2011-09-21T11:27:29-07:00 2010-09-30 990 2009-10-01 020222131 FRISBIE MEMORIAL HOSPITAL FRIS 6033325211 11 WHITEHALL RD ROCHESTER NH 03867 JOHN A MARZINZIK 6033325211 2011-06-20 2009 2016-03-07 17:11:31Z JOHN A MARZINZIK 11 WHITEHALL RD ROCHESTER NH 03867 146344640 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 heakth of our community and the quality of life for the people we serve. 15 14 1164 82 8400 0 133001026 910382 1258475 135169883 0 0 61761379 0 120443 69466445 131227824 3942059 130619891 130821436 54503679 52048019 76116212 78773417 To excel at caring for the community by providing safe, effective, equitable, timely healthcare services. false false 118996621 133001026 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. 3204105 FRISBIE MEMORIAL HOSPITAL PROVIDED INCOMPENSATED CARE FOR THOSE IN NEED. FRISBIE RANKS AMOUNG THE TOP IN NEW HAMPSHIRE FOR THE MONEY VALUE OF CHARITY CARE PROVIDED TO PATIENTS. 448715 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. 122649441 true false false true false false false false true true true true false false false false false false false false true true false true true false false false false false false false false false true false false false false false true false false false true 44 0 true 1164 true true true false false false false false false false false false false false 15 14 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 X JOSEPH BEHRE 2.00 X MARILYN BERRY 2.00 X JOHN BRITTON MD 2.00 X JANET DAVIS 2.00 X ROBERT HARRIGAN MD 2.00 X MARK HOURIHANE 2.00 X DAVID KEEFE 2.00 X DAVIDPEARSON 2.00 X RONALD POULIN 2.00 X GREGORY SMITH 2.00 X ROBERT STEELE 3.00 X X STEVEN POGGI 3.00 X X PETER GOWELL 3.00 X X GARY USHER MD 3.00 X X ALVIN FELGAR 40.00 X 388806 0 107550 JOHN MARZINZIK 40.00 X 241950 0 51930 MARY FLYNN 2.00 X KAREN DUTCHER 40 X 183886 49394 DEBORAH SHIPMAN 40 X 168776 17091 CAROL THEMELIS 40 X 168696 52090 PAULA MAHONEY 40 X 161081 42890 RALPH BROADWATER 40 X 477708 15253 DAVID SHIN 40 X 404677 20811 MICHAEL METZGER 40 X 398924 25899 JAY BURNS 40 X 396581 25478 SACHIN SAKSENA 40 X 358742 25331 SARA STACEY 40 X 332287 24819 3682114 458536 36 true true false CROTHALL FACILITIES MGMT 13028 COLLECTIONS CTR CHICAGO IL 60693 Facilities Management 2583141 SURGICAL ASSOCIATES 21 WHITEHALL RD ROCHESTER NH 03867 Physician Practice 1544870 NH IMAGING 11 PILLSBURY ST CONCORD NH 03301 MRI/PET Imaging 944127 LABCORP OF AMERICA PO BOX 470 PORTSMOUTH NH 03802 LAboratory Services 739498 DARTMOUTH HITCHCOCK ONE MEDICAL CENTER DR LEBANON NH 06756 Oncology Services 700210 20 Net Patient Service Revenue 900099 105645756 105645756 Net Medicare/Medicaid 900099 27355270 27355270 133001026 806580 806580 11278559 11174757 103802 103802 103802 Misc Revenue 900099 688939 688939 Cafeteria Income 722210 411040 411040 Gift Shop Income 453220 150096 150096 8400 8400 1258475 135169883 133001026 8400 2160457 1323291 0 1323291 0 0 0 0 0 48500108 47336243 1087978 75887 973870 938954 32639 2277 7744033 7542431 189460 12142 3220077 3123799 90586 5692 198559 0 198559 0 71039 0 71039 0 1067782 440212 625212 2358 4139364 3786797 352567 0 17678 9653 7170 855 163231 137784 25447 0 1875296 1875296 0 0 6101046 6101046 0 0 Purchased Services 12070132 10829968 1222935 17229 Repair & Maintenance 2143229 1565700 577529 0 Provision for Bad Debt 13538703 13538703 0 0 Insurance 1859404 0 1859404 0 Misc 816123 414429 401694 0 25404859 25008426 392430 4003 131227824 122649441 8457940 120443 8953194 10935546 14449220 13791942 3230000 2761431 2831016 709311 2852023 126935375 57910209 71548747 69025166 20529342 17775720 2388777 1445435 6049869 12164588 130619891 130821436 11048345 14377384 31505000 29835000 5546249 1654603 6404085 6181032 54503679 52048019 X 74351583 76999024 41937 51701 1722692 1722692 76116212 78773417 130619891 130821436 X false true true X false X 0 0 0 0 0 0 false false false false false false false false true 4950 4950 Pt II-B Line 1i Lobbying portion of hospital association dues. 23618029 13042 2001449 100000 25532520 27248420 24976 197883 100000 3753250 23618029 0.93000 0.07000 true false false 181776 181776 70782015 19126335 51655680 3146667 1315394 1831273 37805586 27534372 10271214 15019331 9934108 5085223 69025166 Hedge Funds 1445435 F 1445435 Other Assets 3233702 Deferred Finance Costs 622034 Investment in Affiliates 2164100 Collateralization of Interest Rate Swap 6144752 12164588 Interest Rate Swap 5733083 Estimated Third Party Settlement 447949 6181032 135169883 131227824 3942059 -539871 -754747 -1294618 2647441 136163199 851402 141914 993316 135169883 135169883 132729556 1501732 1501732 131227824 131227824 Pt V Line 4 To further the hospital's charitable mission Pt XII Line 2d Net assets released from restriction Pt XIII Line 2d See supporting statement See Supporting statement Pt XI Line 8 See Supporting statement true true true X 0.00000 false false true true false true true 3204105 3204105 0.02440 12507850 5391870 7115980 0.05680 15711955 5391870 10320085 0.08120 448715 448715 0.00340 204000 204000 0.00160 1489571 1025457 464114 0.00350 159100 159100 0.00120 2301386 1025457 1275929 0.00970 18013341 6417327 11596014 0.09090 true 6769352 676935 23178953 33971546 -10792593 true true FRISBIE MEMORIAL HOSPITAL

11 WHITEHALL RD ROCHESTER NH 03867

X X X Geropsychiatric Unit ORGANIZATION USES 300% FPG TO DETERMINE ELIGIBILITY FINANCIAL STATEMENT FOOTNOTE: PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENTEXPECTS TO COLLECT FROM OUTATANDING BALANCES. COLLECTION POLICY PROVIDES FOR ACCOUNTS KNOWN TO QUALIFY FOR FREE CARE TO BE REMOVED FROM TRANSFER TO AN OUTSIDE AGENCY FOR FURTHER COLLECTION ACTIVITY 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 HEALTHCARE AND PUBLIC SERVICE STAKEHOLDERS, COLLECTING QUANTITATIVE AND QUALITATIVE DATA. 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'S PSA IS URBAN CONSISTING OF NORTHERN STAFFORD, NH AND WESTERN YORK, ME COUNTIES. POPULATION SERVED IS OVER 70,000 WITHA MEDIUM INCOME OF $47,626 AND 4.7% OF COMMUNITY RESIDENTS LIVING BELOW THE FEDERAL POVERTY GUIDELINES. NH true AVIS GOODWIN COMM HEALTH 652F CENTRAL AVE DOVER NH 03820 020204203 501(c)(3) 100000 Primary Care funding 1 0 Pt I Line 2 Avis Goodwin submits financial statements for review to demonstrate need for outside help in meeting operating expenses. Avis Goodwin serves a high number of uninsured patients, payment for which is based on ability to pay. true X X X X X false false false false false false false false false ALVIN FELGAR 338806 50000 87093 20457 496356 JOHN MARZINZIK 211950 30000 31653 20277 293880 KAREN DUTCHER 168386 15500 39592 9802 233280 DEBORAH SHIPMAN 156276 12500 17091 185867 CAROL THEMELIS 156196 12500 42327 9763 220786 PAULA MAHONEY 148581 12500 25799 17091 203971 RALPH BROADWATER 301795 175913 5088 10165 492961 DAVID SHIN 404077 600 20811 425488 MICHAEL METZGER 398324 600 5088 20811 424823 JAY BURNS 221631 174950 4667 20811 422059 SACHIN SAKSENA 358142 600 5088 20243 384073 SARA STACEY 331687 600 4542 20277 357106 NHHEFA 020279866 644614KT5 2005-03-04 10650000 Refunding Series 2003 Bonda false false NHHEFA 020279866 644614QD4 2006-07-27 25000000 Building Construction 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 1544870 Subsidy false JOHN BRITTON MD Trustee -1254628 Assignment of AR true Pt VI-B, Line 11A The form 990 is presented to the Board Audit Committee and key financial employees prior to filing, members are provided with a copy of the Form 990 prior to the committee meeting Pt VI-B, Line 12c In accordance with the writted conflict of interest policy the office of the Presidant annually secures a signed copy of the Trustee/Officer Conflict of interest statement and maintains on file. Pt VI-B, Line 15 Each year the executive compensation committee comprised of four members of the FMH Board reviews the hospital CEO performance and compensation. Senior manangement compensation is also reviewed by the committee, but compensation is determined by the CEO. The VP of Human Resources presents the compensation committee with comparative salary and benefit data. Pt VI-C, Line 19 The Bylaws of Frisbie Memorial Hospital, Conflict of Interest Policy, and audited financial statements are not pubically published, however these documents are available for public inspection upon request. FRISBIE FOUNDATION 11 WHITEHALL RD ROCHESTER NH 03867 020465942 Coordinate Funds raised for hospital NH 501(c)(3) 11 SEACOAST BUSINESS & HEALTH 396 HIGH ST SUITE 1 SOMERSWORTH NH 03878 020375898 Outpatient Healthcare NH NA C 190394 1051756 1.00000 false false false false false false false false false true false false false false false true false false FRISBIE FOUNDATION j 2370774 FRISBIE FOUNDATION p 131200