2015-10-21T13:22:24-05:00 2014-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2014-01-01 222348211 TWIN TIER HOME HEALTH INC TWIN 6077638946 601 RIVERSIDE DR JOHNSON CITY NY 13790 JOSEPH CERRA PRESIDENT/CEO 6077638946 2015-09-15 1 DEBORAH STUCK P01281391 3154463600 2014 2016-02-25 16:41:14Z JOSEPH CERRA 601 RIVERSIDE DR JOHNSON CITY NY 13790 9060658 0 X UHS.NET 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. 7 5 151 0 0 0 2401 2541 7788361 9051590 3963 2629 0 3898 7794725 9060658 0 0 0 0 6524786 7671497 0 0 0 1282781 1554275 7807567 9225772 -12842 -165114 4080411 4980755 1861455 1751358 2218956 3229397 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 7915664 9051590 PROVIDE HOME-BASED HEALTHCARE CONSISTING OF SKILLED NURSING, HOME HEALTH AIDES AND THERAPY SERVICES, TOTAL VISITS FOR 2014 WERE 58,879, AN AVERAGE OF 4,907 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 55 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 DAY OF CARING. 7915664 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 8 0 1 151 1 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CYNTHIA WINE 6077638946 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 LINDA BEST CHAIRPERSON 1.00 X X 0 0 0 DOUG KERR MD 1ST VICE CHAIR 1.00 X X 0 0 0 MATTHEW SALANGER 2ND VICE CHAIR 1.00 55.00 X X 0 1384914 36805 DIANE BROWN SECRETARY 1.00 X X 0 0 0 FERRIS AKEL TREASURER 1.00 X X 0 0 0 LINDA MACKENZIE BOARD MEMBER 1.00 X 0 0 0 FRANCES SRNKA-DEBNAR BOARD MEMBER 1.00 X 0 0 0 JOSEPH CERRA CEO 6.00 49.00 X 31752 285773 25365 CYNTHIA WINE VP FINANCE 22.00 33.00 X 50057 75086 10705 KARLA DOTTS VP CLINICAL SERVICES 52.00 3.00 X 110408 7047 10691 GREG RITTENHOUSE VP OPERATIONS 3.00 52.00 X 0 159744 9858 BOBBI JO NORRIS CASE MANAGER 55.00 X 101669 0 14077 293886 1912564 107501 3 0 1 0 THORNBERRY LTD 180 GOOD DRIVE LANCASTER PA 17603 SOFTWARE 141539 1 2541 2541 PAYMENTS FOR HOME HEAL 621610 9051590 9051590 9051590 2629 2629 3898 3898 3898 9060658 9055488 0 2629 X 181861 181861 6180068 5612918 567150 91313 78216 13097 718114 642853 75261 500141 455340 44801 119113 119113 28862 28862 219149 176867 42282 283264 234935 48329 134402 131705 2697 166829 117851 48978 315169 313408 1761 4990 4294 696 125908 62524 63384 35967 33143 2824 TELEMONITORING 47275 47275 HEALTH FACILITY ASSESSM 30501 0 30501 BAD DEBTS 27835 0 27835 EQUIP REPAIR 3012 3012 11999 1323 10676 9225772 7915664 1310108 0 709104 461974 895752 878537 1157927 1278637 70571 51152 1869032 640684 259155 1228348 942915 1021920 44987 60187 4080411 4980755 1355606 1351573 505849 399785 1861455 1751358 X 2218956 3229397 2218956 3229397 4080411 4980755 X -165114 1175555 X X 0 1 X 1 0 X 6208806 5552800 6634304 6803697 8074038 33273645 6208806 5552800 6634304 6803697 8074038 33273645 33273645 3677 4146 3652 3963 2629 18067 33291712 0.99950 0.99940 X 0 930183 24602 905581 938849 616082 322767 1228348 PROJECT HEAR - WHOLLY OWNED SUBSIDIARY 1021920 C 1021920 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 31,2014 AND 2013, 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 2011 THROUGH 2014. 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 1 1 1 1 0 0 MATTHEW SALANGER 2ND VICE CHAIR 0 1224728 0 142468 0 17718 0 14280 0 22525 0 1421719 0 0 JOSEPH CERRA CEO 28845 259608 2907 26165 0 0 1428 12852 1108 9977 34288 308602 0 0 GREG RITTENHOUSE VP OPERATIONS 0 142366 0 17378 0 0 0 9134 0 724 0 169602 0 0 PART I, LINE 6 THE TWIN TIER HOME HEALTH, INC EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDES ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF TWIN TIER HOME HEALTH, INC. AND PROFESSIONAL HOME CARE, INC. A PORTION OF THE 2014 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO THE TWO COMPANIES MEETING THEIR COMBINED NET INCOME GOALS. FERRIS AKEL TREASURER 200520 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 $200,520 INCLUDES COMMON AREA MAINTENANCE EXPENSE AND LEASE EXPENSE OF 9,728 SQ.FT. AT $8.77/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 11 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,TWIN TIER HOME HEALTH CARE'S INDEPENDENT AUDITORS AND BOARD OF DIRECTORS PRIOR TO FILING. 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; GREG RITTENHOUSE, VP OF OPERATIONS, IS THE SOLE ADMINISTRATOR PAID 100% BY PROFESSIONAL HOME CARE, INC. TWIN TIER HOME HEALTH, INC. HAS AN ADMISTRATION/MANAGEMENT SERVICES INTERCOMPANY CONTRACT WITH UNITED HEALTH SERVICES,INC. (UHS,INC). JOSEPH CERRA, CEO, SPENDS 90% OF HIS TIME PERFORMING DUTIES FOR UHS,INC., 5% OF HIS TIME FOR PHC, AND 5% FOR TWIN TIER HOME HEALTH, INC. PROFESSIONAL HOME CARE, INC. HAS AN INTERCOMPANY CONTRACT WITH TWIN TIER HOME HEALTH (TTHH) FOR CLINICAL AND FINANCIAL SERVICES. KARLA DOTTS, VP OF CLINICAL OPERATIONS, SPENDS 94% OF HER TIME PERFORMING DUTIES FOR TWIN TIER HOME HEALTH, INC. AND 6% OF HER TIME FOR PHC. CYNTHIA WINE, VP OF FINANCE, SPENDS 60% OF HER TIME PERFORMING DUTIES FOR PHC AND 40% FOR TTHH. FORM 990, PART XI, LINE 9: EARNINGS FROM WHOLLY OWNED SUBSIDIARY THAT FILES 990 79,005. EQUITY TRANSFER FROM AFFILIATED ENTITY 1,096,550. FORM 990, PART XII, LINE 2C: NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT OR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE CURRENT YEAR. 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 9 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 9 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 9 BOARD OF DIRECTORS 0 PROJECT HEAR 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161462675 HOME ALARM NY 501(C)(3) LINE 9 TWIN TIER HOME HEALTH 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 1 0 0