2015-08-13T10:15:13-07:00 2014-09-30 990 2013-10-01 020222131 Frisbie Memorial Hospital FRIS 6033325211 11 Whitehall Rd Rochester NH 03867 JOHN A MARZINZIK CEO 6033325211 2015-08-05 2013 2016-02-25 16:41:14Z JOHN A MARZINZIK 11 Whitehall Rd Rochester NH 03867 142917777 false X www.frisbiehosiptal.com X 1941 NH To excel at caring for the community by providing safe, effective, equitable, timely healthcare services. We will ally ourselves with other community healcare providers to enhance our mutual ability to improve the health of our community and the quality of life for the people we serve. 14 14 1048 226 7000 122093 128941 131296 122362506 124638231 2979278 2459904 0 125470725 127229431 0 0 66243193 70119016 0 120855 57291623 56942466 123534816 127061482 1935909 167949 127347179 125766648 42138909 39871181 85208270 85895467 To excel at caring for the community false false 108611910 124638231 FRISBIE MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT CONTINUOSLY EVALUATES AND ADDRESSES THE COMPREHENSIVE HEALTHCARE NEEDS OF ROCHESTER, NH AND THE SURROUNDING COMMUNITIES. IN RESPONSE TO THESE HEALTHCARE NEEDS, THE HOSPITAL COORDINATES, DEVELOPS, AND PROVIDES HIGH QUALITY, AFFORADABLE, PREVENTATIVE, EDUACTIONAL, ACUTE AND CHRONIC CARE SERVICES. IN FY2014 27,280 PATIENTS WERE TREATED IN OUR EMERGENCY DEPARTMENT, 5,631 AMBULANCE CALLS WERE MADE, 3,594 INPATIENTS WERE CARED FOR, AND SURGERY PERFORMED ON 12,722 PATIENTS. 348 NEWBORNS WERE WELCOMED INTO THE WORLD,48,419 RADIOLOGY PROCEDURES/TESTS PROVIDED, GAVE 64,422 REHABILITATIVE TREATMENTS, PERFORMED 387,308 LABORATORY TESTS AND TREATED 5,461 ONCOLOGY PATIENTS. 7526952 FRISBIE MEMORIAL HOSPITAL PROVIDED UNCOMPENSATED CARE FOR THOSE IN NEED. FRISBIE RANKS AMOUNG THE TOP IN NEW HAMPSHIRE FOR THE MONEY VALUE OF CHARITY CARE PROVIDED TO PATIENTS. 622438 FRISBIE MEMORIAL HOSPITAL PRESENTED OR SPONSORED NUMEROUS COMMUNITY PROGRAMS WHICH ASSISTED WITH THE SPECIAL NEEDS OF OUR MOST VULNERABLE AT RISK POPULATION GROUPS. THESE PROGRAMS IMPROVED EDUCATION AND HEALTH AWARENESS IN THE COMMUNITY AND PROVIDED GREATER ACCESS TO HEALTH SERVICES. 116761300 true false false true false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true false false false true 48 0 1048 true true true false false false false false false false false false false false false X 14 14 true false false false false false false true true false false false true true true true true true true false NH X X JOHN A MARZINZIK 6033325211 11 Whitehall Rd Rochester NH 03867 RONALD POULIN President 3.00 X X 0 0 0 BRIAN HUGHES Vice Chair 3.00 X X 0 0 0 PETER GOWELL Treasurer 3.00 X X 0 0 0 WILLIAM CORMIER Secretary 3.00 X X 0 0 0 ALVIN FELGAR CEO 40.00 X 551116 0 108405 JOHN MARZINZIK SVP Finance/CFO 40.00 X 313078 0 51704 JOSEPH BEHRE Trustee 2.00 X 0 0 0 JOHN BRITTON MD Trustee 2.00 X 0 0 0 SANDRA CONLEY Trustee 2.00 X 0 0 0 ROBERT HARRINGTON MD Trustee 2.00 X 0 0 0 RICH HUSSEY Trustee 2.00 X 0 0 0 FRANK JONES Trustee 2.00 X 0 0 0 DAVID KEEFE Trustee 2.00 X 0 0 0 JEANETTE POULIN Trustee 2.00 X 0 0 0 JULIE REYNOLDS Trustee 2 X GREGORY SMITH Immed Past Chair 2 X CAROL THEMELIS VP Human Resources 40 X 243012 54678 PAULA MAHONEY VP Physician Practices 40 X 198352 44538 AMY DUMONT VP Patient Care Services 40 X 210461 21394 JOSEPH SHIELDS Senior VP 40 X 175165 34559 MATHURIN MALBY MD 40 X 422839 27912 SACHIN SAKSENA MD 40 X 387491 11914 MICHAEL METZGER MD 40 X 387198 18441 NICOLAS KARAM MD 40 X 378902 24412 DAVID REEVES MD 40 X 366395 44466 3634009 442423 102 false true false Crothall Facilities Mgmt 13028 Collections Ctr Chicago IL 60693 Facilities Management 3402387 Surgical Associates 21 Whitehall Rd Rochester NH 03867 Physician Practice 1471744 Unidine Corp 1000 Washington St Boston MA 03867 Dietary Services 1956848 siemens Healthcare Diagnostics 13776 Collection Ctr Dr Chicago IL 60693 LAboratory Services 615207 Alliance Healthcare PO Box 96485 Chicago IL 60693 MRI/PET Imaging 905204 18 28990 102306 131296 Net Patient Service Revenue 622110 120577306 Other Operating Revenue 900099 2402432 7000 Net Assets Released from Restriction 900099 262573 Meaningful Use 900099 1395920 124638231 445197 445197 17703053 15688346 2014707 2014707 2014707 28990 127229431 124631231 7000 2459904 1741357 0 1741357 0 0 0 0 0 53410888 52359227 966793 84868 1574648 1533662 38440 2546 9856138 9637546 205013 13579 3535985 3431598 98022 6365 413354 0 413354 0 63338 0 63338 0 13868801 11921834 1941957 5010 407525 19754 386476 1295 912760 416569 492547 3644 4703557 4344910 358647 0 15961 9509 5289 1163 233156 218631 14415 110 1247415 1247415 0 0 5983492 5983492 0 0 1973441 0 1973441 0 Repair & Maintenance 2548552 1396879 1151673 0 Supplies 17251135 17072368 176817 1950 Equip Maint/Dues&Subs 1007417 855344 151748 325 Medicaid Enhancement Tax 6250906 6250906 0 0 61656 61656 0 0 127061482 116761300 10179327 120855 6664662 3293153 631696 1354060 14634090 16525555 2895987 3225639 2430783 2070228 133733704 74120961 62092828 59612743 31102443 34163143 6894690 5522127 127347179 125766648 14883056 13417408 22813896 26453773 4441957 42138909 39871181 X 83342468 84037516 65110 58259 1800692 1799692 85208270 85895467 127347179 125766648 167949 519248 X false true X true false X 0 0 0 0 0 0 31227443 3323272 262573 34288142 28491800 78472 2898384 241213 31227443 24732265 3759535 28491800 25552520 59916 -816743 63428 24732265 23618029 13042 2021449 100000 25552520 true false false 181776 181776 73929018 28222532 45706486 3261683 1959163 1302520 40858552 30335241 10523311 15502675 13604025 1898650 59612743 Other Assets 2153851 Deferred Finance Costs 258855 Investment in Affiliates 2626382 Funds held by trustee under bond indenture agreement 483039 5522127 Interest rate swaps Pt V Line 4 To further the hospital's charitable mission true true true X false false true false true true 7526952 7526952 0.05920 18036246 5388259 12647987 0.09950 25563198 5388259 20174939 0.15870 622438 622438 0.00490 43000 43000 0.00030 1536173 1353295 182878 0.00140 85000 85000 0.00070 2286611 1353295 933316 0.00730 27849809 6741554 21108255 0.16600 true 5672036 567204 28427173 40122000 -11694827 X true true 1 1 Frisbie Memorial Hospital 11 Whitehall Rd Rochester NH 03867 X X X Geropsychiatric Unit Frisbie Memorial Hospital 1 true X X X X X X X X 13 true false true X www.frisbiehospital.com X X X X true false true true 200 false true X X X X true true X X X true X X false X X X X true X false false 0 Pt I Line 3c Organization uses 200% FPG to determine eligibility Pt I Line 6a A community benefit report is prepared yearly and is available on the organization public website Pt III Line 2 The Medicare cost report ratio of cost to charge is used to determine cost of bad debt expense Pt III Line 9b Collection policy provides for accounts known to qualify for free care Pt III Line 9b be removed from transfer to an outside agency for further collection activity Pt III Line 4 Financial Statement footnote: Patient Accounts Receivable are stated at the amount Pt III Line 4 expects to collect from outatanding balances. Management provides for probable Pt III Line 4 uncollectable amounts through a charge to operations and a credit to a valuation Pt III Line 4 allowance based on its assessment of individual accounts and historical adjustments. Pt III Line 8 Medicare shortfall is reported on the annual Community Benefit Report Pt III Line 8 to the state of New Hampshire under "unreimbursed costs" government sponsored healthcare. Pt VI Line 2 Frisbie Memorial Hospital conducts a Community Needs Assessment every five years, the most recent completed in 2013. Pt VI Line 2 FMH worked with Health Strategies Plus to bring together healthcare and Pt VI Line 2 and public service stakeholders, collecting quantitative and qualitative data. Pt VI Line 4 FMH's PSA is urban consisting of northern Stafford, NH and western York, ME counties. Pt VI Line 4 Population served is over 70,000 with a medium income of $47,626 and 4.7% of community Pt VI Line 4 residents living below the federal poverty guidelines. Pt V Sec B 21 The maximum amount charged to FAP-eligible individuals is gross charge less 15% Pt V Sec B 3 Members of the committee were chosen based on their knowledge of the local healthcare Pt V Sec B 3 landscape, their vision for improved community health, and their ability to provide Pt V Sec B 3 leadership to facilitate positive change. Pt VI Line 7 NH X X X false true false false false false false false false ALVIN FELGAR 385009 75000 91107 89505 18900 659521 89505 JOHN MARZINZIK 248078 65000 27332 24372 364782 27332 CAROL THEMELIS 175938 30000 37074 39081 15597 297690 39081 PAULA MAHONEY 168352 30000 21984 22554 242890 21984 AMY DUMONT 174461 36000 21394 231855 JOSEPH SHIELDS 145165 30000 8643 25916 209724 MATHURIN MALBY 266055 156784 27912 450751 SACHIN SAKSENA 386791 700 11914 399405 MICHAEL METZGER 386498 700 18441 405639 NICOLAS KARAM 378202 700 24412 403314 DAVID REEVES 304663 61732 17000 44466 427861 Pt I Line 4b The hospital has a 457(f) deffered compensation plan which covers highly compensated employees. The organization incurred liabilities relating to salary continuation agreements with highly compensated employees. Under the terms of the agreements they are entitled to receive a lump sum of their account balance, including earnings, within 30 days after the employee's date certain, which is elected by the employee. Alvin Felgar and Carol Themelis received lump sums distributions in the amounts of 91,107 and 37,074 respectively in calendar year 2013. A NHHEFA 020279866 644614QD4 2014-08-01 22475000 Refunding Series 2006 Bonds false false false A 22475000 22475000 187111 2014 true false true true A false false false false true A false false false false false false JOHN BRITTON MD Trustee 1753173 Subsidy false JOHN BRITTON MD Trustee -1319242 Transfer of AR true Pt VI, Line 11b The final form 990 is reviewed by each member of the board audit/finance committee and CFO. Pt VI, Line 11b The form 990 is made available to the board of directors prior to filing. Pt VI, Line 12c In accordance with the writted conflict of interest policy the office of the President Pt VI, Line 12c annually secures a signed copy of the Trustee/Officer Conflict of interest statement and maintains on file. Pt VI, Line 15a Each year the executive compensation committee comprised of four members of the FMH Board Pt VI, Line 15a reviews the hospital CEO performance and compensation. Pt VI, Line 15a The VP of Human Resources presents the compensation committee with Pt VI, Line 15a comparative salary and benefit data. Pt VI, Line 19 The Hospital will provide its governing documents, financial statements, Pt VI, Line 19 and conflict of interest policy upon written request based on the Pt VI, Line 19 intent and purpose of the request Pt VI, Line 2 Trustees Ronald Poulin and Jeanette Poulin are husband and wife. Pt VI, Line 15b Senior manangement compensation is also reviewed by Pt VI, Line 15b the committee, but compensation is determined by the CEO. Pt IX Line 24d The New Hampshire Medicaid Enhancement (MET) tax is a 5.5% tax on net patient Pt IX Line 24d service revenue paid by hospitals to the State of New Hampshire. Unlike previous years where the Pt IX Line 24d State provided hospitals with uncompensated care payments towards the cost of care Pt IX Line 24d of patients without insurance from matching federal funds, uncompensated care payments Pt IX Line 24d were reduced or eliminated to hospitals. The impact to Frisbie Memorial Hospital Pt IX Line 24d in 2013 was payment of MET in the amount of $6,250,906. Frisbie Foundation 11 whitehall Rd Rochester NH 03867 020465942 Coordinate Funds raised for hospital NH 501(c)(3) 11 false false false false false false false false false false true false false false false false true false false Frisbie Foundation k 2455836 FMV Frisbie Foundation q 131220 FMV