Horizon Health Services
Nonprofit profile at a glance
- EIN
- 166198498
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Getzville, NY, US
- Phone
- 716-831-1800
- Rating
- 87
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Reported finances
- Revenue
- $51,845,122
- Expenses
- $49,876,455
- Assets
- $38,455,673
- Liabilities
- $10,373,777
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
27 people listed
Executive titles in this filing
- ERIN DIGIROLAMO (CEO)
- BRANDY VANDERMARK-MURRAY (PRESIDENT)
Highest reported compensation
- ERIN DIGIROLAMO (CEO): $452,574 total reported compensation
- BRANDY VANDERMARK-MURRAY (PRESIDENT): $335,606 total reported compensation
- JOSHUA MORRA (MEDICAL DIRECTOR HHS): $275,388 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 Services is a not-for-profit corporation providing hope and healing for individuals and their families dealing with substance use and/or mental health disorders. At Horizon, our mission is to support our patients every step of the way—and that commitment starts with the exceptional people who make our work possible. Our best‑in‑class services exist because of the passion, dedication, and expertise of our team members. Just as we care for our patients, we care for our team. We’ve built a warm, welcoming culture where people feel supported, valued, and empowered to grow. We’re committed to fostering an environment where every team member can develop their skills, advance their career, and succeed both personally and professionally. We provide our employees with exceptional benefits and the opportunity to grow through training and continuing education c.
What it reported doing in 2024
Horizon health services offers health home coordinated care, which offers coordinated care to individuals with multiple chronic health conditions, including mental health and substance use disorders. Health home services include comprehensive care management, care coordination, health promotion, comprehensive transitional care/follow-up, patient & family support, and referrals to community & social support services.
Operating model
- Revenue model
- Earned-program. 87% 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.
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: 79
- Transparency & Controls: 95
- Accountability: 100
- Sustainability: 47
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 88.1%; rating input score 88
- Program expense ratio: 91%; rating input score 91
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th 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: Pass
- Written employment contract: Missing
- 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; 77th 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: 3.8%; rating input score 51; 51st percentile among comparable filings
- Total-asset coverage ratio: 0.77; rating input score 30; 30th percentile among comparable filings
- Liabilities to assets ratio: 0.27; rating input score 59; 59th percentile among comparable filings
- Officer compensation ratio: 1.7%; rating input score 62; 62nd percentile among comparable filings
Growth
- Program expense growth: 7.8% per year; rating input score 100; 63rd percentile among comparable filings
- Revenue growth: 7.7% per year; rating input score 100; 65th percentile among comparable filings
- Asset growth: 9.8% per year; rating input score 100; 69th percentile among comparable filings
Details
- What they do: 6 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 88.1% of revenue deployed · 91% of spending went to programs
- Governance: 20 of 20 board members independent · 9 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $45.4M in reported program spending
- Leadership: top reported pay $453K · 27 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 2 contractors listed · $307K reported
- Consistency: 32 of 32 current checks pass
- Schedules: 7 filed schedules · includes major donors and executive pay
- Filing history: 15 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 3 filed money-flow records
- Related organizations: 3 filed related-organization links
- 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.
- Review — Sustainability: Operating margin scored 51/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 30/100.
- Review — Sustainability: Liabilities to assets ratio scored 59/100.