HORIZON HEALTH CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HORIZON HEALTH CARE INC (EIN 46-0341255)
Tax period
2010-12-01 to 2011-11-30
Filed
2012-06-04
IRS object ID
201201569349300315
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-06-04T11:59:47-05:00Timestamp
Tax Period End Date2011-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FIEBIGER SWANSON WEST & COPLLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12537 S UNIVERSITY DR STE 200AddressLine1
CityFARGOCity
StateNDState
ZIP Code58103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460341255EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HORIZON HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHORINameControl
Phone6057724128Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 99AddressLine1
CityHOWARDCity
StateSDState
ZIP Code57349ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN MENGENHAUSENName
TitleCEOTitle
Phone6057724128Phone
Date Signed2012-05-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEREMY ULMER CPAName
Phone7012802100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN MENGENHAUSENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 99AddressLine1
CityHOWARDCity
StateSDState
ZIP Code57349ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11805867GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HORIZONHEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileSDStateLegalDomicile
Activity Or Mission DescriptionHORIZON HEALTH CARE, INC. PROVIDES PERSONALIZED, AFFORDABLE, HIGH QUALITY PRIMARY HEALTH CARE THROUGH A RURAL COMMUNITY-BASED NETWORK IN SOUTH DAKOTA.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees174TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4034205ContributionsGrantsPriorYear
Contributions Grants Current Year3355192ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6778955ProgramServiceRevenuePriorYear
Program Service Revenue CY8343419ProgramServiceRevenueCY
Investment Income Prior Year60166InvestmentIncomePriorYear
Investment Income Current Year97656InvestmentIncomeCurrentYear
Other Revenue Prior Year6100OtherRevenuePriorYear
Other Revenue Current Year9600OtherRevenueCurrentYear
Total Revenue Prior Year10879426TotalRevenuePriorYear
Total Revenue Current Year11805867TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7485365SalariesEtcPriorYear
Salaries Etc Current Year8152926SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3100066OtherExpensePriorYear
Other Expenses Current Year3526151OtherExpensesCurrentYear
Total Expenses Prior Year10585431TotalExpensesPriorYear
Total Expenses Current Year11679077TotalExpensesCurrentYear
Revenues Less Expenses Prior Year293995RevenuesLessExpensesPriorYear
Revenues Less Expenses CY126790RevenuesLessExpensesCY
Total Assets BOY9350600TotalAssetsBOY
Total Assets EOY9463601TotalAssetsEOY
Total Liabilities BOY2132977TotalLiabilitiesBOY
Total Liabilities EOY2121116TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7217623NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7342485NetAssetsOrFundBalancesEOY
Mission DescriptionSEE PAGE 1, PART 1MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10064278Expense
Revenue8301455Revenue
DescriptionHORIZON HEALTH CARE, INC. IS A RURAL COMMUNITY HEALTH CENTER PROVIDING MEDICAL SERVICES TO SMALL COMMUNITIES. HORIZON HEALTH CARE CONSISTS OF 15 CLINICS LOCATED THROUGHOUT SOUTH DAKOTA. THEY SERVE APPROXIMATELY 17,700 PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense45864Expense
Revenue51564Revenue
DescriptionOFFICE OF RURAL HEALTH POLICY (ORHP) - FUNDS FOCUSED ON THE FURTHER DEVELOPMENT OF THE DAKOTA NETWORK OF COMMUNITY HEALTH CENTERS ALLOWING THE 22 CLINIC LOCATIONS TO SUPPORT SHARED ADMINISTRATIVE AND CLINICAL SERVICES; INCREASING THEIR EFFICIENCY AND IMPROVING THE QUALITY OF HEALTH CARE THEY PROVIDE.Description
FieldValueIRS element (for citing)
Total Program Service Expense10110142TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees174NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN MENGENHAUSEN CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6057724525TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 99AddressLine1
CityHOWARDCity
StateSDState
ZIP Code57349ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DAVE CALLIES
DIRECTOR1.00X000
SAMANTHA PLANK
DIRECTOR1.00X000
DAVE SCHMIDT
DIRECTOR1.00X000
SALLY ROSIN
DIRECTOR1.00X000
TRISTEN GRUENHAGEN
SECRETARY1.00X000X
MARGIE LARSON
DIRECTOR1.00X000
ECHO PETERSON
CHAIR1.00X000X
LYNDA LUYMES
TREASURER1.00X000X
GARY HEINERT
DIRECTOR1.00X000
RICHARD BAIR
VICE CHAIR1.00X000X
PAULA DAVIS
DIRECTOR1.00X000
JOHN MENGENHAUSEN
CEO40.0022624400X
WADE ERICKSON
CFO40.0013374200X
THOMAS DEAN MD
PHYSICIAN30.0017511700X
LANCE LIM MD
PHYSICIAN40.0021697800X
MICHAEL MEDECK
PHYSICIAN40.0018568000X
TRACY GROSSMAN
DENTIST40.0023237700X
ROBIN HATTERVIG
DENTIST40.0018551100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1355649TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WELLMARK
PO BOX 5023SIOUX FALLSSD571175023HEALTH INSURANCE431428
AVERA HEALTH PLAN
3816 S ELMWOOD AVE SUITE 100SIOUX FALLSSD57105HEALTH INSURANCE427932
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants3335172GovernmentGrants
All Other Contributions20020AllOtherContributions
Noncash Contributions19500NoncashContributions
Total Contributions3355192TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICAL SERVICE FEESDescription
Business Code621110BusinessCode
Total Revenue Column8343419TotalRevenueColumn
Related Or Exempt Function Income8343419RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8343419TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column97656TotalRevenueColumn
Exclusion$97,656ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code621110BusinessCode
Total Revenue Column9600TotalRevenueColumn
Related Or Exempt Function Income9600RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue9600TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11805867TotalRevenueColumn
Related Or Exempt Function Income8353019RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$97,656ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total359986Total
Management And General359986ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6160943Total
Program Services5516712ProgramServices
Management And General644231ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1189852Total
Program Services999476ProgramServices
Management And General190376ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total442145Total
Program Services371402ProgramServices
Management And General70743ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total29313Total
Program Services3839ProgramServices
Management And General25474ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16735Total
Management And General16735ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18264Total
Management And General18264ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total400129Total
Program Services368547ProgramServices
Management And General31582ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total119627Total
Program Services30388ProgramServices
Management And General89239ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4565Total
Management And General4565ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total37666Total
Program Services37389ProgramServices
Management And General277ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total425660Total
Program Services411289ProgramServices
Management And General14371ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total38336Total
Program Services24189ProgramServices
Management And General14147ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTED PROFESSIONAL7303227267973525
MEDICAL SUPPLIES4825604825600
340B DRUG COSTS2381852381850
REPAIRS & MAINTENANCE23484822068614162
BAD DEBTS1734101734100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total576531Total
Program Services505273ProgramServices
Management And General71258ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11679077Total
Program Services10110142ProgramServices
Management And General1568935ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1350651BOY
EOY835515EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2313264BOY
EOY2819962EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY280342BOY
EOY105485EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY735396BOY
EOY859837EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY83744BOY
EOY452398EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY99372BOY
EOY105274EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5837222LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2744430LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3184506BOY
EOY3092792EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY128344BOY
EOY111589EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1174981BOY
EOY1080749EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9350600BOY
EOY9463601EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY985337BOY
EOY1071738EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY261666BOY
EOY183908EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY885974BOY
EOY865470EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2132977BOY
EOY2121116EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7217623BOY
EOY7342485EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7217623BOY
EOY7342485EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9350600BOY
EOY9463601EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses126790ReconcilationRevenueExpenses
Reconcilation Other Changes-1928ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2634509CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2816214CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4032475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4034205CurrentTaxYearMinus1Year
Current Tax Year3355192CurrentTaxYear
Total16872595Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2634509CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2816214CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4032475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4034205CurrentTaxYearMinus1Year
Current Tax Year3355192CurrentTaxYear
Total16872595Total
FieldValueIRS element (for citing)
Public Support Total17016872595PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years113736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years136354CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19619CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60166CurrentTaxYearMinus1Year
Current Tax Year97656CurrentTaxYear
Total427531Total
FieldValueIRS element (for citing)
Total Support17300126TotalSupport
Gross Receipts From Admissions Etc33569457GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97530PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97680PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis65290OtherCostOrOtherBasis
Book Value65290BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2186878OtherCostOrOtherBasis
Depreciation451055Depreciation
Book Value1735823BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis296130OtherCostOrOtherBasis
Depreciation102678Depreciation
Book Value193452BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3288924OtherCostOrOtherBasis
Depreciation2190697Depreciation
Book Value1098227BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3092792TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
CASH VALUE OF ANNUITY326633
NOTES RECEIVABLE244109
RENTAL DEPOSITS10007
INVESTMENT IN PARTNERSHIP500000
FieldValueIRS element (for citing)
Total Book Value Other Assets1080749TotalBookValueOtherAssets
Total Revenue11805867TotalRevenue
Total Expenses11679077TotalExpenses
Excess Or Deficit For Year126790ExcessOrDeficitForYear
Net Unrealized GL On Investments-1928NetUnrealizedGLOnInvestments
Total Adjustments-1928TotalAdjustments
Excess Or Deficit Per FS124862ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11805867TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11805867RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011805867TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11679077TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11679077ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011679077TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN MENGENHAUSEN
162248063996000000022624402655710
THOMAS DEAN MD
161826013291000000017511702307320
LANCE LIM MD
171383045595000000021697802062390
MICHAEL MEDECK
185680000000000185680000
TRACY GROSSMAN
1150110117366000000023237702339980
ROBIN HATTERVIG
159415026096000000018551101791850

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 5ReturnReference
ExplanationHORIZON HAS AN INCENTIVE PLAN THAT PROVIDERS AND ADMINISTRATION PARTICIPATE IN. THE CALCULATION IS BASED ON PROVIDER REVENUE LESS APPLICABLE PROVIDER COSTS.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
JOHN MENGENHAUSEN
EMPLOYEE RETENTIONX$100,00062900011
WADE ERICKSON
EMPLOYEE RETENTIONX$40,0000011
ROBIN HATTERVIG
EMPLOYEE RETENTIONX$100,00062900011
FieldValueIRS element (for citing)
Total Balance Due125800TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED AND ACCEPTED BY THE BOARD AT THE MONTHLY BOARD MEETING BEFORE IT IS FILED.
THE CONFLICT OF INTEREST POLICY IS CONSISTENTLY MONITORED & COMPLIANCE IS ENFORCED.FORM 990, PART VI, SECTION B, LINE 12C
THE PROCESS FOR DETERMINING COMPENSATION IS THROUGH USE OF AN OUTSIDE CONSULTANT AND COMPARABILITY DATA.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -1,928.FORM 990, PART XI, LINE 5:
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.PART XII, LINE 2C

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