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Nonprofiteer
← ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME

Form 990 for tax year 2022

Filed by ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME.

Totals

Total revenue
$94,394,627
Total expenses
$100,659,213
Contributions and grants received
$1,533,134
Grants paid
$276,724
Program service revenue
$88,886,347
Investment income
$4,150,556
Other revenue
-$175,410
Total assets, end of year
$198,229,212
Total liabilities, end of year
$42,900,019
Net assets or fund balances, end of year
$155,329,193
Program services expenses (Part IX)
$97,254,676
Management and general expenses
$3,404,537
Fundraising expenses
$0
Program service expenses (Part III)
$97,254,676

Program services were 96.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $32,000

  • 1d · Related organizations

    $707,193

  • 1e · Government grants (contributions)

    $595,558

  • 1f · All other contributions, gifts and grants

    $198,383

  • 2a · Program service revenue: Patient Service Revenue

    total $83,980,199 · related or exempt $83,980,199

  • 2b · Program service revenue: Assisted Living

    total $2,353,647 · related or exempt $2,353,647

  • 2c · Program service revenue: Pharmacy Revenue

    total $586,769 · related or exempt $586,769

  • 2d · Program service revenue: Retirement Housing

    total $555,382 · related or exempt $555,382

  • 2e · Program service revenue: Cafeteria Revenue

    total $424,457 · related or exempt $424,457

  • 2f · All other program service revenue

    total $985,893 · related or exempt $985,893

  • 3 · Investment income

    total $1,518,659 · excluded $1,518,659

  • 6a · Gross rents

    real property $575,425

  • 6b · Less rental expenses

    real property $786,790

  • 6c · Rental income or loss

    real property -$211,365

  • 6d · Net rental income or loss

    total -$211,365 · excluded -$211,365

  • 7a · Gross sales of assets other than inventory

    securities $14,774,862 · other assets $265,043

  • 7b · Less cost or other basis and sales expenses

    securities $11,759,294 · other assets $648,714

  • 7c · Gain or loss

    securities $3,015,568 · other assets -$383,671

  • 7d · Net gain or loss

    total $2,631,897 · excluded $2,631,897

  • 11a · Other revenue: Insurance Proceeds

    total $35,955 · related or exempt $35,955

  • 11e · Other revenue, total

    $35,955

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $276,724 · program services $276,724

  • 5 · Compensation of officers, directors and key employees

    total $990,089 · management and general $990,089

  • 6 · Compensation of disqualified persons

    total $16,578 · program services $16,578

  • 7 · Other salaries and wages

    total $39,182,864 · program services $38,561,387 · management and general $621,477

  • 8 · Pension plan contributions

    total $959,178 · program services $935,827 · management and general $23,351

  • 9 · Other employee benefits

    total $4,088,707 · program services $4,027,378 · management and general $61,329

  • 10 · Payroll taxes

    total $2,706,532 · program services $2,605,247 · management and general $101,285

  • 11b · Fees: legal

    total $72,537 · management and general $72,537

  • 11c · Fees: accounting

    total $284,921 · program services $15,500 · management and general $269,421

  • 11d · Fees: lobbying

    total $13,820 · management and general $13,820

  • 11g · Fees: other

    total $11,670,423 · program services $10,857,967 · management and general $812,456

  • 12 · Advertising and promotion

    total $216,092 · program services $7,942 · management and general $208,150

  • 13 · Office expenses

    total $1,385,429 · program services $1,344,716 · management and general $40,713

  • 16 · Occupancy

    total $2,054,116 · program services $2,039,894 · management and general $14,222

  • 17 · Travel

    total $393,798 · program services $333,618 · management and general $60,180

  • 20 · Interest

    total $715,345 · program services $715,345

  • 22 · Depreciation, depletion and amortization

    total $8,240,547 · program services $8,240,547

  • 23 · Insurance

    total $607,734 · program services $607,734

  • 24a · Other expenses: Medical Supplies

    total $20,238,278 · program services $20,238,137 · management and general $141

  • 24b · Other expenses: Repairs and Maintenance

    total $4,047,727 · program services $3,998,454 · management and general $49,273

  • 24c · Other expenses: Tax Assessment

    total $1,211,141 · program services $1,211,141

  • 24d · Other expenses: Food

    total $894,048 · program services $894,048

  • 24e · All other expenses

    total $392,585 · program services $326,492 · management and general $66,093

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $2,832,165 · end of year $1,784,084

  • 3 · Pledges and grants receivable

    end of year $287,236

  • 4 · Accounts receivable

    beginning of year $10,241,127 · end of year $11,440,582

  • 7 · Other notes and loans receivable

    beginning of year $189 · end of year $1,000

  • 8 · Inventories for sale or use

    beginning of year $2,759,179 · end of year $2,847,873

  • 9 · Prepaid expenses and deferred charges

    beginning of year $910,980 · end of year $1,031,764

  • 10a · Land, buildings and equipment: cost or other basis

    $172,876,054

  • 10b · Land, buildings and equipment: accumulated depreciation

    $102,147,438

  • 10c · Land, buildings and equipment, net

    beginning of year $69,973,059 · end of year $70,728,616

  • 11 · Investments: publicly traded securities

    beginning of year $81,131,772 · end of year $85,880,112

  • 12 · Investments: other securities

    beginning of year $4,254,372

  • 15 · Other assets

    beginning of year $21,802,843 · end of year $24,227,945

  • 17 · Accounts payable and accrued expenses

    beginning of year $10,256,390 · end of year $7,277,400

  • 19 · Deferred revenue

    end of year $1,212,090

  • 20 · Tax-exempt bond liabilities

    beginning of year $27,896,801 · end of year $5,209,052

  • 23 · Secured mortgages and notes payable

    beginning of year $412,127 · end of year $28,027,646

  • 25 · Other liabilities

    beginning of year $1,475,469 · end of year $1,173,831

  • 27 · Net assets without donor restrictions

    beginning of year $137,522,089 · end of year $132,799,898

  • 28 · Net assets with donor restrictions

    beginning of year $16,342,810 · end of year $22,529,295

Mission and programs · 2022

Mission

St. 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.

Activities or mission (Part I)

Consistently providing high quality healthcare services to meet patient and community needs.

  • St. Anthony Regional Hospital and Nursing Home (the Hospital), 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 99-bed acute care facility. St. Anthony Nursing Home has 79 beds. In the year ended June 30, 2023, St. Anthony Regional Hospital and Nursing Home provided health care services to approximately 1,844 inpatients, 73,087 outpatients, and had 42,864 clinic visits. St. Anthony Regional Hospital provided services for 1,376 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. Continued 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, 2023, St. Anthony services 9,713 patients in physical therapy, 7,159 in emergency room, and 6,694 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 was approximately $3,277,000 for the year ended June 30, 2023. Total estimated cost of providing these services was $1,427,000 for the year ended June 30, 2023 based on an average ratio of costs to gross charges.

    Expenses $97,254,676 · Grants $276,724 · Revenue $88,922,302

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Nick Badding

    Chairman

    Total calculated
    $0
    Hours/week
    0.3
  • Peggy White

    Vice Chairman

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Sr Theresa Keller

    Secretary

    Total calculated
    $0
    Hours/week
    0.3
  • Howard Drees

    Treasurer

    Total calculated
    $0
    Hours/week
    0.3
  • Deb Auen

    Board Member

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Jeff Scharfenkamp

    Board Member

    Total calculated
    $0
    Hours/week
    0.3
  • Karl Eischeid DDS

    Board Member

    Total calculated
    $0
    Hours/week
    0.3
  • Sr Donna Venteicher

    Board Member

    Total calculated
    $0
    Hours/week
    0.3
  • Sr Michelle Pettit

    Board Member

    Total calculated
    $0
    Hours/week
    0.3
  • Sr Rose Elsbernd

    Board Member

    Total calculated
    $0
    Hours/week
    0.3
  • Allen Anderson

    CEO/President

    Total calculated
    $202,845
    From this org
    $184,185
    From related orgs
    $0
    Other
    $18,660
    Hours/week
    40 + 0.3 related

    Schedule J breakdown matched by us

    Base
    $184,156
    Bonus
    $0
    Other
    $29
    Deferred
    $0
    Nontaxable benefits
    $18,660
    Filer's total
    $202,845
  • Eric Salmonson

    CFO/Vice President

    Total calculated
    $165,013
    From this org
    $146,449
    From related orgs
    $0
    Other
    $18,564
    Hours/week
    40 + 0.3 related

    Schedule J breakdown matched by us

    Base
    $145,997
    Bonus
    $0
    Other
    $452
    Deferred
    $3,304
    Nontaxable benefits
    $15,260
    Filer's total
    $165,013
  • Edward H Smith Jr

    CEO/President until Dec. 2022

    Total calculated
    $423,974
    From this org
    $362,086
    From related orgs
    $0
    Other
    $61,888
    Hours/week
    40 + 0.3 related

    Schedule J breakdown matched by us

    Base
    $219,633
    Bonus
    $66,604
    Other
    $75,849
    Deferred
    $27,619
    Nontaxable benefits
    $34,268
    Filer's total
    $423,973
  • Randall Hess MD

    Radiation Oncologist

    Total calculated
    $572,374
    From this org
    $528,344
    From related orgs
    $0
    Other
    $44,030
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $496,976
    Bonus
    $26,163
    Other
    $5,205
    Deferred
    $15,958
    Nontaxable benefits
    $28,072
    Filer's total
    $572,374
  • Brian Boes MD

    Neurology

    Total calculated
    $421,474
    From this org
    $392,723
    From related orgs
    $0
    Other
    $28,751
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $347,995
    Bonus
    $40,000
    Other
    $4,728
    Deferred
    $0
    Nontaxable benefits
    $28,751
    Filer's total
    $421,474
  • Amy Canuso DO

    Mental Health

    Total calculated
    $460,243
    From this org
    $413,779
    From related orgs
    $0
    Other
    $46,464
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $278,536
    Bonus
    $131,472
    Other
    $3,771
    Deferred
    $12,695
    Nontaxable benefits
    $33,769
    Filer's total
    $460,243
  • Richard Goding MD

    Orthopedics

    Total calculated
    $391,454
    From this org
    $370,677
    From related orgs
    $0
    Other
    $20,777
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $370,677
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $20,777
    Filer's total
    $391,454
  • Nicole Hayworth DNP ARNP

    CRNA

    Total calculated
    $381,691
    From this org
    $338,039
    From related orgs
    $0
    Other
    $43,652
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $275,939
    Bonus
    $59,752
    Other
    $2,348
    Deferred
    $10,487
    Nontaxable benefits
    $33,165
    Filer's total
    $381,691
  • John Munson

    Former CFO/VP

    Total calculated
    $116,680
    From this org
    $103,243
    From related orgs
    $0
    Other
    $13,437
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $102,543
    Bonus
    $0
    Other
    $700
    Deferred
    $0
    Nontaxable benefits
    $13,437
    Filer's total
    $116,680

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 4b
St. Anthony Regional Hospital and Nursing home has a non-qualified deferred compensation plan that complies with section 457(f) of the Internal Revenue Code and the short-term deferral provisions of section 409A of the code. The plan is to be an unfunded plan maintained primarily for the purpose of providing deferred compensation benefits for a select group of management or highly compensated employees. Edward H. Smith Jr. was paid $34,787 for his 457f plan in calendar year 2022.
Part I, Line 7
In 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • St Anthony Foundation

    501(c)(3) · Support St. Anthony Regional Hospital and Nursing Home · IA

    Directly controlled by St Anthony Ministries

  • St Anthony Ministries

    501(c)(3) · Religious Order · IA

Provenance

Return type
form_990
Tax year
2022
Filed
7 May 2024
IRS schema version
2022v5.0
Source object
202401349349301410

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