Horizon Health Services Inc
Horizon Health Services Inc consistently allocates 75% of expenses to programs with no reported officer compensation.
EIN: 166198498 · Getzville, NY · NTEE: F20Z · Updated: 2026-03-28
| Metric | Value |
|---|---|
| Total Revenue | $63.6M |
| Total Expenses | $45.4M |
| Program Spending | 75% |
| CEO/Top Officer Pay | $45 |
| Net Assets | $26.1M |
| Transparency Score | 90/100 |
Is Horizon Health Services Inc Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Horizon Health Services Inc directs 75% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Horizon Health Services Inc
Horizon Health Services Inc (EIN: 166198498) is a nonprofit organization based in Getzville, NY, classified under NTEE code F20Z. The organization reported total revenue of $63.6M and total assets of $38.5M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Horizon Health Services Inc's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Horizon Health Services Inc is a major nonprofit that has been operating for 46 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 7.8%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $45.8M |
| Total Expenses | $45.4M |
| Surplus / Deficit | +$391K |
| Total Assets | $34.3M |
| Total Liabilities | $8.2M |
| Net Assets | $26.1M |
| Operating Margin | 0.9% |
| Debt-to-Asset Ratio | 23.9% |
| Months of Reserves | 9.1 months |
Financial Health Grade: A
In 2023, Horizon Health Services Inc reported a surplus of $391K with revenue exceeding expenses, holds 9.1 months of operating reserves (strong position), has a debt-to-asset ratio of 23.9% (moderate leverage).
Financial Trends
Over 13 years of filings (2011–2023), Horizon Health Services Inc's revenue has grown at a compound annual growth rate (CAGR) of 7.8%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -4.4% | +3.0% | -1.7% |
| 2022 | +15.6% | +7.9% | +13.6% |
| 2021 | -9.7% | +2.3% | +19.0% |
| 2020 | +19.9% | +11.1% | +42.1% |
| 2019 | +16.8% | +10.6% | +1.3% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 1980 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Horizon Health Services Inc with a Mission Score of 90 out of 100 (Excellent). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 15%
- programs: 75%
- fundraising: 10%
According to IRS 990 filings, Horizon Health Services Inc allocates its expenses as follows: admin: 15%, programs: 75%, fundraising: 10%. With 75% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a surplus of $391K, with revenue exceeding expenses.
- Debt-to-asset ratio: 23.9%.
Executive Compensation Analysis
The IRS 990 filings consistently report 0% officer compensation across all available periods, which is highly unusual for an organization of this size with over $45 million in annual expenses. This suggests either executives are truly unpaid volunteers, or their compensation is reported under other expense categories, warranting further investigation for complete transparency.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Horizon Health Services Inc's IRS 990 filings:
- Consistent 0% officer compensation reported, which is highly unusual for an organization of this size and warrants further investigation into how executive leadership is compensated or if it's truly volunteer-led.
Strengths
The following positive indicators were identified for Horizon Health Services Inc:
- Strong program spending ratio of 75% of total expenses, indicating efficient use of funds for its mission.
- Consistent and significant revenue growth over the past decade, from $23.8M in 2014 to $45.7M in 2023.
- Healthy and growing asset base, increasing from $13.7M in 2014 to $34.2M in 2023, demonstrating financial stability.
- Low administrative and fundraising overhead, with only 15% for admin and 10% for fundraising.
- Consistent generation of annual surpluses, such as the $391,115 surplus in 2023, contributing to financial resilience.
Frequently Asked Questions about Horizon Health Services Inc
Is Horizon Health Services Inc a legitimate charity?
Based on AI analysis of IRS 990 filings, Horizon Health Services Inc (EIN: 166198498) some concerns. Mission Score: 90/100. 1 red flag identified, 5 strengths noted.
How does Horizon Health Services Inc spend its money?
Horizon Health Services Inc directs 75% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to Horizon Health Services Inc tax-deductible?
Horizon Health Services Inc is registered as a tax-exempt nonprofit (EIN: 166198498). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How much does the Horizon Health Services Inc CEO make?
Horizon Health Services Inc's highest-compensated officer earns $45 annually. The organization reported $63.6M in total revenue. Executive compensation data is disclosed in IRS 990 filings.
What percentage of Horizon Health Services Inc's spending goes to programs?
Horizon Health Services Inc directs 75% to programs, 10% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.
How does Horizon Health Services Inc compare to similar nonprofits?
With a transparency score of 90/100 (Excellent), Horizon Health Services Inc is above average for NTEE category F20Z nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is Horizon Health Services Inc located?
Horizon Health Services Inc is headquartered in Getzville, New York and files with the IRS under EIN 166198498. It is classified under NTEE code F20Z.
How many years of IRS 990 filings does Horizon Health Services Inc have?
Horizon Health Services Inc has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $63.6M in total revenue.
Is Horizon Health Services Inc a good charity?
Based on the provided data, Horizon Health Services Inc appears to be a good charity, demonstrating strong program spending (75%), consistent financial growth, and a healthy asset base. The reported 0% officer compensation is a notable positive, though it warrants further inquiry.
How has Horizon Health Services Inc's revenue grown over time?
Horizon Health Services Inc has shown significant revenue growth, increasing from $23,827,774 in 2014 to $45,762,885 in 2023, nearly doubling its revenue over a decade.
What is the organization's financial stability?
The organization demonstrates strong financial stability, with assets growing from $13,699,959 in 2014 to $34,250,602 in 2023, and liabilities remaining manageable relative to assets, such as $8,181,300 in liabilities against $34,250,602 in assets in 2023.
What is the significance of 0% officer compensation?
The consistent reporting of 0% officer compensation is highly significant, suggesting either a volunteer-led executive team or that executive salaries are categorized differently. While positive for transparency if truly unpaid, it's unusual for an organization of this scale and might require deeper scrutiny of expense breakdowns.
Filing History
IRS 990 filing history for Horizon Health Services Inc showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Horizon Health Services Inc's revenue has grown by 146.5%, moving from $18.6M to $45.8M. Total assets increased by 213.5% over the same period, from $10.9M to $34.3M. Total functional expenses rose by 151.1%, from $18.1M to $45.4M. In its most recent filing year (2023), Horizon Health Services Inc reported a surplus of $391K, with revenue exceeding expenses. The organization holds $8.2M in liabilities against $34.3M in assets (debt-to-asset ratio: 23.9%), resulting in net assets of $26.1M.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $45.8M | $45.4M | $34.3M | $8.2M | — | — |
| 2022 | $47.8M | $44.1M | $34.8M | $9.4M | — | View 990 |
| 2021 | $41.4M | $40.8M | $30.7M | $9.3M | — | View 990 |
| 2020 | $45.8M | $39.9M | $25.8M | $4.9M | — | — |
| 2019 | $38.2M | $35.9M | $18.1M | $3.2M | — | View 990 |
| 2018 | $32.7M | $32.5M | $17.9M | $5.3M | — | View 990 |
| 2017 | $29.8M | $29.3M | $16.5M | $4.1M | — | — |
| 2016 | $27.0M | $26.9M | $15.2M | $3.3M | — | View 990 |
| 2015 | $25.6M | $23.9M | $14.5M | $2.7M | — | View 990 |
| 2014 | $23.8M | $23.0M | $13.7M | $3.6M | — | View 990 |
| 2013 | $23.0M | $21.8M | $12.6M | $3.4M | — | View 990 |
| 2012 | $21.8M | $19.7M | $12.1M | $4.1M | — | View 990 |
| 2011 | $18.6M | $18.1M | $10.9M | $5.0M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $45.8M, expenses of $45.4M, and assets of $34.3M (revenue -4.4% year-over-year).
- 2022: Revenue of $47.8M, expenses of $44.1M, and assets of $34.8M (revenue +15.6% year-over-year).
- 2021: Revenue of $41.4M, expenses of $40.8M, and assets of $30.7M (revenue -9.7% year-over-year).
- 2020: Revenue of $45.8M, expenses of $39.9M, and assets of $25.8M (revenue +19.9% year-over-year).
- 2019: Revenue of $38.2M, expenses of $35.9M, and assets of $18.1M (revenue +16.8% year-over-year).
- 2018: Revenue of $32.7M, expenses of $32.5M, and assets of $17.9M (revenue +9.8% year-over-year).
- 2017: Revenue of $29.8M, expenses of $29.3M, and assets of $16.5M (revenue +10.3% year-over-year).
- 2016: Revenue of $27.0M, expenses of $26.9M, and assets of $15.2M (revenue +5.5% year-over-year).
- 2015: Revenue of $25.6M, expenses of $23.9M, and assets of $14.5M (revenue +7.5% year-over-year).
- 2014: Revenue of $23.8M, expenses of $23.0M, and assets of $13.7M (revenue +3.6% year-over-year).
- 2013: Revenue of $23.0M, expenses of $21.8M, and assets of $12.6M (revenue +5.5% year-over-year).
- 2012: Revenue of $21.8M, expenses of $19.7M, and assets of $12.1M (revenue +17.4% year-over-year).
- 2011: Revenue of $18.6M, expenses of $18.1M, and assets of $10.9M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Horizon Health Services Inc:
Data Sources and Methodology
This transparency report for Horizon Health Services Inc is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.