Horizon Health Care, Inc.
Horizon Health Care, Inc. is a federally qualified community health center based in Howard, SD, with 22 clinic locations in 19 cities. It served 26,641 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.
- 26,641patients in 2025
- 24%uninsured patients
- 43%at or below the poverty line
- 244full-time-equivalent staff
Care offered: primary care, dental care, mental health care, substance use treatment, children’s checkups, women’s health, and telehealth.
Who Horizon Health Care, Inc. serves
43% of patients live at or below the poverty line and 75% are at or below twice that level. 24% have no insurance, 31% have Medicaid or CHIP, 14% have Medicare and 31% have private insurance. 524 patients were experiencing homelessness. 888 were veterans.
| Measure | This center | SD median | U.S. median | vs SD |
|---|---|---|---|---|
| Patients at or below the poverty line | 43% | 42% | 65% | +1 pts |
| Patients at or below 200% of the poverty line | 75% | 64% | 92% | +11 pts |
| Measure | This center | SD median | U.S. median | vs SD |
|---|---|---|---|---|
| Uninsured patients | 24% | 25% | 14% | −1 pts |
| Medicaid or CHIP patients | 31% | 33% | 42% | −2 pts |
| Medicare patients | 14% | 13% | 11% | In line |
| Privately insured patients | 31% | 28% | 24% | +3 pts |
Care and screenings
| Service | Patients | What it counts |
|---|---|---|
| Dental care | 8,992 | patients had dental exams |
| Mental health care | 4,639 | patients treated for depression or anxiety |
| Substance use treatment | 115 | patients in treatment |
| Well-child visits | 2,062 | children had checkups |
| Flu shots | 1,918 | patients vaccinated |
| Cervical cancer screening | 557 | patients tested |
| Family planning | 658 | patients served |
| Diabetes care | 1,833 | patients with diabetes |
| Blood pressure care | 4,241 | patients with hypertension |
| Asthma care | 767 | patients with asthma |
| HIV testing | 664 | patients tested |
| Hepatitis C testing | 584 | patients tested |
| Childhood lead tests | 347 | children tested |
Quality of care
Horizon Health Care, Inc. is at or above the South Dakota median on 5 of 7 preventive-care measures. Higher is better on every line.
| Measure | This center | SD median | U.S. median | vs SD |
|---|---|---|---|---|
| Adults with high blood pressure under control | 77% | 74% | 68% | +2 pts |
| Women 52–74 screened for breast cancer | 55% | 53% | 54% | +1 pts |
| Women 24–64 screened for cervical cancer | 53% | 58% | 54% | −5 pts |
| Adults 46–75 screened for colorectal cancer | 54% | 47% | 44% | +7 pts |
| Patients 12+ screened for depression | 88% | 73% | 77% | +15 pts |
| Adults assessed for tobacco use | 93% | 88% | 86% | +5 pts |
| High-risk adults on statin therapy | 76% | 78% | 79% | −2 pts |
Staffing
244 full-time-equivalent staff work at Horizon Health Care, Inc., including 36 physicians, nurse practitioners, physician assistants and midwives. That is 750 patients per clinical provider, against the South Dakota median of 783 and the U.S. median of 930.
Where Horizon Health Care, Inc. patients live
| ZIP code | Patients | Uninsured |
|---|---|---|
| 57350 | 3,566 | 23% |
| 57555 | 1,564 | 4% |
| 57382 | 1,239 | 21% |
| 57078 | 1,134 | 25% |
| 57349 | 1,074 | 21% |
| 57551 | 951 | 15% |
| 57231 | 911 | 40% |
| 57625 | 778 | 3% |
Horizon Health Care, Inc. locations
Horizon Health - de Smet Medical and Dental
Horizon Health - Eagle Butte
Horizon Health - Fort Thompson
Horizon Health - Plankinton Medical and Dental
Horizon Health - Wessington Springs Medical
Horizon Health - Yankton Medical and Dental
Other health centers in South Dakota
- City of Sioux Falls Health Department
- Community Health Center of Black Hills, Inc.
- Rural Health Care, Inc.
How fees work: the sliding-fee guide.