Horizon Health Care, Inc.
Horizon Health Care, Inc. is a federally qualified health center (FQHC) in South Dakota and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Alcester, Elk Point, Howard, Martin, and Wessington Springs. In 2025 it served 26,641 patients, up 1.9% from 26,142 in 2024. 23.9% of its patients were uninsured, compared with 12.9% across South Dakota health centers and 17.2% nationally.
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26,641Patients served, 2025
23.9%of patients uninsured
30.9%of patients on Medicaid/CHIP
$1,308Total accrued cost per patient
$453Cost per visit
Horizon Health Care, Inc. compared with South Dakota and the nation, 2025
| Measure | Horizon Health Care, Inc. | South Dakota health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 30.7% | 27.6% | 28.6% |
| Adults 65 and older | 18.1% | 18.9% | 12.8% |
| At or below 200% of the federal poverty guideline | 75.4% | 51.8% | 90.0% |
| Insurance status | |||
| Uninsured | 23.9% | 12.9% | 17.2% |
| Medicaid / CHIP | 30.9% | 22.9% | 47.9% |
| Medicare | 13.7% | 17.9% | 11.6% |
| Private insurance | 31.5% | 46.2% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $1,308 | $1,054 | $1,672 |
| Cost per visit | $453 | $362 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 53.4% | 64.4% | 57.0% |
| Colorectal cancer screening | 54.3% | 63.8% | 44.9% |
| Breast cancer screening | 54.5% | 70.5% | 56.0% |
| Controlling high blood pressure | 76.6% | 73.0% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 18.2% | 17.5% | 26.3% |
| Depression screening and follow-up | 88.0% | 67.5% | 75.3% |
| Early entry into prenatal care | 57.5% | 81.9% | 73.4% |
| Tobacco screening and cessation | 92.7% | 93.9% | 84.8% |
| Statin therapy for cardiovascular disease | 75.9% | 76.8% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 18,979 |
| Dental | 8,992 |
| Mental health | 921 |
| Total clinic visits | 76,963 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 26,641 | $1,308 | 23.9% | 30.9% |
| 2024 | 26,142 | $1,318 | 37.5% | 22.3% |
| 2023 | 27,080 | $1,253 | 38.7% | 21.3% |
| 2022 | 28,130 | $1,186 | 39.0% | 20.9% |
| 2021 | 27,786 | $1,166 | 33.3% | 21.2% |
| 2020 | 27,115 | $1,102 | 24.8% | 23.7% |
| 2019 | 27,849 | $1,007 | 16.1% | 26.3% |
| 2018 | 27,925 | $950 | 16.7% | 26.6% |
| 2017 | 27,524 | $958 | 18.2% | 27.6% |
| 2016 | 23,754 | – | 17.3% | 26.3% |
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area on a map and its payer, age, diagnosis and service-line mix.
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