Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
EIN 92-2764055 • 501(c)3 • Bottineau, ND
Profile
To create and advance a sustainable network of rural North Dakota hospitals and clinics that increases clinical quality, pools member resources, manages financial risk, and improves community health.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
Liabilities / Revenue
83rd percentile
Higher debt load relative to revenue than 83% of similar nonprofits.
Net Margin
8th percentile
Higher net margin than 8% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Assets
Up$553,139
Up $315,285 (+133%) from 2023
Liabilities
Up$985,000
Up $973,000 (+8108%) from 2023
Net Assets
Down-$431,861
Down $657,715 (-291%) from 2023
Revenue
Up$1,618,595
Up $548,533 (+51%) from 2023
Expenses
Up$2,276,310
Up $1,432,102 (+170%) from 2023
Net Income
Down-$657,715
Down $883,569 (-391%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To create and advance a sustainable network of rural North Dakota hospitals and clinics that increases clinical quality, pools member resources, manages financial risk, and improves community health.
Empowering ND's rural healthcare community through collaboration, resource-sharing, and support.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $172,119 | $432,814 | ▲ $260,695 |
| Accounts Receivable | $65,735 | $120,325 | ▲ $54,590 |
| Total Assets | $237,854 | $553,139 | ▲ $315,285 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $12,000 | $750,000 | ▲ $738,000 |
| Deferred Revenue | - | $235,000 | - |
| Total Liabilities | $12,000 | $985,000 | ▲ $973,000 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $225,854 | $-431,861 | ▼ $657,715 |
| Total Net Assets Fund Balance | $225,854 | $-431,861 | ▼ $657,715 |
| Total Liabilities and Net Assets / Fund Balance | $237,854 | $553,139 | ▲ $315,285 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Alfred Sams | President | FT | $165,458 | $104,374 | $269,832 |
| Name | Title |
|---|---|
| Ben Bucher | Chairman (Through October)/Director |
| Stephanie Everett | Vice Chair/Treasurer |
| Jody Nelson | Chariman (From October)/Director |
| Chris Albertson | Director |
| Lukas Fisher | Director |
| Michael Delfs | Director |
| Brett Norell | CFO |
| Marcus Lewis | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Cibolo Health LLC | Management Services | 1858 Springwood Road, Bethlehem, PA 18015 | $533,797 |
| Line Item | Amount |
|---|---|
| Other Expenses | $1,985,046 |
| Salaries, Compensation, and Employee Benefits | $291,264 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Information Technology | $1,052,456 | - | - | $1,052,456 |
| Fees for Services Other | $779,618 | - | - | $779,618 |
| Current Officers, Directors, Trustees, and Key Employees | $269,832 | - | - | $269,832 |
| Travel | $54,050 | - | - | $54,050 |
| Conferences and Meetings | $46,044 | - | - | $46,044 |
| Fees for Services Management | - | $22,500 | - | $22,500 |
| Payroll Taxes | $21,432 | - | - | $21,432 |
| Office Expenses | - | $8,055 | - | $8,055 |
| Fees for Services Accounting | - | $8,029 | - | $8,029 |
| Insurance | - | $6,788 | - | $6,788 |
| Fees for Services Legal | - | $4,127 | - | $4,127 |
| Advertising | $3,379 | - | - | $3,379 |
| Total Functional Expenses | $2,226,811 | $49,499 | $0 | $2,276,310 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Ben Bucher and Alfred Sams have a business relationship.”
“Rough Rider High Value Network delegated control over management duties to Cibolo Health. Brett Norell served as the Chief Financial Officer and was a contractor of Cibolo Health. During 2024, he received $22,500 in compensation from Cibolo Health for the services he provided for the benefit of Rough Rider High Value Network.”
“There is one class of Members consisting of the rural hospitals.”
“The board of directors is elected by the Members.”
“The following actions must be approved by two-thirds of all the Members: admission of additional Members, substantial changes to the present or now intended nature of the Corporation's operations or its mission, amendments to the Articles of Incorporation or Bylaws, and voluntary dissolution, merger, conversion, sale or transfer of all or substantially all of the RRHVN's assets to another entity in one transaction or a series of related transactions.”
“No committees are able to act on behalf of the board.”
“The President and Chief Financial Officer will review the Form 990 and make it available to the board for review.”
“Any director, principal officer, or member of a committee with RRHVN Governing Board delegated powers, who has a direct or indirect financial interest, as defined below, is an interested person. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of committees with Governing Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, they shall leave the Governing Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists.”
“In 2023, the Rough Rider High Value Network utilized compensation from like networks and the ND Hospitals Association Salary Survey for Healthcare Executives in determining the compensation paid to the top management official and other officer.”
“Available upon request.”
“Contract Modeling: Program service expenses 117,118. Management and general expenses 0. Fundraising expenses 0. Total expenses 117,118. Contract & Professional Fees: Program service expenses 662,500. Management and general expenses 0. Fundraising expenses 0. Total expenses 662,500.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 12000 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 750000 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 65735 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 120325 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Empowering ND's rural healthcare community through collaboration, resource-sharing, and support. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 3379 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 3379 |
| IRS990/AllOtherContributionsAmt | 0 | 14267 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Alfred Sams |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2314097069 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 10621 13th Ave NE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Bottineau |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 58318 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 269832 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 269832 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 46044 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 46044 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 533797 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1858 Springwood Road |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Bethlehem |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 18015 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Cibolo Health LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Management Services |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1462112 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 4483 |
| IRS990/CYOtherExpensesAmt | 0 | 1985046 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 152000 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -657715 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 291264 |
| IRS990/CYTotalExpensesAmt | 0 | 2276310 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1618595 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 235000 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/Desc | 0 | Rough Rider High-Value Network was created for the advancement of a sustainable network of rural North Dakota hospitals and clinics that increases clinical quality, pools member resources, manages financial risk, and improves community health. Through the network, 22 rural hospitals joined forces on clinical and operational fronts, amplifying the accessibility, affordability, and quality of care in North Dakota's rural communities. The organization is a beacon for over 350,000 patients, ensuring they receive nothing but the best care. The organization conducts several activities to achieve its missions, including (1) creation of a shared services co-op, (2) development of a clinically integrated network (CIN), and (3) expansion of care management capabilities through innovative collaborations to enhance the continuum of care. The organization provides its members an opportunity to encompass vendor solutions ranging from project specific assistance to complete infrastructure management and operation in a variety of operational and service areas. The organization also assists facilities in implementing strategies that enhance quality and care coordination based on their patients' specific needs through ACO Management, Care Coordination, Transitional Care Management, and Chronic Care Management. The Rough Rider Clinical Integration Network (CIN) empowers its member hospitals to offer continuous care to patients across the network. The CIN's Clinical Integration Committee, comprising a practitioner from each member hospital, supervises all clinical and quality initiatives. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 1 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 2226811 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 8029 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 8029 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 4127 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 4127 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 22500 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 22500 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 779618 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 779618 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 40487 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Ben Bucher |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Jody Nelson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Stephanie Everett |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Marcus Lewis |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Lukas Fisher |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Michael Delfs |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Chris Albertson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Alfred Sams |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Brett Norell |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 229345 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chairman (Through October)/Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Chariman (From October)/Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Vice Chair/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CFO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2022 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedInd | 0 | 0 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 1447845 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 1618595 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1052456 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1052456 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 6788 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 6788 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 4483 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 4483 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 3 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | ND |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | To create and advance a sustainable network of rural North Dakota hospitals and clinics that increases clinical quality, pools member resources, manages financial risk, and improves community health. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 225854 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -431861 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 225854 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -431861 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 8055 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 8055 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 21432 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 21432 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | Alfred Sams |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Membership Dues |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 150000 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 150000 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 480391 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1394 |
| IRS990/PYOtherExpensesAmt | 0 | 741101 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 588277 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 225854 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 103107 |
| IRS990/PYTotalExpensesAmt | 0 | 844208 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 1070062 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -657715 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 152000 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 172119 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 432814 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/First5Years509Ind | 0 | X |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 1462112 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 480391 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1942503 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 4483 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 1394 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 5877 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 152000 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 588277 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 740277 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 4483 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 1394 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 5877 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 2317504 |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | Ben Bucher and Alfred Sams have a business relationship. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | Rough Rider High Value Network delegated control over management duties to Cibolo Health. Brett Norell served as the Chief Financial Officer and was a contractor of Cibolo Health. During 2024, he received $22,500 in compensation from Cibolo Health for the services he provided for the benefit of Rough Rider High Value Network. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | There is one class of Members consisting of the rural hospitals. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | The board of directors is elected by the Members. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | The following actions must be approved by two-thirds of all the Members: admission of additional Members, substantial changes to the present or now intended nature of the Corporation's operations or its mission, amendments to the Articles of Incorporation or Bylaws, and voluntary dissolution, merger, conversion, sale or transfer of all or substantially all of the RRHVN's assets to another entity in one transaction or a series of related transactions. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | No committees are able to act on behalf of the board. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | The President and Chief Financial Officer will review the Form 990 and make it available to the board for review. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | Any director, principal officer, or member of a committee with RRHVN Governing Board delegated powers, who has a direct or indirect financial interest, as defined below, is an interested person. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of committees with Governing Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, they shall leave the Governing Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | In 2023, the Rough Rider High Value Network utilized compensation from like networks and the ND Hospitals Association Salary Survey for Healthcare Executives in determining the compensation paid to the top management official and other officer. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | Available upon request. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 10 | Contract Modeling: Program service expenses 117,118. Management and general expenses 0. Fundraising expenses 0. Total expenses 117,118. Contract & Professional Fees: Program service expenses 662,500. Management and general expenses 0. Fundraising expenses 0. Total expenses 662,500. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part VI, Section A, line 2 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part VI, Section A, line 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part VI, Section A, line 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Part VI, Section A, line 7a |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Form 990, Part VI, Section A, line 7b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Form 990, Part VI, Section A, line 8b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | Form 990, Part VI, Section B, line 11b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | Form 990, Part VI, Section B, line 12c |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | Form 990, Part VI, Section B, line 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 9 | Form 990, Part VI, Section C, line 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 10 | Form 990, Part IX, line 11g |
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| IRS990/UnrelatedBusIncmOverLimitInd | 0 | 0 |
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| IRS990/USAddress/AddressLine1Txt | 0 | 10621 13th Ave NE |
| IRS990/USAddress/CityNm | 0 | Bottineau |
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| IRS990/WebsiteAddressTxt | 0 | https://roughridernetwork.org/ |
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| ReturnHeader/BuildTS | 0 | 2025-03-06 01:10:19Z |
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| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | Alfred Sams |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | President |
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| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2025-08-05 |
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