HORIZON HEALTH FOUNDATION

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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

2016

Legal Domicile

Principal Officer

WADE ERICKSON

Phone

6057724553

Tax Period

2025-01-01 to 2025-07-10

HORIZON HEALTH FOUNDATION, founded in 2016, is a small nonprofit that reported $266K in total revenue in fiscal year 2024. Revenue fell 62% from the prior year — a significant decline worth monitoring. Expenses of $2.7M exceeded revenue, resulting in a 903% operating deficit.

Mission

THE MISSION OF THE HORIZON HEALTH FOUNDATION IS TO INSPIRE AND EMPOWER OUR PATIENTS BY PROVIDING ACCESSIBLE AND AFFORDABLE HEALTH CARE NOW AND INTO THE FUTURE.

Program Service Accomplishments

Program 1

Expenses: $2,497,677

BETWEEN JANUARY 1 - JULY 10, 2025, THE HORIZON HEALTH FOUNDATION HAD 108 BENEFACTORS THAT INVESTED $76,500.57 IN GIFTS. 69% CAME FROM INDIVIDUALS, 26% FROM FOUNDATIONS, 2% FROM BUSINESS/CORPORATIONS, AND 3% FROM A SCHOOL. $264,133.88 WAS DISBURSED TO HELP PATIENTS ACROSS SOUTH DAKOTA THROUGH PROGRAMS SUPPORTING MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE, RECRUITMENT, EMPLOYEE EMERGENCIES, CHARITY CARE, PATIENT TRANSPORTATION PROGRAMS, CAPITAL, AND EQUIPMENT NEEDS. HORIZON SERVES THE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE NEEDS OF SOUTH DAKOTANS THROUGH 80,948 PATIENT VISITS ANNUALLY THROUGHOUT 27 MEDICAL AND DENTAL CLINICS IN 19 COMMUNITIES WITH NEARLY 28,000 SQUARE MILES ACROSS SOUTH DAKOTA.

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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 $265,586

Program Service Revenue $0

Investment Income $842

Other Revenue $0

TOTAL REVENUE $266,428

Expense Breakdown

Grants Paid $2,497,677

Salaries & Benefits $129,277

Fundraising Expenses $173,891

Program Expenses $2,497,677

Other Expenses $44,614

TOTAL EXPENSES $2,671,568

Year-over-Year Comparison

	2024	2023	Change
Revenue	$266,428	$705,262	-0.6%
Expenses	$2,671,568	$780,611	+2.4%
Net Income	$-2,405,140	$-75,349	+30.9%

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

N/A

Volunteers

N/A

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

Total Directors

$2,788

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
SPENCER BLOCH	SEC/TREAS	0.10	Officer Director	$0	$0	$0
THOMAS GLANZER	VICE CHAIR	0.10	Officer Director	$0	$0	$0
TODD JORDRE	CHAIR	0.10	Officer Director	$0	$0	$0
DOUG EIDAHL	MEMBER	0.10	Director	$0	$0	$0
DENNIS NELSON	MEMBER	0.10	Director	$0	$0	$0
LORINDA HOLLAND	MEMBER	0.10	Director	$0	$147	$2,788
DAVID CLOSE	MEMBER	0.10	Director	$0	$0	$0
CHERYL HAVERMANN	MEMBER	0.10	Director	$0	$0	$0
GLEN MARSHALL	MEMBER	0.10	Director	$0	$0	$0
SADIE HANSEN	MEMBER	0.10	Director	$0	$0	$0
MERRETTA ANDERSON	MEMBER	0.10	Director	$0	$0	$0
JEFF BURG	MEMBER	0.10	Director	$0	$0	$0

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	$266,428	$2,671,568	No data	$-2,405,140
2024	$1,861,292	$781,080	$2,373,613	$1,080,212
2023	$705,262	$780,611	$1,235,668	$-75,349
2022	$724,916	$582,924	$1,135,157	$141,992
2021	$987,415	$569,331	$1,055,900	$418,084
2020	$824,904	$512,405	$622,483	$312,499
2019	$641,572	$786,847	$309,157	$-145,275
2018	$677,228	$314,705	$457,880	$362,523