ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME (EIN 42-0733472)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-09
IRS object ID
202511299349301701
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-09T08:24:45-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 Burt St Ste 200AddressLine1Txt
CityOmahaCityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420733472EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Anthony Regional HospitalBusinessNameLine1Txt
Business Name Line2and Nursing HomeBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSTANBusinessNameControlTxt
Phone7127945246PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 South Clark Street PO Box 628AddressLine1Txt
CityCarrollCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEric SalmonsonPersonNm
Person TitleCFO/Vice PresidentPersonTitleTxt
Phone7127945246PhoneNum
Signature2025-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWendy R Cooley CPAPreparerPersonNm
PTINP01523804PTIN
Phone4023302660PhoneNum
Preparation2025-05-08PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAllen AndersonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 South Clark Street PO Box 628AddressLine1Txt
CityCarrollCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$127,473,189GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.stanthonyhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1905FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionConsistently providing high quality healthcare services to meet patient and community needs.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee869TotalEmployeeCnt
Total Volunteers222TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,533,134PYContributionsGrantsAmt
CY Contributions Grants$5,035,967CYContributionsGrantsAmt
PY Program Service Revenue$88,886,347PYProgramServiceRevenueAmt
CY Program Service Revenue$102,774,653CYProgramServiceRevenueAmt
PY Investment Income$4,150,556PYInvestmentIncomeAmt
CY Investment Income$6,170,406CYInvestmentIncomeAmt
PY Other Revenue-$175,410PYOtherRevenueAmt
CY Other Revenue-$273,175CYOtherRevenueAmt
PY Total Revenue$94,394,627PYTotalRevenueAmt
CY Total Revenue$113,707,851CYTotalRevenueAmt
PY Grants And Similar Paid$276,724PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$229,430CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$47,943,948PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$49,763,404CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$52,438,541PYOtherExpensesAmt
CY Other Expenses$58,470,994CYOtherExpensesAmt
PY Total Expenses$100,659,213PYTotalExpensesAmt
CY Total Expenses$108,463,828CYTotalExpensesAmt
PY Revenues Less Expenses-$6,264,586PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,244,023CYRevenuesLessExpensesAmt
Total Assets BOY$198,229,212TotalAssetsBOYAmt
Total Assets EOY$212,933,809TotalAssetsEOYAmt
Total Liabilities BOY$42,900,019TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,780,254TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$155,329,193NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$163,153,555NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSt. Anthony Regional Hospital is inspired by faith and committed to excellence. We are dedicated to improving the health of the people we serve. We will lead in providing high quality, high value healthcare services responsive to the needs of our patients and the region. We are committed to the health ministry of our sponsors, St. Anthony Ministries.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$103,656,498ExpenseAmt
Grant$229,430GrantAmt
Revenue$102,774,653RevenueAmt
DescSt. Anthony Regional Hospital and Nursing Home, located in Carroll, Iowa, operates an acute care hospital, a nursing care center, several medical clinics, retirement housing called Orchard View, and assisted living called Garden View. The Hospital is a 49-bed Critical Access Hospital. St. Anthony Nursing Home has 79 beds. In the year ended June 30, 2024, St. Anthony Regional Hospital and Nursing Home provided health care services to approximately 1,627 inpatients, 73,606 outpatients, and 41,498 clinic visits. St. Anthony Regional Hospital provided services for 1,192 acute care inpatients, and provided psychiatric, swing bed, and nursing home services for the remainder of inpatients. Outpatient services were provided to patients through ancillary departments, emergency room, and clinics. Cont'd on Sch O. St. Anthony Hospital provides services of cardiac rehabilitation, dialysis, hospice care, laboratory, observation, chemotherapy, pathology, radiology, respiratory therapy, physical therapy, occupational therapy, speech therapy, diabetes, medical oncology, radiation therapy, and surgical services. St. Anthony's largest patient service area is physical therapy. In the year ended June 30, 2024, St. Anthony services 9,932 patients in physical therapy, 6,770 in emergency room, and 7,279 in radiology. The activities pursued by St. Anthony Regional Hospital and Nursing Home in the provision of health care services are consistent with its exempt purpose.As part of its mission, St. Anthony Regional Hospital provides medical care to individuals who are unable to pay for services, incurs costs in excess of reimbursement for services to Medicaid beneficiaries, and carries out other activities and programs free of charge to support the community in which it operates. Community benefit projects include community health education, health care support services, behavioral health services, community health improvement advocacy, and other traditional charity care.The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of amounts, they are not reported as revenue. For classification of accounts as charity care, the Hospital uses the "exhaust all possible sources" of payment standard, as referenced in the Hill Burton program. Although the Hospital no longer has a HillBurton obligation, they continue to use this standard when determining if an account is eligible for charity care. The Hospital exercises sound business practices and makes reasonable efforts to collect accounts; therefore, any unpaid balance that the Hospital has exhausted their collection efforts on is subsequently classified as charity care. The total amount of charges foregone for services provided under the Hospital's charity care policies were approximately $3,779,000. Total estimated cost of providing these services were $1,761,000 for the year ended June 30, 2024 based on an average ratio of costs to gross charges.Desc
Total Program Service Expenses$103,656,498TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document180IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee869EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Eric SalmonsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7127945246PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 South Clark Street PO Box 628AddressLine1Txt
CityCarrollCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Richard Goding MD
Orthopedics40.000.00Yes (X)$773,386$0$36,775
Randall Hess MD
Radiation Oncologist40.000.00Yes (X)$545,070$0$41,591
Nicole Hayworth DNP ARNP
CRNA40.000.00Yes (X)$477,561$0$49,130
Jillianne Murray DO
Family Medicine40.000.00Yes (X)$468,625$0$15,152
Brian Boes MD
Neurology40.000.00Yes (X)$436,180$0$36,337
Allen Anderson
CEO/President40.000.30$364,693$0$35,337Yes (X)
Eric Salmonson
CFO/Vice President40.000.30$181,388$0$37,869Yes (X)
Nick Badding
Chairman0.300.00$0$0$0Yes (X)Yes (X)
Peggy White
Vice Chair thru Feb 20240.300.30$0$0$0Yes (X)Yes (X)
Sr Theresa Keller-Board Member
the Vice Chair as of April 20240.300.30$0$0$0Yes (X)Yes (X)
Howard Drees
Treasurer0.300.00$0$0$0Yes (X)Yes (X)
Jeff Scharfenkamp
Secretary0.300.00$0$0$0Yes (X)Yes (X)
Deb Auen
Board Member0.300.30$0$0$0Yes (X)
Karl Eischeid DDS
Board Member0.300.00$0$0$0Yes (X)
Sr Rose Elsbernd
Board Member0.300.00$0$0$0Yes (X)
Sr Joanne Moeller
Board Member0.300.00$0$0$0Yes (X)
Sr Michelle Pettit
Board Member0.300.00$0$0$0Yes (X)
Sr Donna Venteicher
Board Member0.300.00$0$0$0Yes (X)
Samuel Dvorak MD
Chief of Staff0.300.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,246,903TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$252,191TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K75IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Fusion Medical
PO Box 30131OmahaNE68103Contract Labor$1,472,797
Medical Oncology and Hematology
1221 Pleasant St Suite 100Des MoinesIA50309Oncology Physician Services$1,290,495
Grapetree Medical Staffing LLC
2501 Boji Bend Dr Suite 100MilfordIA513601245Contract Labor$439,903
Dr Jedd Hagan
2313 Skyline DrCarrollIA51401Contract Labor$302,063
Park Place International LLC DBA Cloudwa
Dept CH 19800PalatineIL600559800Software IT support$279,418
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Federated Campaigns$24,500FederatedCampaignsAmt
Related Organizations$2,087,879RelatedOrganizationsAmt
Government Grants$528,049GovernmentGrantsAmt
All Other Contributions$2,395,539AllOtherContributionsAmt
Noncash Contributions$2,200,000NoncashContributionsAmt
Total Contributions$5,035,967TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$97,544,943$97,544,943
Assisted Living623000$2,289,997$2,289,997
Retirement Housing623000$565,670$565,670
Cafeteria Revenue722514$439,490$439,490
Pharmacy Revenue456110$278,530$278,530

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,656,023TotalRevenueColumnAmt
Related Or Exempt Func Income$1,656,023RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$102,774,653TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,767,710TotalRevenueColumnAmt
Exclusion$1,767,710ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$603,020RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$876,195RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$273,175RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$273,175TotalRevenueColumnAmt
Exclusion-$273,175ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,177,400SecuritiesAmt
Other$114,439OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,839,233SecuritiesAmt
Other$49,910OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,338,167SecuritiesAmt
Other$64,529OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,402,696TotalRevenueColumnAmt
Exclusion$4,402,696ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$113,707,851TotalRevenueColumnAmt
Related Or Exempt Func Income$102,774,653RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,897,231ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$229,430TotalAmt
Program Services$229,430ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$667,272TotalAmt
Management And General$667,272ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,414,609TotalAmt
Program Services$38,524,347ProgramServicesAmt
Management And General$890,262ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,003,461TotalAmt
Program Services$988,677ProgramServicesAmt
Management And General$14,784ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,948,427TotalAmt
Program Services$5,790,517ProgramServicesAmt
Management And General$157,910ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,729,635TotalAmt
Program Services$2,629,448ProgramServicesAmt
Management And General$100,187ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$97,460TotalAmt
Management And General$97,460ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$84,185TotalAmt
Management And General$84,185ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,806TotalAmt
Management And General$9,806ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,903,443TotalAmt
Program Services$12,648,298ProgramServicesAmt
Management And General$1,255,145ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$192,351TotalAmt
Program Services$11,172ProgramServicesAmt
Management And General$181,179ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,331,487TotalAmt
Program Services$1,293,837ProgramServicesAmt
Management And General$37,650ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,675,565TotalAmt
Program Services$1,664,660ProgramServicesAmt
Management And General$10,905ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$335,913TotalAmt
Program Services$267,163ProgramServicesAmt
Management And General$68,750ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$890,159TotalAmt
Program Services$785,837ProgramServicesAmt
Management And General$104,322ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,253,623TotalAmt
Program Services$7,264,760ProgramServicesAmt
Management And General$988,863ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$712,824TotalAmt
Program Services$712,824ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$21,491,157$21,491,014$143
Tax Assessment$3,760,721$3,760,721
Repairs and Maintenance$3,738,455$3,677,344$61,111
Dues and Subscriptions$1,130,343$1,052,947$77,396

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$863,502TotalAmt
Program Services$863,502ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$108,463,828TotalAmt
Program Services$103,656,498ProgramServicesAmt
Management And General$4,807,330ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,784,084BOYAmt
EOY$3,247,273EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$287,236BOYAmt
EOY$180,086EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,440,582BOYAmt
EOY$26,090,098EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$97,500EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,847,873BOYAmt
EOY$2,790,459EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,031,764BOYAmt
EOY$843,518EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$180,061,447LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$107,950,846LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$70,728,616BOYAmt
EOY$72,110,601EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$85,880,112BOYAmt
EOY$79,632,470EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,227,945BOYAmt
EOY$27,940,804EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$198,229,212BOYAmt
EOY$212,933,809EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,277,400BOYAmt
EOY$8,887,686EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,212,090BOYAmt
EOY$1,296,221EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,209,052BOYAmt
EOY$5,400,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$28,027,646BOYAmt
EOY$26,718,938EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,173,831BOYAmt
EOY$7,477,409EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,900,019BOYAmt
EOY$49,780,254EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$132,799,898BOYAmt
EOY$138,508,930EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,529,295BOYAmt
EOY$24,644,625EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$155,329,193BOYAmt
EOY$163,153,555EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$198,229,212BOYAmt
EOY$212,933,809EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,244,023ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$465,009NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,115,330OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$9,806OtherActivitiesAmt
Total Lobbying Expenditures$9,806TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationSt. Anthony Regional Hospital and Nursing Home is a member of the Iowa Hospital Association and the Catholic Health Organization. A percentage of dues are paid for lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,467,384BeginningYearBalanceAmt
Contributions$259,604ContributionsAmt
Investment Earnings Or Losses$3,695,066InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,800GrantsOrScholarshipsAmt
Other Expenditures$1,937,484OtherExpendituresAmt
End Year Balance$25,463,770EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,094,463BeginningYearBalanceAmt
Contributions$362,476ContributionsAmt
Investment Earnings Or Losses$2,538,624InvestmentEarningsOrLossesAmt
Grants Or Scholarships$43,550GrantsOrScholarshipsAmt
Other Expenditures$484,629OtherExpendituresAmt
End Year Balance$23,467,384EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,500,033BeginningYearBalanceAmt
Contributions$255,947ContributionsAmt
Investment Earnings Or Losses-$2,620,802InvestmentEarningsOrLossesAmt
Grants Or Scholarships$43,550GrantsOrScholarshipsAmt
Other Expenditures-$2,835OtherExpendituresAmt
End Year Balance$21,094,463EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,046,674BeginningYearBalanceAmt
Contributions$868,052ContributionsAmt
Investment Earnings Or Losses$6,253,780InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,900GrantsOrScholarshipsAmt
Other Expenditures$2,652,573OtherExpendituresAmt
End Year Balance$23,500,033EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,596,647BeginningYearBalanceAmt
Contributions$98,672ContributionsAmt
Investment Earnings Or Losses$1,108,234InvestmentEarningsOrLossesAmt
Grants Or Scholarships$14,850GrantsOrScholarshipsAmt
Other Expenditures$742,029OtherExpendituresAmt
End Year Balance$19,046,674EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.03930PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.96070TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$989,471OtherCostOrOtherBasisAmt
Book Value$989,471BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$124,951,130OtherCostOrOtherBasisAmt
Depreciation$69,019,168DepreciationAmt
Book Value$55,931,962BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,542,391OtherCostOrOtherBasisAmt
Depreciation$35,893,331DepreciationAmt
Book Value$12,649,060BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,578,455OtherCostOrOtherBasisAmt
Depreciation$3,038,347DepreciationAmt
Book Value$2,540,108BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$72,110,601TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Beneficial Interest in Net Asset of Foundation$24,644,625
Deferred compensation investments$1,264,012
Right to use assets$87,855
Estimated third-party payor settlements$1,944,312
FieldValueIRS element (for citing)
Total Book Value Other Assets$27,940,804TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Finance Lease Liability$2,296,644
Operating Lease Liability$87,855
Estimated third-party payor settlements$5,092,910
FieldValueIRS element (for citing)
Total Liability$7,477,409TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$114,984,526TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$465,009NetUnrealizedGainsInvstAmt
Revenue Not Reported$465,009RevenueNotReportedAmt
Revenue Subtotal$114,519,517RevenueSubtotalAmt
Other Revenues Not Included-$811,666OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$811,666RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$113,707,851TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$109,275,494TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$811,666OtherExpensesIncludedAmt
Expenses Not Reported$811,666ExpensesNotReportedAmt
Expenses Subtotal$108,463,828ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$108,463,828TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:All restricted endowed funds held at the St. Anthony Foundation are used for the benefit of St. Anthony Regional Hospital and Nursing Home and for scholarships.
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.
Part XI, Line 4b - Other Adjustments:Other Gain/Loss on Sale of Assets included in expense in F/S 64,529. Rental expenses included in revenue for Form 990 -876,195.
Part XII, Line 2d - Other Adjustments:Other Gain/Loss on Sale of Assets included in expense in F/S -64,529. Rental expenses inlcuded in revenue for Form 990 876,195.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,761,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,761,000NetCommunityBenefitExpnsAmt
Total Expense0.01620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,910,202TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,024,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,886,174NetCommunityBenefitExpnsAmt
Total Expense0.05430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,671,202TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,024,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,647,174NetCommunityBenefitExpnsAmt
Total Expense0.07050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$154,373TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$154,373NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$620,568TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$620,568NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,600,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,961,048DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,639,785NetCommunityBenefitExpnsAmt
Total Expense0.06120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$195,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,530DirectOffsettingRevenueAmt
Net Community Benefit Expns$129,217NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,571,521TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,027,578DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,543,943NetCommunityBenefitExpnsAmt
Total Expense0.06950TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,242,723TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,051,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,191,117NetCommunityBenefitExpnsAmt
Total Expense0.14000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$398TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$398NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$398TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$398NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,365,199BadDebtExpenseAmt
Bad Debt Expense Attributable$229,424BadDebtExpenseAttributableAmt
Reimbursed By Medicare$23,933,905ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$29,930,464CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,996,559MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Anthony Regional Hospital and Nursing HomeBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 South Clark StAddressLine1Txt
CityCarrollCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51401ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.stanthonyhospital.orgWebsiteAddressTxt
State License14009OHStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other5 provider based clinicsOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Anthony Regional Hospital and NursinBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee supplemental info.OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee supplemental info.StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee supplemental info.FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee supplemental info.FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee supplemental info.FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
St. Anthony Regional Hospital and Nursing HomePart V, Section B, Line 5: St. Anthony Regional Hospital conducted a CHNA assessment in fiscal year 2022. Interviews with community stakeholders throughout the region provided an understanding of the community's health needs from the organizations and agencies that have a deep understanding of the populations in the greatest need. St. Anthony provided Tripp Umbach with a list of community stakeholders to interview. Interviews were conducted with a public health expert and representatives of underserved populations.
St. Anthony Regional Hospital and Nursing HomePart V, Section B, Line 11: The following significant health needs and action items were identified in the most recent CHNA. All needs will be addressed over the next 3 years. In FY2024, the Hospital continued to address the needs identified in the community health needs assessment.Mental Health Goal 1. Decrease depression among children, youth, and adults.Strategy 1.1: Provided depression screening in primary care settings, with systems in place to ensure accurate diagnoses, effective treatment and appropriate follow up.-PHQ- 2 implemented in the clinics. -PHQ- 9 implemented in the clinics, as indicated.-Columbia Suicide assessment implemented in the clinics.-Depression screening completed at admission.-Social Determinants of Health screening implemented at admission.Strategy 1.2 Implemented Collaborative Care for the Management of Depressive Disorders.-The Birth Place social media page was developed and now includes information promoting mental health services available in the region. Strategy 1.3 Integrate behavioral health and primary care services.-SARH Mental Health provides consultation and referral for primary care in the inpatient and outpatient setting.-SARH Mental Health provides consultation and medication management for SARH nursing home patients. Goal 2. Reduce Suicide RiskStrategy 2.1 Healthcare providers, educators, and community volunteers were trained in Mental Health First Aid.-Established Mental Health First Aid class for the community. Strategy 2.2 Implement the "Zero Suicide in Healthcare" framework (organizational assessment, training, consultation).-Discharged inpatients have scheduled follow-up appointment with mental health provider within 1 week of discharge 95%. CancerGoal 1. Increase Cancer Screenings. Strategy 1.1 Implement Multicomponent Interventions to Increase Cancer Screening: Increased community demand (education, incentives, reminders, media): Increased community access. Increased Provider Delivery (reminders, incentives, feedback). -Iowa Cancer Consortium (ICC) toolkit for digital media to provide screening updates- breast, colorectal, melanoma.-SARH Pulse- public E-newsletter, radio ads, digital ads, SARH website at minimum quarterly and per ICC guidelines.-Tumor Board education provided to medical staff in attendance.-Monthly screening initiatives given to SARH medical staff for posting in clinic and as guideline for provider screening plan.-SARH offers radiation therapy, genetic testing, and bone marrow biopsy- services unavailable in surrounding areas.-Medical staff provided with ICC screening guidelines and information via Nurse Navigator.-ICC screening guidelines displayed in SARH Cancer Center. -Barre community event hosted by SARH to raise community awareness and fundraise.-October Breast Cancer Awareness Month - expanded hours for mammography screenings, times and screenings promoted through social media and community web boards. Goal 2. Reduce Cancer MortalitiesStrategy 2.1 Provided anticoagulation therapy (aspirin) to prostate cancer patients.-Anticoagulation therapy is determined at time of consultation per medical provider.-Patients may receive a gel spacer prior to radiation therapy as medically indicated.Strategy 2.2 Vaccinate cancer patients against infectious diseases, including influenza and pneumonia.-Tracking of vaccination data in collaboration with Mission Cancer. Strategy 2.3 Implement risk assessment for breast cancer in primary care settings and provide tailored recommendations based on individual risk (including use of chemoprevention).-October 2023 MRI enhanced mammography screening offered. Strategy 2.4 Educate patients (and the families of adolescent patients) about the importance of the HPV vaccine.-Education provided through SARH clinic providers and medical staff. Goal 3: Increase patient access and retention through support services.Strategy 3.1 Incorporated Patient Navigators into Cancer Center care team.-Nurse Navigators incorporated into Cancer Center in 2020- role has expanded since that time to bridge the gap between referral and treatment and now includes increased financial strategies to facilitate assistance. Strategy 3.2 Provided psychosocial care for patients with cancer and their families.-A psychosocial screening tool based upon the Commission on Cancer (COC) recommendations is utilized by social work for all patients in treatment.Obesity/Live Healthy Goal 1. Increase daily physical activity among children, youth and adults.Strategy 1.1 Used Point of Decision Prompts for Physical Activity in healthcare and community settings.-Diabetes Prevention promoted through 2 cohorts annually with a yearlong program promoting lifestyle change both in the community setting and in-person. -Promotion of healthy living programs, diabetes prevention, and community education is supported through marketing and education information via social media, community promotion, and the SARH website.Strategy 1.2 Provided Exercise "Prescriptions" in primary care and other healthcare settings.-Promotion of healthy lifestyles and living choices promoted through SARH providers and medical staff. Strategy 1.3 Promote community-based Social Support for Physical Activity.-SARH diabetes educators engage with 4th grade students at Kuemper and Carroll schools for the Diabetes Busters program to educate about diabetes and prevention strategies with diet and exercise.-Diabetes Busters exercise program is promoted, and participants engage in the gym or outside in different games/exercise. -SARH provides support and staff during the City of Carroll annual Wellness Program. Goal 2. Increase diabetes prevention and management.Strategy 2.1 Promote enrollment in community based Diabetes Intervention Programs. -The Birth Place social media page was developed and now includes information promoting diabetes management services in the region. -SARH diabetes educators engage with 4th grade students at Kuemper and Carroll schools for the Diabetes Busters program to teach about diabetes and prevention strategies with diet and exercise. -SARH hosts monthly support group for Diabetes and Pre-diabetes, held at the hospital and free of charge. -Diabetes Prevention promoted through 2 cohorts annually with a yearlong program promoting lifestyle change both in the community setting and in-person. -Promotion of prevention programs, diabetes prevention, and community education is supported through marketing and education information via social media, community websites, and the SARH website.Strategy 2.2 Engage community in Management of Type 2 Diabetes through virtual Touchpoint connections-Diabetes class participants are encouraged to share their glucose data digitally with SARH diabetes educators. -Diabetes class participants are encouraged to connect with SARH educators and providers via email or portal. Strategy 2.3 Implement Text Message-Based Health Interventions.-Future plans are to utilize the State of Iowa virtual program to support Diabetes Prevention Program.Substance UseGoal 1. Reduce Risky and underage alcohol use.Strategy 1.1 Implement CDC Risky Alcohol Use Screening and Brief Interventions in Primary Care Settings (for youth and adults).-Implementation pending collaboration and planning with HRSA RCORP grant coalition. Strategy 1.2 Supported universal school-based alcohol prevention programs (lesson plans, prevention education, alcohol free fundraising policies, peer support, life skills training, etc.).Goal 2. Reduce Alcohol Impaired Driving Strategy 2.1 Implemented media campaign against alcohol impaired driving.-Implementation pending collaboration and planning with HRSA RCORP grant coalition. Strategy 2.2 Implemented "Every 15 Minutes" program in local high schools. Goal 3. Reduction of tobacco products Strategy. 3.1 Expanded promotion of Quit Line to reach at-risk populations.-The Iowa Quit Line posters and information is posted throughout the SARH.-Iowa Quit Line information is included in discharge teaching and planning across SARH. Strategy 3.2 Implemented social media and media campaigns against use of tobacco products.-Promotion of prevention programs and community education is supported through marketing and education information via social media, community websites, and the SARH website.Strategy 3.3 Promoted smokefree workplaces, shared public spaces and multiunit housing.-SARH is a smoke and tobacco free campus.CHNA Continued on Part V:
St. Anthony Regional Hospital and Nursing HomePart V, Section B, Line 13h: In addition to FPG, the Hospital will consider the extent to which the patient's household has assets that could be used to meet his or her financial obligation. Assets may include, but are not limited to, cash, savings and checking account, certificates of deposit, stocks and bonds, individual retirement accounts (IRAs), trust funds, real estate (excluding the patient's home) and motor vehicles. The hospital will take into account any liabilities that are the responsibility of the patient's household. To relieve stress related to financial burdens, families with a medical catastrophe with self-pay balances greater than 20 percent of their annual household income in one calendar year may be eligible for substantial discounts. St. Anthony's Regional Hospital and Nursing Home also uses asset level, medical indigency, insurance status, Medicaid/Medicare coverage, and state regulations as factors in determining eligibility for free and discounted care.
Schedule H, Part V, Schedule B, Line 16a-c:FAP, FAP Application, and Plain Language Summary:https://www.stanthonyhospital.org/patients-visitors/patients/financial-assistance/
Schedule H, Part V, Section B, Line 7 and 10:CHNA and Implementation Strategy:www.stanthonyhospital.org/about-us/communityhealthneedsassessment/
Schedule H, Part V, Schedule B, Line 11:CHNA Continued:Goal 4: Reduce misuse and abuse of opioids.Strategy 4.1 Participated in the Billion Pill Pledge program.Strategy 4.2 Promoted appropriate opioid prescribing practices among St. Anthony providers.-2023 first year reporting saw a 62% decrease in opioids prescribed post discharge at SARH.-Avg number of prescribed opioids by participating prescribers saw a decrease from 45 pre-program to 17.3 post initiation.-Results of year one 2023 participation was shared with the SARH Board of Directors and the SARH medical staff. Women's HealthGoal 1: Improved access to quality health services that enhance the overall maternal health for child bearing families in the service region.Strategy 1.1 Increased knowledge of services available to child bearing families within the service area. -Website updates have been made to showcase capabilities and services offered, as well as enhancements to page navigation to make it more user friendly.-Education opportunities offered by The Birth Place have been shared at community coalition meetings in each of the six identified counties.-A new, revised and updated booklet was created with information about what to expect during appointments, when to call the doctor, how to support a new mother, educational offerings, as well as information on lactation services.-Updated booklets have been translated into Spanish and are now available.-A dedicated space for community resource information has also been created in the St. Anthony Clinic exam rooms and at the Infant Feeding Support Group location.-Added link to county resource directories on the SARH website. -The Birth Place service capabilities, educational resources, and health safety trainings were promoted through a variety of communication resources including the St. Anthony Regional Hospital website, social media, local media, community events, and targeted newspaper and social media ads.Strategy 1.2 Increased facilitation of child bearing families into support services within the St. Anthony service area.-Outreach events were held in Denison (Crawford County) and Carroll (Carroll County).-Each event highlights the topics of Infant Safety, including SIDS prevention and car seat safety, Sibling Adjustment, Infant feeding options, provider options for care of the mother and the baby, as well as a video tour of the delivery unit.-In partnership with Crawford County Public Health, a outreach event was offered to include maternal child health services as well as their Family S.T.E.P.S home visitation service.-Center of Excellence (COE) coordinator enrolled in Community Health Worker certification. Goal 2: Facilitated return to health services with local providers following medical care within St. Anthony for childbearing family.Strategy 2.1 Identify point of contact with local hospitals, providers, and public health entities within the local community of child bearing families.-Service area providers toured and visit to SARH to see facilities and meet SARH providers. -Collaborated through Title V maternal health program with Public Health of Crawford, Sac, Calhoun, and Greene counties. -Collaborated with Carroll County Public Health Department.-Through community outreach, local coalitions and community education SARH continues to facilitate relationships with Loring Hospital, Greene County Memorial Center, Crawford County Memorial Hospital and Manning Regional Health Care Center. -With input from the maternal health agency, public health, WIC, and St. Anthony social work staff, the Center of Excellence team developed a referral form for social workers to present to each obstetrical patient prior to discharge that will facilitate a referral to their local maternal health agency, WIC program, or public health department.Strategy 2.2 Developed formal process of care coordination activities to facilitate communication between Birth Place medical staff and local providers.-COE Coordinator attended community coalition meetings of 6 surrounding counties. -With input from the maternal health agency, public health, WIC, and St. Anthony social work staff, the Center of Excellence team developed a referral form for social workers to present to each obstetrical patient prior to discharge that will facilitate a referral to their local maternal health agency, WIC program, or public health department.Goal 3: Decreased the number of child abuse and unintentional injury rates within the St. Anthony service area.Strategy 3.1 Maintained efforts aimed at child abuse prevention. -SARH Outreach Coordinator is a member of Child Abuse prevention Council for Sac and Crawford counties.-Through collaboration and funding from Community Partnerships for Protecting Children, each family who delivers at The Birth Place will be given an educational packet from The Period of PURPLE Crying that includes a booklet with an overview of expected infant behavior, a reminder card with key points to remember during a crying episode, and access to a mobile application with education on ways to help soothe the baby, encourage healthy sleep, coping, and ways to prevent and protect the baby from shaken baby syndrome by ensuring all the child's needs have been met.-Education on excessive infant crying is included in prenatal teaching and group prenatal teaching. Strategy 3.2 Increased access to services for women experiencing post-partum depression.-The COE coordinator did complete the Components of Care, Maternal Mental Health provider training offered though Postpartum Support International.-COE coordinator is a sitting Board Member of the PSI- Iowa chapter.-SARH ARNP attended Maternal Mental Health training in March of 2024.-SARH COE coordinator attended Maternal Mental Health training offered in March of 2024. -The Edinburgh postnatal depression scale is utilized to screen all patients for depression prior to discharge, results are shared with primary care providers.-Following discharge, nurse follow-up phone calls/assessments are conducted where mothers are encouraged to attend weekly SARH post-partum support group.-Information regarding weekly post-partum support groups has been added to discharge instructions and discharge teaching.-Questions about changes to feeding plans, assess overall mood and emotions, and encourage new mothers to attend the weekly post-partum support group held at the St. Anthony Regional Hospital.-Implemented caregiver depression screening during the well child exam. Goal 4: Provide access to high quality obstetrical care to childbearing families.Strategy 4.1 Reduced primary C-section rates.-IMQCC data for SARH primary C-section rates vs state/national averages presented at SARH Family Medicine committee for consideration. Strategy 4.2 Increased additional physician providers to provide obstetrical and gynecological care with the St. Anthony service area.-OB/Gyn services are offered at Denison and Coon Rapids.Strategy 4.3 Increased training and advanced certifications for nursing staff providing care to mothers and babies within the St. Anthony service area.-The following advanced SARH certified nurse included : 2- Certified Lactation Specialists; 3- Electronic Fetal Monitoring Certified; 16/20 Have completed Spinning Babies Course.-All Birthing Place providers have ALSO trained (Advanced Life Support in Obstetrics.-SARH provider obtained credential as ALSO instructor.Strategy 4.4 Completed infrastructure improvements to the Birth Place at St. Anthony. -Construction completed in September 2023.-Occupancy of the renovated Birthing Place in October 2023.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - St Anthony Nursing Home
311 South Clark StCarrollIA51401Nursing Home
2 - St Anthony Regional Home Health Agency
311 South Clark StCarrollIA51401Home Health Services
3 - St Anthony Regional Hospice
311 South Clark StCarrollIA51401Hospice Services
4 - St Anthony Clinic - Denison
1820 4th Ave SouthDenisonIA51442Family Practice Clinic

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to FPG, the Hospital will consider the extent to which the patient's household has assets that could be used to meet his or her financial obligation. Assets may include, but are not limited to, cash, savings and checking account, certificates of deposit, stocks and bonds, individual retirement accounts (IRAs), trust funds, real estate (excluding the patient's home) and motor vehicles. The hospital will take into account any liabilities that are the responsibility of the patient's household. To relieve stress related to financial burdens, families with a medical catastrophe with self-pay balances greater than 20 percent of their annual household income in one calendar year may be eligible for substantial discounts. St. Anthony's Regional Hospital and Nursing Home also uses asset level, medical indigency, insurance status, Medicaid/Medicare coverage, and state regulations as factors in determining eligibility for free and discounted care.
Part I, Line 6a:The annual community benefit report is available upon request.
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. Unreimbursed Medicaid on line 7b was calculated using the cost-to-charge ratio derived from worksheet 2. Cost of community health improvement services on line 7e, health professions education on line 7f, and cash and in-kind contributions for community benefit on line 7i are based on actual costs recorded in the general ledger. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report.
Part II, Community Building Activities:The Hospital CEO participates in the Carroll Area Development board that is active in economic development. The CEO is a board member of the Iowa Hospital Association Board of Directors. There are managers of the Hospital that serve on local health advisory boards.
Part III, Line 2:The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients.
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 an approximate 9.7% of individuals living below the poverty level in the service area.
Part III, Line 4:The footnote to the organization's financial statements that describes implicit price concessions is located in Note 1 on pages 13 and 14 of the attached financial statements.
Part III, Line 8:The amount of Medicare shortfall on line 6 should be included as a community benefit. Providing services to Medicare patients is essential to these patients and the community and increases their access to healthcare services, which is a community benefit.Medicare allowable costs of care are based on the Medicare Cost Report. 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:St. Anthony Regional Hospital accepts and processes financial assistance applications beginning on the date care is provided and ends on the 240th day after the first post-discharge billing statement or can also be the deadline indicated by the Hospital for the application deadline or the deadline for providing additional information. If there is an incomplete application within 240 days of the first post-discharge billing statement, St. Anthony Regional Hospital will suspend any extraordinary collection activities (ECAs) and notify the individual in writing with contact information for resources of how to complete the application and give a reasonable time to respond. If there is a complete application within 240 days of the first post-discharge billing statement, St. Anthony Regional Hospital will suspend any ECAs and notify the individual of eligibility and updated billing statements. If a financial assistance application is filed with the Hospital on or close to the deadline, the application will be processed on an expedited basis. Notification is sent to patients 30 days prior to initiating any ECAs.
Part VI, Line 2:An internal working group was charged, along with Tripp Umbach, to help identify the needs of those living in the hospital's service area. The information presented in the community health needs assessment represents a comprehensive community-wide process where St. Anthony Regional Hospital continued to connect with public and private organizations, such as health-related professionals, human service organizations, non-profits, civic organizations, and childcare facilities, to evaluate the community's health and social needs. The needs assessment took a deep dive into existing resources integrating helpful information to achieve health equality in the community. An independent review of existing data, including in-depth interviews with local stakeholders, resulted in the identification and confirmation of crucial community health needs. We coordinate with local county organizations including law enforcement, ambulance service, and other providers of healthcare. We participate and host forums, feedback surveys, the Patient and Family Advisory Council, multiple support groups, and community grants. All of these things, along with our CHNA, help St. Anthony Regional Hospital to assess and ascertain the needs of the communities we serve.
Part VI, Line 3:The financial counselor from the organization informs and educates patients about eligibility of federal, state, and local government programs and charity policies. The charity care policy is made available to patients in the admissions office and provided in the admission packets. If patients have questions, they can stop in the business office and discuss them with the financial counselor.
Part VI, Line 4:St. Anthony Regional Hospital and Nursing Home is located in Carroll, Iowa, St. Anthony serves a predominantly rural population over a large geographic area comprising six counties in West Central Iowa. These counties include Audubon, Calhoun, Carroll, Crawford, Greene, and Sac. Carroll, IA had a population of 10,300 people with a median household income of $51,443. The 5 largest ethnic groups in Carroll, IA are White (Non-Hispanic) (93.4%), (Non-Hispanic) (1.8%), Other (Hispanic) (1.26%), (Hispanic) (0.984%), and White (Hispanic) (0.877%). The largest industries in Carroll, IA are Manufacturing, Health Care & Social Assistance, and Retail Trade.
Part VI, Line 5:St. Anthony Regional Hospital and Nursing Home operates an acute care hospital, a nursing care center, several medical clinics, retirement housing called Orchard View, and assisted living called Garden View. The Hospital is a 99-bed acute care facility. St. Anthony Nursing Home has 79 beds. The Hospital has a 10 member independent board of directors. The Hospital extends medical staff privileges to all qualified physicians in the community. St. Anthony Regional Hospital and Nursing Home invests surplus funds in infrastructure and equipment improvements.St. Anthony Regional Hospital has demonstrated a commitment to promoting health care to further its exempt purpose of providing quality health care in the community and surrounding counties for more than one hundred and fifteen years. St. Anthony Regional Hospital is a regional provider and is committed to providing quality care to the community. The majority of the Hospital's board members are from local businesses and reside in the community.Community benefit projects include community health education, health care support services, behavioral health services, community health improvement advocacy, and other traditional charity care.
Part VI, Line 7, Reports Filed With StatesIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1St Anthony FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 South Clark St PO Box 628AddressLine1Txt
CityCarrollCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51401ZIPCd
FieldValueIRS element (for citing)
Recipient EIN421419695RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$229,430CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantDevelopment Office ExpensesPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationSt. Anthony Hospital and Nursing Home made a payment to a related organization, St. Anthony Foundation. The Foundation and Hospital have a close working relationship and monitor the use of the funds.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Richard Goding MD
Orthopedics$769,427$0$0$0$3,959$0$1,938$0$34,837$0$810,161$0$0$0
Randall Hess MD
Radiation Oncologist$529,707$0$10,000$0$5,363$0$13,200$0$28,391$0$586,661$0$0$0
Nicole Hayworth DNP ARNP
CRNA$450,086$0$25,050$0$2,425$0$13,200$0$35,930$0$526,691$0$0$0
Jillianne Murray DO
Family Medicine$426,811$0$40,000$0$1,814$0$5,127$0$10,025$0$483,777$0$0$0
Brian Boes MD
Neurology$398,980$0$30,000$0$7,200$0$0$0$36,337$0$472,517$0$0$0
Allen Anderson
CEO/President$341,243$0$23,450$0$0$0$0$0$35,337$0$400,030$0$0$0
Eric Salmonson
CFO/Vice President$174,550$0$6,157$0$681$0$7,956$0$29,913$0$219,257$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7FormAndLineReferenceDesc
ExplanationIn their roles as executives employed by St. Anthony Regional Hospital and Nursing Home, the executives are eligible for incentive payouts. The incentive award will be a percentage of the base pay compensation for the CEO, CFO, and other executives. The ultimate payout includes a reduction/increase multiplier depending on whether the organization reached specified performance metrics identified by the Board of Directors.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Carroll County IowaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN426004323BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2022-10-27BondIssuedDt
Issue Price$6,000,000IssuePriceAmt
PurposeSee Part VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$600,000RetiredAmt
Total Proceeds$6,000,000TotalProceedsAmt
Issuance Costs From Proceeds$47,500IssuanceCostsFromProceedsAmt
Capital Expenditures$5,952,500CapitalExpendituresAmt
Substantial Completion2023SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part I, (f), Description of Purpose:FormAndLineReferenceDesc
ExplanationFinance a portion of the costs of constructing, renovating, equipping and furnishing the Hospital's dialysis and obstetrical departments and other improvements at the Hospital facilities.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonEric SalmonsonPersonNm
Relationship With OrgVP/CFORelationshipWithOrgTxt
Loan PurposeSplit-dollar life insuranceLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$0OriginalPrincipalAmt
Balance Due$97,500BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$97,500TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Badding Construction
Entity owned more than 35% by Nick Badding, Board Chair, and family$314,271Construction Services0
Drees Co
Entity owned more than 35% by Howard J. Drees, Treasurer, and family$535,626Construction, plumbing, and heating services0

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,904,463NoncashContributionsRptF990Amt
Method Of Determining RevenuesAppraisalMethodOfDeterminingRevenuesTxt

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$295,537NoncashContributionsRptF990Amt
Method Of Determining RevenuesAppraisalMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationTotal number of contributors.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2The Hospital received critical access hospital designation during fiscal year 2024.
Form 990, Part VI, Section A, line 6The former members of the St. Anthony Regional Hospital and Nursing Home are the sisters of the religious community known as the Congregation of the Sisters of the Third Order of the St. Francis of Perpetual Adoration (FSPA). The FSPA formed St. Anthony Ministries to assume canonical sponsorship and membership of St. Anthony Regional Hospital and Nursing Home, performed previously by the FSPA.
Form 990, Part VI, Section A, line 7aSt. Anthony Ministries, as the sole member of St. Anthony Regional Hospital and Nursing Home has the power to appoint the Board of Directors.
Form 990, Part VI, Section A, line 7bAll decisions, including dissolution of the organization, made by the Board of Directors of St. Anthony Regional Hospital and Nursing Home are subject to the approval of St. Anthony Ministries.
Form 990, Part VI, Section A, line 8bThe organization does not have any committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bThe final version of the form 990 is given to each member of the Board of Directors prior to filing the return. The Form 990 was reviewed by the CFO and the Audit committee.
Form 990, Part VI, Section B, line 12cThe Officers and Board Members annually disclose in writing, "any interest which would be inconsistent with the expeditious, proper, and impartial performance of duties." Defining disclosable conflict or duality of interest as any matter in which the corporations are "interested which affects the financial interest or employment of such member, a member of his/her family by blood or marriage, or any business enterprise in which he/she or such family member is employed or has a financial interest." Officers and Board members are required to disclose the facts surrounding any possible conflict of interest throughout the year. If a conflict of interest is disclosed by an Officer or Board Member, during a board meeting the Officer or Board Member will not participate in any discussions or deliberations regarding the matter and would abstain from any voting decisions on this matter during the meeting. All conflict of interests that are disclosed will be reported in the minutes of the board meetings.
Form 990, Part VI, Section B, line 15At the direction of the Board of Directors the CEO gathers compensation information (salary and benefits) from various sources including Iowa Hospital Association and benefit consultants for like-sized organizations. The Executive Committee then determines the annual compensation for the CEO and CFO for the total board approval. The compensation process for the CEO is completed in August annually. The compensation process for the CFO is completed in March annually. The process and determination is documented in the meeting minutes and personnel files.
Form 990, Part VI, Section C, line 19St. Anthony Regional Hospital and Nursing Home's governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Form 990, Part IX, line 11gContractor Labor: Program service expenses 5,535,123. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,535,123. Other Fees: Program service expenses 2,782,083. Management and general expenses 1,145,825. Fundraising expenses 0. Total expenses 3,927,908. Consulting Services: Program service expenses 114,917. Management and general expenses 109,320. Fundraising expenses 0. Total expenses 224,237. Physicians Fees: Program service expenses 4,216,175. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,216,175.
Form 990, Part XI, line 9:Change in beneficial interest in net assets of St. Anthony Foundation 2,115,330.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
St Anthony Foundation
311 South Clark St PO Box 628CarrollIA51401421419695Support St. Anthony Regional Hospital and Nursing HomeIA501(c)(3)Line 7St Anthony Ministries0
St Anthony Ministries
311 South Clark St PO Box 628CarrollIA51401Religious OrderIA501(c)(3)Canonical entity0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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