2026-07-31T14:04:08-05:00 2025-09-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-10-01 460255944 MOBRIDGE REGIONAL HOSPITAL MOBR 6058453692 1401 10TH AVE W MOBRIDGE SD 57601 JOHN AYOUB CEO 6058453692 2026-07-30 1 1 LAURIE HANSON CPA P00851848 6053391999 2026-07-29 2024 2025-03-06 01:10:19Z JOHN AYOUB 1401 10TH AVE W MOBRIDGE SD 57601 33726057 0 X WWW.MOBRIDGEHOSPITAL.ORG X 1959 SD PROVIDING HEALTHCARE TO PEOPLE THROUGHOUT THE REGION. 11 9 245 75 0 0 826505 1339062 28869353 32139814 282556 247181 0 0 29978414 33726057 0 0 0 0 19165740 20533422 0 0 0 11453188 15493747 30618928 36027169 -640514 -2301112 58849065 68124082 32528581 44178081 26320484 23946001 X THE MISSION OF MOBRIDGE REGIONAL HOSPITAL IS TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES IN A COMPASSIONATE AND PROFESSIONAL MANNER FOR PEOPLE THROUGHOUT THE REGION. 1 0 30893894 32139814 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, 2025, THE HOSPITAL PROVIDED CARE TO THE NORTH CENTRAL REGION OF SOUTH DAKOTA, AND THE SOUTH CENTRAL REGION OF NORTH DAKOTA. THE HOSPITAL HAD:1,733 TOTAL PATIENT DAYS1,625 ACUTE PATIENT DAYS354 SWING BED DAYS4,867 ER VISITS975 AMBULANCE RUNS18,852 RHC CLINIC VISITS9,520 RADIOLOGY TESTS49,761 LABORATORY TESTS 30893894 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 1 245 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X RENAE KARST 6058458164 PO BOX 580 MOBRIDGE SD 57601 DR TRAVIS HENDERSON INTERNAL MEDICINE/DIRECTOR 40.00 0.00 X 400836 0 161683 DR ROBERT MARCIANO FAMILY MD/DIRECTOR 40.00 0.00 X 279253 0 30928 BILL BACHMEIER CHAIRMAN 1.00 0.00 X X 0 0 0 HEIDI ROSHAU VICE CHAIR 1.00 0.00 X X 0 0 0 PATTI SCHMEICHEL SECRETARY 1.00 0.00 X X 0 0 0 LORI HEIL TREASURER 1.00 0.00 X X 0 0 0 KEN ODDE DIRECTOR BEG 10/2024 1.00 0.00 X 0 0 0 CHRISTOPHER BOHLANDER DIRECTOR UNTIL 08/2025 1.00 0.00 X 0 0 0 JAKE KRAFT DIRECTOR 1.00 0.00 X 0 0 0 RICHARD GROSS DIRECTOR 1.00 0.00 X 0 0 0 LAURIE BAUER DIRECTOR 1.00 0.00 X 0 0 0 JOSH WUDEL DIRECTOR 1.00 1.00 X 0 0 0 RENAE KARST CFO 40.00 0.00 X 137581 0 42163 JOHN AYOUB CEO 40.00 0.00 X 239308 0 64628 JESSICA NORDER APC 40.00 0.00 X 237366 0 34012 DR MATT SCHAFFER PHYSICIAN 40.00 0.00 X 400604 0 69083 DR EMILY BODEN PHYSICIAN 40.00 0.00 X 353073 0 40793 DR JOSH HENDERSON INTERNAL MEDICINE 40.00 0.00 X 346387 0 46893 DR ALAN LAWRENCE SURGEON 40.00 0.00 X 395951 0 46099 2790359 0 536282 36 0 1 0 KRAUS-ANDERSON CONSTRUCTION COMPANY 501 SOUTH 8TH STREET MINNEAPOLIS MN 55404 CONSTRUCTION SERVICES 8786810 CERNER CORP CO ORACLE AM INC PO BOX 203448 DALLAS TX 75320 IT SERVICE 920230 HIGH POINT NETWORKS 728 E BEATON DRIVE SUITE 200 WEST FARGO ND 78078 IT SERVICE 284159 NORTHLAND IMAGING SERVICE 2223 E ROSSER BISMARCK ND 58501 MRI SERVICES 262141 NORTHERN PLAINS LAB PO BOX 2036 BISMARCK ND 58502 LAB SERVICES 204814 13 500000 820362 18700 1339062 PATIENT SERVICE REVENUE 621400 29027560 29027560 PHARMACY REVENUE 621400 2950122 2950122 162132 162132 32139814 242145 242145 5036 0 5036 5036 5036 33726057 32139814 0 247181 1146169 683950 462219 14805519 12717457 2088062 486308 426279 60029 3025436 2897401 128035 1069990 903045 166945 16131 16131 106868 106868 2175860 1595629 580231 104838 845 103993 146548 49415 97133 91380 5985 85395 723666 672816 50850 66635 50073 16562 75592 73840 1752 1523369 1395863 127506 3796384 3619181 177203 390713 381167 9546 MEDICAL SUPPLIES 4309023 4211052 97971 EQUIPMENT AND MAINTENAN 1742428 1078184 664244 DUES AND SUBSCRIPTIONS 56430 27224 29206 167882 104488 63394 36027169 30893894 5133275 0 7209514 7505241 3890013 4394879 587911 537805 165475 352724 86523565 35726878 42603413 50796687 2104731 1696064 553903 508727 1734105 2331955 58849065 68124082 4371824 4926163 24212448 35208340 2893810 2790378 1050499 1253200 32528581 44178081 X 24744193 22443081 1576291 1502920 26320484 23946001 58849065 68124082 X -2301112 -73371 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 104552 104552 50116504 14268907 35847597 27772048 20527246 7244802 8530461 930725 7599736 50796687 DEFERRED COMPENSATION PLAN PAYABLE 1253200 1253200 X 33726057 0 33726057 0 33726057 36027169 0 36027169 0 36027169 PART X, LINE 2: THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 1 X 1 X 1 X 1 1 1 0 0 98000 98000 0.00270 7440226 4757264 2682962 0.07450 7538226 4757264 2780962 0.07720 1182748 227384 955364 0.02650 1182748 227384 955364 0.02650 8720974 4984648 3736326 0.10370 1 635683 116330 10118693 10294632 -175939 X 1 1 1 1 MOBRIDGE REGIONAL HOSPITAL 1401 10TH AVENUE W MOBRIDGE SD 57601 WWW.MOBRIDGEHOSPITAL.ORG 48404 X X X X 4 PROVIDER BASED CLINICS MOBRIDGE REGIONAL HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE 7D X X 1 24 1 SEE PART V, LINE 10A NARRATIVE. 0 1 X 100.000000000000 200.000000000000 X X X X X 1 1 X X X 1 X SEE NARRATIVE X SEE NARRATIVE X SEE NARRATIVE X X X X X X 1 X 0 X X X X 1 X 0 0 MOBRIDGE REGIONAL HOSPITAL PART V, SECTION B, LINE 5: THE MOBRIDGE REGIONAL HOSPITAL ASSESSMENT WAS COMPLETED THROUGH A STRUCTURED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS DESIGNED TO IDENTIFY COMMUNITY HEALTH PRIORITIES AND DEVELOP AN IMPLEMENTATION STRATEGY.SUMMARY OF THE PROCESS:1. MOBRIDGE REGIONAL HOSPITAL & CLINICS IDENTIFIED ITS PRIMARY SERVICE AREA AS CAMPBELL, CORSON, DEWEY, AND WALWORTH COUNTIES, THEN REVIEWED DEMOGRAPHIC, ECONOMIC, HEALTH ACCESS, INSURANCE, AND POPULATION DATA TO UNDERSTAND THE REGION'S BASELINE NEEDS.2. A 29-QUESTION COMMUNITY SURVEY WAS DISTRIBUTED ONLINE AND IN PAPER FORM FROM JANUARY 8 TO MAY 9, 2025. IT WAS PROMOTED THROUGH LOCAL MEDIA, SOCIAL MEDIA, CLINICS, PRAIRIE SUNSET VILLAGE, AND COMMUNITY EVENTS. THE SURVEY GATHERED BOTH QUANTITATIVE RATINGS AND OPEN-ENDED FEEDBACK ABOUT HOUSEHOLD AND COMMUNITY HEALTH CONCERNS.3. MRH&C RECEIVED 123 COMPLETED SURVEYS. RESULTS WERE REVIEWED FOR MAJOR THEMES, INCLUDING HEALTHCARE ACCESS, CHRONIC ILLNESS, MENTAL AND BEHAVIORAL HEALTH, SUBSTANCE USE DISORDERS, TRANSPORTATION, CHILDCARE, AFFORDABILITY, AND SPECIALTY CARE. THE REPORT ALSO NOTES LIMITATIONS, INCLUDING A RESPONSE RATE UNDER 1% AND AN UNREPRESENTATIVE SAMPLE.4. COMMUNITY SURVEY FINDINGS WERE CONSIDERED ALONGSIDE CENSUS DATA, HEALTH PROFESSIONAL SHORTAGE AREA INFORMATION, INSURANCE COVERAGE DATA, INCOME AND POVERTY MEASURES, AND OTHER OBJECTIVE INDICATORS.5. TWO FOCUS GROUPS WERE HELD IN JUNE 2025 AT MOBRIDGE REGIONAL HOSPITAL. PARTICIPANTS REVIEWED THE DATA, DISCUSSED COMMUNITY NEEDS, AND SUGGESTED PRIORITY AREAS SUCH AS BEHAVIORAL HEALTH, TRANSPORTATION, CANCER CARE, HOSPICE/PALLIATIVE CARE, DIABETES/ENDOCRINOLOGY, CHILDCARE, AND SPECIALTY SERVICES.6. AN INITIAL PRESENTATION WAS MADE TO THE BOARD ON AUGUST 27, 2025. TRUSTEES DISCUSSED THE FINDINGS, SURVEY LIMITATIONS, WAYS TO IMPROVE FUTURE ASSESSMENTS, AND POSSIBLE FOCUS AREAS FOR THE NEXT THREE YEARS.7. STAFF RECOMMENDED PRIORITY AREAS TO ADDRESS BOTH INTERNALLY AND COLLABORATIVELY. 8. THE BOARD APPROVED THE IMPLEMENTATION STRATEGY AT ITS REGULAR MEETING ON SEPTEMBER 17, 2025.IN SHORT, THE ASSESSMENT COMBINED COMMUNITY SURVEY DATA, OBJECTIVE DEMOGRAPHIC AND HEALTH DATA, FOCUS GROUP FEEDBACK, STAFF ANALYSIS, AND BOARD INPUT TO IDENTIFY THE REGION'S MOST IMPORTANT HEALTH NEEDS AND CREATE A PRACTICAL PLAN FOR 2025-2027. MOBRIDGE REGIONAL HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE AT HTTPS://MOBRIDGEHOSPITAL.ORG/IMAGE/CACHE/FINAL_MRH_C_CHNA_2025_-_SIGNED.PDFMOBRIDGE REGIONAL HOSPITAL:PART V, SECTION B, LINE 10ATHE HOSPITAL'S IMPLEMENTATION STRATEGY IS POSTED ON THE WEBSITE AT HTTPS://MOBRIDGEHOSPITAL.ORG/IMAGE/CACHE/FINAL_MRH_C_CHNA_2025_-_SIGNED.PDFTHE IMPLEMENTATION STRATEGY BEGINS ON PAGE 11 OF THE CHNA. MOBRIDGE REGIONAL HOSPITAL PART V, SECTION B, LINE 11: IN THE CHNA AND IMPLEMENTATION STRATEGY COMPLETED DURING FY25, THE FOLLOWING PRIORITY ITEMS WERE IDENTIFIED AND WILL BE ADDRESSED:1. EXPAND LOCAL CARE ACCESSGROW CANCER CARE, INFUSION SERVICES, AND SPECIALTY CLINICS TO REDUCE PATIENT TRAVEL AND IMPROVE CONTINUITY OF CARE.2. INCREASE SERVICE AWARENESS AND IMPROVE HEALTH EDUCATIONBETTER PROMOTE EXISTING AND NEW SERVICES SO RESIDENTS KNOW WHAT RESOURCES ARE AVAILABLE AND HOW TO ACCESS THEM.STRENGTHEN COMMUNITY HEALTH LITERACY, PREVENTIVE CARE AWARENESS, AND UNDERSTANDING OF BEHAVIORAL HEALTH, CHRONIC DISEASE, AND AVAILABLE RESOURCES.3. SUPPORT AFFORDABLE CHILDCAREPARTNER WITH COMMUNITY ORGANIZATIONS TO EXPAND ACCESSIBLE, SUSTAINABLE CHILDCARE OPTIONS FOR FAMILIES.4. STRENGTHEN BEHAVIORAL HEALTH SERVICESIMPROVE ACCESS TO MENTAL HEALTH, SUBSTANCE USE TREATMENT, CRISIS SUPPORT, AND RECOVERY RESOURCES.5. REDUCE TRANSPORTATION BARRIERSCOORDINATE TRANSPORTATION RESOURCES SO PATIENTS CAN MORE RELIABLY ACCESS APPOINTMENTS, SPECIALTY CARE, AND SUPPORT SERVICES.6. PROTECT HEALTH INSURANCE ACCESSHELP RESIDENTS OBTAIN, MAINTAIN, AND UNDERSTAND AFFORDABLE HEALTH INSURANCE COVERAGE TO REDUCE DELAYS IN CARE.WHILE MRH RECOGNIZES A NUMBER OF ADDITIONAL COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE ASSESSMENT PROCESS, THESE ISSUES WERE NOT SELECTED AS PRIMARY FOCUS AREAS FOR THE 2025-2027 IMPLEMENTATION PERIOD. NEEDS THAT WILL NOT RECEIVE DIRECT ORGANIZATIONAL FOCUS INCLUDE DIALYSIS SERVICES, NURSING HOME AND LONG-TERM CARE EXPANSION, AFFORDABLE FITNESS AND RECREATION FACILITIES, EXPANDED DENTAL CARE ACCESS, HOUSING INITIATIVES, DISABILITY SERVICES, CAREGIVER SUPPORT PROGRAMS, IN-HOME SENIOR CARE SERVICES, AND TOBACCO CESSATION PROGRAMS. ADDITIONALLY, BROADER SOCIAL DETERMINANTS AND COMMUNITY CONCERNS - INCLUDING POVERTY, CHILD ABUSE AND NEGLECT, DOMESTIC VIOLENCE, SCHOOL VIOLENCE AND BULLYING, SOCIAL ISOLATION, DISCRIMINATION, FOOD INSECURITY, LOW EDUCATIONAL ATTAINMENT, SEXUAL VIOLENCE, AND MOTOR VEHICLE CRASHES - WERE IDENTIFIED AS IMPORTANT ISSUES BUT FALL OUTSIDE MRH'S PRIMARY STRATEGIC PRIORITIES FOR THIS IMPLEMENTATION CYCLE. MRH MAY CONTINUE TO SUPPORT SOME OF THESE AREAS THROUGH PARTNERSHIPS, REFERRALS, ADVOCACY, AND PARTICIPATION IN COLLABORATIVE COMMUNITY EFFORTS.PRIOR TO ADOPTING THE 2025-2027 COMMUNITY HEALTH NEEDS ASSESSMENT, MRH HAD ALREADY MADE SIGNIFICANT PROGRESS IN SEVERAL PRIORITY AREAS IDENTIFIED IN THE FY2025 CHNA:EXPAND LOCAL CARE ACCESS - CANCER CARE & SPECIALTY SERVICES- OPENED AN OUTPATIENT INFUSION CENTER FOR CHEMOTHERAPY AND INFUSION THERAPIES.- DEVELOPED PARTNERSHIPS WITH REGIONAL ONCOLOGY PROVIDERS.- SECURED GRANT FUNDING FOR CULTURALLY SENSITIVE CANCER NAVIGATION AND CARE COORDINATION.- CONTINUED RECRUITING AND RETAINING SPECIALTY PROVIDERS.MENTAL & BEHAVIORAL HEALTH- INTEGRATED BEHAVIORAL HEALTH SERVICES INTO OUTPATIENT CLINICS THROUGH TELEHEALTH.- ESTABLISHED EMERGENCY TELE-PSYCHIATRY SERVICES IN THE EMERGENCY DEPARTMENT.- EXPANDED ACCESS TO MENTAL HEALTH COUNSELING AND PSYCHIATRIC SUPPORT.HEALTH INSURANCE & FINANCIAL ASSISTANCE- MAINTAINED A PATIENT FINANCIAL COUNSELOR TO HELP PATIENTS NAVIGATE INSURANCE AND MEDICAID.- PROVIDED FINANCIAL ASSISTANCE AND SLIDING-FEE SUPPORT TO ELIGIBLE PATIENTS.TRANSPORTATION & CARE COORDINATION- BUILT PARTNERSHIPS WITH TRANSPORTATION PROVIDERS AND COMMUNITY ORGANIZATIONS.- DEVELOPED COMMUNITY HEALTH WORKER (CHW) INITIATIVES TO HELP PATIENTS ACCESS CARE AND RESOURCES.AFFORDABLE CHILDCARE- PARTNERED WITH SCHOOLS, ECONOMIC DEVELOPMENT GROUPS, AND CHILDCARE PROVIDERS.- HELPED TRANSITION LOCAL CHILDCARE SERVICES INTO A NONPROFIT ORGANIZATION.- SUPPORTED DEVELOPMENT OF THE LAKE OAHE LEARNING ACADEMY.INCREASE SERVICE AWARENESS AND IMPROVE HEALTH EDUCATION - HEALTH LITERACY & COMMUNITY OUTREACH- CONDUCTED ONGOING COMMUNITY EDUCATION AND OUTREACH.- USED NEWSPAPERS, RADIO, SOCIAL MEDIA, AND COMMUNITY EVENTS TO RAISE AWARENESS OF SERVICES.- PROVIDED ANNUAL CULTURAL AWARENESS TRAINING FOR STAFF.THE 2025-2027 IMPLEMENTATION PLAN IS LARGELY FOCUSED ON EXPANDING, IMPROVING, AND PROMOTING PROGRAMS ALREADY ESTABLISHED BY MRH, RATHER THAN CREATING ENTIRELY NEW SERVICES. THE ORGANIZATION HAS ALREADY BUILT A STRONG FOUNDATION IN CANCER CARE, BEHAVIORAL HEALTH, CHILDCARE PARTNERSHIPS, CARE COORDINATION, INSURANCE ASSISTANCE, SENIOR SERVICES, AND COMMUNITY EDUCATION, AND THE NEW CHNA FOCUSES ON STRENGTHENING THOSE EFFORTS OVER THE NEXT THREE YEARS. MOBRIDGE REGIONAL HOSPITAL PART V, SECTION B, LINE 13H: THE ORGANIZATION QUALIFIES FREE VERSUS DISCOUNTED CARE BASED ON PROFESSIONAL FEES VERSUS TECHNICAL FEES. WE OFFER 100% OF FREE CARE FOR PROFESSIONAL FEES AND UP TO AN 95% DISCOUNT FOR TECHNICAL FEES. BOTH ARE CALCULATED BASED ON FEDERAL POVERTY GUIDELINES IN THE FAP.PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT. MOBRIDGE REGIONAL HOSPITAL PART V, SECTION B, LINE 16J: PART V, LINE 16A, FAP WEBSITE:HTTPS://MOBRIDGEHOSPITAL.ORG/IMAGE/CACHE/FINANCIAL_ASSISTANCE_POLICY_1.1.2026.PDFPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.MOBRIDGEHOSPITAL.ORG/IMAGE/CACHE/FINANCIAL_ASSISTANCE_APPLICATION-UPDATED_05.01.23.PDFPART V, LINE 16C, PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.MOBRIDGEHOSPITAL.ORG/IMAGE/CACHE/PLAIN_LANGUAGE_SUMMARY.PDFPART V, LINE 16J: A FINANCIAL ASSISTANCE NOTICE IS MADE PART OF THE BILLING INVOICE. A FINANCIAL ASSISTANCE NOTICE IS POSTED IN THE EMERGENCY ROOM, WAITING ROOMS, AND ADMISSIONS OFFICE, AND THE FULL POLICY IS MADE AVAILABLE UPON REQUEST AND ON THE WEBSITE. MOBRIDGE REGIONAL HOSPITAL PART V, SECTION B, LINE 24: THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY. 1 3 - PRAIRIE SUNSET VILLAGE 1320 W GRAND CROSSING MOBRIDGE SD 57601 24 BED ASSISTED LIVING & SENIOR HOUSING PART I, LINE 3C: THE ORGANIZATION QUALIFIES FREE VERSUS DISCOUNTED CARE BASED ON PROFESSIONAL FEES VERSUS TECHNICAL FEES. WE OFFER 100% OF FREE CARE FOR PROFESSIONAL FEES AND UP TO AN 95% DISCOUNT FOR TECHNICAL FEES. BOTH ARE CALCULATED BASED ON FEDERAL POVERTY GUIDELINES IN THE FAP.IN ADDITION TO FPG, THE HOSPITAL USES AN ASSET TEST, REVIEWS MEDICAL INDIGENCY, AND CONSIDERS INSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7B WAS DETERMINED USING THE MEDICAID PS&R REPORT AND THE GENERAL LEDGER ACCOUNTING SYSTEM. LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 9/30/25. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THE RESPECTIVE CLASS OF PATIENTS AND RESIDENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL. THE FPL OF 18.3% CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: FOOTNOTE FROM FINANCIAL STATEMENTS: PLEASE SEE NOTE 1, FINANCIAL STATEMENT, PATIENT AND RESIDENT SERVICE REVENUE ON PAGES 14-15. PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR THE FISCAL YEAR ENDING 9/30/2025. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: THE PATIENT ACCOUNT SPECIALIST AT THE MOBRIDGE REGIONAL HOSPITAL KEEPS ON FILE ALL GUARANTORS WHO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE AND APPLIES THE FINANCIAL ASSISTANCE TO ALL ACCOUNTS WHEN THE GUARANTOR BALANCE BECOMES DUE. UPDATED FINANCIAL INFORMATION IS REQUESTED ANNUALLY FOR ANY CHANGES IN FINANCIAL ASSISTANCE THAT MAY APPLY. IF AN ACCOUNT GOES TO COLLECTIONS AND OUR COLLECTION AGENCY IDENTIFIES THAT A PATIENT IS MEETING FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA, THE PATIENT'S ACCOUNT MAY BE CONSIDERED FOR FINANCIAL ASSISTANCE. COLLECTION ACTIVITY WILL BE SUSPENDED ON ACCOUNTS, AND THE FINANCIAL ASSISTANCE APPLICATION WILL BE REVIEWED. IF THE ENTIRE ACCOUNT BALANCE IS ADJUSTED, THE ACCOUNT WILL BE RETURNED. IF A PARTIAL ADJUSTMENT OCCURS, THE PATIENT FAILS TO COOPERATE WITH THE FINANCIAL ASSISTANCE PROCESS, OR IF THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY WILL RESUME. PART VI, LINE 2: MOBRIDGE REGIONAL HOSPITAL (MRH) IS COMMITTED TO PROVIDING HIGH QUALITY HEALTHCARE SERVICES TO ALL PEOPLE THROUGHOUT THE REGION. THE FACILITY PROVIDES FAMILY MEDICINE, INTERNAL MEDICINE, OB, ICU, ALS, AMBULANCE SERVICE, EMERGENCY CARE, AND SURGICAL SERVICES TO ALL PEOPLE WHO ARE IN NEED OF THOSE SERVICES. MRH CURRENTLY IS WORKING IN COLLABORATION WITH WALWORTH COUNTY AND THE STATE OF SOUTH DAKOTA TO PROVIDE COMMUNITY HEALTH SERVICES, INCLUDING FAMILY PLANNING SERVICES, ADULT HEALTH, AND CHILD IMMUNIZATIONS. MRH'S MANAGEMENT STRIVES TO LISTEN TO THE COMMUNITY NEEDS. IF NEW HEALTHCARE NEEDS ARISE, ADMINISTRATION WILL COMPLETE AN ANALYSIS OF COST/BENEFIT FOR THE NEW SERVICE TO BE OFFERED. MRH'S ADMINISTRATION BELIEVES IN BEING OUT IN THE PUBLIC AT EVENTS TO ANSWER QUESTIONS THAT MAY SURFACE ABOUT THE FACILITY. PART VI, LINE 3: MRH POSTS ITS FINANCIAL ASSISTANCE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN THE ADMISSIONS AREAS AND CLINIC AREAS IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE FACILITY PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS WITH DISCHARGE MATERIALS. THE PATIENTS ACCOUNT MANAGER DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. PART VI, LINE 4: MOBRIDGE REGIONAL HOSPITAL & CLINICS' NORMAL SERVICE AREA INCLUDES CAMPBELL, CORSON, DEWEY, AND WALWORTH COUNTIES IN NORTH CENTRAL SOUTH DAKOTA. THE HOSPITAL IS LOCATED IN MOBRIDGE, THE LARGEST COMMUNITY IN WALWORTH COUNTY, AND OPERATES ADDITIONAL RURAL HEALTH CLINICS IN SELBY, TIMBER LAKE, AND MCLAUGHLIN. MRH ALSO OPERATES A 24/7 AMBULANCE SERVICE AND AN ASSISTED AND SENIOR LIVING FACILITY.THE SERVICE AREA IS RURAL AND FRONTIER IN NATURE, WITH A TOTAL 2020 CENSUS POPULATION OF 15,833 RESIDENTS. OVERALL POPULATION DENSITY IS ABOUT 3.8 PEOPLE PER SQUARE MILE, WHICH QUALIFIES THE REGION AS FRONTIER. WALWORTH COUNTY IS SOMEWHAT LESS SPARSE AT 7.5 PEOPLE PER SQUARE MILE AND IS CLASSIFIED AS RURAL. THE AREA EXPERIENCED A 2.9% POPULATION DECLINE FROM 2010 TO 2020.DEMOGRAPHICALLY, THE SERVICE AREA IS RACIALLY AND ETHNICALLY DIVERSE. BASED ON THE 2020 CENSUS DATA IN THE REPORT, THE SERVICE AREA POPULATION IS APPROXIMATELY: 49% AMERICAN INDIAN/ALASKA NATIVE 46% WHITE 5% TWO OR MORE RACES 1% SOME OTHER RACETHERE IS SIGNIFICANT VARIATION BY COUNTY. CAMPBELL AND WALWORTH COUNTIES ARE MAJORITY WHITE, WHILE CORSON AND DEWEY COUNTIES ARE MAJORITY AMERICAN INDIAN/ALASKA NATIVE.THE REGION IS ALSO CHARACTERIZED BY SEVERAL IMPORTANT SOCIOECONOMIC AND ACCESS-RELATED FACTORS: THE SERVICE AREA MEDIAN HOUSEHOLD INCOME IS $56,741, COMPARED WITH $78,538 NATIONALLY. THE POVERTY RATE IS 23%, MORE THAN DOUBLE THE NATIONAL RATE OF 11%. EDUCATIONAL ATTAINMENT IS SIMILAR TO THE NATION FOR HIGH SCHOOL COMPLETION AT 89%, BUT LOWER FOR BACHELOR'S DEGREE ATTAINMENT AT 24%, COMPARED WITH 35% NATIONALLY. THE AVERAGE HOUSEHOLD SIZE IS 2.8 PEOPLE, SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE OF 2.5.AGE DISTRIBUTION ALSO DIFFERS FROM NATIONAL PATTERNS. THE SERVICE AREA HAS A YOUNGER POPULATION OVERALL, WITH A MEDIAN AGE OF 35.1 COMPARED WITH 38.7 NATIONALLY. ABOUT 31% OF RESIDENTS ARE UNDER AGE 18, COMPARED WITH 22% NATIONALLY, WHILE THE WORKING-AGE POPULATION AGES 19-59 IS LOWER AT 45%, COMPARED WITH 55% NATIONALLY. RESIDENTS AGE 60 AND OLDER MAKE UP 24% OF THE SERVICE AREA, CLOSE TO THE NATIONAL FIGURE OF 23%.HEALTH INSURANCE COVERAGE IS ANOTHER KEY DEMOGRAPHIC FEATURE. THE REPORT NOTES THAT 13.3% OF RESIDENTS UNDER AGE 65 ARE UNINSURED, COMPARED WITH 9.5% NATIONALLY. THE SERVICE AREA HAS LOWER PRIVATE INSURANCE COVERAGE AND GREATER RELIANCE ON PUBLIC INSURANCE THAN THE NATION OVERALL: 50% PRIVATE COVERAGE, COMPARED WITH 65% NATIONALLY 16% MEDICARE, COMPARED WITH 19% NATIONALLY 27% MEDICAID, COMPARED WITH 19% NATIONALLY 2% VA/TRICARE, COMPARED WITH 4% NATIONALLYTHE HOSPITAL USER POPULATION DIFFERS EVEN FURTHER, WITH 39% OF HOSPITAL CARE COVERED BY MEDICARE AND ONLY 24% COVERED BY COMMERCIAL INSURANCE.IN SUMMARY, MRH SERVES A LARGE, SPARSELY POPULATED RURAL/FRONTIER REGION WITH A DIVERSE POPULATION, SIGNIFICANT NATIVE AMERICAN REPRESENTATION, LOWER HOUSEHOLD INCOME, HIGHER POVERTY, HIGHER UNINSURED RATES, AND SUBSTANTIAL GEOGRAPHIC BARRIERS TO CARE. THESE DEMOGRAPHIC CHARACTERISTICS STRONGLY INFLUENCE THE COMMUNITY'S HEALTH NEEDS, ESPECIALLY AROUND TRANSPORTATION, AFFORDABILITY, ACCESS TO SPECIALTY CARE, BEHAVIORAL HEALTH, AND HEALTH LITERACY. PART VI, LINE 5: THE MOBRIDGE REGIONAL HOSPITAL IS COMMITTED TO THE PATIENTS WE SERVE, REGARDLESS OF RACE, COLOR, RELIGION, SEX, DISABILITY, OR ABILITY TO PAY. THE ORGANIZATION'S FINANCIAL ASSISTANCE ADJUSTMENTS HAVE CONTINUED TO TREND UP OVER THE PAST FEW YEARS, AND WE CONTINUE TO FOCUS BUDGET EFFORTS TO ADAPT TO THIS TREND. MRH IS 100 MILES FROM ANOTHER HEALTHCARE FACILITY WITH A HIGHER LEVEL OF CARE AND PARTICIPATES IN THE NORTH DAKOTA AND SOUTH DAKOTA TRAUMA SYSTEMS WITH LEVEL IV CERTIFICATION. MRH CONTINUES A BROAD LEVEL OF BOARD INVOLVEMENT FOR CORSON, DEWEY, AND WALWORTH COUNTIES TO MONITOR COMMUNITY NEEDS IN THOSE AREAS. MRH CONTINUES TO BE A POPULAR PLACE FOR MEDICAL STUDENTS TO COMPLETE CLINICAL ROTATIONS, AND WE CONTINUE TO OFFER A WIDE VARIETY OF CERTIFICATION CLASSES TO NURSES AND THE MEMBERS OF THE COMMUNITY INCLUDING EMT-B, PALS, ACLS, TNCC, ALSO, NALS, EMT-I, AND CPR. MRH HAS DEVELOPED A WORKSITE WELLNESS PROGRAM WITHIN THE ORGANIZATION AND HAS GOALS TO WORK WITH OTHER BUSINESSES IN THE COMMUNITY TO PROMOTE OVERALL HEALTHY LIFESTYLES.THE HOSPITAL HAS A BOARD OF DIRECTORS COMPRISED OF VOLUNTEERS WHO RESIDE IN THE SERVICE AREA. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE AREA. ALL QUALIFIED PHYSICIANS WHO SHOW AN INTEREST MUST GO THROUGH A CREDENTIAL REVIEW AND BOARD APPROVAL. SURPLUS FUNDS, IF AVAILABLE, ARE REINVESTED IN THE FACILITIES TO IMPROVE PATIENT CARE. X X X X 0 1 0 0 0 0 0 0 0 DR TRAVIS HENDERSON INTERNAL MEDICINE/DIRECTOR 400836 0 0 0 0 0 131991 0 30159 0 562986 0 0 0 DR MATT SCHAFFER PHYSICIAN 400604 0 0 0 0 0 41890 0 27660 0 470154 0 0 0 DR ALAN LAWRENCE SURGEON 395951 0 0 0 0 0 15916 0 30650 0 442517 0 0 0 DR EMILY BODEN PHYSICIAN 353073 0 0 0 0 0 13600 0 27660 0 394333 0 0 0 DR JOSH HENDERSON INTERNAL MEDICINE 346387 0 0 0 0 0 13800 0 33560 0 393747 0 0 0 DR ROBERT MARCIANO FAMILY MD/DIRECTOR 279253 0 0 0 0 0 10824 0 20305 0 310382 0 0 0 JOHN AYOUB CEO 239308 0 0 0 0 0 34076 0 30552 0 303936 0 0 0 JESSICA NORDER APC 237366 0 0 0 0 0 6819 0 27378 0 271563 0 0 0 RENAE KARST CFO 137581 0 0 0 0 0 5996 0 36432 0 180009 0 0 0 PART I, LINE 4B DEFERRALS WERE MADE TO THE 457(B) PLAN (NOT SUBSTANTIALLY VESTED) BY THE FOLLOWING PARTICIPANTS: DR. TRAVIS HENDERSON - $115,976 DR. MATTHEW SCHAFFER - $26,747 JOHN AYOUB - $24,090 A CITY OF MOBRIDGE SOUTH DAKOTA 466000320 2024-11-01 41492000 REFUND 12/22/2021 BOND ISSUED FOR CONSTRUCTION AND REMODEL 0 0 0 A 35398634 35398634 6093366 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 0 A 1 FORM 990 SCHEDULE K, PART II, LINE 3 THE TAX-EXEMPT BOND FINANCING IS BASED ON A DRAW DOWN METHOD FOR INTERIM FINANCING WITH THE LENDER AFTER ALLOWABLE EXPENSES ARE PAID AND APPROVED. FORM 990, PART III, LINE 2 AN OUTPATIENT CHEMOTHERAPY INFUSION THERAPY SERVICE WAS ADDED DURING THE FY25. A RELATIONSHIP WITH THE AVERA CANCER INSTITUTE IN ABERDEEN WAS ESTABLISHED SO THAT LOCAL PATIENTS COULD RECEIVE THEIR CANCER TREATMENTS IN MOBRIDGE RATHER THAN HAVE TO TRAVEL TO ABERDEEN, PIERRE, BISMARCK, OR EVEN RAPID CITY. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRMAN OF THE BOARD, WHO SHALL ACT AS CHAIRMAN OF SAID COMMITTEE, THE SECRETARY, VICE-CHAIRMAN, AND TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES OF THE EXPRESSED WISHES OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THERE IS ONLY ONE CLASS OF MEMBER; ALL MEMBERS HAVE ONE VOTE (SAME VOTING RIGHTS). EACH PERSON WHO DONATES $100 OR MORE IS A MEMBER ENTITLED TO ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7A THE NOMINATING COMMITTEE NOMINATES CANDIDATES FOR ELECTION. THE MEMBERS VOTE ON CANDIDATES AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE CEO, CFO, AND BOARD OF DIRECTORS WILL REVIEW THE FORM 990 VIA ELECTRONIC TRANSMISSION PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS THE ENTIRE BOARD OF DIRECTORS. IF A CONFLICT SHOULD ARISE, IT WOULD FIRST GO TO THE CEO FOR EVALUATION, THEN TO THE BOARD OF DIRECTORS FOR FINAL EVALUATION. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR MAKING THE FINAL DECISION IN DETERMINING IF A CONFLICT EXISTS. IF A CONFLICT IS FOUND, THE PERSON(S) INVOLVED WOULD BE REQUIRED TO ABSTAIN FROM DISCUSSIONS AND VOTING ON THE ITEM CAUSING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION WAS DETERMINED BY INDEPENDENT COMMITTEE MEMBERS WHO USED COMPARABILITY DATA FROM VARIOUS SOURCES. THE FINANCE COMMITTEE DETERMINES AND APPROVES THE PHYSICIAN CONTRACTS, INCLUDING COMPENSATION. SALARIES FOR OTHER OFFICERS OR MEMBERS OF MANAGEMENT ARE DETERMINED BY THE CEO THROUGH THE USE OF SALARY SURVEY INFORMATION FROM SDAHO AND EMPLOYEE SERVICE AND EXPERIENCE FILES. THIS PROCESS IS UNDERTAKEN ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FOUNDATION INTEREST -73,371. MOBRIDGE REGIONAL HEALTHCARE FOUNDATION PO BOX 580 MOBRIDGE SD 57601 460416693 OUTREACH FOR MOBRIDGE REGIONAL HOSPITAL SD 501(C)(3) LINE 12C, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0