Horizon Public Health

Horizon Public Health, a U.S. local government entity headquartered in Alexandria, Minnesota, is a prime recipient of federal public health grants focused on substance use prevention, maternal and child health, and public health workforce development, and a sub-recipient of grants from the Minnesota Department of Health. Horizon operates as a 50-50 split between prime grant awards and sub-awards, with no federal contracting footprint and no seats on federal IDVs or parent contract vehicles.

Horizon's customer base concentrates almost entirely within the Department of Health and Human Services. The CDC's National Center for Injury Prevention and Control (operating under CFDA 93.276, the Drug-Free Communities Support Program) anchors the prime footprint. The most recent and largest award is a five-year, $125,000 Drug-Free Communities grant to Horizon Public Health through the Healthy Voices Healthy Choices Coalition, running from July 1, 2026, through June 30, 2031, to prevent and reduce youth alcohol, tobacco, nicotine, and marijuana use in Alexandria and surrounding areas. The grant funds evidence-based prevention strategies including youth and adult co-designed media campaigns, policy work with community organizations to reduce youth access to substances, community training on prevention skills and mental health stigma reduction, alternatives-to-suspension programs, youth quitting services, youth-led programs focused on connection and leadership, and youth-led research on local mental health challenges; Wilder Research conducts independent evaluation. On the sub-recipient side, Horizon receives pass-through funding from the Minnesota Department of Health under three active grant programs: Title V Maternal Child and Block Grant funds for community health board distribution (October 2024), Public Health Emergency Preparedness and Response Capabilities funding aligned with national public health standards (July 2024), and Public Health Workforce development funding to recruit, retain, and train public health personnel (March 2023).

Activity remains sparse but consistent. Eight total awards span from 2015 to 2026, with one grant in 2023, two in 2024, and one prime award in 2026. Combined dollars obligated across all awards total $2.5 million. Horizon's scope is community-level public health programming in a rural Minnesota setting, with no expansion beyond substance use prevention and maternal-child-health domains and no federal contract exposure.