Five Horizons Health Services

What Five Horizons Health Services does

Five Horizons Health Services is a nonprofit, community-based healthcare organization founded in 1988 as West Alabama AIDS Outreach (WAAO) and rebranded under its current name in 2017. It delivers comprehensive HIV prevention, treatment, and supportive services across 68 counties in Alabama and Mississippi, operating seven to eight clinical locations (Tuscaloosa, Montgomery, Dothan, Selma, Starkville, Meridian, Oxford, with Tupelo/Saltillo coming soon) plus a mobile testing unit that extends into rural communities, schools, and local events. Its service portfolio is organized around five pillars: Medical Care (HIV treatment, PrEP including daily oral and long-acting injectables Apretude and Yeztugo, PEP, STI services), Prevention and Testing (free HIV/STI testing, mobile outreach, the Five Spot drop-in clinic), Supportive Services (medical case management, housing assistance, Perinatal HOPE Program, behavioral health), Research (15+ active studies including HPTN 096, EPICC+, E-VOLUTION, AI Serious Game, PrOTECT AL), and Advocacy (FHHS Advocacy Network, Ajani Groups, policy engagement).

As of June 2026, the organization serves approximately 3,244 HIV patients, 722 PrEP patients, and 2,405 case management clients. Revenue is diversified across insurance billing (Medicaid, Medicare, commercial), federal and state grants (Ryan White, SAMHSA, PCORI, CDC, HOPWA), self-pay (with $0 PrEP visits, $20 STI visits, $10 STI treatment at Five Spot), donations, and merchandise sales through the Five Horizons Shop. The organization is led by CEO Billy D. Kirkpatrick, Ph.D. (in role since 2007 as Executive Director, CEO since 2017) and a deep executive team including COO, CFO, CTO, Chief Clinical Officer, Chief Healthcare Officer, Chief Behavioral Health Officer, Chief Social Services Officer, and Chief Prevention and Outreach Officer, with more than 200 staff across its service area.

Core technology consists of the athenahealth patient portal for scheduling and records, mobile testing units, and digital health tools supporting research studies, including a recently launched AI-powered serious game for HIV prevention among youth. The organization holds HIPAA, CCPA, and GDPR compliance, integrates with Action Network for advocacy, Constant Contact for newsletters, and Printify for merchandise, and is a member of multiple coalitions including the Alabama HIV/AIDS Policy Partnership and the HIV Prevention Trials Network (HPTN 096).

Name

Five Horizons Health Services

Legal name

Five Horizons Health Services

Website

https://fivehorizons.org

Company type

Private

Founded year

1988

Operating status

Operating

Headcount range

11–50 employees

Short description

Five Horizons Health Services is a nonprofit, community-based healthcare organization providing comprehensive HIV prevention, treatment, and supportive services across 68 counties in Alabama and Mississippi through seven to eight clinical locations, a mobile testing unit, and 15+ active research studies.

Ownership category

akta.pro rank

Product category

HIV/AIDS Community Health Services

NAICS

Offices of Physicians (6211), Outpatient Mental Health and Substance Abuse Centers (621420), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Primary Care for Underserved Populations (e.g., migrant, homeless, refugee clinics) (HLAFAGAN)

akta.pro secondary industries

Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD), Behavioral Health-Integrated Chronic Care (SUD comorbidity, collaborative care) (HLALAFAK), Community-Based Preventive & Health Promotion Clinics (HLAFAGAO)

Keywords

• HIV care services
• HIV prevention and testing
• PrEP and PEP medication
• Community health services
• Sexual health clinic

Headquarters

HQ city

Tuscaloosa

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Insurance Billing: Revenue from billing insurance plans including Medicaid, Medicare, and commercial insurance for medical visits, HIV care, PrEP services, and supportive services.
2. Self-Pay Patients: Self-pay revenue from patients without insurance coverage, with sliding scale options available. $20 for STI visits, $0 for PrEP visits.
3. Federal and State Grants: Funding from federal agencies including SAMHSA, PCORI, and CDC for research studies, prevention programs, and behavioral health integration projects.
4. Donations and Merchandise: Charitable donations from individuals and organizations supporting HIV care and prevention, plus merchandise sales from Five Horizons Shop.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Five Horizons Health Services provides comprehensive, status-neutral HIV medical care, prevention, testing, and supportive services to individuals across Alabama and Mississippi. The organization operates as a one-stop shop offering PrEP/PEP medication, HIV treatment, STI testing and treatment, case management, housing assistance, behavioral health, perinatal support, community-based research, and policy advocacy through seven clinical locations plus mobile testing units.

Product overview

Five Horizons Health Services is a nonprofit community-based organization offering a comprehensive suite of HIV/AIDS-related healthcare services. The organization operates as a multi-service platform centered on five core pillars: Medical Care (HIV treatment, PrEP/PEP, STI services), Prevention & Testing (community outreach, mobile testing, Five Spot clinics), Supportive Services (case management, housing, behavioral health, Perinatal HOPE Program), Research (community-based studies including EPICC+, E-VOLUTION, AI prevention game), and Advocacy (policy engagement, FAN network, Ajani groups). Key products include PrEP medications (daily pills and injectables including Apretude and Yeztugo), free HIV/STI testing, medical case management, behavioral health therapy, and the Five Spot drop-in clinic. The portfolio includes 15+ active research studies and the organization serves patients across Alabama and Mississippi through multiple clinical locations.

Differentiator

Problem solved

Functional benefit

Brands

• Five Spot: Five Spot by Five Horizons is a drop-in sexual health clinic offering free and confidential testing, education, community events, and wellness services focused on HIV, STDs/STIs, and sexual health.
• 5H Foundation

Products and services

• Medical Care
• PrEP and PEP Services
• HIV Testing
• Prevention & Testing (Mobile and Community Outreach)
• Five Spot Drop-in Clinic
• Supportive Services (Case Management and Social Services)
• Perinatal HOPE Program
• Behavioral Health Services
• Housing Services
• Community-Based Research
• Advocacy and Community Engagement
• AthenaHealth Patient Portal
• Five Horizons Shop

Quantifiable outcome

• $500,000 saved by each averted HIV infection
• +1 more outcomes

Named customers6 records

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability3 records

Feature3 records

Partnerships

Nine partnerships are on record, tiered core, major and minor.

• University of AlabamacoreStrategic or Co-development PartnerCo-founded the Rural HIV Research Collaborative with The University of Alabama. Collaboration on research studies including EPICC+, E-VOLUTION, Digital PrEP, and AI Serious Game for HIV Prevention. Academic partner in PCORI Trauma-Resilient Research Co-Production project.
• UAB Family CliniccoreStrategic or Co-development PartnerPartnership with UAB Family Clinic's pediatric infectious disease team to support healthy outcomes for both parent and baby in the Perinatal HOPE Program. Supports early intervention and preventive care to reduce perinatal HIV transmission.
• Tuscaloosa Housing AuthoritycoreStrategic or Co-development PartnerPartnership providing dedicated housing slots for eligible Five Horizons clients. Part of comprehensive housing services including HOPWA, Tenant-Based Rental Assistance, and Kind Heart Homes programs.
• PCORI (Patient-Centered Outcomes Research Institute)majorStrategic or Co-development PartnerFunded the Trauma-Resilient Research Co-Production (TRCP) project involving Five Horizons as one of eight national sites working alongside academic partners to develop a new trauma-informed research model.
• SAMHSA (Substance Abuse and Mental Health Services Administration)majorStrategic or Co-development PartnerFunded the Behavioral Health Integration Project expanding access to behavioral health services including mental health and substance use support for individuals at higher risk of HIV and those currently in care.
• Alabama HIV/AIDS Policy PartnershipmajorStrategic or Co-development PartnerCoalition partner organizing statewide events including Seven Days in June Candlelight Vigil. Five Horizons participates in advocacy days and community events organized by this partnership.
• NAESM (National African American MSM Leadership Conference)minorStrategic or Co-development PartnerFive Horizons team members attended the 2026 NAESM National Leadership Conference on Health Disparities and Social Justice, engaging in educational workshops and community dialogue focused on health equity.
• HPTN (HIV Prevention Trials Network)majorStrategic or Co-development PartnerActive study site for HPTN 096 national research study focused on reducing HIV rates in the South by improving access to prevention and treatment services for communities most impacted by HIV.
• Good Samaritan Health Services/Antone Tannehill ClinicminorStrategic or Co-development PartnerPartnership for testing events in Tupelo, Mississippi. Combined efforts provided testing services to 61 individuals, 6 PrEP referrals, and 4 behavioral health surveys.

Scale indicators8 records

Recent moves9 records

Expansion highlights6 records

Broad incumbents

• AIDS Healthcare Foundation (AHF): The largest global HIV/AIDS nonprofit healthcare provider, operating clinics, pharmacies, and testing/outreach across 45 countries and dozens of U.S. cities. Directly comparable to FHHS in its multi-site clinic + pharmacy + advocacy model serving underserved populations, but at vastly greater scale.

Direct peers

• CAN Community Health: Nonprofit providing HIV/STI/PrEP care, behavioral health, case management, and pharmacy across multiple U.S. states. Closely mirrors FHHS's five-pillar integrated model with strong community/underserved focus and 340B pharmacy operations.
• Howard Brown Health: Chicago-based LGBTQ-focused community health center offering primary care, HIV treatment/PrEP, behavioral health, and research. Comparable integrated HIV+behavioral+primary care model serving populations of color and LGBTQ communities, with research collaborations.
• Whitman-Walker Health: Washington D.C.-based nonprofit delivering HIV care, PrEP, primary care, behavioral health, legal services, and research. Comparable whole-person, status-neutral service model serving historically underserved populations with strong research and advocacy pillars.
• Fenway Health: Boston-area community health center specializing in LGBTQ care, HIV treatment/PrEP, behavioral health, and research via The Fenway Institute. Strong peer for FHHS's combination of HIV specialty care, behavioral health, and active research portfolio.
• CrescentCare: New Orleans-based FQHC and HIV/AIDS service organization providing primary care, PrEP, behavioral health, and case management. Strong peer for FHHS's Gulf South focus, community health center structure, and integrated HIV-primary care services.
• Chase Brexton Health Care: Mid-Atlantic FQHC originating as a Baltimore LGBTQ clinic, now offering primary care, HIV specialty care, behavioral health, and pharmacy. Comparable integrated model with strong community roots, research, and 340B pharmacy operations.
• Southwest Center for HIV/AIDS (Pillars Community Health): HIV specialty clinic and FQHC successor in Phoenix offering HIV care, PrEP, primary care, behavioral health, and case management. Directly comparable service mix and underserved-population mission.

Regional players

• Thrive Alabama: Alabama-based HIV/AIDS services nonprofit providing medical care, case management, and prevention across north Alabama. Direct functional peer in the same geography (Huntsville, Birmingham) competing for overlapping patient populations and Ryan White contracts.

Emerging players

• Latino Commission on AIDS / Hispanic Health Network: National Latino-focused HIV/AIDS nonprofit providing testing, navigation, capacity-building, and advocacy. Comparable mission around underserved HIV-affected communities and federal grant dependency, though different geographic focus.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/5HorizonsHS
• Facebookfacebook.com/5HorizonsHS
• LinkedInlinkedin.com/company/mrei-llc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 records

Funding overview

Funding rounds1 record

Investors1 record

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 Five Horizons Health Services