2016-08-09T06:13:12-07:00 2015-09-30 990 2014-10-01 020222131 Frisbie Memorial Hospital FRIS 6033325211 11 Whitehall Rd Rochester NH 03867 NICK SAMILO VP FINANCE/CFO 6033325211 2016-05-31 2014 2016-12-15 16:53:06Z JOHN A MARZINZIK 11 Whitehall Rd Rochester NH 03867 151952329 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 1050 226 749670 131296 105274 124638231 129746157 2459904 1748820 0 127229431 131600251 0 0 70119016 73413667 0 126183 56942466 59367062 127061482 132780729 167949 -1180478 125766648 120840917 39871181 37889299 85895467 82951618 To excel at caring for the community false false 116050837 129746157 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 FY2015 28,973 PATIENTS WERE TREATED IN OUR EMERGENCY DEPARTMENT, 6,208 AMBULANCE CALLS WERE MADE, 3,655 INPATIENTS WERE CARED FOR, AND SURGERY PERFORMED ON 12,761 PATIENTS. 365 NEWBORNS WERE WELCOMED INTO THE WORLD,45,100 RADIOLOGY PROCEDURES/TESTS PROVIDED, GAVE 65,007 REHABILITATIVE TREATMENTS, PERFORMED 359,827 LABORATORY TESTS AND TREATED 5,011 ONCOLOGY PATIENTS. 5145031 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. 519767 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. 121715635 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 46 0 1050 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 NICK SAMILO 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 X 523993 0 90962 JOHN MARZINZIK SVP Finance/CFO 40.00 X 291384 0 53643 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 233268 54840 PAULA MAHONEY VP Physician Practices 40 X 188543 45349 AMY DUMONT VP Patient Care Services 40 X 194903 44411 JOSEPH SHIELDS Senior VP 40 X 164621 35698 MATHURIN MALBY MD 40 X 488090 29196 SACHIN SAKSENA MD 40 X 388942 13404 MICHAEL METZGER MD 40 X 389045 18480 NICOLAS KARAM MD 40 X 383769 34527 JOHN FREESE MD 40 X 410675 18578 3657233 439088 11 true true false Crothall Facilities Mgmt 13028 Collections Ctr Chicago IL 60693 Facilities Management 3335933 Owens & Minor 135 Constitution Boulevard Franklin MA 15251 Medical Supplies 2850977 Unidine Corp 1000 Washington St Boston MA 03867 Dietary Services 1957318 Surgical Associates 21 Whitehall Road Rochester NH 03867 Physican Practice 1565000 Alliance Healthcare PO Box 96485 Chicago IL 60693 MRI/PET Imaging 872882 17 31635 73639 105274 Net Patient Service Revenue 622110 126865901 Other Operating Revenue 900099 2462377 749670 Meaningful Use 900099 417879 129746157 429622 429622 21671276 20352078 1319198 1319198 1319198 31635 131600251 128996487 749670 1748820 1618927 0 1618927 0 55638635 54219769 1327582 91284 1718949 1676383 39827 2739 10800314 10573296 212413 14605 3636842 3528436 101560 6846 167770 0 167770 0 102132 0 102132 0 15010555 12658211 2346078 6266 421464 13810 407654 0 972691 440242 531659 790 4658691 4309068 349623 0 30554 15532 13852 1170 249907 233511 16364 32 888775 888775 0 0 5851613 5851613 0 0 1957027 0 1957027 0 Repair & Maintenance 2996407 1659332 1337075 0 Supplies 20278971 20081810 194910 2251 Equip Maint/Dues&Subs 1071318 856660 214458 200 Medicaid Enhancement Tax 4618119 4618119 0 0 91068 91068 0 0 132780729 121715635 10938911 126183 3293153 3390346 1354060 1361058 16525555 19528619 3225639 3231018 2070228 1616273 136724845 79543876 59612743 57180969 34163143 29464678 5522127 5067956 125766648 120840917 13417408 12198521 26453773 25690778 39871181 37889299 X 84037516 80900580 58259 250346 1799692 1800692 85895467 82951618 125766648 120840917 -1180478 -1763371 X false true X true false X 0 0 0 0 0 0 34288142 -4823464 29464678 31227443 3323272 262573 34288142 28491800 78472 2898384 241213 31227443 24732265 3759535 28491800 25552520 59916 -816743 63428 24732265 0.99990 0.00010 0.00000 true false false 181776 181776 75251888 30488366 44763522 3312813 2123572 1189241 42332787 32846720 9486067 15645581 14085218 1560363 57180969 Other Assets 2109182 Deferred Finance Costs 246395 Investment in Affiliates 2712379 Funds held by trustee under bond indenture agreement 5067956 Pt V, Line 4 To further the hospital's charitable mission true true true X false false true false true true 5145031 5145031 0.03870 7717222 1766647 5950575 0.04480 12862253 1766647 11095606 0.08350 519767 519767 0.00390 69000 69000 0.00050 1679245 1468935 210310 0.00160 111000 111000 0.00080 2379012 1468935 910077 0.00680 15241265 3235582 12005683 0.09030 true 3639335 363934 29193988 41145496 -11951508 X true true 1 1 Frisbie Memorial Hospital 11 Whitehall Rd Rochester NH 03867 X X X Geropsychiatric Unit Frisbie Memorial Hospital 1 false false true X X X X X X X X 15 true false false true X www.frisbiehospital.com X true 15 true www.frisbiehospital.com false false true X 2.00000000 0 X X X true true X X X X true X true X X false X X X X true X false false Frisbie Memorial Hospital Pt V Line 23 The maximum amount charged to FAP-eligible individuals is gross charge less 15% Frisbie Memorial Hospital Pt V Line 5 Members of the committee were chosen based on their knowledge of local healthcare 0 Pt VI Line 7 NH 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 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 expects to collect from outstanding balances. Management provides for probable uncollectable amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historical judgements. Pt III Line 8 Medicare shortfall is reported on the annual Community Benefit Report 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. FMH worked with Health Strategies Plus to bring together healthcare and public service stakeholders, collecting quantative and qualitative data. Pt VI Line 4 FMH's PSA is urban consisting of Northern Strafford, NH and western York, ME counties. Population served is over 64,000 with a medium income of $52,662 and 10.9% community residents living below the federal poverty guidelines. X X X false true false false false false false false false ALVIN FELGAR 434274 89719 89505 1457 614955 89505 JOHN MARZINZIK 258884 32500 27332 26311 345027 27332 CAROL THEMELIS 181876 15000 36392 39081 15759 288108 39081 PAULA MAHONEY 168352 15000 16500 21984 23365 245201 21984 AMY DUMONT 179903 15000 22400 22000 22411 261714 JOSEPH SHIELDS 149621 15000 18000 8643 27055 218319 8643 MATHURIN MALBY 307612 180478 29196 517286 SACHIN SAKSENA 388342 600 13404 402346 MICHAEL METZGER 388445 600 18480 407525 NICOLAS KARAM 383169 600 34527 418296 JOHN FREESE 226530 184145 18578 429253 Pt I Line 4b The hospital has a 457(f) deffered compensation plan which covers highly compensated employees. The organization incurred liabilities related 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, Carol Themelis and Amy Dumont received lump sums distributions in the amount of $89,719, $36,392 and $22,400 respectively in calendar year 2014. A NHHEFA 020279866 644614QD4 2014-08-01 22475000 Refunding Series 2006 Bonds false false false A 22475000 22475000 2014 true false true true A false false false false true A false false false false false false JOHN BRITTON MD Trustee 1826506 Subsidy false JOHN BRITTON MD Trustee -1300449 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 written conflict of interest policy the office of the President 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 reviews the hospital CEO performance and compensation. The VP of Human Resources presents the compensation committee with comparative salary and benefit data. Pt VI, Line 19 The Hospital will provide its governing documents, financial statements, and conflict of interest policy upon written request based on the 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 management compensation is also reviewed by the committee, but compensation is determined by the CEO. Other Part IX Line 24d - The New Hampshire Medicaid Edhancement (MET) tax is a 5.5% tax on net patient service revenue paid by hospitals to the State of New Hampshire. Unlike previous years where the State provided hospitals with uncompensated care payments towards the cost of care of patients without insurance from matching federal funds, uncompensated care payments were reduced or eliminated to hospitals. The FY2015 impact to Frisbie Memorial Hospital was payment of MET in the amount of $4,618,119. 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 2524128 FMV Frisbie Foundation q 204060 FMV