Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

South Dakota · Ranked 850 of 1033 by CEO pay.

Mobridge Regional Hospital

John Ayoub, CEO. Fiscal year ending 2025-09.

$303,936
CEO total compensation
Form 990 Part VII, columns D+E+F
0.27%
of expenses spent on charity care
Schedule H Part I line 7a
310.1%
CEO pay as a share of all charity care
In the most recent filing year, John Ayoub’s reported compensation was $303,936. The system’s charity care for the same year was $98,000. One person’s reported compensation was 3.1 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$33,726,057
Total expenses
$36,027,169
Net assets
$23,946,001
Employees
245
Hospitals covered
1 facilities across 1 filing
Charity care, net
$98,000
Bad debt
$635,683
Medicare surplus (shortfall), as filed
($175,939)
CEO pay from the organization (Part VII col. D)
$239,308
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$64,628
CEO total compensation (D+E+F)
$303,936 to John Ayoub

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Mobridge Regional Hospital, EIN 46-0255944, fiscal year ending 2025-09, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$3.7M Of which charity care to patients who could not pay (line 7a)$98,000 (3%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($635,683) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Mobridge Regional Hospital: CEO pay $303,936, charity care 0.27% of expenses