Horizon Health and Wellness

Legal name: Horizon Health and Wellness Inc

Nonprofit profile at a glance

EIN
860554593
IRS 990 coverage
2009–2024
Official website data refreshed
Aug 2026
Forms available
Form 990 2024
Location
Apache Junction, AZ, USA
Phone
(833) 431-4449
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Psychiatric Hospitals

Official website

Reported finances

Revenue
$40,770,629
Expenses
$42,967,715
Assets
$34,667,738
Liabilities
$25,674,119

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

25 people listed

Executive titles in this filing

  • LAURA LARSON-HUFFAKER (CHIEF EXECUTIVE OFFICER)
  • ROBERT HUDDLESTON (PRESIDENT)
  • MIKE FARBER (PRESIDENT ELECT)

Highest reported compensation

  • ANTONIO CARR (CHIEF MEDICAL OFFICER): $378,891 total reported compensation
  • LAURA LARSON-HUFFAKER (CHIEF EXECUTIVE OFFICER): $320,270 total reported compensation
  • LOUIS TRUNZO (PEDIATRICIAN): $258,378 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Horizon Health and Wellness provides quality, compassionate healthcare services to individuals and families in Arizona, focusing on physical health, mental health, and substance use treatment.

What it reported doing in 2024

Horizon health and wellness is a non-profit 501(c)(3) integrated health care agency licensed by the state of Arizona to provide an extensive array of habilitation, primary care, and behavioral health services in pinal, gila, maricopa, and yuma counties as well as habilitation services in the counties of cochise, maricopa, and santa cruz. Our mission is to provide integrated health care that addresses the whole person and promotes wellness. We serve all patients regardless of ability to pay. Horizon health and wellness offers a full range of primary care, mental health, and preventative health services for all ages and stages of life. These services include: (cont'd on schedule o)

Operating model

Revenue model
Other-operating. 83% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. The filing does not identify recipients for some grant dollars and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 81
  • Transparency & Controls: 57
  • Accountability: 91
  • Sustainability: 22
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 92.9%; rating input score 93
  • Program expense ratio: 87.8%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 14th percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 0%; rating input score 0; 4th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -5.4%; rating input score 16; 16th percentile among comparable filings
  • Total-asset coverage ratio: 0.81; rating input score 29; 29th percentile among comparable filings
  • Liabilities to assets ratio: 0.74; rating input score 16; 16th percentile among comparable filings
  • Officer compensation ratio: 6.6%; rating input score 38; 38th percentile among comparable filings

Growth

  • Program expense growth: 4.7% per year; rating input score 100; 39th percentile among comparable filings
  • Revenue growth: 6.3% per year; rating input score 100; 54th percentile among comparable filings
  • Asset growth: 7.2% per year; rating input score 100; 50th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 92.9% of revenue deployed · 87.8% of spending went to programs
  • Governance: 11 of 11 board members independent · 7 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $37.7M in reported program spending
  • Leadership: top reported pay $379K · 25 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $918K reported
  • Consistency: 42 of 43 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 15 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 14 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • High — Sustainability: Operating margin scored 16/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 29/100.
  • High — Sustainability: Liabilities to assets ratio scored 16/100.
  • Moderate — Sustainability: Officer compensation ratio scored 38/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.