Horizon Health
Legal name: Horizon Health Care Inc
Nonprofit profile at a glance
- EIN
- 460341255
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Howard, SD, USA
- Phone
- 605-772-4525
- Rating
- 84
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Ambulatory Health Center, Community Clinic
Reported finances
- Revenue
- $34,297,942
- Expenses
- $36,422,922
- Assets
- $25,661,152
- Liabilities
- $11,900,156
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
24 people listed
Executive titles in this filing
- WADE ERICKSON (CEO)
Highest reported compensation
- TERRY WEAVER (PHYSICIAN): $373,668 total reported compensation
- LANCE LIM (PHYSICIAN): $342,983 total reported compensation
- WADE ERICKSON (CEO): $325,331 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 provides rural communities with access to high-quality, affordable primary healthcare services. Horizon Health provides patient-centered, quality care that’s personalized for rural South Dakota. Our patients are our neighbors. Our communities are our homes. And the wellness of those areas is vital to our way of life. For us, healthcare isn’t just a service we provide. It’s our mission. As a Community Health Center, Horizon offers high-quality, affordable coverage in medical, dental and behavioral health with an invested presence in the communities we serve. We are primary care providers who care. And we’ve been nationally recognized for it by the Health Resources and Service Administration, among others. With a dedication to rural health, we offer leading edge technology and telemedici.
What it reported doing in 2024
Horizon health care, inc. Is a rural federally qualified health center providing access to high-quality, affordable primary healthcare services to 26,000 patients in 21 communities in South Dakota.
Operating model
- Revenue model
- Earned-program. 64% of the money available for current operations came from fees and other program 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.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 77
- Transparency & Controls: 89
- Accountability: 100
- Sustainability: 22
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 87.9%; rating input score 88
- Program expense ratio: 82.7%; rating input score 83
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- 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: 9 of 9 controls in place; rating input score 100
- 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: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -6.2%; rating input score 15; 15th percentile among comparable filings
- Total-asset coverage ratio: 0.7; rating input score 25; 25th percentile among comparable filings
- Liabilities to assets ratio: 0.46; rating input score 31; 31st percentile among comparable filings
- Officer compensation ratio: 7.7%; rating input score 31; 31st percentile among comparable filings
Growth
- Program expense growth: 7.2% per year; rating input score 100; 57th percentile among comparable filings
- Revenue growth: 7.7% per year; rating input score 100; 63rd percentile among comparable filings
- Asset growth: 7.6% per year; rating input score 100; 53rd percentile among comparable filings
Details
- What they do: 2 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 87.9% of revenue deployed · 82.7% of spending went to programs
- Governance: 13 of 13 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $30.1M in reported program spending
- Leadership: top reported pay $374K · 24 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 1 contractor listed · $107K reported
- Consistency: 32 of 32 current checks pass
- Schedules: 7 filed schedules · includes major donors and executive pay
- Filing history: 13 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 10 filed money-flow records
- Related organizations: 1 filed related-organization link
- 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Operating margin scored 15/100.
- High — Sustainability: Total-asset coverage ratio scored 25/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 31/100.
- Moderate — Sustainability: Officer compensation ratio scored 31/100.