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        <ProgramServicesAmt>63</ProgramServicesAmt>
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        <EOYAmt>359439</EOYAmt>
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        <EOYAmt>156593</EOYAmt>
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        <EOYAmt>516032</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>5212973</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>5212973</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>5729005</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1331995</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
    </IRS990>
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          <City>RESTRICTED</City>
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          <ZIPCode>RESTRICTED</ZIPCode>
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      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1458420</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6302153</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>6302153</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>6302153</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4970158</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4970158</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 DIRECTION OR INDIRECT FINANCIAL INTERESTS(CONFLICT OF INTEREST DICLOSURE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
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</Return>
