Civic Intelligence

Horizon Health Services Inc

EIN 54-1103176 • 501(c)3 • Ivor, VA

View Organization Page

Profile

Horizon health services, inc. Is a community-based, not for profit corporation whose mission is to provide quality, comprehensive, and affordable primary health care on a continuous basis to all individuals.

8314 Main StreetIvor, VA 23866

www.hhsinc.net

Siviq Scores

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

Liabilities / Assets

44th percentile

0.09x

Higher debt load relative to assets than 44% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

39th percentile

0.10x

Higher debt load relative to revenue than 39% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

53rd percentile

5.7%

Higher net margin than 53% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

45th percentile

3.0%

Faster asset growth than 45% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

63rd percentile

14%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets44th percentile

Assets

Up

$9,526,322

Up $281,012 (+3.0%) from 2024

Liabilities

Down

$826,258

Down $180,093 (-18%) from 2024

Net Assets

Up

$8,700,064

Up $461,105 (+5.6%) from 2024

Operations
Liabilities / Revenue39th percentileNet Margin53rd percentile

Revenue

Up

$8,446,014

Up $1,068,577 (+14%) from 2024

Expenses

Up

$7,963,352

Up $1,247,647 (+19%) from 2024

Net Income

Down

$482,662

Down $179,070 (-27%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth45th percentile

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

$10M$5.0M$0Assets 2012: $1,906,826Liabilities 2012: $895,866Net Assets 2012: $1,010,9602012Assets 2013: $1,838,768Liabilities 2013: $832,524Net Assets 2013: $1,006,2442013Assets 2014: $1,846,527Liabilities 2014: $790,818Net Assets 2014: $1,055,7092014Assets 2015: $1,818,548Liabilities 2015: $672,007Net Assets 2015: $1,146,5412015Assets 2016: $2,081,144Liabilities 2016: $661,678Net Assets 2016: $1,419,4662016Assets 2017: $2,442,437Liabilities 2017: $587,384Net Assets 2017: $1,855,0532017Assets 2018: $2,597,203Liabilities 2018: $486,533Net Assets 2018: $2,110,6702018Assets 2019: $2,729,848Liabilities 2019: $445,625Net Assets 2019: $2,284,2232019Assets 2020: $3,223,289Liabilities 2020: $277,369Net Assets 2020: $2,945,9202020Assets 2021: $5,061,508Liabilities 2021: $1,180,530Net Assets 2021: $3,880,9782021Assets 2022: $5,729,005Liabilities 2022: $516,032Net Assets 2022: $5,212,9732022Assets 2023: $8,419,932Liabilities 2023: $820,494Net Assets 2023: $7,599,4382023Assets 2024: $9,245,310Liabilities 2024: $1,006,351Net Assets 2024: $8,238,9592024Assets 2025: $9,526,322Liabilities 2025: $826,258Net Assets 2025: $8,700,0642025

Highlighted filing

2025

Assets$9,526,322
Liabilities$826,258
Net Assets$8,700,064
Open 2025 Filing

Operations Trend

Revenue Growth63rd percentile

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

$10M$5.0M$0-$5.0MRevenue 2012: $2,268,149Expenses 2012: $2,465,234Net Income 2012: -$197,0852012Revenue 2013: $2,458,911Expenses 2013: $2,463,627Net Income 2013: -$4,7162013Revenue 2014: $2,482,316Expenses 2014: $2,432,851Net Income 2014: $49,4652014Revenue 2015: $2,854,570Expenses 2015: $2,763,738Net Income 2015: $90,8322015Revenue 2016: $3,348,628Expenses 2016: $3,075,703Net Income 2016: $272,9252016Revenue 2017: $3,911,590Expenses 2017: $3,476,003Net Income 2017: $435,5872017Revenue 2018: $3,943,708Expenses 2018: $3,688,091Net Income 2018: $255,6172018Revenue 2019: $3,830,991Expenses 2019: $3,741,278Net Income 2019: $89,7132019Revenue 2020: $4,638,404Expenses 2020: $3,976,707Net Income 2020: $661,6972020Revenue 2021: $5,206,382Expenses 2021: $4,271,324Net Income 2021: $935,0582021Revenue 2022: $6,302,153Expenses 2022: $4,970,158Net Income 2022: $1,331,9952022Revenue 2023: $8,110,469Expenses 2023: $5,701,195Net Income 2023: $2,409,2742023Revenue 2024: $7,377,437Expenses 2024: $6,715,705Net Income 2024: $661,7322024Revenue 2025: $8,446,014Expenses 2025: $7,963,352Net Income 2025: $482,6622025

Highlighted filing

2025

Revenue$8,446,014
Expenses$7,963,352
Net Income$482,662
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$9,526,322
Liabilities
$826,258
Net assets
$8,700,064
Revenue
$8,446,014
Expenses
$7,963,352
Net income
$482,662
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.53$0.83$8.70$8.45$7.96$0.48
2024Summary only. Only limited summary data is available for this year.$9.25$1.01$8.24$7.38$6.72$0.66
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.42$0.82$7.60$8.11$5.70$2.41
2022Summary only. Only limited summary data is available for this year.$5.73$0.52$5.21$6.30$4.97$1.33
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.06$1.18$3.88$5.21$4.27$0.94
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.22$0.28$2.95$4.64$3.98$0.66
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.73$0.45$2.28$3.83$3.74$0.09
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.60$0.49$2.11$3.94$3.69$0.26
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.44$0.59$1.86$3.91$3.48$0.44
2016Detailed filing. Detailed filing data is available for this year.$2.08$0.66$1.42$3.35$3.08$0.27
2015Summary only. Only limited summary data is available for this year.$1.82$0.67$1.15$2.85$2.76$0.09
2014Summary only. Only limited summary data is available for this year.$1.85$0.79$1.06$2.48$2.43$0.05
2013Summary only. Only limited summary data is available for this year.$1.84$0.83$1.01$2.46$2.46$0.00
2012Summary only. Only limited summary data is available for this year.$1.91$0.90$1.01$2.27$2.47$0.20
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Jun 13, 2025
Return Version
2024v5.0
Gross Receipts
$8,446,014
Mission and Program Overview

Mission

Horizon health services, inc. Is a community-based, not for profit corporation whose mission is to provide quality, comprehensive, and affordable primary health care on a continuous basis to all individuals.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$5,366,896$5,697,410▲ $330,514
Land, Buildings, and Equipment, Net$2,412,748$2,218,163▼ $194,585
Cash and Non-Interest-Bearing Accounts$521,574$559,117▲ $37,543
Accounts Receivable$549,900$548,144▼ $1,756
Inventories for Sale or Use$380,783$487,273▲ $106,490
Investments Other Securities$6,000$9,610▲ $3,610
Prepaid Expenses and Deferred Charges$3,991$3,187▼ $804
Total Assets$9,245,310$9,526,322▲ $281,012
Other Assets Total$3,418$3,418→ $0
Liabilities
Accounts Payable and Accrued Expenses$448,394$408,484▼ $39,910
Deferred Revenue$510,080$390,961▼ $119,119
Other Liabilities$47,877$26,813▼ $21,064
Total Liabilities$1,006,351$826,258▼ $180,093
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,238,959$8,700,064▲ $461,105
Total Net Assets Fund Balance$8,238,959$8,700,064▲ $461,105
Total Liabilities and Net Assets / Fund Balance$9,245,310$9,526,322▲ $281,012

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,512,313$2,010,526$3,522,839
Equipment$189,832$1,024,740$1,214,572
Land$492,322-$492,322
Other Land Buildings$23,696$60,931$84,627
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Valencia WilliamsMedical DirePT$200,184$8,180$208,364
Valencia WilliamsMedical Director-$199,979$8,385$208,364
Kimberly SadlerCEOFT$148,130$30,552$178,682
Heather DardenNurse PractiFT$121,267$24,488$145,755
Sarah KorenPharmacistFT$123,750$20,554$144,304
Meredith KelderhousePharmacistFT$132,683$9,802$142,485
Brittany McdanielCIOFT$128,427$7,491$135,918
Sandra BlountCFOFT$127,593$4,141$131,734
Angela KearneyDentistPT$129,649$698$130,347
Angela BarryCCOFT$94,135$3,326$97,461
Tracy GnieskiCOOFT$89,619$5,716$95,335

Board Members and Trustees

NameTitle
Michael GlascockPresident
Brenda DrewBoard Member
Craig NewtonBoard Member
Estella CollinsBoard Member
James UrquhartBoard Member
Jessica MooreBoard Member
Richard HickmanBoard Member
Velma ShawBoard Member
Brett MenneSecretary
M Dale BradshawTreasurer
Marian KingVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$2,219,481
Program Service Revenue
$6,218,725
Investment Income
$7,808
Other Revenue
$0
All Other Contributions
$631,942
Change in Net Assets
$482,662

Audited Revenue Reconciliation

Revenue per Audited Statements
$8,446,014
Total Revenue per Audited Statements
$8,446,014
Total Revenue per Form 990
$8,446,014
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,631,287
Other Expenses$3,332,065
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,321,471$1,120,061-$3,441,532
Current Officers, Directors, Trustees, and Key Employees$374,272$184,342-$558,614
Payroll Taxes$196,305$99,796-$296,101
Other Employee Benefits$230,988$59,433-$290,421
Fees for Services Other$168,988$87,304-$256,292
Depreciation Depletion$229,808--$229,808
All Other Expenses$103,294$76,177-$179,471
Office Expenses$88,182$64,188-$152,370
Other Expenses$116,467$964-$116,467
Occupancy$49,369$66,829-$116,198
Pension Plan Contributions$27,699$16,920-$44,619
Insurance$18,486$25,740-$44,226
Information Technology$7,093$23,110-$30,203
Fees for Services Accounting-$29,480-$29,480
Advertising$442$14,358-$14,800
Conferences and Meetings$888$9,270-$10,158
Total Functional Expenses$6,023,124$1,940,228$0$7,963,352

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$7,984,909
Expenses per Audited Statements$7,963,352
Total Expenses per Form 990$7,963,352
Expenses Not Reported on Form 990$21,557
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$26,813
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“A copy of the form 990 was sent to the ceo of horizon health services, inc., for her review as well as to be presented to the board for further review.”

Form 990, Page 6, Part VI, Line 12C

“It shall be the policy of the board to require each new board member and all staff of horizon health services, inc. And any affiliate/subsidiary corporation (collectively the "corporation"), prior to taking his or her position, to submit in writing to the chair a list of all of his or her direct or indirect financial interests(conflict of interest disclosure form). A new conflict of interest disclosure form must be resubmitted annually with any necessary changes along with the acknowledgment of appropriate actions that may be taken for violation. Furthermore, the chair of the board shall become familiar with the statements of all board members, officers, and key management in order to guide conduct should a conflict arise. The vice chair of the board should become familiar with the statement filed by the chair.”

Form 990, Page 6, Part VI, Line 15A

“The board sets a payroll budget annually. The ceo then, with the help of the cfo, reviews the prior year salaries with regards to any needed increases in cost of living as well as evaluating employees' merit based raises. The board also determines the ceo's salary. The process for determining compensation of the ceo includes a review of comparable data from other states primary care associations and other data available that is relevant to the position and duties performed.”

Form 990, Page 6, Part VI, Line 15B

“The ceo, with help of the cfo, reviews the prior year salaries with regards to any need increases in cost of living as well as evaluating employees' merit based raises.”

Form 990, Page 6, Part VI, Line 19

“Form 990 is made available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Horizon Health Services Inc
EIN
54-1103176
Phone
7578595015
Address
8314 MAIN STREET, IVOR, VA 23866

Signing Officer

Name
Kimberly Sadler
Title
CEO
Phone
8048348871
Signed
2025-06-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kimberly Sadler
Formed
1990
Legal Domicile
Va
Voting Board Members
11
Independent Board Members
11
Employees
69

Preparer

Firm
Robinson Farmer Cox Associates
Address
401 SOUTHLAKE BLVD, RICHMOND, VA 23236
Preparer
Aaron B Hawkins
Phone
8043784200
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Lease interest -1,247 lease amortization -20,310 total -21,557”

Financial Statement Notes

Schedule D, Page 4, Part XII, Line 2D

“Lease interest 1,247 lease amortization 20,310”

Raw XML AppendixShowing 400 of 526 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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