Liabilities / Assets
91st percentile
Higher debt load relative to assets than 91% of similar nonprofits.
EIN 22-2348211 • 501(c)3 • Johnson City, NY
Profile
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
91st percentile
Higher debt load relative to assets than 91% of similar nonprofits.
Liabilities / Revenue
83rd percentile
Higher debt load relative to revenue than 83% of similar nonprofits.
Net Margin
29th percentile
Higher net margin than 29% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 15.3% of source-year revenue.
Asset Growth
69th percentile
Faster asset growth than 69% of similar nonprofits.
Revenue Growth
63rd percentile
Faster revenue growth than 63% of similar nonprofits.
Assets
Up$5,787,581
Up $853,511 (+17%) from 2023
Liabilities
Up$10,420,936
Up $1,329,701 (+15%) from 2023
Net Assets
Down-$4,633,355
Down $476,190 (-11%) from 2023
Revenue
Up$9,369,811
Up $1,157,903 (+14%) from 2023
Expenses
Up$9,846,001
Up $834,354 (+9.3%) from 2023
Net Income
Up-$476,190
Up $323,549 (+40%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
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.
"SEE SCHEDULE O"
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $1,696,589 | $2,239,637 | ▲ $543,048 |
| Accounts Receivable | $1,508,260 | $1,652,598 | ▲ $144,338 |
| Land, Buildings, and Equipment, Net | $537,078 | $523,989 | ▼ $13,089 |
| Prepaid Expenses and Deferred Charges | $46,594 | $50,039 | ▲ $3,445 |
| Total Assets | $4,934,070 | $5,787,581 | ▲ $853,511 |
| Other Assets Total | $1,145,549 | $1,321,318 | ▲ $175,769 |
| Liabilities | |||
| Other Liabilities | $8,086,812 | $9,282,969 | ▲ $1,196,157 |
| Accounts Payable and Accrued Expenses | $870,885 | $988,348 | ▲ $117,463 |
| Deferred Revenue | $133,538 | $149,619 | ▲ $16,081 |
| Total Liabilities | $9,091,235 | $10,420,936 | ▲ $1,329,701 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-4,157,165 | $-4,633,355 | ▼ $476,190 |
| Total Net Assets Fund Balance | $-4,157,165 | $-4,633,355 | ▼ $476,190 |
| Total Liabilities and Net Assets / Fund Balance | $4,934,070 | $5,787,581 | ▲ $853,511 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $440,489 | $489,694 | $930,183 |
| Equipment | $83,500 | $727,681 | $811,181 |
| Other Assets Org | $520,149 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Bobbi Jo Norris | Case Manager | FT | $173,423 | $40,973 | $214,396 |
| Tabitha Kampe | Case Manager | FT | $150,915 | $23,496 | $174,411 |
| Alanna Bowman | Case Manager | FT | $158,572 | $3,817 | $162,389 |
| Jenn Umbra | Case Manager | FT | $129,230 | $16,344 | $145,574 |
| Cynthia Wine | VP of Finance | PT | $62,448 | $78,764 | $141,212 |
| Karla Dotts | President/CEO | PT | $110,069 | $18,491 | $128,560 |
| Aleith Lord | Skilled Nursing | FT | $125,340 | $2,994 | $128,334 |
| Name | Title |
|---|---|
| Linda Best | Board Member/chair |
| Dorothy Camp | Board Member |
| Jodi Sutherland | Board Member |
| Rolland Bojo Jr | Board Member |
| Susan Seibold Simpson | Board Member |
| Thomas Genese | Board Member to 5/31/24 |
| John Carrigg | Board Member/2nd Vice Chai |
| Natalie Thompson | Board Member/sec/treas to 5/31/24 |
| Marissa Robbins | Board Member/secretary/treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Netsmart Tech (dba Mcbee Association) | Software | PO BOX 713519, Philadelphia, PA 19171 | $100,260 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $8,121,436 |
| Other Expenses | $1,724,565 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,853,597 | $1,417,299 | - | $6,270,896 |
| Other Employee Benefits | $820,418 | $279,969 | - | $1,100,387 |
| Payroll Taxes | $368,866 | $125,876 | - | $494,742 |
| Travel | $143,952 | $214,457 | - | $358,409 |
| Current Officers, Directors, Trustees, and Key Employees | $179,917 | - | - | $179,917 |
| Office Expenses | $56,090 | $83,562 | - | $139,652 |
| All Other Expenses | $50,821 | $75,712 | - | $126,533 |
| Pension Plan Contributions | $56,286 | $19,208 | - | $75,494 |
| Depreciation Depletion | - | $72,070 | - | $72,070 |
| Occupancy | $27,111 | $40,389 | - | $67,500 |
| Fees for Services Accounting | $13,968 | $20,810 | - | $34,778 |
| Fees for Services Management | $9,909 | $14,763 | - | $24,672 |
| Insurance | $5,520 | $8,224 | - | $13,744 |
| Information Technology | $4,333 | $6,454 | - | $10,787 |
| Interest | $2,836 | $4,224 | - | $7,060 |
| Other Expenses | $3,700 | $50,134 | - | $3,700 |
| Total Functional Expenses | $6,945,011 | $2,900,990 | $0 | $9,846,001 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $9,846,001 |
| Expenses per Audited Statements | $9,842,301 |
| Total Expenses per Audited Statements | $9,842,301 |
| Expenses Not Reported on Financial Statements | $3,700 |
| Other Expense Adjustments | $3,700 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $8,762,820 |
| Operating Lease Liability | $520,149 |
“The sole corporate member of the organization is united health services, inc.”
“The sole corporate member of the organization is united health services, inc.”
“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.”
“Directors, officers and key employees submit conflict of interest statements annually which are reviewed by the ceo, board chairman and the audit committee.”
“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 2) 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.”
“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 50% of her time performing duties for tthh and 50% 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.”
“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 31,2024 and 2023, 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 2021 through 2024. Twin tier does not anticipate that the total unrecognized tax benefits will change in the next twelve months.”
“BAD DEBT 3,700.”
“BAD DEBT 3,700.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 988348 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1508260 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1652598 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | "SEE SCHEDULE O" |
| IRS990/AllOtherContributionsAmt | 0 | 74 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 75712 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 50821 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 126533 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | CYNTHIA WINE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6077638946 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 601 RIVERSIDE DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | JOHNSON CITY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 13790 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1696589 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2239637 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
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| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 179917 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
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| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 713519 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | PHILADELPHIA |
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| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | NETSMART TECH (DBA MCBEE ASSOCIATION) |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | SOFTWARE |
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| IRS990/CYContributionsGrantsAmt | 0 | 74 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 10563 |
| IRS990/CYOtherExpensesAmt | 0 | 1724565 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 9359174 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -476190 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 8121436 |
| IRS990/CYTotalExpensesAmt | 0 | 9846001 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 9369811 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 133538 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 149619 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 72070 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 72070 |
| IRS990/Desc | 0 | PROVIDE HOME-BASED HEALTHCARE CONSISTING OF SKILLED NURSING, HOME HEALTH AIDES AND THERAPY SERVICES, TOTAL VISITS FOR 2024 WERE 49,703 AN AVERAGE OF 4,142 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. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 99 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 6945011 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 20810 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 13968 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 34778 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 14763 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 9909 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 24672 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 27.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 27.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 27.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 27.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 55.00 |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 54538 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 16316 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 3817 |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | LINDA BEST |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JOHN CARRIGG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | NATALIE THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | THOMAS GENESE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SUSAN SEIBOLD SIMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JODI SUTHERLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MARISSA ROBBINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DOROTHY CAMP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ROLLAND BOJO JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | CYNTHIA WINE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KARLA DOTTS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | BOBBI JO NORRIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ALANNA BOWMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ALEITH LORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JENN UMBRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TABITHA KAMPE |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 62448 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 117469 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 173423 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 158572 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 125340 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 129230 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 158415 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1386812 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 375484 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 305540 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 62448 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 117468 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD MEMBER/CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER/2ND VICE CHAI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER/SEC/TREAS TO 5/31/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER TO 5/31/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER/SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP OF FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CASE MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CASE MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SKILLED NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CASE MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CASE MANAGER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/FormationYr | 0 | 1981 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 9369811 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 6 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 6454 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 4333 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 10787 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 8224 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 5520 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 13744 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 4224 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 2836 |
| IRS990/InterestGrp/TotalAmt | 0 | 7060 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 10563 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 10563 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 5 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 1217375 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 537078 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 523989 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 1741364 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -4157165 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -4633355 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -4157165 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -4633355 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 40389 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 27111 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 67500 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 83562 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 56090 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 139652 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1145549 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1321318 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 279969 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 820418 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1100387 |
| IRS990/OtherExpensesGrp/Desc | 0 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL/SURGICAL SUPPLI |
| IRS990/OtherExpensesGrp/Desc | 2 | BAD DEBT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 467839 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 50134 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 314034 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 33653 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 3700 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 781873 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 83787 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 3700 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 8086812 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 9282969 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1417299 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4853597 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6270896 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 125876 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 368866 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 494742 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 19208 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 56286 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 75494 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 46594 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 50039 |
| IRS990/PrincipalOfficerNm | 0 | KARLA DOTTS |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | HOME-BASED HEALTHCARE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 9359174 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 9359174 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 2745 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 6539 |
| IRS990/PYOtherExpensesAmt | 0 | 1581780 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 8202624 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -799739 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 7429867 |
| IRS990/PYTotalExpensesAmt | 0 | 9011647 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 8211908 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -476190 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 9359174 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 74 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 2745 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1956 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 227378 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1551179 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1783332 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 10563 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 6539 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 415 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 397 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 432 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 18346 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 9359174 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 8202624 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 7591610 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 7955076 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 7581389 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 40689873 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 10563 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 6539 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 415 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 397 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 432 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 18346 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00040 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00020 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99960 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99980 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 42473205 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 9359248 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 8205369 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 7593566 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 8182454 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 9132568 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 42473205 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 9369811 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 8211908 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 7593981 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 8182851 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 9133000 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 42491551 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/AgentTrusteeEtcInd | 0 | 0 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 83500 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 727681 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 811181 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 3700 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 9842301 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 440489 |
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