MOBRIDGE REGIONAL HOSPITAL

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1959

Legal Domicile

Principal Officer

JOHN AYOUB

Phone

6058453692

Tax Period

2023-10-01 to 2024-09-30

MOBRIDGE REGIONAL HOSPITAL, founded in 1959, is a mid-sized nonprofit in the Health Care sector that reported $30.0M in total revenue in fiscal year 2023. Revenue grew 10% year-over-year, indicating healthy expansion.

Mission

THE MISSION OF MOBRIDGE REGIONAL HOSPITAL IS TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE AND PROFESSIONAL MANNER FOR PEOPLE THROUGHOUT THE REGION.

Program Service Accomplishments

Program 1

Expenses: $25,082,424 Revenue: $28,869,353

MOBRIDGE REGIONAL HOSPITAL (MRH), A 25-BED CRITICAL ACCESS HOSPITAL, 16 BED ASSISTED LIVING CENTER, 8 BED SENIOR HOUSING CENTER, MEDICAL CLINICS, AND AMBULANCE SERVICE, PROVIDES HEALTHCARE SERVICES TO PERSONS THROUGHOUT THE REGION. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE HOSPITAL PROVIDED CARE TO THE NORTH CENTRAL REGION OF SOUTH DAKOTA, AND THE SOUTH CENTRAL REGION OF NORTH DAKOTA. THE HOSPITAL HAD:1,530 PATIENT DAYS1,307 ACUTE CARE DAYS542 SWING BED CARE DAYS4,868 EMERGENCY ROOM VISITS941 AMBULANCE RUNS19,057 RURAL HEALTH CLINIC VISITS7,417 ASSISTED LIVING DAYS (PRAIRIE SUNSET VILLAGE)CONSTRUCTION IN THE NEW PATIENT WING INCLUDING OB, MED/SURG AND PHARMACY CONCLUDED IN JANUARY 2024. THIS WAS PHASE I OF IV TOTAL PHASES OF THE PROJECT. THIS PHASE INCLUDED THE NEW PATIENT WING AND OUR NEW OB DEPARTMENT WITH 4 NEW LABOR AND DELIVERY ROOMS. AN ADDED BENEFIT TO OUR RECENTLY CONSTRUCTED PATIENT WING IS THE WEST-MOST PORTION OF THE ADDED WING, INCLUDING ITS OWN WAITING ROOM, DONNING AND DOFFING ROOMS AND NURSES STATION ALLOWING FOR ADDED PRIVACY, SECURITY, AND THESE FOUR ROOMS ARE ON A SEPARATE AIR HANDLER THAT CAN BE USED FOR EMERGENCY INFECTION CONTROL PURPOSES.

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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%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $826,505

Program Service Revenue $28,869,353

Investment Income $282,556

Other Revenue $0

TOTAL REVENUE $29,978,414

Expense Breakdown

Grants Paid $0

Salaries & Benefits $19,165,740

Fundraising Expenses $0

Program Expenses $25,082,424

Other Expenses $11,453,188

TOTAL EXPENSES $30,618,928

Year-over-Year Comparison

	2023	2022	Change
Revenue	$29,978,414	$27,167,311	+0.1%
Expenses	$30,618,928	$28,184,742	+0.1%
Net Income	$-640,514	$-1,017,431	-0.4%

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

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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

Governance

Voting Members

Independent Members

Employees

245

Volunteers

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

$175,100

Total Directors

$874,170

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DR TRAVIS HENDERSON	INTERNAL MEDICINE/DIRECTOR	40.00	Director	$390,117	$128,670	$518,787
DR ROBERT MARCIANO	FAMILY MD/DIRECTOR	40.00	Director	$324,291	$31,092	$355,383
BILL BACHMEIER	CHAIRMAN	1.00	Officer Director	$0	$0	$0
HEIDI ROSHAU	TREASURER	1.00	Officer Director	$0	$0	$0
PATTI SCHMEICHEL	SECRETARY	1.00	Officer Director	$0	$0	$0
LORI HEIL	VICE CHAIR	1.00	Officer Director	$0	$0	$0
ADAM HAYES	DIRECTOR	1.00	Director	$0	$0	$0
CHRISTOPHER BOHLANDER	DIRECTOR	1.00	Director	$0	$0	$0
JAKE KRAFT	DIRECTOR	1.00	Director	$0	$0	$0
RICHARD GROSS	DIRECTOR	1.00	Director	$0	$0	$0
LAURIE BAUER	DIRECTOR	1.00	Director	$0	$0	$0
JOSH WUDEL	DIRECTOR	1.00	Director	$0	$0	$0
RENAE KARST	CFO	40.00	Officer	$133,686	$41,414	$175,100
JOHN AYOUB	CEO	40.00	Officer	$0	$0	$0
BROOKE SHERBECK	CRNA	40.00	Highest	$253,138	$36,461	$289,599
DR MATT SCHAFFER	PHYSICIAN	40.00	Highest	$372,913	$64,660	$437,573
DR EMILY BODEN	PHYSICIAN	40.00	Highest	$368,302	$40,403	$408,705
DR JOSH HENDERSON	INTERNAL MEDICINE	40.00	Highest	$345,820	$40,032	$385,852
DR ALAN LAWRENCE	SURGEON	40.00	Highest	$433,492	$33,907	$467,399

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	$29,978,414	$30,618,928	$58,849,065	$-640,514
2023	$27,167,311	$28,184,742	$47,667,918	$-1,017,431
2022	$26,428,139	$26,105,293	$34,651,954	$322,846
2021	$29,915,928	$24,906,213	$37,250,293	$5,009,715
2020	$23,954,898	$22,950,517	$39,079,311	$1,004,381
2019	$24,158,710	$22,767,298	$28,197,894	$1,391,412
2018	$23,731,347	$22,604,698	$27,184,101	$1,126,649