Mike Garrett, representing Horizons Medical Health, presented an orientation packet and a quarterly financial and quality‑of‑service update to the commission.
Garrett said year‑to‑date patient revenue and operating results show the organization is operating on a thin margin but remains in the black for the fiscal period reported. He described gross and net patient‑revenue trends, the effect of deductions (contractual adjustments, charity care and bad debt) and an increase in operating expenses tied to staffing. Garrett said Horizons employs about 175–200 people (roughly 70 in direct‑service roles) and runs on a mixed funding model that includes county subsidy, state contracts and other grants.
On service quality, Garrett presented results from the organization’s biannual consumer‑satisfaction survey. He said more than 1,200 consumers responded to the most recent survey, average ratings on major categories were above 4.55 on a five‑point scale, and more than 1,100 respondents said they would recommend Horizons services to others. Garrett and commissioners discussed using outcome measures for the jail reentry/case‑manager role, such as housing placement rates, employment and continued engagement in treatment; Garrett said he would return with proposed metrics and a report in April.
Commissioners asked clarifying questions about revenue lines, investments and comparative benchmarks; Garrett said some state comparisons are not readily available but he would seek peer data through the association of community‑behavioral‑health centers. The presentation was informational and did not require a commission vote.