HORIZON HEALTH ALLIANCE LTD (EIN 161396939) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1991

Legal Domicile

Principal Officer

ERIN DIGIROLAMO

Phone

7168312700

Tax Period

2023-01-01 to 2023-12-31

HORIZON HEALTH ALLIANCE LTD, founded in 1991, is a mid-sized nonprofit in the Philanthropy & Grantmaking sector that reported $10.5M in total revenue in fiscal year 2023. Revenue decreased 12% compared to the prior year. Expenses of $9.9M left a modest 5% surplus.

Mission

HORIZON HEALTH ALLIANCE, LTD. PROVIDES ADMINISTRATIVE SERVICES TO RELATED NON-PROFIT ORGANIZATIONS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $396,224

Program Service Revenue $0

Investment Income $170,387

Other Revenue $9,926,695

TOTAL REVENUE $10,493,306

Expense Breakdown

Grants Paid $0

Salaries & Benefits $7,570,410

Fundraising Expenses $0

Program Expenses $3,802,503

Other Expenses $2,362,621

TOTAL EXPENSES $9,933,031

Year-over-Year Comparison

	2023	2022	Change
Revenue	$10,493,306	$11,940,995	-0.1%
Expenses	$9,933,031	$11,547,774	-0.1%
Net Income	$560,275	$393,221	+0.4%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

111

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$572,046

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
MICHAEL MAXWELL ESQ	BOARD MEMBER	1.00	Director	$0	$0	$0
NORA MCGUIRE	CHAIR	1.00	Officer Director	$0	$0	$0
PETE GRUM	BOARD CHAIRPERSON	1.00	Director	$0	$0	$0
SCOTT WEBER	BOARD MEMBER	1.00	Director	$0	$0	$0
DR ROBERT MCCORMACK	BOARD MEMBER	1.00	Director	$0	$0	$0
AIMEE CAPELLI	VICE CHAIR	1.00	Director	$0	$0	$0
KAREN MERKEL	BOARD MEMBER	1.00	Director	$0	$0	$0
KEVIN D ROBINSON ESQ	BOARD MEMBER	1.00	Director	$0	$0	$0
PATRICK C KEATING	SECRETARY	1.00	Director	$0	$0	$0
ERIN DIGIROLAMO	PRESIDENT	20.00	Officer	$346,130	$32,847	$378,977
JOHN RUFFOLO	CFO	20.00	Officer	$182,445	$10,624	$193,069
JOSHUA MORRA	MEDICAL DIRECTOR HHS	1.00	Highest	$0	$36,329	$306,251
BRANDY VANDERMARK-MURRAY	PRESIDENT	20.00	Highest	$241,642	$15,880	$257,522
ANGELA ROCHE	NURSE PRACTITIONER - PSYCH	40.00	Highest	$0	$15,530	$207,338
JACOB HAACKER	CHIEF INFORMATION OFFICER	20.00	Highest	$188,468	$15,233	$203,701
MICHELLE CURTO	VP OF ADMIN OPERATIONS	20.00	Highest	$171,932	$23,590	$195,522

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$10,493,306	$9,933,031	$8,751,110	$560,275
2022	$11,940,995	$11,547,774	$7,567,427	$393,221
2021	$8,802,636	$8,620,529	$13,266,135	$182,107
2020	$8,180,163	$8,040,359	$13,187,029	$139,804
2019	$8,294,980	$7,136,510	$12,983,846	$1,158,470
2018	$7,060,399	$6,851,638	$12,033,214	$208,761

HORIZON HEALTH ALLIANCE LTD