Known originally as the Insane Asylum of West Dubuque, the name of this facility was changed in 1909 to St. Joseph’s Sanitarium. It was located near the intersection of Asbury and Hillcrest Roads, and was run by the Sisters of Mercy.
St. Nicholas is pictured in white and purple bishop's attire, carrying a book with three gold orbs on it, two bags of apples, and a crosier. At the bottom, "Gruss vom Nikolas" is written in gold script.
The postcard shows a little, curly-haired girl wearing a green dress pulling on a red-faced, smiling Krampus head. The bottom right corner reads "Gruss vom Krampus!" against a white background.
Krampus head at the left top corner of the postcard. He is smiling and sticking out a long tongue. His eyes are closed. Toward the bottom right of the card, there is a bundle of sticks with a chain.