Rough Rider High Value Network

EIN: 922764055 501(c)(3) Health Care

Bottineau, ND

Total Revenue
$1,618,595
Total Expenses
$2,276,310
Total Assets
$553,139
Net Assets
$-431,861
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
2022
Legal Domicile
ND
Principal Officer
Alfred Sams
Phone
2314097069
Tax Period
2024-01-01 to 2024-12-31

Rough Rider High Value Network, founded in 2022, is a community nonprofit in the Health Care sector that reported $1.6M in total revenue in fiscal year 2024. Revenue surged 51% from the prior year, signaling strong growth momentum. Expenses of $2.3M exceeded revenue, resulting in a 41% operating deficit.

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.

Program Service Accomplishments

Program 1
Expenses: $2,226,811 Revenue: $152,000

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...

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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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $1,462,112
Program Service Revenue $152,000
Investment Income $4,483
Other Revenue $0
TOTAL REVENUE $1,618,595

Expense Breakdown

Grants Paid $0
Salaries & Benefits $291,264
Fundraising Expenses $0
Program Expenses $2,226,811
Other Expenses $1,985,046
TOTAL EXPENSES $2,276,310

Year-over-Year Comparison

2024 2023 Change
Revenue $1,618,595 $1,070,062 +0.5%
Expenses $2,276,310 $844,208 +1.7%
Net Income $-657,715 $225,854 -3.9%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Financial Health Indicators

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Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

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Governance

Voting Members
7
Independent Members
7
Employees
1
Volunteers
73

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
6
$269,832
Total Directors
7
$0
Key Employees
0
$0
Highest Compensated
0
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
Ben Bucher Chairman (Through October)/Director 4.00
Officer Director
$0 $0 $0
Jody Nelson Chariman (From October)/Director 2.00
Officer Director
$0 $0 $0
Stephanie Everett Vice Chair/Treasurer 2.00
Officer Director
$0 $0 $0
Marcus Lewis Secretary 2.00
Officer Director
$0 $0 $0
Lukas Fisher Director 2.00
Director
$0 $0 $0
Michael Delfs Director 2.00
Director
$0 $0 $0
Chris Albertson Director 2.00
Director
$0 $0 $0
Alfred Sams President 40.00
Officer
$229,345 $40,487 $269,832
Brett Norell CFO 5.00
Officer
$0 $0 $0
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 $1,618,595 $2,276,310 $553,139 $-657,715
2023 $1,070,062 $844,208 $237,854 $225,854
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