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      <SubstAndDsqlfyPrsnsTotGrp>
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        <TotalAmt>331462</TotalAmt>
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      <PublicSupportTotal509Amt>737206</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearAmt>1394</CurrentTaxYearAmt>
        <TotalAmt>1394</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearAmt>1394</CurrentTaxYearAmt>
        <TotalAmt>1394</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearAmt>1070062</CurrentTaxYearAmt>
        <TotalAmt>1070062</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <First5Years509Ind>X</First5Years509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Ben Bucher and Alfred Sams have a business relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>There is one class of Members consisting of the critical access hospitals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors is elected by the Members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>No committees are able to act on behalf of the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The President and Chief Financial Officer will review the Form 990 and make it available to the board for review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contract Modeling: Program service expenses 105,400. Management and general expenses 0. Fundraising expenses 0. Total expenses 105,400. Contract &amp; Professional Fees: Program service expenses 428,941. Management and general expenses 0. Fundraising expenses 0. Total expenses 428,941.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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