# Horizon Health Care, Inc.

Health Center, SD
Page: https://astrelis.co/providers/health_center/431804  
This twin: https://astrelis.co/providers/health_center/431804.md  
CMS Certification Number (CCN): 431804  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2019 to 2021)

- **Total patients (UDS) (FY2024):** 26,142. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 26. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 37.5%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center

## Audited financial statements (Federal Audit Clearinghouse)

Read from the FAC-11 template of the audited statements: every line, every ratio and every status column print as the template carries them, and no figure is withheld. A report's tie status says whether its statements foot; a ratio's plausibility status says whether it sits inside its possible range; a median of fewer than five values says so. The figures were not audited by Astrelis. Contract: https://astrelis.co/methodology/fqhc-audit-contract

### HORIZON HEALTH CARE, INC, SD

Match to this profile: matched by name (method: name and state).

- FY ending 2025-12-31 (audit year 2025): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2025-12-GSAFAC-0000426066
- FY ending 2024-12-31 (audit year 2024): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2024-12-GSAFAC-0000368780
- FY ending 2023-12-31 (audit year 2023): ties in full; audit as filed https://app.fac.gov/dissemination/summary/2023-12-GSAFAC-0000044289

| Line | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 1,388,191 [derived, p.7] | 1,926,790 [derived, p.6] | 3,217,123 [derived, p.6] |
| patient receivables, net (Statement of financial position) | 2,674,513 [derived, p.7] | absent (not printed, or not read) | absent (not printed, or not read) |
| grants and other receivables (Statement of financial position) | 302,634 [derived, p.7] | 4,270,702 [derived, p.6] | 3,714,880 [derived, p.6] |
| other current assets (Statement of financial position) | 606,177 [derived, p.7] | 952,374 [derived, p.6] | 738,759 [derived, p.6] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 4,971,515 [extracted, p.7] | 7,149,866 [extracted, p.6] | 7,670,762 [extracted, p.6] |
| property and equipment, net (Statement of financial position) | 15,821,276 [derived, p.7] | 17,481,510 [derived, p.6] | 18,431,526 [derived, p.6] |
| other long-term assets (Statement of financial position) | 3,649,917 [derived, p.7] | 3,309,436 [derived, p.6] | 2,364,250 [derived, p.6] |
| TOTAL ASSETS (Statement of financial position) | 24,442,708 [extracted, p.7] | 27,940,812 [extracted, p.6] | 28,466,538 [extracted, p.6] |
| payables and accrued expenses (Statement of financial position) | 3,241,850 [derived, p.8] | 3,572,454 [derived, p.7] | 2,927,702 [derived, p.7] |
| deferred revenue (Statement of financial position) | 185,087 [derived, p.8] | absent (not printed, or not read) | 300 [derived, p.7] |
| current debt and leases (Statement of financial position) | 2,112,066 [derived, p.8] | 1,643,259 [derived, p.7] | 678,462 [derived, p.7] |
| other current liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 5,539,003 [extracted, p.8] | 5,215,713 [extracted, p.7] | 3,606,464 [extracted, p.7] |
| long-term debt and leases (Statement of financial position) | 5,224,222 [derived, p.8] | 6,684,443 [derived, p.7] | 7,860,323 [derived, p.7] |
| other long-term liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL LIABILITIES (Statement of financial position) | 10,763,225 [extracted, p.8] | 11,900,156 [extracted, p.7] | 11,466,787 [extracted, p.7] |
| net assets without donor restrictions (Statement of financial position) | 11,212,541 [derived, p.8] | 13,785,487 [derived, p.7] | 15,960,417 [derived, p.7] |
| net assets with donor restrictions (Statement of financial position) | 2,466,942 [derived, p.8] | 2,255,169 [derived, p.7] | 1,039,334 [derived, p.7] |
| TOTAL NET ASSETS (Statement of financial position) | 13,679,483 [extracted, p.8] | 16,040,656 [extracted, p.7] | 16,999,751 [extracted, p.7] |
| patient service revenue, net (Statement of activities) | 22,753,457 [derived, p.9] | 22,084,576 [derived, p.8] | 20,782,981 [derived, p.8] |
| pharmacy and 340B revenue (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| federal grants (Statement of activities) | absent (not printed, or not read) | 11,713,376 [derived, p.8] | 13,484,365 [derived, p.8] |
| other grants and contracts (Statement of activities) | 11,166,185 [derived, p.9] | absent (not printed, or not read) | absent (not printed, or not read) |
| contributions (Statement of activities) | 204,792 [derived, p.9] | 1,593,261 [derived, p.8] | 1,846,538 [derived, p.8] |
| other revenue (Statement of activities) | 515,476 [derived, p.9] | 398,990 [derived, p.8] | 331,848 [derived, p.8] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 34,639,910 [extracted, p.9] | 35,790,203 [extracted, p.8] | 36,445,732 [extracted, p.8] |
| salaries and benefits (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| supplies and pharmaceuticals (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| purchased and professional services (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| occupancy (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| depreciation and amortization (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| interest (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other expenses (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL EXPENSES (Statement of activities) | 36,021,083 [extracted, p.9] | 36,749,298 [extracted, p.8] | 37,488,354 [extracted, p.8] |
| OPERATING RESULT (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| non-operating and other changes (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| CHANGE IN NET ASSETS (Statement of activities) | -1,381,173 [extracted, p.9] | -959,095 [extracted, p.8] | -1,042,622 [extracted, p.8] |
| net assets, beginning (Statement of activities) | 15,060,656 [extracted, p.9] | 16,999,751 [extracted, p.8] | 18,042,373 [extracted, p.8] |
| net assets, end (Statement of activities) | 13,679,483 [extracted, p.9] | 16,040,656 [extracted, p.8] | 16,999,751 [extracted, p.8] |

| Ratio | FY ending 2025-12-31 | FY ending 2024-12-31 | FY ending 2023-12-31 |
|---|---:|---:|---:|
| Days cash on hand | absent [not computed] | absent [not computed] | absent [not computed] |
| Current ratio | 0.90x [plausible] | 1.37x [plausible] | 2.13x [plausible] |
| Operating margin | absent [not computed] | absent [not computed] | absent [not computed] |
| Total margin | -4.0% [plausible] | -2.7% [plausible] | -2.9% [plausible] |
| Patient revenue share | 65.7% [plausible] | 61.7% [plausible] | 57.0% [plausible] |
| Grant dependency | absent [not computed] | absent [not computed] | absent [not computed] |
| Salaries share | absent [not computed] | absent [not computed] | absent [not computed] |
| Days in patient receivables | 43 days [plausible] | absent [not computed] | absent [not computed] |
| Debt to net assets | 0.54x [plausible] | 0.52x [plausible] | 0.50x [plausible] |
| Health center award share | absent [not computed] | absent [not computed] | absent [not computed] |

## Sources

HRSA Uniform Data System (awardee level; organization match Verified). CMS HCRIS cost reports, form CMS-224-14, as filed (the Medicare cost-report appendix). Federal Audit Clearinghouse single audits as filed (HORIZON HEALTH CARE, INC; FAC-11 template snapshot, SRC-FAC-001); the organization match is matched by name.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Horizon Health Care, Inc.", https://astrelis.co/providers/health_center/431804, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.