Rough Rider High Value Network
Public records show a registered, tax-exempt organization in good standing.
Points to look into
- It owes more than it owns.
These come from the organization's own tax return. There may be a good explanation; ask the charity.
What it says it does
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.
- Income
- $1.6 million
- Spending
- $2.3 million
- Spent on programs
- 98%
- Reserves
- -2.3 months of spending
- Largest source of income
- government grants, 90%
- Employees
- 1
- Volunteers
- 73
- Highest pay
- $269,832, president
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 30 out of 100. Higher than 5% of charities in its peer group (health care, $1m to $10m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
0 of 20It owes 178% of what it owns.
Living within its means
0 of 15Spending exceeded income by 41% of income.
Income trend
15 of 15Income rose 51% on the year before.
Spending floor
15 of 1598% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 70 out of 100. Higher than 19% of charities in its peer group (health care, $1m to $10m).
Independent board
25 of 257 of 7 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
0 of 8Reports no written whistleblower policy.
Record keeping policy
0 of 7Reports no written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
0 of 15Its accounts were not audited or reviewed by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $2.2 million spent. 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.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.