Horizons Residential Care Center

What Horizons Residential Care Center does

Horizons Residential Care Center is a North Carolina-based 501(c)(3) nonprofit founded in 1973 that operates an Intermediate Care Facility for individuals with intellectual and developmental disabilities (IDD), including those with profound disabilities and medically complex comorbidities. The organization serves up to 40 current residents across two locations — The Atrium in Rural Hall and The Arches in Winston-Salem — providing 24/7 round-the-clock residential care staffed by 130+ employees. The service portfolio spans residential services, on-site medical and behavioral health, speech-language pathology, physical therapy, music therapy, sensory supports (incorporating Sound Beam and Omni Mobii Projector technologies), special education, day programming, active treatment, recreation, and CARF-accredited weekend respite services for individuals living outside the facility. Admissions are managed by an interdisciplinary team, and the current waitlist spans 2–3 years.

The business model is a hybrid of Medicaid-funded clinical services and philanthropic capital. All residential services are paid through State and Federal Medicaid program funds — families do not incur costs for core residential care — while donations, charitable contributions, community fundraising events (Putting Fore Horizons, Greek Festival beneficiary), and large institutional grants (notably $1.9M in ARPA funds via Forsyth County in 2021 and a $1.5M SECU Foundation matching grant in April 2026) underwrite capital projects and supplement operations. The organization is undertaking the Horizons Housing Initiative to build six new on-campus homes in Rural Hall to accommodate up to 36 additional individuals, with Phase 1 (two 6-bed homes replacing the Arches congregate care home) completing in October 2025; smart-home features designed for residents with disabilities are incorporated into the new build. Go-to-market is sales-led through an admissions application process and supported by community events, email, social media, earned media, and direct donor engagement.

Name

Horizons Residential Care Center

Legal name

Horizons Residential Care Center

Website

https://horizonscenter.org

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

51–100 employees

Short description

Horizons Residential Care Center is a 501(c)(3) nonprofit founded in 1973 operating a CARF-accredited Intermediate Care Facility in Rural Hall, NC, providing 24/7 residential and therapeutic services to ~40 individuals with intellectual and developmental disabilities, funded primarily by NC Medicaid and charitable donations.

Ownership category

akta.pro rank

Product category

Residential Disability Care Services

NAICS

Other Residential Care Facilities (623990), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Skilled Nursing Care Facilities (8051)

akta.pro primary industry

Small Residential Care Homes (RCFE/Board & Care) (HLADABAF)

akta.pro secondary industries

Respite Care for Adults with Disabilities / Special Needs (HSABAGAI), Affordable / Low-Income Assisted Living (Medicaid Waiver Focused) (HLADABAE)

Keywords

• Residential care services
• Developmental disabilities support
• Intermediate care facility
• Special education programs
• Respite care services

Headquarters

HQ city

Rural Hall

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Residential Services: All residents are supported through State and Federal Medicaid program funds. Families do not incur costs for residential services.
2. Donations and Charitable Contributions: Horizons accepts donations from individuals, organizations, and businesses. Families may choose to contribute through donations or materials contributions to the program.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

Horizons Residential Care Center operates a CARF-accredited Intermediate Care Facility delivering 24/7 residential care, medical, therapeutic, and special education services for up to 40 individuals with intellectual and developmental disabilities at two North Carolina homes (The Atrium in Rural Hall and The Arches in Winston-Salem). Service delivery is funded through State and Federal Medicaid program funds, supplemented by charitable donations, and complemented by a weekend respite program for caregivers in the community.

Product overview

Horizons Residential Care Center is an Intermediate Care Facility providing a comprehensive suite of residential care services for individuals with intellectual and developmental disabilities (IDD). The organization operates two residential homes—The Atrium in Rural Hall and The Arches in Winston-Salem—serving up to 40 residents with complex medical, physical, educational, and behavioral support needs. The service portfolio includes core care services (Residential Services, Medical Services, Behavioral Health Services), therapeutic interventions (Speech Language Therapy, Physical Therapy, Music Therapy, Sensory Supports), educational programs (Special Education, Day Programming), active treatment and recreation programs, and weekend respite services. The organization is undergoing expansion through its Horizons Housing Initiative, building six new smart homes to replace outdated congregate care facilities.

Differentiator

Problem solved

Functional benefit

Products and services

• Residential Services (The Atrium & The Arches)

Quantifiable outcome

• Phase 1 housing expansion completed October 2025 with first 12 residents moving into new homes
• +2 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Junior League of Winston-SalemcoreStrategic or Co-development PartnerThe Junior League of Winston-Salem helped establish the Atrium in 1989 and Arches in 1992, which continue to provide residential housing, education, and respite services.
• Riverwood Therapeutic Riding CenterminorOthersPartner organization providing therapeutic riding services for Horizons residents.
• Leadership Winston-SalemminorStrategic or Co-development PartnerLeadership Winston-Salem's Action Learning Project team worked with Horizons to enhance strategy and operations around annual holiday events, providing recommendations for improving community engagement.
• The Winston-Salem FoundationminorStrategic or Co-development PartnerCollaboration with The Winston-Salem Foundation on a new Direct Support Professional training program, featured on FOX8 News.
• Annunciation Greek Orthodox ChurchminorGTM or Marketing PartnerAnnual Greek Festival host that selected Horizons as the local charity beneficiary, raising $23,600 in 2026. Horizons volunteers helped man admission tents.
• Forsyth Technical Community CollegeminorStrategic or Co-development PartnerEstablished internship opportunities with Forsyth Tech for students to receive hands-on training in healthcare, education, and philanthropy.
• Winston-Salem State UniversityminorStrategic or Co-development PartnerEstablished internship opportunities with Winston-Salem State University for students in nursing, special education, and other disciplines.

Scale indicators9 records

Recent moves7 records

Expansion highlights4 records

Direct peers

• RHA Health Services: RHA Health Services is a multi-state nonprofit provider of residential, supported living, and community-based services for individuals with intellectual and developmental disabilities. Directly comparable to Horizons in service mix (ICF/IDD, respite, community living) and target population, but at much larger multi-state scale.
• Sevita Health (formerly The MENTOR Network): Sevita is one of the largest U.S. providers of home and community-based services for individuals with intellectual and developmental disabilities, including ICF/IID and Host Home/Residential services. Operates at national scale but serves the same IDD population with the same Medicaid-funded residential model as Horizons.
• Chimes: Chimes is a nonprofit provider of residential, day, and behavioral health services for individuals with intellectual and developmental disabilities across multiple states. Directly comparable in mission, residential service model, and population served.
• Penn-Mar Human Services: Penn-Mar is a nonprofit provider of residential, community living, and employment supports for individuals with IDD. Comparable in residential and community-based service mix for the same population, though operating in a different region (PA/MD).
• REM Ohio (ResCare Community Alternatives): REM Ohio (under ResCare/ResCare Community Alternatives) provides ICF/IID residential services and community-based supports for individuals with developmental disabilities. Directly comparable residential service model and population.

Regional players

• Monarch (NC): Monarch is a North Carolina-based nonprofit providing services for people with intellectual and developmental disabilities, mental health, and substance use needs, including residential and community-based supports. Direct geographic overlap with Horizons in NC and overlapping IDD residential service lines.

Broad incumbents

• BrightSpring Health Services: BrightSpring is a large diversified home and community-based health services platform serving complex populations including individuals with IDD. Operates ICF/IID, behavioral health, and pharmacy services, and represents a scaled, multi-state analogue of Horizons' service model.
• Bayada: Bayada is a large nonprofit home health care provider offering pediatric and adult services including care for individuals with developmental disabilities. Overlaps with Horizons in medically complex IDD care delivery, though primarily in-home rather than residential.
• Easterseals: Easterseals is a national nonprofit providing disability services, including residential and community-based supports for individuals with IDD. Comparable in mission, population served, and reliance on Medicaid and donations, though at much broader geographic scale.
• The Arc: The Arc is a national nonprofit advocacy and service organization supporting people with intellectual and developmental disabilities. Many local Arc chapters operate residential and respite programs comparable to Horizons' services, though primarily through a federation model.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/horizonscarecenter
• LinkedInlinkedin.com/company/horizonscarecenter/about
• Instagraminstagram.com/horizonsresidentialcare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

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 Horizons Residential Care Center