Civic Intelligence

Rough Rider High Value Network

990 • Fiscal year 2023 • EIN 92-2764055

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 15, 2024

10621 13th Ave NEBottineau, ND 58318

(231) 409-7069

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

40th percentile

0.05x

Higher debt load relative to assets than 40% of similar nonprofits.

2023 filings • NTEE E • $1M-$5M nonprofits • Source year 2023

Liabilities / Revenue

24th percentile

0.01x

Higher debt load relative to revenue than 24% of similar nonprofits.

2023 filings • NTEE E • $1M-$5M nonprofits • Source year 2023

Net Margin

78th percentile

21%

Higher net margin than 78% of similar nonprofits.

2023 filings • NTEE E • $1M-$5M nonprofits • Source year 2023

Top Officer Pay

54th percentile

$96,313

Higher top officer pay than 54% of similar nonprofits.

Top officer pay equals 9.0% of source-year revenue.

2023 filings • NTEE E • $1M-$5M nonprofits • Source year 2023

Asset Growth

Score unavailable

No value available

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

Source year 2023

Revenue Growth

Score unavailable

No value available

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

Source year 2023

Assets

$237,854

No earlier filing loaded for comparison.

Net Assets

$225,854

No earlier filing loaded for comparison.

Liabilities

$12,000

No earlier filing loaded for comparison.

Revenue

$1,070,062

No earlier filing loaded for comparison.

Expenses

$844,208

No earlier filing loaded for comparison.

Net Income

$225,854

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2023

Assets$237,854
Liabilities$12,000
Net Assets$225,854

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2023

Revenue$1,070,062
Expenses$844,208
Net Income$225,854
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 15, 2024
Return Version
2023v5.1
Gross Receipts
$1,070,062
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-
Accounts Receivable-$65,735-
Total Assets$0$237,854▲ $237,854
Liabilities
Accounts Payable and Accrued Expenses-$12,000-
Total Liabilities$0$12,000▲ $12,000
Net Assets / Fund Balance
Net Assets Without Donor Restrictions-$225,854-
Total Net Assets Fund Balance$0$225,854▲ $225,854
Total Liabilities and Net Assets / Fund Balance$0$237,854▲ $237,854
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Alfred Sams - Director untilMay)/President (as of July)$82,404$13,909$96,313

Board Members and Trustees

NameTitle
Ben BucherBoard President/Chairman
Steph EverettTreasurer/Vice Chairman
Jody NelsonDirector
Michael DelfsDirector
Theo StollerDirector
Lukas FisherDirector (July - Dec)
Brett NorellCFO
Marcus LewisSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
HVN Solution LLCStaffing Services and Contract Modeling1858 Springwood Road, Bethlehem, PA 18015$566,743
Revenue and Support

Revenue Composition

Contributions and Grants
$480,391
Program Service Revenue
$588,277
Investment Income
$1,394
Other Revenue
$0
Change in Net Assets
$225,854
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$741,101
Salaries, Compensation, and Employee Benefits$103,107
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$534,341--$534,341
Current Officers, Directors, Trustees, and Key Employees$96,313--$96,313
Fees for Services Management-$80,000-$80,000
Fees for Services Legal-$56,409-$56,409
Advertising$29,320--$29,320
Travel$19,667--$19,667
Conferences and Meetings$14,045--$14,045
Payroll Taxes$6,794--$6,794
Insurance-$6,643-$6,643
Office Expenses-$676-$676
Total Functional Expenses$700,480$143,728$0$844,208
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 Newpoint Healthcare Advisors and Cibolo Health. Brett Norell served as the Chief Financial Officer and was a contractor of Newpoint Healthcare Advisors and Cibolo Health. During 2023, he received $70,000 in compensation from Newpoint Healthcare Advisors and $10,000 in compensation from Cibolo Health for his services he provided through them 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 critical access 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
2024-11-15
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
7

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 105,400. Management and general expenses 0. Fundraising expenses 0. Total expenses 105,400. Contract & Professional Fees: Program service expenses 428,941. Management and general expenses 0. Fundraising expenses 0. Total expenses 428,941.

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IRS990/Desc0Rough Rider High-Value Network was created for an 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, 23 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 225,000 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Ben Bucher and Alfred Sams have a business relationship.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Rough Rider High Value Network delegated control over management duties to Newpoint Healthcare Advisors and Cibolo Health. Brett Norell served as the Chief Financial Officer and was a contractor of Newpoint Healthcare Advisors and Cibolo Health. During 2023, he received $70,000 in compensation from Newpoint Healthcare Advisors and $10,000 in compensation from Cibolo Health for his services he provided through them for the benefit of Rough Rider High Value Network.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2There is one class of Members consisting of the critical access 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 105,400. Management and general expenses 0. Fundraising expenses 0. Total expenses 105,400. Contract & Professional Fees: Program service expenses 428,941. Management and general expenses 0. Fundraising expenses 0. Total expenses 428,941.
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
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsEOYAmt0237854
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt0237854
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0480391
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0143728
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0700480
IRS990/TotalFunctionalExpensesGrp/TotalAmt0844208
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt012000
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt012000
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0225854
IRS990/TotalOtherCompensationAmt013909
IRS990/TotalProgramServiceExpensesAmt0700480
IRS990/TotalProgramServiceRevenueAmt0588277
IRS990/TotalReportableCompFromOrgAmt082404
IRS990/TotalRevenueGrp/ExclusionAmt01394
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0588277
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01070062
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt07
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0237854
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt019667
IRS990/TravelGrp/TotalAmt019667
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/BuildTS02024-10-15 13:58:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Alfred Sams
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/PhoneNum02314097069
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Rough Rider High Value Network
ReturnHeader/Filer/BusinessNameControlTxt0ROUG
ReturnHeader/Filer/EIN0922764055
ReturnHeader/Filer/PhoneNum02314097069
ReturnHeader/Filer/USAddress/AddressLine1Txt010621 13th Ave NE
ReturnHeader/Filer/USAddress/CityNm0Bottineau
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ND
ReturnHeader/Filer/USAddress/ZIPCd058318
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0450250958
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Eide Bailly LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04585 Coleman St Ste 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Bismarck
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd058503
ReturnHeader/PreparerPersonGrp/PhoneNum07012551091
ReturnHeader/PreparerPersonGrp/PreparationDt02024-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Lisa Chaffee CPA
ReturnHeader/ReturnTs02024-11-15T13:14:22-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02023-01-01
ReturnHeader/TaxPeriodEndDt02023-12-31
ReturnHeader/TaxYr02023

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