Horizon Behavioral Health

What Horizon Behavioral Health does

Horizon Behavioral Health is a Virginia Community Services Board (CSB) and political subdivision of the Commonwealth of Virginia, headquartered in Lynchburg. Founded in 1969, it operates as an integrated behavioral health platform delivering mental health treatment, substance use treatment (including Office Based Addiction Treatment/OBAT for opioid use disorder), case management, 24/7 crisis and emergency services, outpatient services, psychiatric evaluations and medication management, prevention and wellness programming, school-based services, and Intermediate Care Facility (ICF) residential care for adults with intellectual and developmental disabilities. The organization runs a network of eight wellness center locations across Lynchburg, Amherst, Appomattox, Bedford, and Campbell Counties, supplemented by seven ICF group homes with 42 residential beds, mobile crisis response teams, an ambulatory crisis program for ages 4-21, and specialized programs including Project LINK (intensive case management for pregnant and parenting women with substance use disorders) and a Service Members, Veterans, and Families Program. In 2025, Horizon reported 10,396 individuals enrolled in treatment, 9,793 adults served, and 2,722 children served.

The technology layer supporting these services is modest: a telehealth platform for psychiatric evaluations and medication management, electronic health records for clinical documentation, an on-site Genoa Healthcare pharmacy at the Landover and Bedford wellness centers, and a Client Portal (credibleportal.com). There is no disclosed AI/ML, proprietary model, or advanced analytics capability beyond the community-level DART initiative. Distribution occurs through walk-in same-day assessments at the Langhorne Wellness Center, phone intake (434-477-5000), telehealth, school-based deployments, mobile crisis response in homes and community settings, and a police co-response partnership with the Lynchburg Police Department.

Revenue is generated through three primary streams: (1) government contracts and public funding as a CSB, (2) insurance and Medicaid billing on a sliding scale fee structure based on client financial need, and (3) federal and state grants (recent awards include $1.1M SAMHSA, $1M HRSA, $380,797 STEP-VA, and DOJ crisis receiving center grants). The organization is exempt from federal, state, and local sales and use taxes. As a CSB, Horizon is not a private equity- or venture-backed entity; ownership rests with the Commonwealth of Virginia with operational oversight from the Virginia Department of Behavioral Health and Developmental Services, and a related nonprofit affiliate (Horizon Opportunities, Inc.) supports program fundraising.

Name

Horizon Behavioral Health

Legal name

Horizon Behavioral Health

Website

https://horizonbh.org

Company type

Private

Founded year

1969

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Behavioral Health Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Outpatient Mental Health Clinics & Counseling Centers (HLAFACAA)

akta.pro secondary industries

Crisis Stabilization Units & Psychiatric Emergency Services (HLAFACAH), Behavioral Health for Children & Adolescents (Youth Services) (HLAFACAL), Integrated Behavioral Health (Collaborative Care) Platforms (HLALAEAC)

Keywords

• Behavioral health services
• Mental health treatment
• Substance use treatment
• Intellectual disability care
• Community mental health

Headquarters

HQ city

Lynchburg

HQ country

United States

HQ region

North America

Offices17 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Government Contracts & Public Funding: As a Virginia Community Services Board, Horizon receives public funding from state and local government sources to provide mental health, substance use, and intellectual disability services to the community
2. Insurance & Medicaid Billing: The organization accepts all insurances including Medicaid and uses a sliding scale fee structure for clients based on financial need
3. Federal & State Grants: Multiple grant-funded programs including SAMHSA grants ($1.1 million for substance use treatment), HRSA grants ($1 million for rural health disparities), STEP-VA grants ($380,797), DOJ grants for crisis receiving centers, and Drug Free Communities grants

Pricing tiers

Go-to-market motion1 record

Distribution channels7 records

Marketing channels10 records

Core offering

Horizon Behavioral Health is a Virginia Community Services Board providing comprehensive behavioral health services including mental health treatment, substance use treatment, case management, emergency/crisis services, psychiatric services, school-based services, and 24/7 residential Intermediate Care Facilities for individuals with intellectual and developmental disabilities across Central Virginia.

Product overview

Horizon Behavioral Health is a premier provider of mental health, substance use, and intellectual disability services in Central Virginia. The organization operates as a comprehensive behavioral health platform offering multiple interconnected services including Mental Health Treatment, Substance Use Treatment (including Office Based Addiction Treatment/OBAT), Case Management, Emergency/Crisis Services, Outpatient Services, Prevention & Wellness, Psychiatric Services, School-Based Services, and Intermediate Care Facilities for individuals with intellectual disabilities. Additional services include housing programs (Horizon Homes), Project LINK for pregnant/parenting women, Mobile Crisis Response partnerships with law enforcement, and specialized programs for Service Members, Veterans, and Families. The organization serves adults, children, and adolescents across multiple Virginia counties through multiple wellness center locations and community-based services.

Differentiator

Problem solved

Functional benefit

Brands

• Project LINK: Program providing intensive case management and home visiting services to pregnant and parenting women and families at risk or diagnosed with substance use disorders.
• The Horizon Line Podcast
• Recovery Journey Podcast

Products and services

• Mental Health Treatment Personalized therapies, group support, and peer-led recovery services addressing emotional and behavioral concerns for adults and children.
• Substance Use Treatment Outpatient and residential services using evidence-based methods, peer support, and trauma-informed care for individuals with substance use disorders.
• Case Management Connects individuals to resources, supports, and services to foster wellness, growth, and community ties.
• Emergency Services 24/7 crisis support for psychiatric emergencies, connecting individuals to safe, immediate care and treatment.
• Outpatient Services Personalized, trauma-informed care including therapy, peer support, and group sessions for lasting recovery.
• Prevention & Wellness Services Promotes mental wellness and substance misuse prevention with programs, training, and community initiatives.
• Psychiatric Services Evaluations, medication management, and telepsychiatry to support children and adults in their care journey.
• School-Based Services Therapy and case management provided in schools, helping students meet mental health needs while staying in class.
• Intermediate Care Facilities (ICF) 24/7 support and active treatment for adults with intellectual disabilities in residential group homes, fostering growth and independence in least restrictive settings.
• Housing Services Supportive housing, recovery residences, and resources for individuals with disabilities or mental health needs.
• Office Based Addiction Treatment (OBAT) Outpatient medication-assisted treatment program combining therapy, case management, and medication prescription to address opioid addiction; serving 50-60 clients at any point in time.
• Project LINK Intensive case management and home visiting services for pregnant and parenting women and families at risk or diagnosed with substance use disorders.
• Mobile Crisis Response Regional mobile crisis teams providing de-escalation and support in homes, schools, and community settings for adults, children, and adolescents in mental health crisis.
• Sweet Briar College Campus Services On-campus therapeutic case management services provided to all students at Sweet Briar College five days a week in Amherst County.
• Know Your Status (HIV Testing) HIV testing services to help individuals know their status and protect their loved ones.
• Service Members, Veterans, and Families Program Evidence-based assessment and specialized treatment services for service members, veterans, and their families with military-related mental health needs.
• Ambulatory Crisis Program Non-hospital crisis services for children and adolescents providing normative environments with high assurance of safety and security.

Quantifiable outcome

• Serving 10,396 individuals enrolled in treatment (2025 metrics)
• +2 more outcomes

Named customers8 records

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Partnerships

Ten partnerships are on record, tiered minor, core and important.

• Amherst Caring CoalitionminorStrategic or Co-development Partner · 1 July 2025Community wellness partnership expanding wellness efforts, including establishment of Sheriff's Wellness Room for mental health support and resources.
• Lynchburg Police DepartmentcoreStrategic or Co-development Partner · 1 December 2024Crisis co-response team partnership where Horizon mental health workers respond alongside police officers to mental health crisis calls, providing de-escalation, support, and connection to appropriate services.
• Region Ten Community Services BoardcoreStrategic or Co-development PartnerRegion Ten CSB employs and supervises Horizon's mobile crisis program managers and responders within Region 1's nine-CSB catchment area, providing clinical guidance and administrative oversight for mobile crisis response services.
• Sweet Briar CollegecoreStrategic or Co-development PartnerHorizon provides therapeutic case management services to all students on campus five days a week, offering evidence-based treatments including Trauma-Focused CBT, EMDR, and Attachment-Based Family Therapy. Students have 24/7 access to mental health services and crisis care.
• Genoa HealthcareimportantChannel Partner/ Reseller/ DistributorOn-site pharmacy provider at Landover and Bedford wellness centers offering full-service pharmacy, immunizations, pre-filled pill organizers, delivery services, and 24-hour customer support for Horizon clients and their families.
• Lynchburg Recovery CourtimportantStrategic or Co-development PartnerPartnership supporting the five-phase treatment court program for individuals in recovery from substance use disorders, providing treatment services and support for participants.
• CVARR (Central Virginia Addiction Recovery Resources)importantStrategic or Co-development PartnerLocal coalition addressing substance use prevention and resources in the community; Horizon participates in coalition activities and received Federal Drug Free Communities Grant support through this partnership.
• Centra HealthcoreStrategic or Co-development PartnerCollaboration on maternal and infant health programs, including Project Link coordination where Centra's Maternal & Infant Program Manager participates in The Horizon Line podcast discussing women's mental health challenges.
• Bedford Family Treatment Drug Court (FTDC)importantStrategic or Co-development PartnerPartnership supporting the Family Treatment Drug Court program helping individuals with substance use disorders complete treatment and regain custody of children.
• Region 1 Community Services Boards (9 CSBs)coreStrategic or Co-development PartnerNine CSBs in Region 1 (including Horizon) collaborate on mobile crisis services, coordinated through Region Ten CSB, to provide regional coverage for mental health crisis response across Central and Western Virginia.

Scale indicators11 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Acadia Healthcare: National behavioral health operator running inpatient psychiatric and residential substance use facilities. Larger, publicly traded incumbent offering overlapping services but on a facility-based commercial model rather than CSB-style public behavioral health.
• Universal Health Services (Behavioral Health Division): Large publicly traded hospital and behavioral health operator with extensive inpatient psychiatric capacity. Overlaps with Horizon's crisis stabilization and acute behavioral health services at much larger national scale.
• Centra Health: Regional health system in Central Virginia that partners with Horizon on maternal/infant programs. As a hospital system it offers overlapping psychiatric and addiction services at broader scale but does not specialize in CSB-style community behavioral health.

Others

• Genoa Healthcare: On-site pharmacy partner at Horizon's Landover and Bedford wellness centers. Adjacent ecosystem participant providing embedded pharmacy services to behavioral health populations served by CSBs and community mental health centers.
• Virginia Department of Behavioral Health and Developmental Services: State oversight authority that licenses and funds Virginia CSBs including Horizon. Not a peer but the regulatory and funding counterpart that defines Horizon's operating envelope.

Direct peers

• New River Valley Community Services: Virginia CSB serving the New River Valley with comparable mental health, substance use, intellectual disability, and crisis services under the same state-supervised CSB framework.
• Region Ten Community Services Board: Neighboring Virginia CSB that collaborates with Horizon on Region 1 mobile crisis services. Operates the same CSB model with outpatient mental health, substance use, and developmental disability services in the Charlottesville area, making it the closest structural and operational peer.
• Piedmont Community Services: Virginia CSB covering the Martinsville/Henry County/Patrick County area, delivering outpatient mental health, substance use, and IDD services under the same CSB framework. Functionally analogous regional behavioral health authority.
• Blue Ridge Behavioral Healthcare: Virginia CSB serving the Roanoke Valley with the same integrated behavioral health, substance use, and developmental disability service model. Directly comparable in funding structure, service mix, and statutory role.

Emerging players

• Charlie Health: Virtual intensive outpatient program (IOP) for adolescents and young adults with mental health and substance use conditions. Represents the telehealth-native segment that could compete for Horizon's youth and family referrals across Virginia.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks4 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/Horizonbh
• Xx.com/Horizon_BH

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Horizon Behavioral Health