Twin Tier Home Health Inc
Twin Tier Home Health Inc: Consistent Revenue, Operational Losses, and Asset Growth
EIN: 222348211 · Johnson City, NY · NTEE: E92Z · Updated: 2026-04-04
| Metric | Value |
|---|---|
| Total Revenue | $9.4M |
| Total Expenses | $9.0M |
| Program Spending | 75% |
| Net Assets | $-4,157,165 |
| Transparency Score | 75/100 |
Is Twin Tier Home Health Inc Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Twin Tier Home Health Inc directs 75% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Twin Tier Home Health Inc
Twin Tier Home Health Inc (EIN: 222348211) is a nonprofit organization based in Johnson City, NY, classified under NTEE code E92Z. The organization reported total revenue of $9.4M and total assets of $5.8M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Twin Tier Home Health Inc's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Twin Tier Home Health Inc is a mid-size nonprofit that has been operating for 45 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 1.7%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $8.2M |
| Total Expenses | $9.0M |
| Surplus / Deficit | $-799,739 |
| Total Assets | $4.9M |
| Total Liabilities | $9.1M |
| Net Assets | $-4,157,165 |
| Operating Margin | -9.7% |
| Debt-to-Asset Ratio | 184.3% |
| Months of Reserves | 6.6 months |
Financial Health Grade: C
In 2023, Twin Tier Home Health Inc reported a deficit of $800K with expenses exceeding revenue, holds 6.6 months of operating reserves (strong position), has a debt-to-asset ratio of 184.3% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), Twin Tier Home Health Inc's revenue has grown at a compound annual growth rate (CAGR) of 1.7%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | +8.1% | +6.5% | +22.9% |
| 2022 | -7.2% | -4.2% | -10.0% |
| 2021 | -10.4% | -9.0% | -12.5% |
| 2020 | +30.1% | +15.1% | +17.0% |
| 2019 | -5.4% | -3.8% | -4.9% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 1981 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Twin Tier Home Health Inc with a Mission Score of 75 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 15%
- programs: 75%
- fundraising: 10%
According to IRS 990 filings, Twin Tier Home Health Inc allocates its expenses as follows: admin: 15%, programs: 75%, fundraising: 10%. With 75% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $800K, with expenses exceeding revenue.
- Debt-to-asset ratio: 184.3%.
Executive Compensation Analysis
Executive compensation is consistently reported as 0% in the provided filings, which is unusual for an organization of this size and requires further clarification on how leadership is compensated.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Twin Tier Home Health Inc's IRS 990 filings:
- Consistent operational losses across all reported years (e.g., $9,011,647 expenses vs. $8,211,908 revenue in 2023) raise concerns about long-term financial sustainability.
- The repeated reporting of 0% compensation for the highest-paid employees is highly unusual and could indicate a lack of transparency or an alternative compensation structure not reflected in standard filings.
- The significant difference between total revenue and total expenses each year suggests a potential reliance on non-operating income or accumulated reserves to cover shortfalls.
Strengths
The following positive indicators were identified for Twin Tier Home Health Inc:
- The organization has maintained a relatively stable revenue stream over the years, with 2023 revenue at $8,211,908, demonstrating consistent service demand.
- Total assets have shown a positive trend, increasing from $4,596,570 in 2016 to $5,787,581 in 2023, indicating financial stability and growth in resources.
- The organization has consistently reported its financial data, providing a clear historical record for analysis.
Frequently Asked Questions about Twin Tier Home Health Inc
Is Twin Tier Home Health Inc a legitimate charity?
Twin Tier Home Health Inc (EIN: 222348211) is a registered tax-exempt nonprofit based in New York. Our AI analysis gives it a Mission Score of 75/100. It has 13 years of IRS 990 filings on record. Total revenue: $9.4M. 3 red flags identified. 3 strengths noted. Financial health grade: C.
How does Twin Tier Home Health Inc spend its money?
Twin Tier Home Health Inc directs 75% of its spending to programs and services. Fundraising costs 10%. This exceeds the 65% industry benchmark.
Are donations to Twin Tier Home Health Inc tax-deductible?
Twin Tier Home Health Inc is registered as a tax-exempt nonprofit (EIN: 222348211). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
What percentage of Twin Tier Home Health Inc's spending goes to programs?
Twin Tier Home Health Inc directs 75% to programs, 10% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.
How does Twin Tier Home Health Inc compare to similar nonprofits?
With a transparency score of 75/100 (Good), Twin Tier Home Health Inc is above average for NTEE category E92Z nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is Twin Tier Home Health Inc located?
Twin Tier Home Health Inc is headquartered in Johnson City, New York and files with the IRS under EIN 222348211. It is classified under NTEE code E92Z.
How many years of IRS 990 filings does Twin Tier Home Health Inc have?
Twin Tier Home Health Inc has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $9.4M in total revenue.
What does Twin Tier Home Health Inc do?
Twin Tier Home Health Inc is a nonprofit organization in the Health Care sector, located in Johnson City, New York. It is classified under NTEE code E92Z.
How much revenue does Twin Tier Home Health Inc have?
Twin Tier Home Health Inc reported total revenue of $9,369,811. Based on 13 IRS 990 filings on record.
What are Twin Tier Home Health Inc's total assets?
Twin Tier Home Health Inc holds total assets of $5,787,581 as reported in IRS 990 filings.
Where is Twin Tier Home Health Inc located?
Twin Tier Home Health Inc is based in Johnson City, New York.
What is Twin Tier Home Health Inc's EIN?
Twin Tier Home Health Inc's Employer Identification Number (EIN) is 222348211. This is the unique tax ID assigned by the IRS for tax-exempt organizations.
What type of nonprofit is Twin Tier Home Health Inc?
Twin Tier Home Health Inc is classified under NTEE code E92Z (Health Care).
Is Twin Tier Home Health Inc a registered 501(c)(3)?
Yes, Twin Tier Home Health Inc is recognized as a tax-exempt organization by the IRS. EIN: 222348211.
Does Twin Tier Home Health Inc file IRS Form 990?
Yes, Twin Tier Home Health Inc has 13 IRS Form 990 filings on record. The most recent covers tax period 202312.
What was Twin Tier Home Health Inc's revenue in 2023?
In the 202312 filing period, Twin Tier Home Health Inc reported total revenue of $8,211,908, total expenses of $9,011,647, and net assets of $4,934,070.
Is Twin Tier Home Health Inc's revenue growing or declining?
Twin Tier Home Health Inc's revenue is growing. Revenue went from $7,593,981 (202212) to $8,211,908 (202312), a +8.1% change. Based on 13 filings on record.
What is Twin Tier Home Health Inc's most recent 990 filing?
The most recent IRS Form 990 filing for Twin Tier Home Health Inc covers tax period 202312. It shows revenue of $8,211,908, expenses of $9,011,647, total assets of $4,934,070, and liabilities of $9,091,235.
How much does Twin Tier Home Health Inc spend on programs vs administration?
Based on IRS 990 analysis, Twin Tier Home Health Inc allocates approximately 75% of expenses to program services, 15% to administrative costs, and 10% to fundraising. This indicates strong program focus.
Is Twin Tier Home Health Inc a trustworthy charity?
Based on AI analysis of IRS 990 data, Twin Tier Home Health Inc appears trustworthy. Mission Score: 75/100 (Good). 3 red flags identified. 3 strengths noted.
What are the red flags for Twin Tier Home Health Inc?
The following concerns were identified: Consistent operational losses across all reported years (e.g., $9,011,647 expenses vs. $8,211,908 revenue in 2023) raise concerns about long-term financial sustainability.. The repeated reporting of 0% compensation for the highest-paid employees is highly unusual and could indicate a lack of transparency or an alternative compensation structure not reflected in standard filings.. The significant difference between total revenue and total expenses each year suggests a potential reliance on non-operating income or accumulated reserves to cover shortfalls.. These flags are based on automated analysis of IRS 990 public filings and should be verified independently.
What are Twin Tier Home Health Inc's strengths?
Positive indicators for Twin Tier Home Health Inc include: The organization has maintained a relatively stable revenue stream over the years, with 2023 revenue at $8,211,908, demonstrating consistent service demand.. Total assets have shown a positive trend, increasing from $4,596,570 in 2016 to $5,787,581 in 2023, indicating financial stability and growth in resources.. The organization has consistently reported its financial data, providing a clear historical record for analysis.. These findings are derived from AI analysis of the organization's financial filings.
How does Twin Tier Home Health Inc compensate executives?
Executive compensation is consistently reported as 0% in the provided filings, which is unusual for an organization of this size and requires further clarification on how leadership is compensated. Executive compensation data is sourced from IRS 990 filings, which require disclosure of officer, director, and key employee pay.
Given the consistent operational losses, what are the primary funding mechanisms or strategies Twin Tier Home Health Inc employs to sustain its operations and grow its assets?
The provided data indicates that expenses consistently exceed revenue (e.g., $9,011,647 expenses vs. $8,211,908 revenue in 2023). This suggests the organization likely relies on grants, donations, investment income, or draws from accumulated reserves to cover operational shortfalls and fund asset growth, as the 'c0%' for compensation implies no direct salary reporting for top earners in these specific filings.
How does the organization manage to report 0% compensation for its highest-paid employees while maintaining operations and growing assets?
The consistent reporting of 'c0%' for compensation in the filings is highly unusual. This could mean that executive compensation is paid through a related entity, is deferred, is reported under a different category not captured in this specific data point, or that the highest-paid individuals are volunteers or compensated in non-monetary forms not disclosed here. Further investigation into their IRS Form 990 would be necessary to understand the full compensation structure.
Filing History
IRS 990 filing history for Twin Tier Home Health Inc showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Twin Tier Home Health Inc's revenue has grown by 22.8%, moving from $6.7M to $8.2M. Total assets increased by 29.9% over the same period, from $3.8M to $4.9M. Total functional expenses rose by 30.8%, from $6.9M to $9.0M. In its most recent filing year (2023), Twin Tier Home Health Inc reported a deficit of $800K, with expenses exceeding revenue. The organization holds $9.1M in liabilities against $4.9M in assets (debt-to-asset ratio: 184.3%), resulting in net assets of $-4,157,165.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $8.2M | $9.0M | $4.9M | $9.1M | — | — |
| 2022 | $7.6M | $8.5M | $4.0M | $7.4M | — | View 990 |
| 2021 | $8.2M | $8.8M | $4.5M | $6.9M | — | View 990 |
| 2020 | $9.1M | $9.7M | $5.1M | $6.9M | — | View 990 |
| 2019 | $7.0M | $8.4M | $4.4M | $5.6M | — | View 990 |
| 2018 | $7.4M | $8.8M | $4.6M | $4.4M | — | View 990 |
| 2017 | $8.1M | $8.8M | $5.5M | $4.0M | — | View 990 |
| 2016 | $8.4M | $9.3M | $4.6M | $2.5M | — | View 990 |
| 2015 | $8.9M | $9.3M | $5.0M | $2.0M | — | View 990 |
| 2014 | $9.1M | $9.2M | $5.0M | $1.8M | — | View 990 |
| 2013 | $7.8M | $7.8M | $4.1M | $1.9M | — | View 990 |
| 2012 | $7.5M | $7.3M | $3.9M | $1.8M | — | View 990 |
| 2011 | $6.7M | $6.9M | $3.8M | $1.9M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $8.2M, expenses of $9.0M, and assets of $4.9M (revenue +8.1% year-over-year).
- 2022: Revenue of $7.6M, expenses of $8.5M, and assets of $4.0M (revenue -7.2% year-over-year).
- 2021: Revenue of $8.2M, expenses of $8.8M, and assets of $4.5M (revenue -10.4% year-over-year).
- 2020: Revenue of $9.1M, expenses of $9.7M, and assets of $5.1M (revenue +30.1% year-over-year).
- 2019: Revenue of $7.0M, expenses of $8.4M, and assets of $4.4M (revenue -5.4% year-over-year).
- 2018: Revenue of $7.4M, expenses of $8.8M, and assets of $4.6M (revenue -8.6% year-over-year).
- 2017: Revenue of $8.1M, expenses of $8.8M, and assets of $5.5M (revenue -3.3% year-over-year).
- 2016: Revenue of $8.4M, expenses of $9.3M, and assets of $4.6M (revenue -6.1% year-over-year).
- 2015: Revenue of $8.9M, expenses of $9.3M, and assets of $5.0M (revenue -1.2% year-over-year).
- 2014: Revenue of $9.1M, expenses of $9.2M, and assets of $5.0M (revenue +16.2% year-over-year).
- 2013: Revenue of $7.8M, expenses of $7.8M, and assets of $4.1M (revenue +4.3% year-over-year).
- 2012: Revenue of $7.5M, expenses of $7.3M, and assets of $3.9M (revenue +11.7% year-over-year).
- 2011: Revenue of $6.7M, expenses of $6.9M, and assets of $3.8M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Twin Tier Home Health Inc:
Data Sources and Methodology
This transparency report for Twin Tier Home Health Inc is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.