Civic Intelligence

Horizon Health Services Inc

EIN 16-6198498 • 501(c)3 • Getzville, NY

Profile

Horizon health services is committed to helping individuals and their families achieve health and recovery for a better tomorrow.

55 Dodge RoadGetzville, NY 14068

www.horizon-health.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

53rd percentile

0.27x

Higher debt load relative to assets than 53% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

36th percentile

0.20x

Higher debt load relative to revenue than 36% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

48th percentile

3.8%

Higher net margin than 48% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

63rd percentile

$452,574

Higher top officer pay than 63% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

72nd percentile

12%

Faster asset growth than 72% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

61st percentile

13%

Faster revenue growth than 61% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$38,455,673

Up $4,205,071 (+12%) from 2023

Liabilities

Up

$10,373,777

Up $2,192,477 (+27%) from 2023

Net Assets

Up

$28,081,896

Up $2,012,594 (+7.7%) from 2023

Revenue

Up

$51,845,122

Up $6,082,237 (+13%) from 2023

Expenses

Up

$49,876,455

Up $4,504,685 (+9.9%) from 2023

Net Income

Up

$1,968,667

Up $1,577,552 (+403%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2010: $11,474,710Liabilities 2010: $6,081,342Net Assets 2010: $5,393,3682010Assets 2011: $10,925,647Liabilities 2011: $5,036,433Net Assets 2011: $5,889,2142011Assets 2012: $12,092,720Liabilities 2012: $4,110,284Net Assets 2012: $7,982,4362012Assets 2013: $12,569,591Liabilities 2013: $3,357,929Net Assets 2013: $9,211,6622013Assets 2014: $13,699,959Liabilities 2014: $3,620,776Net Assets 2014: $10,079,1832014Assets 2015: $14,518,786Liabilities 2015: $2,742,790Net Assets 2015: $11,775,9962015Assets 2016: $15,222,212Liabilities 2016: $3,332,253Net Assets 2016: $11,889,9592016Assets 2017: $16,508,275Liabilities 2017: $4,101,793Net Assets 2017: $12,406,4822017Assets 2018: $17,910,607Liabilities 2018: $5,255,270Net Assets 2018: $12,655,3372018Assets 2019: $18,134,563Liabilities 2019: $3,180,258Net Assets 2019: $14,954,3052019Assets 2020: $25,764,462Liabilities 2020: $4,912,187Net Assets 2020: $20,852,2752020Assets 2021: $30,665,162Liabilities 2021: $9,275,829Net Assets 2021: $21,389,3332021Assets 2022: $34,828,460Liabilities 2022: $9,367,535Net Assets 2022: $25,460,9252022Assets 2023: $34,250,602Liabilities 2023: $8,181,300Net Assets 2023: $26,069,3022023Assets 2024: $38,455,673Liabilities 2024: $10,373,777Net Assets 2024: $28,081,8962024

Highlighted filing

2024

Assets$38,455,673
Liabilities$10,373,777
Net Assets$28,081,896

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0Expenses 2010: $16,791,9902010Expenses 2011: $18,066,7542011Revenue 2012: $21,798,376Expenses 2012: $19,705,154Net Income 2012: $2,093,2222012Revenue 2013: $23,003,194Expenses 2013: $21,773,968Net Income 2013: $1,229,2262013Revenue 2014: $23,827,774Expenses 2014: $22,960,253Net Income 2014: $867,5212014Revenue 2015: $25,626,026Expenses 2015: $23,929,213Net Income 2015: $1,696,8132015Revenue 2016: $27,035,380Expenses 2016: $26,921,417Net Income 2016: $113,9632016Revenue 2017: $29,815,328Expenses 2017: $29,298,805Net Income 2017: $516,5232017Revenue 2018: $32,730,329Expenses 2018: $32,482,337Net Income 2018: $247,9922018Revenue 2019: $38,229,681Expenses 2019: $35,933,586Net Income 2019: $2,296,0952019Revenue 2020: $45,842,531Expenses 2020: $39,923,012Net Income 2020: $5,919,5192020Revenue 2021: $41,374,551Expenses 2021: $40,837,493Net Income 2021: $537,0582021Revenue 2022: $47,848,664Expenses 2022: $44,052,659Net Income 2022: $3,796,0052022Revenue 2023: $45,762,885Expenses 2023: $45,371,770Net Income 2023: $391,1152023Revenue 2024: $51,845,122Expenses 2024: $49,876,455Net Income 2024: $1,968,6672024

Highlighted filing

2024

Revenue$51,845,122
Expenses$49,876,455
Net Income$1,968,667

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.5$10.4$28.1$51.8$49.9$1.97
2023Summary only. Only limited summary data is available for this year.$34.3$8.18$26.1$45.8$45.4$0.39
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.8$9.37$25.5$47.8$44.1$3.80
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.7$9.28$21.4$41.4$40.8$0.54
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$25.8$4.91$20.9$45.8$39.9$5.92
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.1$3.18$15.0$38.2$35.9$2.30
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.9$5.26$12.7$32.7$32.5$0.25
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.5$4.10$12.4$29.8$29.3$0.52
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.2$3.33$11.9$27.0$26.9$0.11
2015Summary only. Only limited summary data is available for this year.$14.5$2.74$11.8$25.6$23.9$1.70
2014Detailed filing. Detailed filing data is available for this year.$13.7$3.62$10.1$23.8$23.0$0.87
2013Detailed filing. Detailed filing data is available for this year.$12.6$3.36$9.21$23.0$21.8$1.23
2012Summary only. Only limited summary data is available for this year.$12.1$4.11$7.98$21.8$19.7$2.09
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.9$5.04$5.89$18.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.5$6.08$5.39$16.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 6, 2025
Return Version
2024v5.2
Gross Receipts
$63,592,562
Mission and Program Overview

Mission

Horizon health services is committed to helping individuals and their families achieve health and recovery for a better tomorrow.

Horizon health services is a not-for-profit organization that provides an array of comprehensive services to assist individuals with mental health problems and/or addictions to make choices that improve their quality of life and achieve their personal recovery goals.we empower consumers and support their pursuit of their hopes and dreams through an integrated service delivery system. Consumers are partners in selecting and implementing their care from among high-quality services that are accessible and responsive to their needs and desires.horizon's services are delivered out of 17 facilities located in erie, niagara and genesee counties, with a concentration of services in the cities of buffalo and niagara falls. The various clinical programs are co-located within facilities to ensure the integration of all needed care for persons with multiple disorders. Service plans are based on individualized needs and choices rather than fixed program designs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$2,804,409$6,574,555▲ $3,770,146
Land, Buildings, and Equipment, Net$6,324,647$6,323,653▼ $994
Investments Other Securities$6,926,708$5,071,341▼ $1,855,367
Accounts Receivable$2,454,507$2,975,538▲ $521,031
Pledges and Grants Receivable$3,555,011$2,930,382▼ $624,629
Savings and Temporary Cash Investments$2,160,563--
Prepaid Expenses and Deferred Charges$488,631$575,385▲ $86,754
Investments Program Related$250,059$161,602▼ $88,457
Total Assets$34,250,602$38,455,673▲ $4,205,071
Other Assets Total$9,286,067$13,843,217▲ $4,557,150
Liabilities
Accounts Payable and Accrued Expenses$4,352,496$4,932,189▲ $579,693
Other Liabilities$1,858,221$3,690,462▲ $1,832,241
Mortgage Notes Payable Secured by Investment Property$1,970,583$1,751,126▼ $219,457
Total Liabilities$8,181,300$10,373,777▲ $2,192,477
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$25,917,255$28,081,896▲ $2,164,641
Net Assets With Donor Restrictions$152,047$0▼ $152,047
Total Net Assets Fund Balance$26,069,302$28,081,896▲ $2,012,594
Total Liabilities and Net Assets / Fund Balance$34,250,602$38,455,673▲ $4,205,071

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,072,527$3,918,500$4,991,027
Buildings$4,211,649$379,083$4,590,732
Leasehold Improvements$883,253$2,536,831$3,420,084
Other Land Buildings$156,224-$156,224
Other Assets Org$3,304,214--
Other Securities$5,071,341--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joshua MorraMedical Director HhsFT$275,388-$275,388
Brendan RaleighPhysicianFT$272,323$166$272,489
Angela RocheNurse Practioner-psychFT$190,505$16,431$206,936

Board Members and Trustees

NameTitle
Bob MaddenChair
Brandy Vandermark-murrayPresident
Jennifer Johengen-vogelVice Chair
Amy ConmyBoard Member
Bhakti SharmaBoard Member
Horace GioiaBoard Member
Kathleen ConnollyBoard Member
Kevin D Robinson EsqBoard Member
Lisa CataneseBoard Member
Lisa CegliaBoard Member
Melinda DuboisBoard Member
Michael Maxwell EsqBoard Member
PAUL M O'LEARYBoard Member
Parette WalkerBoard Member
Patrick C KeatingBoard Member
Randyll P BowenBoard Member
Rebecca WaiteBoard Member
Ryan LucinskiBoard Member
Scott M WeberBoard Member
Sister Mary MccarrickBoard Member
Erin DigirolamoCEO
John RuffoloCFO
Jacob HaackerChief Information Officer
Munni ViscoSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Allentown Properties LLCBuilding RentPO BOX 713201, Philadelphia, PA 19171$172,308
Pcmrop Realty LLCBuilding Rent6637 MAIN STREET, Williamsville, NY 14221$134,461
Revenue and Support

Revenue Composition

Contributions and Grants
$4,969,048
Program Service Revenue
$44,573,153
Investment Income
$483,551
Other Revenue
$1,819,370
Change in Net Assets
$1,968,667

Audited Revenue Reconciliation

Revenue per Audited Statements
$51,845,122
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$43,927
Total Revenue per Audited Statements
$51,889,049
Total Revenue per Form 990
$51,845,122
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$36,207,917
Other Expenses$13,668,538
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$30,336,496--$30,336,496
Payroll Taxes$2,246,273--$2,246,273
Other Employee Benefits$1,938,890--$1,938,890
Occupancy$1,753,625--$1,753,625
Pension Plan Contributions$1,686,258--$1,686,258
Depreciation Depletion$692,236--$692,236
Information Technology$643,811--$643,811
Other Expenses$641,653$4,507,242-$641,653
Fees for Services Other$457,439--$457,439
Insurance$250,590--$250,590
All Other Expenses$246,737--$246,737
Advertising$166,828--$166,828
Travel$159,864--$159,864
Office Expenses$93,268--$93,268
Interest$49,396--$49,396
Total Functional Expenses$45,369,213$4,507,242$0$49,876,455

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$49,876,455
Total Expenses per Audited Statements$49,876,455
Total Expenses per Form 990$49,876,455
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
John RuffoloCFO'S FAMILY MEMBERFitness Equipment VendorNo$14,402
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$3,345,693
Refundable Advances$344,769
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The 990 is presented in draft form to the members of the governing body of horizon health services, inc. After it has been reviewed by agency fiscal personnel. Each member of the board has the opportunity to review the return and suggest any changes prior to filing with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

In accordance with horizon health services, inc.'s conflict of interest policy, each "officer" includes any non-director serving on any committee of the board of directors and directors shall annually sign a statement which affirms that such person: a. Has received a copy of the conflict of interest policy, b. Has read and understands the policy, c. Has agreed to comply with the policy, and d. Understands the corporation is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes, e. Is not aware that he or she has any financial interest or, if he or she is aware of any financial interest, a description of all material fact concerning it. The organization updated its conflict of interest policy (coi) in 2014 to conform with the requirements of the nys non-profit revitalization act of 2013. In accordance with the procedures stated in the coi policy, board members and officers: 1. Obtained a copy of the policy; 2. Reviewed potential conflicts (as defined) 3. Disclosed potential conflicts or confirmed no conflict exists 4. Recused themselves from discussion and voting (if conflict exists) the board of directors monitored and enforced compliance with the coi policy and documented this in minutes to meetings.

Form 990, Part VI, Section B, Line 15

The compensation committee is charged by the board of directors with the responsibility to determine the compensation of the chief executive officer, and approval of the amounts and types of compensation of the senior leadership team. The purpose of this committee is to: approve the annual performance standards of the chief executive officer. Determine appropriate performance measures and establish criteria for any incentive based compensation. Conduct the annual performance appraisal for the chief executive officer. Determine the total compensation package for the chief executive officer. Annually review, and approve any change to the total compensation of the chief executive officer and senior leadership team.

Form 990, Part VI, Section C, Line 19

The organization makes makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

FORM 990, PART VII, PAGE 7, COLUMN B:

The organization's by-laws state one or more individuals required to serve on hhs and hv boards. The following is a list of hhs bod members on hha board: kevin d. Robinson, esq. Scott weber patrick keating the following is a list of hhs bod members on hv board: amy conmy bob madden bhakti sharma horace gioia jennifer johengen-vogel kathleen connolly, pharmd kevin d. Robinson, esq. Lisa catanese lisa ceglia melinda dubois michael maxwell, esq. Munni visco parette walker patrick keating paul o'leary randyll bowen, edd rebecca waite, pharmd ryan lucinski scott weber sister mary mccarrick

Filing and Contact Details

Filer

Filer Name
Horizon Health Services
EIN
16-6198498
Phone
7168312700
Address
55 DODGE ROAD, GETZVILLE, NY 14068

Signing Officer

Name
John Ruffolo
Title
CFO
Phone
7168312700
Signed
2025-11-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Ruffolo
Formed
1975
Legal Domicile
Ny
Voting Board Members
20
Independent Board Members
20
Employees
613
Volunteers
20

Preparer

Firm
Withum Smith & Brown Pc
Address
424 MAIN STREET SUITE 800, BUFFALO, NY 14202-3508
Preparer
Nicole M White
Phone
7168472651
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in fair value of interest rate swap 7,925.

FORM 990, PART XII, LINE 2C:

The process has not changed from prior year.

Financial Statement Notes

PART X, LINE 2:

The companies are exempt from taxation under section 501(c)(3) of the internal revenue code. It is highly certain that some positions taken for income tax purposes would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would be ultimately sustained. The companies are not aware of any uncertain tax positions as of december 31, 2024 or 2023. The tax returns for the tax years 2021 through 2024 remain subject to examination by the internal revenue service for u.s. Federal tax purposes and also by new york state for state tax purposes.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Change in fair value of interest rate swap 7,925.

Raw XML AppendixShowing 400 of 864 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0HORIZON HEALTH SERVICES IS A NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES AN ARRAY OF COMPREHENSIVE SERVICES TO ASSIST INDIVIDUALS WITH MENTAL HEALTH PROBLEMS AND/OR ADDICTIONS TO MAKE CHOICES THAT IMPROVE THEIR QUALITY OF LIFE AND ACHIEVE THEIR PERSONAL RECOVERY GOALS.WE EMPOWER CONSUMERS AND SUPPORT THEIR PURSUIT OF THEIR HOPES AND DREAMS THROUGH AN INTEGRATED SERVICE DELIVERY SYSTEM. CONSUMERS ARE PARTNERS IN SELECTING AND IMPLEMENTING THEIR CARE FROM AMONG HIGH-QUALITY SERVICES THAT ARE ACCESSIBLE AND RESPONSIVE TO THEIR NEEDS AND DESIRES.HORIZON'S SERVICES ARE DELIVERED OUT OF 17 FACILITIES LOCATED IN ERIE, NIAGARA AND GENESEE COUNTIES, WITH A CONCENTRATION OF SERVICES IN THE CITIES OF BUFFALO AND NIAGARA FALLS. THE VARIOUS CLINICAL PROGRAMS ARE CO-LOCATED WITHIN FACILITIES TO ENSURE THE INTEGRATION OF ALL NEEDED CARE FOR PERSONS WITH MULTIPLE DISORDERS. SERVICE PLANS ARE BASED ON INDIVIDUALIZED NEEDS AND CHOICES RATHER THAN FIXED PROGRAM DESIGNS.
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IRS990/Desc0HORIZON HEALTH SERVICES PROVIDES BOTH MENTAL HEALTH AND OUTPATIENT COUNSELING, AS WELL AS TREATMENT SERVICES FOR INDIVIDUALS WITH ALCOHOL AND SUBSTANCE ABUSE DEPENDENCE, FAMILIES AND CO-DEPENDENCE, YOUNG ADULTS AND ADOLESCENTS. HORIZON ALSO PROVIDES INTEGRATED TREATMENT FOR CO-RECURRING DISORDERS.
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