Civic Intelligence

Horizon Health Care Inc

EIN 46-0341255 • 501(c)3 • Howard, SD

View Organization Page

Profile

Horizon health care, inc. Provides rural communities with access to high-quality, affordable primary healthcare services.

PO Box 99Howard, SD 57349

www.horizonhealthcare.org

Siviq Scores

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

Liabilities / Assets

71st percentile

0.46x

Higher debt load relative to assets than 71% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

56th percentile

0.35x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

21st percentile

-6.2%

Higher net margin than 21% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

71st percentile

$373,668

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

12th percentile

-6.2%

Faster asset growth than 12% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

23rd percentile

-4.9%

Faster revenue growth than 23% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets71st percentile

Assets

Down

$25,661,152

Down $1,691,611 (-6.2%) from 2023

Liabilities

Up

$11,900,156

Up $433,369 (+3.8%) from 2023

Net Assets

Down

$13,760,996

Down $2,124,980 (-13%) from 2023

Operations
Liabilities / Revenue56th percentileNet Margin21st percentile

Revenue

Down

$34,297,942

Down $1,764,562 (-4.9%) from 2023

Expenses

Down

$36,422,922

Down $672,974 (-1.8%) from 2023

Net Income

Down

-$2,124,980

Down $1,091,588 (-106%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth12th percentile

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

$30M$20M$10M$0Assets 2010: $9,350,600Liabilities 2010: $2,132,977Net Assets 2010: $7,217,6232010Assets 2011: $9,463,601Liabilities 2011: $2,121,116Net Assets 2011: $7,342,4852011Assets 2012: $9,613,999Liabilities 2012: $2,223,464Net Assets 2012: $7,390,5352012Assets 2013: $11,973,659Liabilities 2013: $3,667,271Net Assets 2013: $8,306,3882013Assets 2014: $12,672,441Liabilities 2014: $4,280,276Net Assets 2014: $8,392,1652014Assets 2015: $13,541,119Liabilities 2015: $4,513,754Net Assets 2015: $9,027,3652015Assets 2016: $18,363,149Liabilities 2016: $6,944,095Net Assets 2016: $11,419,0542016Assets 2017: $19,053,609Liabilities 2017: $7,370,903Net Assets 2017: $11,682,7062017Assets 2018: $18,783,122Liabilities 2018: $7,135,746Net Assets 2018: $11,647,3762018Assets 2019: $18,902,921Liabilities 2019: $6,642,481Net Assets 2019: $12,260,4402019Assets 2020: $25,580,426Liabilities 2020: $13,705,779Net Assets 2020: $11,874,6472020Assets 2021: $27,415,990Liabilities 2021: $10,456,360Net Assets 2021: $16,959,6302021Assets 2022: $28,518,056Liabilities 2022: $11,598,688Net Assets 2022: $16,919,3682022Assets 2023: $27,352,763Liabilities 2023: $11,466,787Net Assets 2023: $15,885,9762023Assets 2024: $25,661,152Liabilities 2024: $11,900,156Net Assets 2024: $13,760,9962024

Highlighted filing

2024

Assets$25,661,152
Liabilities$11,900,156
Net Assets$13,760,996
Open 2024 Filing

Operations Trend

Revenue Growth23rd percentile

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

$40M$20M$0-$20MExpenses 2010: $10,585,4312010Expenses 2011: $11,679,0772011Expenses 2012: $13,778,1382012Expenses 2013: $14,571,7792013Revenue 2014: $16,460,460Expenses 2014: $16,374,683Net Income 2014: $85,7772014Revenue 2015: $18,396,302Expenses 2015: $17,761,102Net Income 2015: $635,2002015Revenue 2016: $24,579,199Expenses 2016: $23,593,225Net Income 2016: $985,9742016Revenue 2017: $26,015,003Expenses 2017: $26,462,222Net Income 2017: -$447,2192017Revenue 2018: $26,565,429Expenses 2018: $26,600,759Net Income 2018: -$35,3302018Revenue 2019: $28,804,328Expenses 2019: $28,191,264Net Income 2019: $613,0642019Revenue 2020: $30,211,535Expenses 2020: $30,597,328Net Income 2020: -$385,7932020Revenue 2021: $38,593,167Expenses 2021: $33,508,184Net Income 2021: $5,084,9832021Revenue 2022: $36,286,778Expenses 2022: $36,327,040Net Income 2022: -$40,2622022Revenue 2023: $36,062,504Expenses 2023: $37,095,896Net Income 2023: -$1,033,3922023Revenue 2024: $34,297,942Expenses 2024: $36,422,922Net Income 2024: -$2,124,9802024

Highlighted filing

2024

Revenue$34,297,942
Expenses$36,422,922
Net Income-$2,124,980
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$25,661,152
Liabilities
$11,900,156
Net assets
$13,760,996
Revenue
$34,297,942
Expenses
$36,422,922
Net income
-$2,124,980
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$25.7$11.9$13.8$34.3$36.4$2.12
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$27.4$11.5$15.9$36.1$37.1$1.03
2022Detailed filing. Detailed filing data is available for this year.$28.5$11.6$16.9$36.3$36.3$0.04
2021Detailed filing. Detailed filing data is available for this year.$27.4$10.5$17.0$38.6$33.5$5.08
2020Detailed filing. Detailed filing data is available for this year.$25.6$13.7$11.9$30.2$30.6$0.39
2019Detailed filing. Detailed filing data is available for this year.$18.9$6.64$12.3$28.8$28.2$0.61
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.8$7.14$11.6$26.6$26.6$0.04
2017Detailed filing. Detailed filing data is available for this year.$19.1$7.37$11.7$26.0$26.5$0.45
2016Summary only. Only limited summary data is available for this year.$18.4$6.94$11.4$24.6$23.6$0.99
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.5$4.51$9.03$18.4$17.8$0.64
2014Detailed filing. Detailed filing data is available for this year.$12.7$4.28$8.39$16.5$16.4$0.09
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.0$3.67$8.31$14.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.61$2.22$7.39$13.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.46$2.12$7.34$11.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.35$2.13$7.22$10.6
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jun 18, 2025
Return Version
2024v5.1
Gross Receipts
$34,297,942
Mission and Program Overview

Mission

Horizon health care, inc. Provides personalized, affordable, high quality primary health care through a rural community-based network in south dakota.

Horizon health care, inc. Provides rural communities with access to high-quality, affordable primary healthcare services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$18,431,526$17,481,510▼ $950,016
Accounts Receivable$2,906,290$3,281,713▲ $375,423
Savings and Temporary Cash Investments$2,394,997$1,143,116▼ $1,251,881
Prepaid Expenses and Deferred Charges$738,759$952,374▲ $213,615
Pledges and Grants Receivable$552,625$514,802▼ $37,823
Other Notes and Loans Receivable, Net$343,466$388,833▲ $45,367
Cash and Non-Interest-Bearing Accounts$293,273$185,349▼ $107,924
Total Assets$27,352,763$25,661,152▼ $1,691,611
Other Assets Total$1,691,827$1,713,455▲ $21,628
Liabilities
Mortgage Notes Payable Secured by Investment Property$7,018,289$6,874,829▼ $143,460
Accounts Payable and Accrued Expenses$2,927,702$3,572,454▲ $644,752
Other Liabilities$1,520,496$1,452,873▼ $67,623
Deferred Revenue$300$0▼ $300
Total Liabilities$11,466,787$11,900,156▲ $433,369
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,885,976$13,760,996▼ $2,124,980
Total Net Assets Fund Balance$15,885,976$13,760,996▼ $2,124,980
Total Liabilities and Net Assets / Fund Balance$27,352,763$25,661,152▼ $1,691,611

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$15,533,827$5,342,606$20,876,433
Equipment$1,062,870$7,181,895$8,244,765
Leasehold Improvements$561,496$1,641,030$2,202,526
Land$323,317-$323,317
Other Assets Org$1,405,208--
Compensation and Service Providers
Top Officer Pay71st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Terry WeaverPhysicianFT$288,079$85,589$373,668
Lance LimPhysicianPT$248,103$94,880$342,983
Wade EricksonCEOFT$257,026$68,305$325,331
Michelle ScholtzChief Dental OfficerFT$206,952$89,766$296,718
Teresa MartsPhysicianPT$239,119$37,289$276,408
Lamar KoistinenDentistFT$191,045$78,219$269,264
Ruth LimPhysicianPT$232,553$14,045$246,598
Scott WeatherillCIOFT$188,208$56,886$245,094
Misty RudebuschChief Medical OfficerFT$184,198$51,593$235,791
Melissa HoferCFOFT$155,677$51,344$207,021

Board Members and Trustees

NameTitle
Samantha PlankChair
Ryan L JensenPast Chair
Dave SchmidtVice Chair
Brenda SchneiderDirector
Dennis NelsenDirector
Echo PetersenDirector
Jerry MillerDirector
Kris KratovilDirector
Steve HeiselDirector
Tenille LindskovDirector
Brad LemmelDirector (left 06/17/2024)
Richard ButlerDirector (started 09/2024)
Tristin GruenhagenSecretary
Rhea LecompteTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Steven J BauneDental Services11423 LAKE RD, Roshalt, SD 57260$107,375
Revenue and Support

Revenue Composition

Contributions and Grants
$11,888,049
Program Service Revenue
$22,084,576
Investment Income
$51,960
Other Revenue
$273,357
All Other Contributions
$174,673
Change in Net Assets
$-2,124,980

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies2,746$41,330Selling Price
Total Noncash Contributions2,746$41,330-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$23,659,556
Other Expenses$12,763,366
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$14,194,482$2,856,076-$17,050,558
Other Employee Benefits$3,037,385$948,734-$3,986,119
Fees for Services Other$1,501,678--$1,501,678
Payroll Taxes$974,431$338,493-$1,312,924
Current Officers, Directors, Trustees, and Key Employees-$1,309,955-$1,309,955
Depreciation Depletion$1,181,042$65,781-$1,246,823
All Other Expenses$942,163$53,221-$995,384
Other Expenses$958,615$42,700-$958,615
Office Expenses$513,275$367,311-$880,586
Occupancy$589,966$73,172-$663,138
Advertising$600,115--$600,115
Interest$301,436$2,656-$304,092
Travel$106,363$160,392-$266,755
Insurance$123,402$62,738-$186,140
Fees for Services Management$117,331--$117,331
Fees for Services Accounting$52,900--$52,900
Conferences and Meetings$3,649$5,473-$9,122
Fees for Services Legal$6,445--$6,445
Total Functional Expenses$30,136,220$6,286,702$0$36,422,922
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$1,452,873
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
No
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 form 990 is reviewed and accepted by the board at the monthly board meeting before it is filed.”

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

“The conflict of interest policy is consistently monitored & compliance is enforced.”

Form 990, Part VI, Section B, Line 15

“The process for determining compensation is through use of an outside consultant and comparability data.”

Form 990, Part VI, Section C, Line 19

“The organization makes these documents available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Horizon Health Care Inc
EIN
46-0341255
Phone
6057724128
Address
PO BOX 99, HOWARD, SD 57349

Signing Officer

Name
Wade Erickson
Title
CEO
Phone
6057724128
Signed
2025-06-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Wade Erickson
Formed
1978
Legal Domicile
Sd
Voting Board Members
13
Independent Board Members
13
Employees
400
Volunteers
0

Preparer

Firm
Brady Martz & Associates Pc
Address
2537 S UNIVERSITY DRIVE, FARGO, ND 58103
Preparer
Jeremy Ulmer CPA
Phone
7012802100
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“The organization did not change its oversight or selection process during the year.”

Financial Statement Notes

PART X, LINE 2:

“It is the opinion of management that the organizations have no significant uncertain tax positions that would be subject to examination by the irs and state tax authorities, generally for three years after they were filed.”

Raw XML AppendixShowing 400 of 799 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.

Path#Value
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IRS990/AccountsReceivableGrp/EOYAmt03281713
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0HORIZON HEALTH CARE, INC. PROVIDES RURAL COMMUNITIES WITH ACCESS TO HIGH-QUALITY, AFFORDABLE PRIMARY HEALTHCARE SERVICES.
IRS990/AdvertisingGrp/ProgramServicesAmt0600115
IRS990/AdvertisingGrp/TotalAmt0600115
IRS990/AllOtherContributionsAmt0174673
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt053221
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0942163
IRS990/AllOtherExpensesGrp/TotalAmt0995384
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IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
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IRS990/BooksInCareOfDetail/PhoneNum06057724525
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 99
IRS990/BooksInCareOfDetail/USAddress/CityNm0HOWARD
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0SD
IRS990/BooksInCareOfDetail/USAddress/ZIPCd057349
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IRS990/CompensationProcessOtherInd01
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IRS990/ConservationEasementsInd00
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IRS990/ContractorCompensationGrp/ServicesDesc0DENTAL SERVICES
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt011888049
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt051960
IRS990/CYOtherExpensesAmt012763366
IRS990/CYOtherRevenueAmt0273357
IRS990/CYProgramServiceRevenueAmt022084576
IRS990/CYRevenuesLessExpensesAmt0-2124980
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IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt034297942
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IRS990/DeferredRevenueGrp/EOYAmt00
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IRS990/DepreciationDepletionGrp/ProgramServicesAmt01181042
IRS990/DepreciationDepletionGrp/TotalAmt01246823
IRS990/Desc0HORIZON HEALTH CARE, INC. IS A RURAL FEDERALLY QUALIFIED HEALTH CENTER PROVIDING ACCESS TO HIGH-QUALITY, AFFORDABLE PRIMARY HEALTHCARE SERVICES TO 26,000 PATIENTS IN 21 COMMUNITIES IN SOUTH DAKOTA.
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IRS990/FeesForServicesOtherGrp/TotalAmt01501678
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