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HORIZON HEALTH SERVICES
GETZVILLE, NY · EIN 166198498 · Form 990 · FY2024 · NTEE F20Z · Mental Health & Crisis Intervention · Very Large (>$50M) · horizon-health.org
revenue
$51.8M
expenses
$49.9M
net assets
$28.1M
employees
613
volunteers
20
program ratio
91%
mission · from form 990

HORIZON HEALTH SERVICES IS A NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES AN ARRAY OF COMPREHENSIVE SERVICES TO ASSIST INDIVIDUALS WITH MENTAL HEALTH PROBLEMS AND/OR ADDICTIONS TO MAKE CHOICES THAT IMPROVE THEIR QUALITY OF LIFE AND ACHIEVE THEIR PERSONAL RECOVERY GOALS.WE EMPOWER CONSUMERS AND SUPPORT THEIR PURSUIT OF THEIR HOPES AND DREAMS THROUGH AN INTEGRATED SERVICE DELIVERY SYSTEM. CONSUMERS ARE PARTNERS IN SELECTING AND IMPLEMENTING THEIR CARE FROM AMONG HIGH-QUALITY SERVICES THAT ARE ACCESSIBLE AND RESPONSIVE TO THEIR NEEDS AND DESIRES.HORIZON'S SERVICES ARE DELIVERED OUT OF 17 FACILITIES LOCATED IN ERIE, NIAGARA AND GENESEE COUNTIES, WITH A CONCENTRATION OF SERVICES IN THE CITIES OF BUFFALO AND NIAGARA FALLS. THE VARIOUS CLINICAL PROGRAMS ARE CO-LOCATED WITHIN FACILITIES TO ENSURE THE INTEGRATION OF ALL NEEDED CARE FOR PERSONS WITH MULTIPLE DISORDERS. SERVICE PLANS ARE BASED ON INDIVIDUALIZED NEEDS AND CHOICES RATHER THAN FIXED PROGRAM DESIGNS.

profile · synthesized from sources

Mental health and substance use treatment provider serving Western New York, with 17 facilities across Erie, Niagara, and Genesee Counties. Offers integrated services including outpatient counseling, psychiatric care, medication-assisted treatment, care coordination, and recovery support. Focuses on recovery-oriented, trauma-informed care for individuals with mental health and addiction disorders, including adolescents and those involved in the criminal justice system.

irs program accomplishments · form 990 part iii · fy2024

What they reported doing

  1. #1 primary $3.87M
    HORIZON HEALTH SERVICES OFFERS HEALTH HOME COORDINATED CARE, WHICH OFFERS COORDINATED CARE TO INDIVIDUALS WITH MULTIPLE CHRONIC HEALTH CONDITIONS, INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. HEALTH HOME SERVICES INCLUDE COMPREHENSIVE CARE MANAGEMENT, CARE COORDINATION, HEALTH PROMOTION, COMPREHENSIVE TRANSITIONAL CARE/FOLLOW-UP, PATIENT & FAMILY SUPPORT, AND REFERRALS TO COMMUNITY & SOCIAL SUPPORT SERVICES.
  2. #2 $6.13M
    HORIZON THERAPY ASSOCIATES PROVIDES MENTAL HEALTH CARE TO A SUBSET OF PATIENTS WHO MAY NOT REQUIRE AS INTENSIFIED SERVICES AS MIGHT TYPICALLY BE SEEN IN COMMUNITY MENTAL HEALTH TREATMENT. PRIVATE PRACTICE PATIENTS LARGELY PRESENT WITH ADJUSTMENT DISORDERS, LIFE TRANSITIONS AND MILD MENTAL HEALTH CONDITIONS. THE ACUITY OF THE PRIVATE PRACTICE PATIENT IS TYPICALLY LOW.
named programs · 7 · from sources

What they call their work

Certified Community Behavioral Health Clinic (CCBHC)
Provides comprehensive, integrated mental health and substance use services at Horizon’s Lockport and Pine Avenue Recovery Centers, following evidence-based practices and improving access to care.
Health Home Coordinated Care
Offers coordinated care management for individuals with multiple chronic conditions including mental health and substance use disorders, including care coordination, health promotion, and referrals to community services.
Medication-Assisted Treatment (MAT)
Provides medications such as buprenorphine, Vivitrol, and Sublocade to manage cravings and withdrawal symptoms as part of recovery from opioid and alcohol use disorders.
Parent & Family Support
Offers outreach, group support, and resources to families of individuals receiving treatment for mental health or substance use disorders.
Peer Advocacy Program
Trained peer advocates with lived experience provide support, strength, and hope to individuals in recovery from mental health or substance use challenges.
SAFER/SBIRT Program
Delivers Screening, Brief Intervention, and Referral to Treatment in schools and community settings to address substance use among adolescents and young adults.
Teen Mental Health Program
Provides mental health education, awareness, and support to high school students through customized presentations and resources in partnership with schools.
activities · 8 groups

What they do

  • Outpatient Mental Health Clinic Services 5 activities
    • Mental health and substance use service delivery scale
      Served over 9,908 clients and delivered more than 158,693 mental health services in 2021, and served over 8,273 clients with over 140,731 services delivered in 2020 through outpatient clinics and coordinated care programs.
    • Operation of Certified Community Behavioral Health Clinics (CCBHCs)
      Operates two Certified Community Behavioral Health Clinics in Niagara County, NY, providing expanded access to comprehensive, integrated behavioral health services, including crisis intervention, screening, diagnosis, treatment, and care coordination for mental health and substance use disorders.
    • Outpatient mental health and substance use treatment
      Provides individual and group counseling, psychiatric evaluation and medication management, addiction medicine consultations, and therapy for adults, adolescents, and children with mental health or substance use disorders, including depression, anxiety, trauma, perinatal mental health conditions, and co-occurring disorders. Services are available in-person and via telehealth across Western New York, with same-day or near-term access typically within 1–5 days.
    • Specialty programs for perinatal mental health and youth
      Operates Western New York’s first Perinatal Intensive Outpatient Program (IOP) for individuals experiencing perinatal or postpartum mental health disorders. Provides age-specific counseling and support for children (ages 3+), adolescents (13+), and young adults, using evidence-based practices tailored to developmental needs.
    • Virtual and telehealth services
      Offers virtual delivery of outpatient mental health and substance use services, including counseling, psychiatric care, and addiction treatment, ensuring accessibility for clients across Western New York and beyond. Virtual care is available for many clinical and support programs.
  • 12-Step Recovery Support Services 2 activities
    • Peer and family peer advocacy services
      Employs Peer Advocates and Family Peer Advocates with lived experience of mental health or substance use challenges to provide community-based support, recovery coaching, education, and advocacy for individuals and families. These services aim to reduce barriers to care, promote recovery, and strengthen family understanding of treatment and recovery processes.
    • Residential treatment for addiction and co-occurring mental health disorders
      Operates residential facilities in Buffalo and Sanborn, NY, offering integrated treatment for individuals with substance use and co-occurring mental health disorders, including detoxification, stabilization, intensive rehabilitation, and specialized programming for veterans, women, and young adults. The program addresses medical, psychological, social, and spiritual needs through structured therapeutic environments.
  • Medicaid Health Home Care Coordination 1 activity
    • Care coordination and health home services
      Delivers comprehensive care coordination for individuals with complex and chronic health conditions, particularly those enrolled in Medicaid, including outreach, assessment, care management, transitional care, and referrals to medical, behavioral, and social support services. Operates a Health Home program that supports patients with multiple chronic conditions, including mental health and substance use disorders.
  • Mental Health Education and Awareness 1 activity
    • Community education and outreach
      Conducts educational presentations, SBIRT (Screening, Brief Intervention, and Referral to Treatment) services, and customized training on mental health and substance use for schools, employers, colleges, and community organizations. Produces the Heart-to-Heart podcast and provides resources to raise awareness and reduce stigma around behavioral health issues.
  • Parenting Education and Support Programs 1 activity
    • Family and community support programs
      Offers family therapy, parent and family support groups, navigation assistance, and educational resources to help families affected by mental health or substance use disorders understand treatment options and support recovery. Includes targeted programming such as the Family Support Team and parent-focused counseling.
  • Opioid Harm Reduction Services 1 activity
    • Harm reduction and overdose prevention services
      Provides harm reduction support, opiate overdose prevention training, naloxone distribution, and recovery coaching as part of substance use treatment. Integrates harm reduction principles into counseling and outreach efforts for individuals at risk of substance-related harms.
  • Language Access Services 1 activity
    • Language access services
      Provides free language interpretation and translation services to patients through third-party contracts, ensuring equitable access to care for non-English-speaking individuals as part of a formal Language Access Plan.
  • Animal-Assisted Support Services 1 activity
    • Therapy dog and wellness programming
      Operates a therapy dog program to provide emotional comfort and affection to patients during treatment. Offers wellness and fitness programming, alumni engagement, and mindful wellness initiatives to support holistic recovery and long-term well-being.
financials · form 990 · fy2024
revenue
Total revenue$51.85M
Contributions & grants$4.97M10%
Program service revenue$44.57M86%
Investment income$484K1%
Other revenue$1.82M
expenses
Total expenses$49.88M
Program expenses91%
Admin / overhead9%
Fundraising0%
Salaries & benefits$36.21M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$38.46M
Cash$6.57M
Investments$5.23M
Liabilities$10.37M
Net assets$28.08M
Liquid reserves2.8 mo
3 years on record · 2020–2024 · YoY revenue +25.3%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 7
NameTitleHours/wkCompensation
ERIN DIGIROLAMO CEO 10 $453K
BRANDY VANDERMARK-MURRAY PRESIDENT 10 $336K
JOSHUA MORRA MEDICAL DIRECTOR HHS 40 $275K
BRENDAN RALEIGH PHYSICIAN 40 $272K
JACOB HAACKER CHIEF INFORMATION OFFICER 10 $241K
JOHN RUFFOLO CFO 10 $230K
ANGELA ROCHE NURSE PRACTIONER-PSYCH 40 $207K
board members · 18
  • AMY CONMY — BOARD MEMBER
  • BHAKTI SHARMA — BOARD MEMBER
  • BOB MADDEN — CHAIR
  • HORACE GIOIA — BOARD MEMBER
  • JENNIFER JOHENGEN-VOGEL — VICE CHAIR
  • KATHLEEN CONNOLLY — BOARD MEMBER
  • KEVIN D ROBINSON ESQ — BOARD MEMBER
  • LISA CATANESE — BOARD MEMBER
  • LISA CEGLIA — BOARD MEMBER
  • MELINDA DUBOIS — BOARD MEMBER
  • MICHAEL MAXWELL ESQ — BOARD MEMBER
  • MUNNI VISCO — SECRETARY
  • PARETTE WALKER — BOARD MEMBER
  • PATRICK C KEATING — BOARD MEMBER
  • PAUL M O'LEARY — BOARD MEMBER
  • RANDYLL P BOWEN — BOARD MEMBER
  • REBECCA WAITE — BOARD MEMBER
  • RYAN LUCINSKI — BOARD MEMBER
relationships · 14

Who they work with

  • American Lung Association Partner — Collaborates with Horizon on trainings led by Colleen Babcock.
  • Business First Government — Recognized at the Business First Inclusion, Diversity, Equity Awareness Awards.
  • Financial Resource Specialists Partner — Internal team that assists patients with insurance navigation, Medicaid application, and reduced fee options.
  • Horizon Health Alliance Network — Horizon Health Services is part of the Horizon Health Alliance, a network through which it coordinates health equity initiatives and DEIB programming.
  • Horizon Health Alliance Partner — Entity to which donations are made payable for support of Horizon Health Services' programs.
  • Horizon Therapy Associates Partner — Provides mental health care to patients with mild mental health conditions under the Horizon Health Services network.
  • Lockport Recovery Center Partner — Designated CCBHC operated by Horizon Health Services in Niagara County.
  • New York’s Medicaid program Government — Provides care coordination services for eligible members enrolled in New York’s Medicaid program.
  • New York’s Medicaid program Government — Provides care coordination services to eligible members enrolled in New York’s Medicaid program.
  • Pine Avenue Recovery Center Partner — Designated CCBHC operated by Horizon Health Services in Niagara County.
  • The Devin Waring Foundation Partner — Co-founded the Teen Mental Health Program with Horizon Health Services.
  • The Good Climb Partner — Supported the founding of the Teen Mental Health Program.
  • The Revelas Family Foundation Partner — Supported the founding of the Teen Mental Health Program.
  • Value Network Partner — Horizon serves as one of the four leading organizations in the Value Network's Behavioral Health Care Collaborative.
strategies · 5

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Healing Justice and Health Equity Framework
    methodology: healing_justice
    By applying a healing justice framework and advancing a health equity action plan, Horizon Health improves access and outcomes in underserved communities because culturally appropriate practices and systemic change address root causes of disparity.
  • Integrated Whole-Person Care via CCBHC Model
    methodology: integrated_care
    By delivering comprehensive mental health and substance use disorder services through the Certified Community Behavioral Health Clinic (CCBHC) model, Horizon Health produces better clinical outcomes because integration across behavioral, medical, and social domains addresses the full spectrum of client needs.
  • Open Access to Reduce Entry Barriers
    methodology: open_access
    By offering open access for mental health and substance use evaluations without prior scheduling, Horizon Health increases treatment initiation because immediate access prevents drop-off and capitalizes on moments of readiness to engage.
  • Peer-Supported Engagement Model
    methodology: peer_support_model
    By using peer advocates with lived experience, Horizon Health builds trust and reduces barriers to care because shared experience fosters authenticity, reduces stigma, and increases patient engagement in treatment.
  • Recovery-Oriented, Client-Choice Model
    methodology: recovery_oriented_care
    By centering care on client needs and choices rather than fixed program designs, and partnering with consumers in recovery, Horizon Health improves engagement and outcomes because autonomy and lived experience are foundational to sustained recovery.