Vicky Mader, chief executive officer of Horizons Mental Health Center, told the Pratt County Commission that the agency’s client load and revenue have increased and that it is expanding office space to meet demand. Mader said Horizons served 396 individuals in Pratt County in the fourth quarter of fiscal year 2025 and is seeing an upward trend in services.

Mader said the agency averages about six hours of service per client each quarter and provides roughly eight distinct services per person per quarter, with community psychiatric support and treatment (case management) as the largest category and individual therapy the next largest. “Psychosocial rehab group is basically case management but in group settings,” Mader said, describing services used especially with children.

The financial snapshot presented to commissioners showed total patient revenue in May of $4,100,000; after contractual write-offs and charity care, net patient revenue was “a little over $2,000,000.” Adding grants and subsidies produced operating revenue in May of just under $2,500,000, Mader said. Expenses for May were about $2.8 million, producing a negative EBITDA in that month of $315,000; year to date, the agency reported a positive EBITDA of about $5.6 million.

Mader told the commission she expects state changes to Medicaid recertification procedures to increase administrative work. “It’s probably gonna cause us a lot more administrative burden if we’re gonna have to recertify every 6 months,” she said, adding that many clients need help completing paperwork and can lose benefits when forms are missed. She also noted, “They didn't do anything with our certified community behavioral health clinic status, so that's that's nice.”

To accommodate staff and increase on‑site psychiatric medication management, Mader said Horizons bought the building next to its main site and will connect the two buildings to create additional office space. She said the agency is “fully staffed with therapists” but needs more space to hire additional clinicians and to expand a half‑day slot at the Skyline site. Across all counties the agency employs about 295 full‑time staff — roughly 100 more than two years ago, she said.

Mader also invited commissioners to a town hall hosted by Horizons and the Association for Community Mental Health Centers in Kansas, scheduled the next day at 5:30 p.m. in Reno County; she said a Zoom option and a recording will be offered.

Discussion only: commissioners asked clarifying questions about whether the reported figures cover only Pratt County (Mader confirmed they do), what services are included, staffing needs and hiring, and how Medicaid changes could affect operations. No formal action or votes were taken on the report during the meeting.

The commission received the presentation; Mader closed by offering to answer questions and noting the agency’s plans to expand on‑site medical services.