2025-11-07T07:20:48-06:00 2024-12-31 222027092 WITHUM SMITH & BROWN PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2024-01-01 161396939 HORIZON HEALTH ALLIANCE LTD HORI 7168312700 55 DODGE ROAD GETZVILLE NY 14068 JOHN RUFFOLO CFO 7168312700 2025-11-06 1 1 NICOLE M WHITE P01599383 7168472651 2025-11-04 2024 2025-03-06 01:10:19Z JOHN RUFFOLO 55 DODGE ROAD GETZVILLE NY 14068 11140186 0 X WWW.HORIZON-HEALTH.ORG X 1991 NY HORIZON HEALTH ALLIANCE, LTD. PROVIDES ADMINISTRATIVE SERVICES TO RELATED NON-PROFIT ORGANIZATIONS. 8 8 102 8 0 0 396224 241970 0 0 170387 101126 9926695 10797090 10493306 11140186 0 0 0 0 7570410 8239776 0 0 0 2362621 2483373 9933031 10723149 560275 417037 8751110 9309773 1984069 2125695 6767041 7184078 HORIZON HEALTH ALLIANCE, LTD. PROVIDES ADMINISTRATIVE SERVICES TO RELATED NOT-FOR-PROFIT ORGANIZATIONS. 0 0 4053245 10797090 HORIZON HEALTH ALLIANCE, LTD. PROVIDES ALL FISCAL EXECUTIVE, QUALITY IMPROVEMENT, PERSONNEL MANAGEMENT, FACILITY DEVELOPMENT/MANAGEMENT, CONTRACT DEVELOPMENT AND CORPORATE COMPLIANCE SERVICES TO ITS AFFILIATED NOT-FOR-PROFIT ORGANIZATIONS HORIZON HEALTH SERVICES, INC. AND HORIZON VILLAGE, INC. HORIZON HEALTH ALLIANCE, LTD. HAD $4,053,245 OF PROGRAM AND $6,672,484 OF ADMINISTRATIVE EXPENSE FOR THE YEAR ENDED 2024. 4053245 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 27 0 1 102 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JOHN RUFFOLO 7168312700 55 DODGE ROAD GETZVILLE NY 14068 NORA MCGUIRE CHAIR 1.00 X 0 0 0 AIMEE CAPELLI VICE CHAIR 1.00 X 0 0 0 PATRICK C KEATING SECRETARY 1.00 1.00 X 0 0 0 SCOTT M WEBER BOARD MEMEBR 1.00 1.00 X 0 0 0 ROBERT F MCCORMACK BOARD MEMEBR 1.00 X 0 0 0 KAREN MERKEL BOARD MEMEBR 1.00 X 0 0 0 KEVIN D ROBINSON ESQ BOARD MEMEBR 1.00 1.00 X 0 0 0 MICHAEL MAXWELL ESQ BOARD MEMEBR 1.00 1.00 X 0 0 0 ERIN DIGIROLAMO CEO 20.00 20.00 X 426284 0 26290 JOHN RUFFOLO CFO 20.00 20.00 X 215839 0 14113 BRANDY VANDERMARK-MURRAY PRESIDENT 20.00 20.00 X 316900 0 18706 JOSHUA MORRA MEDICAL DIRECTOR HHS 0.00 40.00 X 0 275628 23416 BRENDAN RALEIGH PHYSICIAN 0.00 40.00 X 0 272489 0 JACOB HAACKER CHIEF INFORMATION OFFICER 20.00 20.00 X 226446 0 14570 ANGELA ROCHE NURSE PRACTIONER-PSYCH 0.00 40.00 X 0 191057 15879 1185469 739174 112974 4 0 1 0 0 X 241970 241970 101126 101126 226179 0 226179 226179 226179 MANAGEMENT FEES 561000 10570911 10570911 10570911 11140186 10797090 0 101126 6890944 3425421 3465523 393690 200689 193001 465878 204103 261775 489264 223032 266232 31883 31883 100250 100250 313557 313557 42288 42288 78611 78611 14395 14395 548685 548685 52329 52329 77971 77971 577969 577969 127534 127534 MISCELLANEOUS 212449 212449 STAFF RECRUITMENT 189595 189595 JANITORIAL SERVICES 115857 115857 10723149 4053245 6669904 0 128779 300437 944091 1070065 150825 63214 6772 7129 176575 298020 16213586 8665316 7726300 7548270 -382232 22638 8751110 9309773 1984069 2125695 1984069 2125695 X 6330485 7184078 436556 0 6767041 7184078 8751110 9309773 417037 0 X X 0 1 X 1 1 1 X X 2 HORIZON VILLAGE INC 161406204 10 1 0 0 HORIZON HEALTH SERVICES INC 166198498 10 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 PART IV, SECTION E, LINE 2A: HORIZON HEALTH ALLIANCE, LTD. PROVIDES ADMINISTRATIVE SUPPORT TO HORIZON HEALTH SERVICES, INC. AND HORIZON VILLAGE, INC. ENABLING THESE ORGANIZATIONS TO PROVIDE SERVICES TO THEIR PATIENTS. PART IV, SECTION E, LINE 2B: THE SUPPORTED ORGANIZATIONS DO NOT HAVE ANY ADMINISTRATIVE SUPPORT OF THEIR OWN AND UTILIZE HORIZON HEALTH ALLIANCE, LTD. TO PROVIDE THESE SUPPORTING SERVICES. THE SUPPORTING ORGANIZATIONS WOULD NEED TO OBTAIN ADMINISTRATIVE SUPPORT IF NOT PROVIDED BY HORIZON HEALTH ALLIANCE, LTD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 347074 347074 12573552 5910929 6662623 2739308 2433176 306132 553652 321211 232441 7548270 X 11140186 0 11140186 0 11140186 10728309 2580 2580 10725729 0 10725729 PART X, LINE 2: THE COMPANIES ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN FOR INCOME TAX PURPOSES WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE COMPANIES ARE NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 OR 2023. THE TAX RETURNS FOR THE TAX YEARS 2021 THROUGH 2024 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR U.S. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES. X X X X X 0 0 0 0 0 0 0 0 0 ERIN DIGIROLAMO CEO 374668 0 50584 0 1032 0 26290 0 0 0 452574 0 50020 0 BRANDY VANDERMARK-MURRAY PRESIDENT 279055 0 37605 0 240 0 18706 0 0 0 335606 0 27600 0 JOSHUA MORRA MEDICAL DIRECTOR HHS 0 275388 0 0 0 240 0 23416 0 0 0 299044 0 0 BRENDAN RALEIGH PHYSICIAN 0 272323 0 0 0 166 0 0 0 0 0 272489 0 0 JACOB HAACKER CHIEF INFORMATION OFFICER 199056 0 27030 0 360 0 14570 0 0 0 241016 0 17000 0 JOHN RUFFOLO CFO 189037 0 26250 0 552 0 14113 0 0 0 229952 0 15120 0 ANGELA ROCHE NURSE PRACTIONER-PSYCH 0 190505 0 0 0 552 0 15879 0 0 0 206936 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PRESENTED IN DRAFT FORM TO THE MEMBERS OF THE GOVERNING BODY OF HEALTH ALLIANCE, LTD. AFTER IT HAS BEEN REVIEWED BY AGENCY FISCAL PERSONNEL. EACH MEMBER OF THE BOARD HAS THE OPPORTUNITY TO REVIEW THE RETURN AND SUGGEST ANY CHANGES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IN ACCORDANCE WITH HORIZON HEALTH ALLIANCE, LTD.'S CONFLICT OF INTEREST POLICY, EACH "OFFICER" INCLUDES ANY NON-DIRECTOR SERVING ON ANY COMMITTEE OF THE BOARD OF DIRECTORS AND DIRECTORS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, E. IS NOT AWARE THAT HE OR SHE HAS ANY FINANCIAL INTEREST OR, IF HE OR SHE IS AWARE OF ANY FINANCIAL INTEREST, A DESCRIPTION OF ALL MATERIAL FACT CONCERNING IT. THE ORGANIZATION UPDATED ITS CONFLICT OF INTEREST POLICY (COI) IN 2014 TO CONFORM WITH THE REQUIREMENTS OF THE NYS NON-PROFIT REVITALIZATION ACT OF 2013. IN ACCORDANCE WITH THE PROCEDURES STATED IN THE COI POLICY, BOARD MEMBERS AND OFFICERS: 1. OBTAINED A COPY OF THE POLICY; 2. REVIEWED POTENTIAL CONFLICTS (AS DEFINED) 3. DISCLOSED POTENTIAL CONFLICTS OR CONFIRMED NO CONFLICT EXISTS 4. RECUSED THEMSELVES FROM DISCUSSION AND VOTING (IF CONFLICT EXISTS) THE BOARD OF DIRECTORS MONITORED AND ENFORCED COMPLIANCE WITH THE COI POLICY AND DOCUMENTED THIS IN MINUTES TO MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE IS CHARGED BY THE BOARD OF DIRECTORS WITH THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, AND APPROVAL OF THE AMOUNTS AND TYPES OF COMPENSATION OF THE SENIOR LEADERSHIP TEAM. THE PURPOSE OF THIS COMMITTEE IS TO: APPROVE THE ANNUAL PERFORMANCE STANDARDS OF THE CHIEF EXECUTIVE OFFICER. DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. CONDUCT THE ANNUAL PERFORMANCE APPRAISAL FOR THE CHIEF EXECUTIVE OFFICER. DETERMINE THE TOTAL COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER. ANNUALLY REVIEW, AND APPROVE ANY CHANGE TO THE TOTAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND SENIOR LEADERSHIP TEAM. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII, PAGE 7, COLUMN B: HORIZON HEALTH ALLIANCE, LTD IS A RELATED ORGANIZATION TO HORIZON HEALTH SERVICES, INC. (HHS) AND HORIZON VILLAGE, INC. (HV). HORIZON HEALTH ALLIANCE, LTD. BY-LAWS STATE ONE OR MORE INDIVIDUALS ARE REQUIRED TO SERVE ON HHS AND HV BOARDS. THE FOLLOWING IS A LIST OF HORIZON HEALTH ALLIANCE, LTD. BOD MEMBERS ON HHS BOARD: KEVIN D. ROBINSON, ESQ. SCOTT WEBER THE FOLLOWING IS A LIST OF HORIZON HEALTH ALLIANCE, LTD. BOD MEMBERS ON HV BOARD: SCOTT WEBER KEVIN D. ROBINSON, ESQ. THE SALARIES OF THE PRESIDENT AND CHIEF FINANCIAL OFFICER OF THE ORGANIZATION ARE PAID OUT OF THE HORIZON HEALTH ALLIANCE, LTD. AND ALLOCATED TO BOTH HORIZON HEALTH SERVICES, INC. AND HORIZON VILLAGE, INC. BASED ON THE RELATIVE EXPENSE OF EACH COMPANY. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. HORIZON VILLAGE INC 6301 INUCON DRIVE EAST SANBORN NY 14130 161406204 REDIDENTIAL TREATMENT NY 501(C)(3) 170(B)(1)(A)(VI) 0 HORIZON HEALTH SERVICES INC 55 DODGE ROAD GETZVILLE NY 14068 166198498 COUNSELING SERVICE NY 501(C)(3) 170(B)(1)(A)(VI) 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 HORIZON HEALTH SERVICES INC L 7428941 CONTRACT AMOUNT HORIZON VILLAGE L 3141970 CONTRACT AMOUNT HORIZON HEALTH SERVICES INC J 78382 CONTRACT AMOUNT