Civic Intelligence

Twin Tier Home Health Inc

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.

601 Riverside DriveJohnson City, NY 13790

nyuhs.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

91st percentile

1.80x

Higher debt load relative to assets than 91% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

83rd percentile

1.11x

Higher debt load relative to revenue than 83% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2024

Net Margin

29th percentile

-5.1%

Higher net margin than 29% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

84th percentile

$1,437,541

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 15.3% of source-year revenue.

NTEE E • $5M-$10M nonprofits • Source year 2024

Asset Growth

69th percentile

17%

Faster asset growth than 69% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

63rd percentile

14%

Faster revenue growth than 63% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Annualized from 2023 to 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0-$5.0MAssets 2010: $3,789,037Liabilities 2010: $1,769,861Net Assets 2010: $2,019,1762010Assets 2011: $3,798,788Liabilities 2011: $1,896,879Net Assets 2011: $1,901,9092011Assets 2012: $3,931,170Liabilities 2012: $1,765,899Net Assets 2012: $2,165,2712012Assets 2013: $4,080,411Liabilities 2013: $1,861,455Net Assets 2013: $2,218,9562013Assets 2014: $4,980,755Liabilities 2014: $1,751,358Net Assets 2014: $3,229,3972014Assets 2015: $4,960,393Liabilities 2015: $2,032,903Net Assets 2015: $2,927,4902015Assets 2016: $4,596,570Liabilities 2016: $2,466,129Net Assets 2016: $2,130,4412016Assets 2017: $5,526,926Liabilities 2017: $4,045,657Net Assets 2017: $1,481,2692017Assets 2018: $4,579,835Liabilities 2018: $4,427,051Net Assets 2018: $152,7842018Assets 2019: $4,355,974Liabilities 2019: $5,618,231Net Assets 2019: -$1,262,2572019Assets 2020: $5,097,437Liabilities 2020: $6,935,178Net Assets 2020: -$1,837,7412020Assets 2021: $4,460,824Liabilities 2021: $6,947,865Net Assets 2021: -$2,487,0412021Assets 2022: $4,014,969Liabilities 2022: $7,372,394Net Assets 2022: -$3,357,4252022Assets 2023: $4,934,070Liabilities 2023: $9,091,235Net Assets 2023: -$4,157,1652023Assets 2024: $5,787,581Liabilities 2024: $10,420,936Net Assets 2024: -$4,633,3552024

Highlighted filing

2024

Assets$5,787,581
Liabilities$10,420,936
Net Assets-$4,633,355

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2010: $7,046,3102010Expenses 2011: $6,888,4912011Expenses 2012: $7,292,0262012Revenue 2013: $7,794,725Expenses 2013: $7,807,567Net Income 2013: -$12,8422013Revenue 2014: $9,060,658Expenses 2014: $9,225,772Net Income 2014: -$165,1142014Revenue 2015: $8,948,124Expenses 2015: $9,327,772Net Income 2015: -$379,6482015Revenue 2016: $8,401,126Expenses 2016: $9,257,044Net Income 2016: -$855,9182016Revenue 2017: $8,121,090Expenses 2017: $8,824,243Net Income 2017: -$703,1532017Revenue 2018: $7,424,869Expenses 2018: $8,771,033Net Income 2018: -$1,346,1642018Revenue 2019: $7,020,916Expenses 2019: $8,435,957Net Income 2019: -$1,415,0412019Revenue 2020: $9,133,000Expenses 2020: $9,708,484Net Income 2020: -$575,4842020Revenue 2021: $8,182,851Expenses 2021: $8,832,151Net Income 2021: -$649,3002021Revenue 2022: $7,593,981Expenses 2022: $8,464,365Net Income 2022: -$870,3842022Revenue 2023: $8,211,908Expenses 2023: $9,011,647Net Income 2023: -$799,7392023Revenue 2024: $9,369,811Expenses 2024: $9,846,001Net Income 2024: -$476,1902024

Highlighted filing

2024

Revenue$9,369,811
Expenses$9,846,001
Net Income-$476,190

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.79$10.4$4.63$9.37$9.85$0.48
2023Detailed filing. Detailed filing data is available for this year.$4.93$9.09$4.16$8.21$9.01$0.80
2022Detailed filing. Detailed filing data is available for this year.$4.01$7.37$3.36$7.59$8.46$0.87
2021Detailed filing. Detailed filing data is available for this year.$4.46$6.95$2.49$8.18$8.83$0.65
2020Detailed filing. Detailed filing data is available for this year.$5.10$6.94$1.84$9.13$9.71$0.58
2019Detailed filing. Detailed filing data is available for this year.$4.36$5.62$1.26$7.02$8.44$1.42
2018Detailed filing. Detailed filing data is available for this year.$4.58$4.43$0.15$7.42$8.77$1.35
2017Detailed filing. Detailed filing data is available for this year.$5.53$4.05$1.48$8.12$8.82$0.70
2016Detailed filing. Detailed filing data is available for this year.$4.60$2.47$2.13$8.40$9.26$0.86
2015Detailed filing. Detailed filing data is available for this year.$4.96$2.03$2.93$8.95$9.33$0.38
2014Detailed filing. Detailed filing data is available for this year.$4.98$1.75$3.23$9.06$9.23$0.17
2013Detailed filing. Detailed filing data is available for this year.$4.08$1.86$2.22$7.79$7.81$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.93$1.77$2.17$7.29
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.80$1.90$1.90$6.89
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.79$1.77$2.02$7.05
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 4, 2025
Return Version
2024v5.2
Gross Receipts
$9,369,811
Mission and Program Overview

Mission

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"

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$440,489$489,694$930,183
Equipment$83,500$727,681$811,181
Other Assets Org$520,149--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bobbi Jo NorrisCase ManagerFT$173,423$40,973$214,396
Tabitha KampeCase ManagerFT$150,915$23,496$174,411
Alanna BowmanCase ManagerFT$158,572$3,817$162,389
Jenn UmbraCase ManagerFT$129,230$16,344$145,574
Cynthia WineVP of FinancePT$62,448$78,764$141,212
Karla DottsPresident/CEOPT$110,069$18,491$128,560
Aleith LordSkilled NursingFT$125,340$2,994$128,334

Board Members and Trustees

NameTitle
Linda BestBoard Member/chair
Dorothy CampBoard Member
Jodi SutherlandBoard Member
Rolland Bojo JrBoard Member
Susan Seibold SimpsonBoard Member
Thomas GeneseBoard Member to 5/31/24
John CarriggBoard Member/2nd Vice Chai
Natalie ThompsonBoard Member/sec/treas to 5/31/24
Marissa RobbinsBoard Member/secretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Netsmart Tech (dba Mcbee Association)SoftwarePO BOX 713519, Philadelphia, PA 19171$100,260
Revenue and Support

Revenue Composition

Contributions and Grants
$74
Program Service Revenue
$9,359,174
Investment Income
$10,563
Other Revenue
$0
All Other Contributions
$74
Change in Net Assets
$-476,190

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,366,111
Revenue Not Reported on Financial Statements
$3,700
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$3,700
Total Revenue per Audited Statements
$9,366,111
Total Revenue per Form 990
$9,369,811
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$8,762,820
Operating Lease Liability$520,149
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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 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.

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, 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.

Filing and Contact Details

Filer

Filer Name
Twin Tier Home Health Inc
EIN
22-2348211
Phone
6077638946
Address
601 RIVERSIDE DRIVE, JOHNSON CITY, NY 13790

Signing Officer

Name
Karla Dotts
Title
CEO
Phone
6077638946
Signed
2025-11-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Karla Dotts
Formed
1981
Legal Domicile
Ny
Voting Board Members
7
Independent Board Members
5
Employees
99
Volunteers
5

Preparer

Firm
Withum Smith & Brown Pc
Address
424 MAIN STREET SUITE 800, BUFFALO, NY 14202-3508
Preparer
Mary Madonia
Phone
7168472651
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

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.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

BAD DEBT 3,700.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

BAD DEBT 3,700.

Raw XML AppendixShowing 400 of 755 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt123817
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt132994
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1416344
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IRS990/Form990PartVIISectionAGrp/PersonNm2NATALIE THOMPSON
IRS990/Form990PartVIISectionAGrp/PersonNm3THOMAS GENESE
IRS990/Form990PartVIISectionAGrp/PersonNm4SUSAN SEIBOLD SIMPSON
IRS990/Form990PartVIISectionAGrp/PersonNm5JODI SUTHERLAND
IRS990/Form990PartVIISectionAGrp/PersonNm6MARISSA ROBBINS
IRS990/Form990PartVIISectionAGrp/PersonNm7DOROTHY CAMP
IRS990/Form990PartVIISectionAGrp/PersonNm8ROLLAND BOJO JR
IRS990/Form990PartVIISectionAGrp/PersonNm9CYNTHIA WINE
IRS990/Form990PartVIISectionAGrp/PersonNm10KARLA DOTTS
IRS990/Form990PartVIISectionAGrp/PersonNm11BOBBI JO NORRIS
IRS990/Form990PartVIISectionAGrp/PersonNm12ALANNA BOWMAN
IRS990/Form990PartVIISectionAGrp/PersonNm13ALEITH LORD
IRS990/Form990PartVIISectionAGrp/PersonNm14JENN UMBRA
IRS990/Form990PartVIISectionAGrp/PersonNm15TABITHA KAMPE
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
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IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt10PRESIDENT/CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt12CASE MANAGER
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IRS990/Form990PartVIISectionAGrp/TitleTxt14CASE MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt15CASE MANAGER
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IRS990/MissionDesc0AT 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.
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0415
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IRS990ScheduleA/InvestmentIncomePYPct00.00020
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IRS990ScheduleD/FootnoteTextInd0X
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