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Virginia · Nonprofit

HORIZON HEALTH SERVICES INC

HORIZON HEALTH SERVICES INC (Virginia) receives grants from 4 organizations whose IRS filings report $2,883,773 to it, the largest being OBICI HEALTHCARE FOUNDATION INC ($2,264,933). 3 of them have funded it in more than one year.

Revenue FY2026
$9.8M
Funders on record
4
Grants received
$2.9M
Net assets
$9.6M
3/4 repeat funderspeak grant-dependency 9%
01What it does

What Horizon Health Services Inc does

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.

As stated on its FY2026 Form 990.

Programs

  1. To provide quality medical and dental care to patients in a lower income rural community at an affordable price.

    $6,539,370 spent$7,809,486 earned by the program
    98% of program spending
  2. To provide quality laboratory services to patients in a lower income rural community at an affordable price.

    $135,889 spent
    2% of program spending

The 2 programs described on its FY2025 Form 990, listed largest first by expense. Program spending in total: $6,675,259.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($3.9M) Expenses 100 ($3.5M) Net assets 100 ($1.9M)2018 Revenue 101 ($3.9M) Expenses 106 ($3.7M) Net assets 114 ($2.1M)2019 Revenue 98 ($3.8M) Expenses 108 ($3.7M) Net assets 123 ($2.3M)2020 Revenue 119 ($4.6M) Expenses 114 ($4.0M) Net assets 159 ($2.9M)2021 Revenue 133 ($5.2M) Expenses 123 ($4.3M) Net assets 209 ($3.9M)2022 Revenue 161 ($6.3M) Expenses 143 ($5.0M) Net assets 281 ($5.2M)2023 Revenue 207 ($8.1M) Expenses 164 ($5.7M) Net assets 410 ($7.6M)2024 Revenue 189 ($7.4M) Expenses 193 ($6.7M) Net assets 444 ($8.2M)2025 Revenue 216 ($8.4M) Expenses 229 ($8.0M) Net assets 469 ($8.7M)2026 Revenue 250 ($9.8M) Expenses 255 ($8.9M) Net assets 517 ($9.6M)
'17'18'19'20'21'22'23'24'25'26
Revenue (250)Expenses (255)Net assets (517)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2022 to 2023, from $5.7M to $8.4M (+47%).

$2.4M
$2.6M
$2.7M
$3.2M
$5.1M
$5.7M
$8.4M
$9.2M
$9.5M
$12M
'17'18'19'20'21'22'23'24'25'26
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 45% · 2018 43% · 2019 42% · 2020 35% · 2021 47% · 2022 46% · 2023 35% · 2024 24% · 2025 19% · 2026 16%. Grants only. Government contracts and fees sit inside program revenue.

20% of HORIZON HEALTH SERVICES INC’s revenue is contributions — about as donation-reliant as the typical peer (51% for the typical peer).

This organization
Typical peer · 8,611 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 10 reported years ran a deficit.

$436k
’17
$256k
’18
$90k
’19
$662k
’20
$935k
’21
$1.3M
’22
$2.4M
’23
$662k
’24
$483k
’25
$903k
’26
9.2
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Kimberly Sadler

CEO

As listed on its FY2026 Form 990.

The chief executive listed changed between the FY2020 and FY2021, and between the FY2021 and FY2022 filings.

'17'18'19'20'21'22'23'24'25'26
Listed15151115171616212121
Joined·+0+0+5+4+4+4+6+1+2
No longer listed·041254112
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 2 funders to 4 funders, grant income rose $255k → $755k.

Funder
'17
'18
'19
'20
'21
'22
'23
'24*
'25*
total
funders
2
2
2
2
2
2
4
3
2

1 of 4 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 0% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of HORIZON HEALTH SERVICES INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

HORIZON HEALTH SERVICES INC leans on a few funders — its largest provides 79% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

79%
largest funder
100%
top three
~2
effective funders

Largest funder’s share by year: 2017 66% · 2018 87% · 2019 74% · 2020 83% · 2021 94% · 2022 96% · 2023 86% — growing more concentrated.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

100% of HORIZON HEALTH SERVICES INC's grant income comes from Virginia funders.

VA

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Virginia out of state home

Funder states come from each funder’s own filing. $140 arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

HORIZON HEALTH SERVICES INC holds deeper cash reserves than three-quarters of the 34 health nonprofits its size.

Operating margin9% · above the median
Months of reserve9.2mo · top quartile
Revenue growth (annualized)11% · above the median

this organization peer median middle 50% of peers· 34 health nonprofits $1M–$10M, FY2026

Government funding HORIZON HEALTH SERVICES INC receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $20.6M on record — $20.6M federal, $20 state.

Federal$20.6M
grants $20.6Mcontracts $0
17
18
19
20
21
22
23
24
25
26
Top agencies
  • Department of Health and Human Services$20.6M
State$20
Top programs
  • (JJ) OPERATIONAL SERVICES$20

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like HORIZON HEALTH SERVICES INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Virginia

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

75% of spending goes to programs.

Program 75%Management 25%Fundraising 0%

Governance

11
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention–Board reviewed the 990✓Audited financials

Screen this organization

A dated, signed PDF of the compliance screen for HORIZON HEALTH SERVICES INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

A paid feature, included from the $75 plan up. Sign in to download.

Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds HORIZON HEALTH SERVICES INC?
HORIZON HEALTH SERVICES INC (Virginia) receives grants from 4 organizations whose IRS filings report $2,883,773 to it, the largest being OBICI HEALTHCARE FOUNDATION INC ($2,264,933). 3 of them have funded it in more than one year.
How many funders does HORIZON HEALTH SERVICES INC have?
IRS filings report 4 organizations giving $2,883,773 in grants to HORIZON HEALTH SERVICES INC, 3 of which have funded it in more than one year.
Who is the largest funder of HORIZON HEALTH SERVICES INC?
OBICI HEALTHCARE FOUNDATION INC is the largest funder on record, with $2,264,933 in grants. The full list of funders is on this page.
How can an organization like HORIZON HEALTH SERVICES INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Virginia. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Horizon Health Services →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2026 (financials across 2017–2026), and the filings of 4 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing