2012-07-27T09:40:32-07:00 2011-09-30 990 2010-10-01 020222131 FRISBIE MEMORIAL HOSPITAL FRIS 6033325211 11 WHITEHALL RD ROCHESTER NH 03867 JOHN A MARZINZIK 6033325211 2012-05-22 2010 2016-02-24 21:20:13Z JOHN A MARZINZIK 11 WHITEHALL RD ROCHESTER NH 03867 140420297 false X www.frisbiehosiptal.com X 1941 NH To excel at caring for the community by providing healthcare services that are safe, effective, equitable, timely and patient centered. We will ally ourselves with other community healthcare providers to enhance our mutual ability to improve the health of our community and the quality of life of the people we serve. 16 15 1071 82 8400 65459 133001026 127453832 910382 1442537 1258475 1208760 135169883 130170588 0 0 61761379 66298522 0 104327 69466445 57278033 131227824 123576555 3942059 6594033 130821436 129542135 52048019 47465525 78773417 82076610 To excel at caring for the community by providing safe, effective, equitable, timely healthcare services. false false 111267024 130170588 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 FY2011 30,866 PATIENTS WERE TREATED IN OUR EMERGENCY DEPARTMENT, 5,535 AMBULANCE CALLS WERE MADE, 3,983 INPATIENTS WERE CARED FOR, AND SURGERY PERFORMED ON 9,271 PATIENTS. 397 NEWBORNS WERE WELCOMED INTO THE WORLD, 55,643 RADIOLOGY PROCEDURES/TESTS PROVIDED, GAVE 78,120 REHABILITATION TREATMENTS, PERFORMED 348,080 LABORATORY TESTS AND GAVE 105,394 RESPIRATORY TREATMENTS. 2667168 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. 468131 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. 114402323 true false false true false false false false true true false false false true false true 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 43 0 true 1071 true true true false false false false false false false false false false false false X 16 15 false false false false false false false true true false false false true true true true true true true false NH X JOHN A MARZINZIK 6033325211 11 WHITEHALL RD ROCHESTER NH 03867 STEVE POGGI 3.00 X X 0 0 0 GREGORY SMITH 3.00 X X 0 0 0 GARY USHER MD 3.00 X X 0 0 0 PETER GOWELL 3.00 X X 0 0 0 JOSEPH BEHRE 2.00 X 0 0 0 JOHN BRITTON MD 2.00 X 0 0 0 JANET DAVIS 2.00 X 0 0 0 MARY FLYNN 2.00 X 0 0 0 ROBERT HARRINGTON MD 2.00 X 0 0 0 MARK HOURIHANE 2.00 X 0 0 0 BRIAN HUGHES 2.00 X 0 0 0 DAVID KEEFE 2.00 X 0 0 0 JOSEPH MORONE 2.00 X 0 0 0 DAVID PEARSON 2.00 X 0 0 0 RONALD POULIN 2.00 X 0 0 0 ROBERT STEELE 2.00 X 0 0 0 ALVIN FELGAR 40.00 X 390296 0 109565 JOHN MARZINZIK 40 X 243977 53973 KAREN DUTCHER 40 X 185629 50881 DEBORAH SHIPMAN 40 X 171320 19447 CAROL THEMELIS 40 X 171508 53440 PAULA MAHONEY 40 X 163493 42929 RALPH BROADWATER 40 X 489191 27138 DAVID SHIN 40 X 404955 24510 MICHAEL METZGER 40 X 398924 16980 JAY BURNS 40 X 453656 23489 MATHURIN MALBY 40 X 384311 26162 3457260 448514 36 false true false CROTHALL FACILITIES MGMT 13028 COLLECTIONS CTR CHICAGO IL 60693 Facilities Management 3511384 SURGICAL ASSOCIATES 21 WHITEHALL RD ROCHESTER NH 03867 Physician Practice 1478613 NH IMAGING 11 PILLSBURY ST CONCORD NH 03301 MRI/PET Imaging 1211167 LABCORP OF AMERICA PO BOX 470 PORTSMOUTH NH 03802 LAboratory Services 796748 DARTMOUTH HITCHCOCK ONE MEDICAL CENTER DR LEBANON NH 06756 Oncology Services 919762 19 65459 65459 Net Patient Service Revenue 622110 98662848 Medicare 622110 24099846 Medicaid 622110 4691138 127453832 802482 802482 10889764 10249709 640055 640055 640055 Misc Revenue 900099 604812 604812 Cafeteria Income 722210 437393 437393 Gift Shop Income 453220 158155 158155 8400 8400 1208760 130170588 127453832 8400 2642897 0 0 1368647 0 1368647 0 0 0 0 0 50933363 49696578 1166406 70379 1592981 1555878 34992 2111 9004722 8790856 202605 11261 3398809 3296660 96871 5278 209317 0 209317 0 61366 0 61366 0 0 0 0 0 203834 104839 98995 0 1199472 443910 753876 1686 4544484 4184321 360163 0 19670 6228 12091 1351 248482 220740 26792 950 1760439 1760439 0 0 6235725 6235725 0 0 1905151 0 1905151 0 Purchased Services 11782686 10225183 1550477 7026 Repair & Maintenance 2166603 1523773 642830 0 Supplies 17891580 17657210 230085 4285 Equipment Maint 699141 695214 3927 0 Dues/Subscriptions 248849 140345 108504 0 8101234 7864424 236810 0 123576555 114402323 9069905 104327 10935546 7646966 13791942 15939071 2831016 2712956 2852023 2556817 131095629 64006255 69025166 67089374 17775720 26451281 1445435 1511966 12164588 5633704 130821436 129542135 14377384 13885028 29835000 26668639 1654603 6181032 6911858 52048019 47465525 X 76999024 80288239 51701 65679 1722692 1722692 78773417 82076610 130821436 129542135 6594033 -3290840 X false true true X false X 0 0 0 0 0 0 false false false false false false false false true 4841 4841 false Pt II-B Line 1i Lobbying portion of hospital association dues. 25552520 59916 -816743 63428 24732265 23618029 13042 2021449 100000 25552520 27248420 24976 197883 100000 3753250 23618029 0.93000 0.07000 true false false 181776 181776 72041399 21361953 50679446 3168654 1486041 1682613 40528261 28850903 11677358 15175539 12307358 2868181 67089374 Interest Rate Swap 6789409 Estimated Third Party Settlement 122449 6911858 130170588 123576555 6594033 -3166916 -137900 -3304816 3289217 130170588 130170588 130170588 126881371 126881371 -3304816 -3304816 123576555 Pt V Line 4 To further the hospital's charitable mission Pt XIII Line 4b Change in unrealized losses on interest rate swap (1,056,325) Equity inearnings of affiliates (137,900) Change in net unrealized losses on investments (2,110,591) Pt XI Line 8 true true true X true X false true true false true true 2667168 2667168 0.02160 12229018 4691138 7537880 0.06100 14896186 4691138 10205048 0.08260 468131 468131 0.00380 204000 204000 0.00170 1219451 756539 462912 0.00370 151035 151035 0.00120 2042617 756539 1286078 0.01040 16938803 5447677 11491126 0.09300 true 6496497 649650 24099846 36688445 -12588599 true true 1 1 FRISBIE MEMORIAL HOSPITAL

11 WHITEHALL RD ROCHESTER NH 03867

X X X Geropsychiatric Unit FRISBIE MEMORIAL HOSPITAL 1 false true true 200 true 200 true X X X X X true true X X true X X true X X X X X X true X false false 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 management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historic adjustments. Pt VI Line 2 Frisbie Memorial Hospital conducts a Community Needs Assessment every five years, the most recent completed in 2008. FMH worked with Cresendo Consulting Group to bring together key healthcare and public service stakeholders, collect quantitative and qualitative data Pt VI Line 3 FMH takes an active role in assisting patients whom may qualify for financial assistance under federal, state, local government under the organization's own charity care policy. FMH has several processes in place to ensure patients are aware of the financial assistance available to them. FMH's PSA is urban consisting of northern Stafford, NH and western York, ME counties. Population served is over 70,000 with a medium income of $47,626 and 4.7% of community residents living below the federal poverty guidelines. Pt VI Line 7 NH X X X X false false false false false false false false false ALVIN FELGAR 340296 50000 89355 20210 499861 JOHN MARZINZIK 211477 32500 33827 20146 297950 KAREN DUTCHER 167629 18000 41185 9696 236510 DEBORAH SHIPMAN 156320 15000 2579 16868 190767 CAROL THEMELIS 156508 15000 43783 9657 224948 PAULA MAHONEY 148493 15000 26061 16868 206422 RALPH BROADWATER 256946 232245 7151 19987 516329 DAVID SHIN 404355 600 4523 19987 429465 MICHAEL METZGER 398324 600 7284 9696 415904 JAY BURNS 225384 228272 6621 16868 477145 MATHURIN MALBY 206155 178156 6175 19987 410473 NHHEFA 020279866 644614KT5 2005-03-04 10650000 Refund Series 2003 Bond false false false NHHEFA 020279866 644614QD4 2006-07-27 25000000 Building Construction false false false 10650000 10385167 270950 2005 true false true true 25000000 386805 24613195 2008 true false true true false false false false true true false false false false true true false false false false false false false false false false false false false false JOHN BRITTON MD Trustee 1545000 Subsidy false JOHN BRITTON MD Trustee -1230783 Assignment of AR true Pt VI-B, Line 11a The form 990 is presented to the Board Audit Committee and key financial employees. Committee members receive a copy of the 990 in advance of IRS filing prior to the presentation. The voting board is provided a copy of the Form 990 after committee presentation. Pt VI-B, Line 12c The hospital ensures that the conflict of interest policy is enforced by requiring board members to sign conflict of interest documents on a yearly basis. Pt VI-B, Line 15 Each year the Executive Committee comprised of four members of the Frisbie Memorial Hospital board reviews the hospital CEO performance and compensation. Senior management compensation is also reviewed by the committee, however Senior Management compensation is determined by the CEO. The committe's objective is to keep the total CEO compensation competitive with other hospitals with similar operating expenses net patient revenue, and number of employees. The VP pf Human Resources presents comparative New Hampshire hospital CEO and New England CEO salary and benefit data for Committe's consideration. Independent hospital executive compensation surveys are also used for comparative purposes. The Committee reviews the CEO's current compensation, goals and accomplishments from previous fiscal year and determines an increase based on performance and comparitive survey data. Pt VI-C, 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 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 true false false false false false true false false FRISBIE FOUNDATION j 2642172 FMV FRISBIE FOUNDATION p 131220 FMV