S MISSION IS TO INSTALL, MONITOR, AND SERVICE BOTH VOICE AND NONVOICE EMERGENCY ALARM RESPONSE EQUIPMENT IN THE HOMES OF THE ELDERLY, DISABLED, AND HOME BOUND WHILE PROVIDING A SENSE OF SECURITY TO BOTH THE CLIENT AND THEIR FAMILY. PROJECT HEAR IS A HOME EMERGENCY ALARM RESPONSE SYSTEM WHICH OPERATES 24 HOURS A DAY, SEVEN DAYS A WEEK THROUGH THE PATIENTS HOME TELEPHONE. IT IS AN AFFORDABLE ALTERNATIVE TO PEOPLE WHO WANT THE REASSURANCES OF HELP IF THEY NEED IT. X 1 1 X X X X 0 0 0 0 0 1 1 0 0 MATTHEW SALANGER 2ND VICE CHAIR 0 1614467 0 260611 0 246631 0 16740 0 25699 0 2164148 0 0 JOSEPH CERRA CEO 31736 285621 4972 44751 0 0 1674 15066 1345 12104 39727 357542 0 0 BOBBI JO NORRIS CASE MANAGER 179394 0 0 0 0 0 2332 0 16688 0 198414 0 0 0 PART I, LINE 1A ANNUAL SOCIAL CLUB DUES PAID FOR MATTHEW SALANGER, WITH NO PORTION TREATED AS TAXABLE COMPENSATION. SOCIAL CLUB MEMBERSHIP SUPPORTS THE FURTHERANCE OF THE EXEMPT DETERMINATION OF ALL UHS ENTITIES, INCLUDING TWIN TIER HOME HEALTH. 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 TREASURER 291817 TTHH LEASES SPACE FROM THE BINGHAMTON GIANT MARKET WHICH THE AKEL FAMILY OWNS. 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS ANNUAL PAYMENT OF $291,817 INCLUDES COMMON AREA MAINTENANCE EXPENSE AND LEASE EXPENSE OF 9,657 SQ.FT. AT $12.70/SQ.FT., WHICH MANAGEMENT HAS DEEMED TO BE FAIR MARKET VALUE. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE 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, INC.,(TTHH)HAS AN ADMINISTRATION/MANAGEMENT SERVICES INTERCOMPANY CONTRACT WITH UNITED HEALTH SERVICES, INC. (UHS,INC.). JOSEPH CERRA, CEO, SPENDS 80% OF HIS TIME PERFORMING DUTIES FOR UHS, INC., 10% OF HIS TIME FOR PHC, AND 10% FOR TTHH. PROFESSIONAL HOME CARE, INC. HAS AN INTERCOMPANY CONTRACT WITH TTHH FOR CLINICAL AND FINANCIAL SERVICES. KARLA DOTTS, COO/VP OF CLINICAL SERVICES, SPENDS 51% OF HER TIME PERFORMING DUTIES FOR PHC AND 48% OF HER TIME FOR TTHH. CYNTHIA WINE, VP OF FINANCE, SPENDS 48% OF HER TIME PERFORMING DUTIES FOR TTHH AND 52% FOR PHC. FORM 990, PART XI, LINE 9: EARNINGS FROM WHOLLY OWNED SUBSIDIARY THAT FILES 990 53,981. 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 RESPONSIBILTY 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 11 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 11 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 11 BOARD OF DIRECTORS 0 PROJECT HEAR 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161462675 HOME ALARM NY 501(C)(3) LINE 11 TWIN TIER HOME HEALTH 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 0 0