2020-10-15T08:36:13-05:00 2019-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2019-01-01 010353275 Martin's Point Health Care Inc MART 2077913710 331 Veranda Street PO Box 9746 Portland ME 041045040 David H Howes MD President & CEO 2077913710 2020-09-03 1 Nicholas E Porto P01310283 2078792100 2020-08-24 208.105.168.164 2020-09-03 15:08:49 ED P BC8AE4E166BFDF24A7972DDCC457CE4FCF4C8ABA C20447127DC59709279852AA978DA2EB3E2E3F4D 2019 2021-01-29 14:40:06Z David H Howes MD 331 Veranda Street PO Box 9746 Portland ME 041045040 516290449 0 X www.martinspoint.org X 1971 ME See Schedule O for a description of the Organization's most significant activities. 10 9 1077 0 0 0 0 0 434009538 450376920 8183279 21867680 111313 110235 442304130 472354835 324624 199560 0 0 92668045 98539079 0 0 0 333567935 348631962 426560604 447370601 15743526 24984234 335716022 369243438 76124142 68320893 259591880 300922545 The mission of Martin's Point Health Care is to create a healthier community through authentic relationships built on trust. 0 0 377558666 170445 394352318 Provision of Health Plan Services - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 53638772 29115 56024602 Delivery of Medical Care - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 431197438 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 4116 0 1 1077 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH MA X Warren Evans 2077913710 331 Veranda Street PO Box 9746 Portland ME 041045040 David H Howes MD Chief Executive Officer 20.00 20.00 X X 905565 0 21616 Sandra L Monfiletto COO, Delivery Systems 40.00 0.00 X 502809 0 31757 Jeffrey Brown CIO, Interim CFO 20.00 20.00 X 491127 0 32584 David Currier Esq Board Secretary 1.00 0.50 X 19319 0 0 Jonathan Easton Harvey MD Chief Medical Officer 40.00 0.00 X 473314 0 30577 Teresa A Nizza Chief Human Resources Officer 20.00 20.00 X 431170 0 13959 Patrick Connolly MD Physician 40.00 0.00 X 420125 0 32584 Sara Freedman MD VP Clinical Integration 40.00 0.00 X 401885 0 31827 Daniel B Chojnowski Chief Financial Officer (end 5/19) 20.00 20.00 X 279819 0 12479 Paul F Kasuba MD Board Member, Chair 1.00 0.50 X X 26300 0 694 Daniel K Onion MD Board Member (end 9/19) 1.00 0.50 X 22027 0 1006 Michael E Thomas Board Member (end 9/19) 1.00 0.50 X 20773 0 89 Barbara E Trethaway JD Board Member, Vice Chair 1.00 0.50 X X 19800 0 1520 Robert A Moore Board Member 1.00 0.50 X 19660 0 765 Edward S McKersie Board Member, Treasurer 1.00 0.50 X X 18550 0 20 Cathleen Morrow MD Board Member 1.00 0.50 X 12800 0 585 Ronald F Dixon MD Board Member 1.00 0.50 X 10230 0 993 George J Isham MD MS Board Member 1.00 0.50 X 9550 0 3723 Brad Hunter Board Member 1.00 0.50 X 9300 0 23 Kathryn Rand Board Member 1.00 0.50 X 9300 0 536 James A Hester Jr PhD Board Member (end 3/19) 1.00 0.50 X 5180 0 0 4108603 0 217337 237 0 1 1 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical services 23569690 Eastern Maine Medical Center 43 Whiting Hill Road Suite 300 Brewer ME 04412 Medical services 9880047 Mary Hitchcock Memorial Hospital 1 Medical Center Drive Lebanon NH 03756 Medical services 7928121 HCA Health Services of NH Inc PO Box 402894 Atlanta GA 30384 Medical services 6861359 Mid Coast Hospital 123 Medical Center Drive Albany ME 04011 Medical services 6670341 289 Provision of Health Plan Services 524114 394352318 394352318 Delivery of medical care 621110 56024602 56024602 450376920 6390595 6390595 110235 0 110235 110235 110235 59405862 6837 43787694 147920 15618168 -141083 15477085 15477085 472354835 450376920 0 21977915 199560 199560 1955933 1757407 198526 76639923 69022938 7616985 3955311 2933869 1021442 11324300 9588261 1736039 4663612 4268644 394968 6571874 4785338 1786536 1664548 1585025 79523 166527 158201 8326 313187 313187 667604 667604 3588617 3257126 331491 1313883 1309702 4181 4122481 3628609 493872 6696104 6591961 104143 5498071 5439204 58867 290237 259838 30399 2358619 1369195 989424 152258 152258 4480243 4330862 149381 785410 445594 339816 Pharmacy/medical care 291278299 291278299 Drugs/medical supplies 15564812 15555430 9382 Provision for bad debts 2686217 2686217 Claims administration 432971 432971 447370601 431197438 16173163 0 22222 7818 35828981 37160928 5418505 9751383 969408 1192353 4995368 5483958 97059292 43658227 54275400 53401065 126893407 162163804 100466207 92647411 6846524 7434718 335716022 369243438 70418909 62796957 373595 537461 5331638 4986475 76124142 68320893 X 259591880 300922545 0 0 259591880 300922545 335716022 369243438 24984234 16346431 0 X X 0 1 X 1 0 X 636596048 399265957 420933569 434009538 450376920 2341182032 636596048 399265957 420933569 434009538 450376920 2341182032 0 0 0 2341182032 3479357 3835102 3106283 3715825 6500830 20637397 3479357 3835102 3106283 3715825 6500830 20637397 40630 18882 59512 640116035 403119941 424039852 437725363 456877750 2361878941 0.99120 0.99230 0.00870 0.00760 X 0 1 0 0 0 1 39707 1 5405 0 1 268075 313187 0 Part II-B, Line 1: Part II-B, Line 1f: Martin's Point partners with various like-minded trade associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. To maintain these partnerships, Martin's Point is required to pay membership dues back to these various trade associations. A portion of the dues paid to these associations has been designated as available for lobbying expenditures. Any lobbying expenditures paid by the associations are incurred in order to help track and discuss legislation affecting health care policy. The specific dues paid by Martin's Point to the trade associations in 2019, as well as the portion of the dues that were available for lobbying expenditures, are detailed below: Alliance of Community Health Plans - Total 2019 dues: $125,000 - Portion of dues available for lobbying: $35,000 American Medical Group Association - Total 2019 dues: $10,750 - Portion of dues available for lobbying: $2,150 Maine Medical Association - Total 2019 dues: $16,000 - Portion of dues available for lobbying: $2,400 New Hampshire Medical Society - Total 2019 dues: $425 - Portion of dues available for lobbying: $157 Part II-B, Line 1b & 1g: The amount of $5,405, as reported above, represents the direct cost of wages for the time that Martin's Point's President, Dr. David Howes, spends attending legislative lobbying meetings, as well as the reimbursed travel costs incurred by David Howes to attend the legislative meetings. Part II-B, Line 1i: Martin's Point engages with two separate consulting firms to provide support and occasional lobbying services on behalf of the Organization. In 2019, Martin's Point contracted with the lobbying professionals named below to represent and advise the Organization on health care and public policy related matters. James Ervin, Chairman & CEO, Ervin Hill Strategy - $180,000 David Bernerman, President, Brenerman Public Policy Consulting - $88,075 4564533 4564533 52971264 16534933 36436331 4165282 1896703 2268579 32916652 24386139 8530513 2441561 840452 1601109 53401065 Alternative and foreign investments 69665195 F Interest in Mondrian International Equity 22982216 F 92647411 X 485347445 16346431 16346431 469001014 667604 2686217 3353821 472354835 444016780 0 444016780 667604 2686217 3353821 447370601 Part X, Line 2: The Company is exempt from income taxes on related business income under Section 501(c)(3) of the Internal Revenue Code. MPGA is exempt from income taxes on related business income under Section 501(c)(4) of the Internal Revenue Code. The Company and MPGA file separate informational tax returns. The Company could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Company has evaluated the positions taken on its filed informational tax returns. The Company has concluded no uncertain income tax positions exist at December 31, 2019. Part XI, Line 4b - Other Adjustments: Provision for bad debts 2,686,217. Part XII, Line 4b - Other Adjustments: Provision for bad debts 2,686,217. Central America and the Caribbean - Bermuda, BVIs, Cayman Islands 0 0 Investments - FMV as of 12/31/19 32382000 Europe (Including Iceland & Greenland) - Ireland 0 0 Investments - FMV as of 12/31/19 5804000 0 0 0 0 0 0 38186000 0 38186000 1 0 1 1 0 0 Part III Accounting Method: Schedule F, Part IV: The Organization meets the exception for tax-exempt organizations with respect to filing Form 8621. Form 8621 is not required to be filed for this fiscal year. The Organization did not have an ownership of any foreign corporation that exceeded the filing thresholds for Form 5471 during the fiscal year. Accordingly, Form 5471 are not required to be filed. 1 Southern Maine Agency on Aging 136 US Route 1 Scarborough ME 04101 010360259 501(c)(3) 25000 Meals on Wheels program Daniel Hanley Center for Health Leadership 100 Foden Road Suite W-300 South Portland ME 04106 204271488 501(c)(3) 25000 General support United Way of Greater Portland One Canal Plaza Suite 300 Portland ME 04101 010241767 501(c)(3) 24837 General support Maineshare PO Box 2095 Augusta ME 04330 010444245 501(c)(3) 18496 General support Community Health Charities 1199 North Fairfax Street Suite 600 600 Alexandria VA 22314 136167225 501(c)(3) 13117 General support for Community Health Charities, Maine chapter YMCA of Southern Maine 70 Forest Avenue Portland ME 04101 010211568 501(c)(3) 6000 General support Oasis Health Network Inc (aka Oasis Free Clinics) 66 Baribeau Drive Box 1 Brunswick ME 04011 010497587 501(c)(3) 5000 General support Maine Huts and Trails 496 Maine Street Apartment C Kingfield ME 04947 010537084 501(c)(3) 5000 General support Portland Wheelers PO Box 11314 Portland ME 04104 472690824 501(c)(3) 5000 General support Saint Joseph's College 278 Whites Bridge Road Unit 14 Standish ME 04084 010212542 501(c)(3) 5000 General support 10 0 Part I, Line 2: All requests, solicited or unsolicited, are reviewed by the Martin's Point Health Care, Inc. Charitable Engagement Team (CET). The CET ensures continuity and consistency with the Organization's stated objective. The CET reviews requests. A charitable contributions/sponsorship application is submitted providing program details and funds requested. The CET also reviews program results and the financial health of the organizations as needed. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 David H Howes MD Chief Executive Officer 667174 0 205322 0 33069 0 0 0 21616 0 927181 0 39624 0 Sandra L Monfiletto COO, Delivery Systems 337617 0 117949 0 47243 0 0 0 31757 0 534566 0 23156 0 Jeffrey Brown CIO, Interim CFO 331164 0 146498 0 13465 0 0 0 32584 0 523711 0 0 0 Jonathan Easton Harvey MD Chief Medical Officer 358232 0 115082 0 0 0 0 0 30577 0 503891 0 22344 0 Teresa A Nizza Chief Human Resources Officer 323819 0 94943 0 12408 0 0 0 13959 0 445129 0 18125 0 Patrick Connolly MD Physician 211542 0 201275 0 7308 0 0 0 32584 0 452709 0 0 0 Sara Freedman MD VP Clinical Integration 306001 0 83381 0 12503 0 0 0 31827 0 433712 0 14376 0 Daniel B Chojnowski Chief Financial Officer (end 5/19) 174626 0 105193 0 0 0 0 0 12479 0 292298 0 20344 0 Part I, Line 1a Memberships fees to the Cumberland Club, a club used exclusively for business purposes, were paid on behalf of David H. Howes, President, Teresa Nizza, Chief Human Resources Officer, Sandra Monfiletto, Chief Operating Officer, Dr. Johnathan Harvey, Chief Medical Officer, and Kristen Vallaincourt, Director of Executive Office. The total cost for these memberships was $4,326. Part I, Line 4b Members of Martin's Point senior leadership and top employees participate in a long term incentive program (LTIP) and a retention award program. Deferred compensation related to these programs has been previously provided and reported to participating individuals, and as such was previously reported on the Organization's prior years' Form 990, Schedule J, Part II, Column C, as was applicable. However, no additional deferred compensation or LTIP contributions have been made on behalf of Martin's Point's officers and employees since 2017, and therefore no amounts have been reported on the current year's Form 990, Schedule J, Part II, Column C. All LTIP amounts paid to the participating individuals in 2019 were contributed to the underlying plan and considered deferred compensation in previous filing periods. In addition, the LTIP payments made in 2019 eliminated the remaining funds in the Organization's existing long-term incentive plan, and no new plan has since been established. Previously deferred LTIP compensation, which was paid out as taxable compensation in 2019, were made to David H. Howes ($39,624), Jeffrey Brown ($9,453), Daniel B. Chojnowski ($20,344), Sara Freedman ($14,376), Sandra L. Monfiletto ($23,156), Jonathan E. Harvey ($22,344), and Teresa Nizza ($18,125). These payments were reported in Box 5 of the recipient individuals' 2019 Form W-2 and are further reported in Schedule J, Part II, Column B(ii). As these amounts were previously provided to these individuals in a prior Form 990 filing period, they have also been reported in Schedule J, Part II, Column F with the exception of Mr. Brown who was not previously reported on the Organization's Form 990 in the past. Part I, Line 7 Some of the compensation for individuals listed in Part VII of Form 990 is calculated through the Achievement Plan (The Plan). The Plan is an earned bonus which is variable based on obtaining a combination of corporate goals. The goal of the Achievement Plan is to focus employees on meeting critical performance measures. Form 990, Part VII, Section A, Line 5: David Currier is a non-voting member of the board of directors serving as an officer in the role of secretary. Mr. Currier bills for his time spent devoted to his duties on the board of directors through his law firm. In 2019, Martin's Point Health Care, Inc. paid Mr. Currier's law firm $19,319 for his services rendered to Martin's Point Health Care, Inc. and its affiliate, Martin's Point Generations Advantage, Inc. during the year. In accordance with IRS instructions, this has been reported in Form 990, Part VII as reportable compensation to Mr. Currier as if it were paid directly to him from Martin's Point Health Care, Inc. A Finance Authority of Maine 010392006 2016-12-15 6100000 Funding for 18,000 sq ft Health Care Center 0 0 0 A 1032825 6100000 100876 5999124 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 Schedule K, Part III, Line 9, Part IV, line 7 and Part V: Martin's Point Health Care has no written policies of their own, however, the issuers of the bonds has written post issuance compliance procedures in place and Martin's Point Health Care, Inc. has a Tax Regulatory Agreement with the issuers. Form 990, Part III, Line 4a & 4b: Martin's Point Health Care is a not-for-profit organization serving our community's health care needs with the highest-quality care and coverage. As an organization providing both direct health care services and health insurance plans, we are uniquely positioned to fulfill our mission to create a healthier community through authentic relationships built on trust. At Martin's Point, everything we do is driven by our mission to improve the health and well-being of our community. As a provider of both health care and coverage, we touch the lives of thousands of our patients and health plan members every day. Through focused efforts in the areas of prevention, care management, access, education, and quality, we are achieving measurable successes in improving the health and well-being of those we serve. PROVIDING HIGH-QUALITY PRIMARY CARE In 2019, Martin's Point Health Care: - Served over 88,000 patients through family medicine, pediatrics, internal medicine, cardiology, sports medicine, cosmetic dermatology, physical therapy, and more. Many patients were also able to take advantage of onsite radiology, pharmacy, and laboratory services. - Hosted community events and provided services to keep the senior population active - both physically and mentally - through activities such as weekly lunches, yoga, healthy living seminars, and much more. - Continued integrating behavioral health services at many of our locations (including Brunswick Farley Road, Brunswick Baribeau Drive, Portland, Gorham, and Scarborough). - Continued work on our model of care where physicians and other medical staff are grouped into "care teams." Through this team set-up, they are able to more effectively work together to anticipate patients' needs, better coordinate their care, and help create better health outcomes and experiences. - Provided $431,800 of financial assistance to patients who were unable to pay for services. ADMINISTRATING THE US FAMILY HEALTH PLAN Martin's Point offers a TRICARE Prime plan for select groups throughout the Northeast. Our plan members receive comprehensive benefits and quality care. In 2019, Martin's Point Health Care: - Served as one of six contracted health plan administrators to the Department of Defense of the US Family Health Plan for military beneficiaries. Through this plan, Martin's Point serves families of active-duty personnel, including activated National Guard and Reserve, and military retirees and their families across Northern New England, Upstate New York, and Northern Pennsylvania. In 2019, our US Family Health Plan served more than 46,000 members. In over 35 years of providing this TRICARE Prime option, we have consistently earned high marks for customer service and member satisfaction. - The National Committee on Quality Assurance (NCQA) has awarded the Martin's Point US Family Health Plan in Maine a 4.5 (out of 5)-Star rating and a 4-Star rating in New Hampshire, New York, Pennsylvania, and Vermont. NCQA uses measures of clinical quality (HEDIS) and patient experience (CAHPS) and Standards from the NCQA Accreditation process to rate health plans. COMMITTED TO TRANSFORMING THE HEALTH CARE SYSTEM Martin's Point is leading the way to transform the health care system in the communities we serve and beyond. We are dedicated to participating in, and creating opportunities to share, innovative solutions with others towards our common goal of creating a sustainable, quality health care delivery system, both in Maine and throughout the nation. Our work is driven by three principles: 1) to improve the experience of care, 2) to improve health outcomes, and 3) to reduce overall costs. To achieve these goals, we are working to make systemic changes to the way primary care is delivered and coordinated. In 2019, Martin's Point Health Care: - Continued to enhance our Primary Care Comprehensive Payment model to encourage and reward quality care and a better health care experience. - Participated as a member of the national Alliance of Community Health Plans, which is comprised of 20 of the top performing community and regional non-profit health plans. MARTIN'S POINT - MAKING A DIFFERENCE IN OUR COMMUNITY Martin's Point is committed to making a difference and improving lives in the communities we serve. In addition to doing this through our services for patients and members, the organization also serves as a leader in the philanthropic community. In 2019, Martin's Point Health Care: - Contributed over $467,137 in financial support to over 85 health care and community nonprofit organizations, agencies, and groups throughout Maine, New Hampshire, and New York. - Employees personally and collectively contributed $56,440 of their wages to their local United Ways and other charities. - Employees from across the organization also actively volunteered their own time to represent Martin's Point Health Care in significant fundraising events for the American Diabetes Association, American Heart Association, Maine Cancer Foundation, Maine Lung Association, Preble Street, and many more. Martin's Point is proud to support our employees in their efforts and ability to make a difference in our communities. Thus, Martin's Point provides a volunteer time-off policy which makes it easier for our employees to do direct volunteer service and serve on community boards and committees. - In 2019, our employees volunteered over 2,355 hours, which totals $99,341 paid in wages to employees for volunteer time. In addition, Martin's Point donated close to $71,932 in monetary support to over 23 charitable organizations and efforts in which our employees are engaged. Form 990, Part VI, Section B, line 11b The Form 990 is prepared internally with assistance from an outside CPA firm. The return is reviewed in detail by management. A copy of the Form 990 is provided to the Board of Directors before filing. Form 990, Part VI, Section B, line 12c Every employee is required to complete a New Hire Compliance Training within the first 30 days of employment. This training includes compliance guidelines for the conflict of interest policy. All employees, as a condition of employment, take the annual compliance training with includes conflict of interest training. Questions specific to identifying conflict of interest are answered by each employee. Reported conflicts are managed by the Compliance & Legal Affairs Department. All board directors receive conflict of interest training and must attest to having no conflicts annually. Form 990, Part VI, Section B, line 15 Each year, Martin's Point Health Care's Compensation Committee, which is comprised of independent Board Members, works with an independent health care compensation consulting firm to obtain third-party market data for positions that are functionally comparable to those held by our executives in organizations of comparable size based on net revenue and/or health plan membership. This data, as well as the consultant's report showing where our executives fall in relation to the market data, is reviewed by the Committee prior to determining compensation adjustments for the Chief Executive Officer and other executives. The Committee's deliberations in this regard are documented in its meeting minutes. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, Form 990, and audited financial statements available to the general public upon request. Form 990, Part VI, Line 1b: The individuals listed in Part VII as board members of the Organization received reportable compensation from the Organization in excess of $10,000. Other than the CEO, members were not compensated as employees of the Organization or a related organization during the current tax year. Furthermore, those members did not receive total compensation or other payments exceeding $10,000 during the Organization's tax year from the Organization or related organization for services as an independent contractor other than services rendered as board members. All compensation reported in Part VII for those individuals is reasonable compensation for services provided in their capacity as a member of the governing body. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Martin's Point Generations Advantage Inc 331 Veranda Street PO Box 9746 Portland ME 041045040 474682941 Medicare Limited HMO ME 501(c)(4) Martin's Point Health Care 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 Martin's Point Generations Advantage Inc L 21911283 Actual cost