HORIZON HEALTH INC

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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

BARB DOWNS

Phone

3204686451

Tax Period

2024-07-01 to 2025-06-30

HORIZON HEALTH INC, founded in 1991, is a community nonprofit in the Human Services sector that reported $9.3M in total revenue in fiscal year 2024.

Mission

PROVIDING COMPASSIONATE, DIGNIFIED, INDIVIDUALIZED CARE TO THOSE WE SERVE BY PARTNERING WITH FAMILIES AND COMMUNITIES.

Program Service Accomplishments

Program 1

Expenses: $5,125,062 Revenue: $5,066,669

ASSISTED LIVING: HARMONY HOUSES 72 UNITS OF ASSISTED LIVING ALONG WITH A FULL SPECTRUM OF SERVICES THAT PROVIDE COMFORT AND SUPPORT FOR FRAIL ELDERLY AND PEOPLE WITH ALZHEIMER'S AND OTHER DEMENTIA...

ASSISTED LIVING: HARMONY HOUSES 72 UNITS OF ASSISTED LIVING ALONG WITH A FULL SPECTRUM OF SERVICES THAT PROVIDE COMFORT AND SUPPORT FOR FRAIL ELDERLY AND PEOPLE WITH ALZHEIMER'S AND OTHER DEMENTIA RELATED ILLNESS. FOUR SEPARATE LOCATIONS IN FOUR COMMUNITIES HELP TO MEET THE NEEDS OF OUR RESIDENTS AND THEIR FAMILIES BY PROVIDING PERSONAL CARE, NURSING SUPPORT, AND MANY SOCIAL OPPORTUNITIES. WE HAVE BEEN ABLE TO HAVE SEVERAL OF OUR RESIDENTS REMAIN LIVING WITH US THROUGH THE END OF LIFE THROUGH COLLABORATION WITH OUR LOCAL HOSPICE PROVIDER.

Program 2

Expenses: $1,194,331 Revenue: $824,399

HOME CARE SERVICES: THIS DEPARTMENT SERVES OVER 100 PEOPLE ANNUALLY. OUR TRAINED STAFF PROVIDE SKILLED NURSING, PERSONAL CARE, AND HOMEMAKING SERVICES THAT ENABLE THE PEOPLE SERVED TO REMAIN LIVING IN THEIR OWN HOMES FOR AS LONG AS POSSIBLE. OUR ON-STAFF SOCIAL WORKER PROVIDES ADDITIONAL SUPPORT TO CLIENTS AND THEIR FAMILIES THROUGH FACILITATION OF FAMILY MEETINGS, CAREGIVER COACHING, AND CONNECTING THEM TO ADDITIONAL COMMUNITY RESOURCES.

Program 3

Expenses: $674,074 Revenue: $526,508

HOSPICE: THIS PROGRAM PROVIDES COMPASSIONATE, FAMILY CENTERED END OF LIFE CARE FOR 50 PATIENTS AND THEIR FAMILIES ANNUALLY. AN INTERDISCIPLINARY TEAM OF REGISTERED NURSES, SOCIAL WORKERS, CHAPLAIN...

HOSPICE: THIS PROGRAM PROVIDES COMPASSIONATE, FAMILY CENTERED END OF LIFE CARE FOR 50 PATIENTS AND THEIR FAMILIES ANNUALLY. AN INTERDISCIPLINARY TEAM OF REGISTERED NURSES, SOCIAL WORKERS, CHAPLAIN AND PHYSICAL, OCCUPATIONAL AND MASSAGE THERAPISTS ENSURES ALL PATIENT AND FAMILY NEEDS ARE BEING MET INCLUDING THE PHYSICAL, EMOTIONAL AND SPIRITUAL ASPECTS OF CARE. THE SERVICES PROVIDED INCLUDE CARE DELIVERY AND MANAGEMENT, ALL MEDICAL EQUIPMENT, SUPPLIES, AND MEDICATIONS RELATED TO THE TERMINAL ILLNESS, 24 HOUR ON CALL SUPPORT, BEREAVEMENT CARE FOR FAMILY MEMBERS, AND COMMUNITY OUTREACH AND EDUCATION.

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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 (2024)

Revenue Breakdown

Contributions & Grants $272,297

Program Service Revenue $8,996,626

Investment Income $437

Other Revenue $52,511

TOTAL REVENUE $9,321,871

Expense Breakdown

Grants Paid $0

Salaries & Benefits $6,029,355

Fundraising Expenses $0

Program Expenses $9,386,297

Other Expenses $3,649,276

TOTAL EXPENSES $9,678,631

Year-over-Year Comparison

	2024	2023	Change
Revenue	$9,321,871	$8,716,540	+0.1%
Expenses	$9,678,631	$9,314,766	+0.0%
Net Income	$-356,760	$-598,226	-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

241

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

$400

Total Directors

$2,200

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
BARB DOWNS	CHAIR	1.00	Officer Director	$0	$0	$0
TOM SCHERLING	VICE CHAIR	1.00	Officer Director	$400	$0	$400
LAURE FISCHER	TREASURER/SECRETARY	1.00	Officer Director	$0	$0	$0
GARY BLOCK	DIRECTOR	1.00	Director	$450	$0	$450
BETH NICHOLS	DIRECTOR	1.00	Director	$0	$0	$0
JESSICA SCHILLING-BRIGMAN	DIRECTOR	1.00	Director	$450	$0	$450
PAT POSTER	DIRECTOR	1.00	Director	$400	$0	$400
MIKE POSER	DIRECTOR	1.00	Director	$450	$0	$450
LISA GALL	DIRECTOR	1.00	Director	$50	$0	$50

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
2025	$9,321,871	$9,678,631	$6,114,457	$-356,760
2024	$8,716,540	$9,314,766	$6,482,500	$-598,226
2023	$7,589,221	$8,446,961	$6,769,487	$-857,740
2022	$7,995,276	$7,812,554	$6,162,739	$182,722
2021	$9,032,202	$7,691,035	$5,933,505	$1,341,167
2020	$8,063,670	$8,238,471	$5,987,432	$-174,801
2019	$7,322,641	$7,888,411	$5,264,815	$-565,770