Civic Intelligence

Headwaters High Value Network Inc

EIN 99-3325377 • 501(c)3 • Grand Forks, ND

Profile

Headwaters Network enables rural healthcare providers to collaborate on clinical and operational initiatives, enhancing the quality of care, availability, and affordability in rural communities.

773 S 83rd StGrand Forks, ND 58201

headwatersnetwork.org

Siviq Scores

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

Liabilities / Assets

91st percentile

0.75x

Higher debt load relative to assets than 91% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

88th percentile

0.26x

Higher debt load relative to revenue than 88% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

62nd percentile

8.6%

Higher net margin than 62% of similar nonprofits.

501(c)3 • <$500k 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

$165,871

No earlier filing loaded for comparison.

Liabilities

$125,000

No earlier filing loaded for comparison.

Net Assets

$40,871

No earlier filing loaded for comparison.

Revenue

$477,381

No earlier filing loaded for comparison.

Expenses

$436,510

No earlier filing loaded for comparison.

Net Income

$40,871

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$200K$150K$100K$50K$0Assets 2024: $165,871Liabilities 2024: $125,000Net Assets 2024: $40,8712024

Highlighted filing

2024

Assets$165,871
Liabilities$125,000
Net Assets$40,871

Operations Trend

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

$600K$400K$200K$0Revenue 2024: $477,381Expenses 2024: $436,510Net Income 2024: $40,8712024

Highlighted filing

2024

Revenue$477,381
Expenses$436,510
Net Income$40,871

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.66$1.25$0.41$4.77$4.37$0.41
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jun 3, 2024 to Dec 31, 2024
Signed
Jun 16, 2025
Return Version
2024v5.1
Gross Receipts
$477,381
Mission and Program Overview

Mission

Headwaters Network enables rural healthcare providers to collaborate on clinical and operational initiatives, enhancing the quality of care, availability, and affordability in rural communities.

Empowering Minnesota's rural healthcare community thru collaboration, resource-sharing & support.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$165,871-
Total Assets$0$165,871▲ $165,871
Liabilities
Deferred Revenue-$125,000-
Total Liabilities$0$125,000▲ $125,000
Net Assets / Fund Balance
Net Assets Without Donor Restrictions-$40,871-
Total Net Assets Fund Balance$0$40,871▲ $40,871
Total Liabilities and Net Assets / Fund Balance$0$165,871▲ $165,871
Compensation and Service Providers

Board Members and Trustees

NameTitle
Ken WestmanChairman
Randy UlsethVice-Chairman
Carrie MichalskiDirector
Erik BjerkeDirector
Joel BeiswengerDirector
Rachelle SchultzDirector
Brett NorellCFO
Carl VaagenesSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Cibolo Health LLCManagement Services1858 Springwood Road, Bethlehem, PA 18015$348,952
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$475,000
Investment Income
$2,381
Other Revenue
$0
Change in Net Assets
$40,871
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$436,510
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management-$348,952-$348,952
Fees for Services Legal-$39,563-$39,563
Advertising$18,600--$18,600
Conferences and Meetings$16,261--$16,261
Travel$12,451--$12,451
Office Expenses$176$199-$375
Information Technology$308--$308
Total Functional Expenses$47,796$388,714$0$436,510
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
No
Other officer compensation reviewed
No
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 3

Headwaters 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 his services he provided through them for the benefit of Headwaters High Value Network.

Form 990, Part VI, Section A, line 6

MN Hospitals that have requested membership and been admitted as members to the Headwater High Value Network, Inc.

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

Board of directors are 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: Admit additional Members; Remove a member except when dues and assessments are not paid within 90 day; Substantially change the present or now intended nature of the Corporation's operations or its mission; Amend the Articles or Bylaws Voluntary dissolve, merge convert, or sell or transfer of all or substantially all of the Corporation's assets to another entity in one transaction or a series of related transactions; Elect the Board of Directors; Exercise all other powers expressly reserved to the Members pursuant to the Corporation's Articles, Bylaws, or Minnesota Statutes Chapter 317A, the Minnesota Nonprofit Corporation Act.

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 CFO and Chairman will review the Form 990 and provide a copy to the Board prior to filing.

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

Any director, principal officer, or member of a committee with Headwaters 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. Persons with conflicts will recuse themselves from voting on issues on which they have a conflict.

Form 990, Part VI, Section C, line 19

Headwaters High Value Network, Inc. makes the governing documents, conflict of interest policy, and financial statements available upon request.

Filing and Contact Details

Filer

Filer Name
Headwaters High Value Network Inc
EIN
99-3325377
Phone
4148281142
Address
773 S 83rd St, Grand Forks, ND 58201

Signing Officer

Name
Ken Westman
Title
Chairperson
Phone
4148281142
Signed
2025-06-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ken Westman
Formed
2024
Legal Domicile
Nd
Voting Board Members
7
Independent Board Members
7
Employees
0
Volunteers
43

Preparer

Firm
Eide Bailly LLP
Address
4585 Coleman St Ste 200, Bismarck, ND 58503
Preparer
Lisa Chaffee CPA
Phone
7012551091
Raw XML Appendix327 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Headwaters Network was created for the advancement of a sustainable network of rural Minnesota hospitals and clinics that increases quality, pools member resources, manages financial risk and improves community health. Through the network, 18 rural hospitals joined together on clinical and operational fronts, amplifying the accessibility, affordability, and quality of care in Minnesota's rural communities. The organization is a beacon for over 750,000 patients, ensuring they receive nothing but the best care. The organization conducts several activities to achieve its mission including (1) development of a clinically integrated network (CIN), (2) expansion of care management capabilities through innovative collaborations to enhance the continuum of care, and (3) and the creation of shared services. The organization assists facilities in implementing strategies that enhance quality and care coordination based on their patients' specifics needs through ACO Management, Care Coordination, Transition Care Management, and Chronic Care Management. The Headwaters Network empowers its members hospitals to offer continuous care to patients across the network. The CIN Clinical Integration Committee, comprising a practitioner from each member hospital, supervises all clinical and quality initiatives.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The amounts included in the 2024 column are from the initial year of operations of Headwaters High Value Network, Inc and are from a short year.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part III, Short Year Explanation:
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Headwaters 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 his services he provided through them for the benefit of Headwaters High Value Network.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MN Hospitals that have requested membership and been admitted as members to the Headwater High Value Network, Inc.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Board of directors are elected by the Members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The following actions must be approved by two-thirds of all the Members: Admit additional Members; Remove a member except when dues and assessments are not paid within 90 day; Substantially change the present or now intended nature of the Corporation's operations or its mission; Amend the Articles or Bylaws Voluntary dissolve, merge convert, or sell or transfer of all or substantially all of the Corporation's assets to another entity in one transaction or a series of related transactions; Elect the Board of Directors; Exercise all other powers expressly reserved to the Members pursuant to the Corporation's Articles, Bylaws, or Minnesota Statutes Chapter 317A, the Minnesota Nonprofit Corporation Act.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4No committees are able to act on behalf of the board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The CFO and Chairman will review the Form 990 and provide a copy to the Board prior to filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Any director, principal officer, or member of a committee with Headwaters 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. Persons with conflicts will recuse themselves from voting on issues on which they have a conflict.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Headwaters High Value Network, Inc. makes the governing documents, conflict of interest policy, and financial statements available upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part VI, Section C, line 19
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IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0475000
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0477381
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt043
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0165871
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt012451
IRS990/TravelGrp/TotalAmt012451
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0773 S 83rd St
IRS990/USAddress/CityNm0Grand Forks
IRS990/USAddress/StateAbbreviationCd0ND
IRS990/USAddress/ZIPCd058201
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0Headwatersnetwork.org
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Ken Westman
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Chairperson
ReturnHeader/BusinessOfficerGrp/PhoneNum04148281142
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-06-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Headwaters High Value Network Inc
ReturnHeader/Filer/BusinessNameControlTxt0HEAD
ReturnHeader/Filer/EIN0993325377
ReturnHeader/Filer/PhoneNum04148281142
ReturnHeader/Filer/USAddress/AddressLine1Txt0773 S 83rd St
ReturnHeader/Filer/USAddress/CityNm0Grand Forks
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ND
ReturnHeader/Filer/USAddress/ZIPCd058201
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/PreparationDt02025-06-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Lisa Chaffee CPA
ReturnHeader/ReturnTs02025-06-18T08:49:25-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-06-03
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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