“Effective January 1, 2022, I have sold my Rural Health Clinic consulting and product service to Health Service Associates (HSA), Fremont, MI.  All current, past and future clients are encouraged to contact Julie Quinn, CPA or Chris Christoffersen for more information.  I believe I have the greatest team available to pick up where I’m leaving off in retirement.  This company has many years experience, and I have worked closely with them for over fifteen years.  They provide management staff for the National Association of Rural Health Clinics and have complete RHC services including billing, Cost Report Preparation, credentialing, Evaluation Reports and start-up/conversions, for all types of RHC ownership.

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I appreciate the support of my business for the past 32 years.  Thank you all and may you find God’s favor in everything you put your hand to!”


Jim Estes


Horizon Services, Inc.