2025-06-18T08:49:25-05:00 2024-12-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-06-03 993325377 Headwaters High Value Network Inc HEAD 4148281142 773 S 83rd St Grand Forks ND 58201 Ken Westman Chairperson 4148281142 2025-06-16 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-06-10 2024 2025-03-06 01:10:19Z X X Ken Westman 773 S 83rd St Grand Forks ND 58201 477381 0 X Headwatersnetwork.org X 2024 ND Empowering Minnesota's rural healthcare community thru collaboration, resource-sharing & support. 7 7 0 43 0 0 0 475000 2381 0 477381 0 0 0 0 0 436510 436510 40871 165871 125000 40871 X Headwaters Network enables rural healthcare providers to collaborate on clinical and operational initiatives, enhancing the quality of care, availability, and affordability in rural communities. 0 0 47796 475000 Headwaters 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. 47796 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 X Brett W Norell 4148281142 2535 Silveridge Drive Manitowoc WI 54220 X Ken Westman Chairman 4.00 X X 0 0 0 Randy Ulseth Vice-Chairman 2.00 X X 0 0 0 Carl Vaagenes Secretary/Treasurer 2.00 X X 0 0 0 Rachelle Schultz Director 2.00 X 0 0 0 Joel Beiswenger Director 2.00 X 0 0 0 Erik Bjerke Director 2.00 X 0 0 0 Carrie Michalski Director 2.00 X 0 0 0 Brett Norell CFO 5.00 X 0 0 0 0 0 0 0 0 0 0 Cibolo Health LLC 1858 Springwood Road Bethlehem PA 18015 Management Services 348952 1 Membership Dues 621110 475000 475000 475000 2381 2381 477381 475000 0 2381 348952 348952 39563 39563 18600 18600 375 176 199 308 308 12451 12451 16261 16261 436510 47796 388714 0 165871 0 165871 125000 0 125000 X 40871 0 40871 0 165871 40871 0 X 0 0 0 X 475000 475000 475000 475000 0 340000 340000 340000 340000 135000 2381 2381 2381 2381 477381 477381 X Part III, Short Year Explanation: The 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. 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.