2012-08-13T15:06:56-05:00 2011-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2011-01-01 222348211 TWIN TIER HOME HEALTH INC TWIN 6077638946 4401 VESTAL PARKWAY EAST VESTAL NY 13850 JOE CERRA 6077638946 2012-08-08 1 3154463600 2011 2016-02-24 21:20:13Z JOE CERRA 4401 VESTAL PARKWAY EAST VESTAL NY 13850 6689622 0 X UHS.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 6 119 0 0 0 3022 679 7118218 6684797 3677 4146 0 0 7124917 6689622 0 0 0 0 5870082 5660321 0 0 0 1176228 1228170 7046310 6888491 78607 -198869 3789037 3798788 1769861 1896879 2019176 1901909 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 5790933 6684797 PROVIDE HOME-BASED HEALTHCARE CONSISTING OF SKILLED NURSING, HOME HEALTH AIDES AND THERAPY SERVICES, TOTAL VISITS FOR 2011 WERE 43,300, AN AVERAGE OF 3,608 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 35 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. 5790933 1 0 0 1 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 1 0 0 0 0 0 0 1 0 0 0 0 1 7 0 1 119 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 0 0 NY X CYNTHIA WINE 6077638946 4401 VESTAL PARKWAY EAST VESTAL NY 13850 LINDA BEST 1.00 X X 0 0 0 DOUG KERR MD 1.00 X X 0 0 0 MATT SALANGER 1.00 X X 0 1270752 36848 DIANE BROWN 1.00 X X 0 0 0 FERRIS AKEL 1.00 X X 0 0 0 LINDA MACKENZIE 1.00 X 0 0 0 LAZARUS GEHRINGMD 1.00 X 0 0 0 FRANCES SRNKA-DEBNAR 1.00 X 0 0 0 JOE CERRA 10.00 X 26178 235604 19592 CYNTHIA WINE 50.00 X 52418 60450 8895 KARLA DOTTS 50.00 X 69110 13673 8300 GREG RITTENHOUSE 50.00 X 0 138384 10747 KATHY REZESKI 50.00 X 80147 0 8244 227853 1718863 92626 0 0 1 0 0 679 679 PAYMENTS FOR HOME HEAL 621610 6683918 6683918 AFFILIATE REIMBURSEMEN 900099 879 879 6684797 4146 4146 6689622 6684797 0 4146 257079 257079 4444936 4064317 380619 54522 37447 17075 528158 504013 24145 375626 350007 25619 78348 78348 25714 25714 231511 151427 80084 210 210 234417 180529 53888 100331 96654 3677 130121 91919 38202 176091 173963 2128 7720 4574 3146 100456 57294 43162 37865 35882 1983 TELEMONITORING 38815 38815 BAD DEBTS 25802 25802 HEALTH FACILITY ASSESSM 23073 23073 DUES AND PUBLICATIONS 10460 100 10360 7236 3992 3244 6888491 5790933 1097558 0 383037 381467 1183116 1081668 1137126 1204835 72180 91930 1103457 859786 299316 243671 714262 795217 3789037 3798788 1326079 1435161 443782 461718 1769861 1896879 X 2019176 1901909 2019176 1901909 3789037 3798788 X -198869 81602 X 0 1 1 X 0 X 5015093 5348049 5887416 6208806 5552800 28012164 5015093 5348049 5887416 6208806 5552800 28012164 28012164 46270 24611 4055 3677 4146 82759 28094923 0.99710 0.99560 X 0 0 0 0 0 0 0 0 1 750 750 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PORTION OF NATIONAL ASSOCIATION OF HOME CARE DUES USED FOR LOBBYING. 132168 17617 114551 971289 842169 129120 243671 PROJECT HEAR - WHOLLY OWNED SUBSIDIARY 795217 C 795217 FORM 990 PART XII LINE 2B: TWIN TIER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION (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 31,2011 AND 2010, TWIN TIER DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. X 1 1 X X X X 0 0 0 0 0 1 1 0 0 MATT SALANGER 0 739262 0 222558 0 308932 0 15680 0 21168 0 1307600 0 0 JOE CERRA 21340 192066 4838 43538 0 0 1568 14112 0 3912 27746 253628 0 0 PART I, LINE 6 PART 1 LINE 6A/6B 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 2011 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO THE TWO COMPANIES MEETING THEIR COMBINED NET INCOME GOALS. FERRIS AKEL FAMILY OWNS BINGHAMTON GIANT MARKETS 170589 LEASE & TAX/COMMON AREA EXPENSE 0 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 VP OF FINANCE PREPARES THE 990 WHICH IS REVIEWED BY UHS CORPORATE COUNSEL AND BY TWIN TIER HOME HEALTH'S INDEPENDENT AUDITORS 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 15A IT IS THE PHILOSOPHY OF TTHH THAT 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: EARNINGS FROM WHOLLY OWNED SUBSIDIARY THAT FILES 990 81,602. TOTAL TO FORM 990, PART XI, LINE 5: 81,602. UNITED HEALTH SERVICES HOSPITALS 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 161165049 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) 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) 9 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER 508 HIGH AVENUE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 4401 VESTAL PARKWAY EAST VESTAL NY 13850 161261977 HOME MEDICAL NY 501(C)(3) 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) 3 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL ONE TITUS PLACE WALTON NY 13856 150524324 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 UNITED HEALTH SERVICES INC 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 9 BOARD OF DIRECTORS 0 PROJECT HEAR 4401 VESTAL PARKWAY EAST VESTAL NY 13850 161462675 HOME ALARM NY 501(C)(3) 9 TWIN TIER HOME HEALTH 0 UNITED MEDMANAGEMENT INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161396133 PHYSICIAN PRACTICES NY 501(C)(3) 11B UNITED HEALTH SERVICES INC 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0