Civic Intelligence

Rough Rider High Value Network

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.

10621 13th Ave NEBottineau, ND 58318

roughridernetwork.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

98th percentile

1.78x

Higher debt load relative to assets than 98% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

83rd percentile

0.61x

Higher debt load relative to revenue than 83% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

8th percentile

-41%

Higher net margin than 8% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0-$500KAssets 2023: $237,854Liabilities 2023: $12,000Net Assets 2023: $225,8542023Assets 2024: $553,139Liabilities 2024: $985,000Net Assets 2024: -$431,8612024

Highlighted filing

2024

Assets$553,139
Liabilities$985,000
Net Assets-$431,861

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2023: $1,070,062Expenses 2023: $844,208Net Income 2023: $225,8542023Revenue 2024: $1,618,595Expenses 2024: $2,276,310Net Income 2024: -$657,7152024

Highlighted filing

2024

Revenue$1,618,595
Expenses$2,276,310
Net Income-$657,715

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Aug 5, 2025
Return Version
2024v5.2
Gross Receipts
$1,618,595
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Alfred SamsPresidentFT$165,458$104,374$269,832

Board Members and Trustees

NameTitle
Ben BucherChairman (Through October)/Director
Stephanie EverettVice Chair/Treasurer
Jody NelsonChariman (From October)/Director
Chris AlbertsonDirector
Lukas FisherDirector
Michael DelfsDirector
Brett NorellCFO
Marcus LewisSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Cibolo Health LLCManagement Services1858 Springwood Road, Bethlehem, PA 18015$533,797
Revenue and Support

Revenue Composition

Contributions and Grants
$1,462,112
Program Service Revenue
$152,000
Investment Income
$4,483
Other Revenue
$0
All Other Contributions
$14,267
Change in Net Assets
$-657,715
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 2

Ben Bucher and Alfred Sams have a business relationship.

Form 990, Part VI, Section A, line 3

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.

Form 990, Part VI, Section A, line 6

There is one class of Members consisting of the rural hospitals.

Form 990, Part VI, Section A, line 7A

The board of directors is elected by the Members.

Form 990, Part VI, Section A, line 7B

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.

Form 990, Part VI, Section A, line 8B

No committees are able to act on behalf of the board.

Form 990, Part VI, Section B, line 11B

The President and Chief Financial Officer will review the Form 990 and make it available to the board for review.

Form 990, Part VI, Section B, line 12C

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.

Form 990, Part VI, Section B, line 15

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.

Form 990, Part VI, Section C, line 19

Available upon request.

Filing and Contact Details

Filer

Filer Name
Rough Rider High Value Network
EIN
92-2764055
Phone
2314097069
Address
10621 13th Ave NE, Bottineau, ND 58318

Signing Officer

Name
Alfred Sams
Title
President
Phone
2314097069
Signed
2025-08-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alfred Sams
Formed
2022
Legal Domicile
Nd
Voting Board Members
7
Independent Board Members
7
Employees
1
Volunteers
73

Preparer

Firm
Eide Bailly LLP
Address
4585 Coleman St Ste 200, Bismarck, ND 58503
Preparer
Lisa Chaffee CPA
Phone
7012551091
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

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.

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IRS990/Desc0Rough 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.
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt01618595
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt01070062
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02688657
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0165458
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount063887
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt05392
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt035095
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Alfred Sams
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0President
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0269832
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Ben Bucher and Alfred Sams have a business relationship.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Rough 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/ExplanationTxt2There is one class of Members consisting of the rural hospitals.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The board of directors is elected by the Members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The 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/ExplanationTxt5No committees are able to act on behalf of the board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6The President and Chief Financial Officer will review the Form 990 and make it available to the board for review.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Any 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/ExplanationTxt8In 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/ExplanationTxt9Available upon request.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Contract 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/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section A, line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990, Part VI, Section B, line 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990, Part IX, line 11g
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IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalAssetsGrp/BOYAmt0237854
IRS990/TotalAssetsGrp/EOYAmt0553139
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IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt049499
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02226811
IRS990/TotalFunctionalExpensesGrp/TotalAmt02276310
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt012000
IRS990/TotalLiabilitiesEOYAmt0985000
IRS990/TotalLiabilitiesGrp/BOYAmt012000
IRS990/TotalLiabilitiesGrp/EOYAmt0985000
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0225854
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-431861
IRS990/TotalOtherCompensationAmt040487
IRS990/TotalOthProgramServiceRevGrp/RelatedOrExemptFuncIncomeAmt02000
IRS990/TotalOthProgramServiceRevGrp/TotalRevenueColumnAmt02000
IRS990/TotalProgramServiceExpensesAmt02226811
IRS990/TotalProgramServiceRevenueAmt0152000
IRS990/TotalReportableCompFromOrgAmt0229345
IRS990/TotalRevenueGrp/ExclusionAmt04483
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0152000
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01618595
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt073
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0237854
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0553139
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt054050
IRS990/TravelGrp/TotalAmt054050
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt010621 13th Ave NE
IRS990/USAddress/CityNm0Bottineau
IRS990/USAddress/StateAbbreviationCd0ND
IRS990/USAddress/ZIPCd058318
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0https://roughridernetwork.org/
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Alfred Sams
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/PhoneNum02314097069
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-08-05
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Rough Rider High Value Network
ReturnHeader/Filer/BusinessNameControlTxt0ROUG
ReturnHeader/Filer/EIN0922764055
ReturnHeader/Filer/PhoneNum02314097069
ReturnHeader/Filer/USAddress/AddressLine1Txt010621 13th Ave NE

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