2020-10-07T14:58:53-05:00 2019-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2019-01-01 474682941 Martin's Point Generations Advantage Inc MART 2077913710 331 Veranda Street PO Box 9746 Portland ME 041035040 David H Howes MD President & CEO 2077913710 2020-09-03 1 Nicholas E Porto P01310283 2078792100 2020-09-03 208.105.168.164 2020-09-03 15:16:59 ED P BC8AE4E166BFDF24A7972DDCC457CE4FCF4C8ABA C20447127DC59709279852AA978DA2EB3E2E3F4D 2019 2021-04-22 16:20:28Z David H Howes MD 331 Veranda Street PO Box 9746 Portland ME 041035040 465251696 0 X https://medicare.martinspoint.org/ X 2015 ME See Schedule O for a description of the Organization's most significant activities. 10 9 0 0 0 0 0 0 400639766 455977129 1438022 1941343 0 0 402077788 457918472 0 0 0 0 3581293 4065371 0 0 0 382950460 449776414 386531753 453841785 15546035 4076687 133265342 142005776 53592412 52898001 79672930 89107775 The mission of Martin's Point Generations Advantage, Inc. is to support the mission of its Parent, Martin's Point Health Care, Inc., which is to create a healthier community through authentic relationships built on trust. 0 0 439584278 0 455977129 Generations Advantage - Please see not-for-profit narrative statement for Martin's Point Generations Advantage on Schedule O. 439584278 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 X 2484 0 1 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Warren Evans 2077913710 331 Veranda Street PO Box 9746 Portland ME 041035040 David H Howes MD Chief Executive Officer 20.00 20.00 X X 0 905565 21616 Jeffrey Brown CIO, Interim CFO 20.00 20.00 X 0 491127 32584 Daniel B Chojnowski Chief Financial Officer (end 5/19) 20.00 20.00 X 0 279819 12479 Paul F Kasuba MD Board Member, Chair 0.50 1.00 X X 0 26300 694 Daniel K Onion MD Board Member (end 9/19) 0.50 1.00 X 0 22027 1006 Michael E Thomas Board Member (end 9/19) 0.50 1.00 X 0 20773 89 Barbara E Trethaway JD Board Member, Vice Chair 0.50 1.00 X X 0 19800 1520 Robert A Moore Board Member 0.50 1.00 X 0 19600 765 David Currier Esq Board Secretary 0.50 1.00 X 0 19319 0 Edward S McKersie Board Member, Treasurer 0.50 1.00 X X 0 18550 20 Cathleen Morrow MD Board Member 0.50 1.00 X 0 12800 585 Ronald F Dixon MD Board Member 0.50 1.00 X 0 10230 993 George J Isham MD MS Board Member 0.50 1.00 X 0 9550 3723 Brad Hunter Board Member 0.50 1.00 X 0 9300 23 Kathryn Rand Board Member 0.50 1.00 X 0 9300 536 James A Hester Jr PhD Board Member (end 3/19) 0.50 1.00 X 0 5180 0 0 1879240 76633 0 0 1 1 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical services 84390489 Eastern Maine Medical Center 43 Whiting Hill Road Suite 300 Brewer ME 04412 Medical services 24748485 Central Maine Medical Center PO Box 4100 Lewiston ME 40243 Medical services 22093854 MaineGeneral Medical Center 35 Medical Center Parkway August ME 04330 Medical services 16615588 Mid Coast Hospital 123 Medical Center Drive Brunswick ME 04011 Medical services 13536435 232 Medicare Advantage revenue 524292 455977129 455977129 455977129 1939768 1939768 7334799 7333224 1575 1575 1575 457918472 455977129 0 1941343 3205216 3205216 148831 148831 494362 494362 216962 216962 21445588 7352637 14092951 3831 3831 164556 164556 4292469 4292469 3858941 3858941 1115007 1115007 35360 35360 31830 31830 93822 93822 Pharmacy/medical care 401640789 401640789 Medical incentives 8565834 8565834 Claims administration 4403056 4403056 Broker fees 4119178 4119178 6153 6153 453841785 439584278 14257507 0 13394450 23526776 5422758 9684669 45342133 43038343 68880801 64799888 225200 956100 133265342 142005776 47049021 45766416 6543391 7131585 53592412 52898001 X 79672930 89107775 79672930 89107775 133265342 142005776 4076687 5358158 0 X X 0 1 X 1 0 0 Due to Parent 7131585 7131585 X 452229182 5358158 5358158 446871024 164556 10882892 11047448 457918472 468726393 15055317 15055317 453671076 164556 6153 170709 453841785 Part X, Line 2: Martin's Point Generations Advantage, Inc. is a tax exempt organization under 501(c)(4) and is included in the consolidated financial statements of its parent, Martin's Point Health Care, Inc. Those financial statements have the following narrative regarding uncertain tax provisions: 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: Change in non-admitted assets 1,749,921. Statutory adjustment - unrealized losses 9,132,971. Part XII, Line 2d - Other Adjustments: Statutory adjustment - premium deficiency reserves 15,055,317. Part XII, Line 4b - Other Adjustments: Statutory adjustment - bad debts 6,153. Schedule D, Part XI & XII: Martin's Point Generation Advantage, Inc. (MPGA) prepares financial statements on a consolidated basis with its parent, Martin's Point Health Care, Inc. (MPHC) in accordance with accounting principles generally accepted in the United States of America (GAAP). Additionally, MPGA also prepares financial statements on a stand-alone basis to conform to the statutory accounting practices prescribed or permitted by the Maine Bureau of Insurance, whose prescribed practices differ from GAAP. The change in non-admitted assets as well as statutory adjustments for revenue and expenses are reported here in Schedule D, Part XI and XII as part of the reconciling items to meet the reporting requirements for the Form 990. 0 1 0 0 0 0 0 0 0 David H Howes MD Chief Executive Officer 0 667174 0 205322 0 33069 0 0 0 21616 0 927181 0 39624 Jeffrey Brown CIO, Interim CFO 0 331164 0 146498 0 13465 0 0 0 32584 0 523711 0 0 Daniel B Chojnowski Chief Financial Officer (end 5/19) 0 174626 0 105193 0 0 0 0 0 12479 0 292298 0 20344 Part I, Line 3 All officers of Martin's Point Generations Advantage, Inc., including the President, are compensated by a related organization, Martin's Point Health Care, Inc. (MPHC). Each year, MPHC'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 MPHC 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 MPHC executives fall in relation to the market data, is reviewed by the committee prior to determining compensation adjustments for MPHC's chief executive officer and other executives. The committee's deliberations in this regard are documented in its meeting minutes. 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), and Daniel B. Chojnowski ($20,344). 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. 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. Form 990, Part III, Line 4a: Martin's Point Generations Advantage is a not-for-profit organization serving our community's health care needs with the highest-quality care and coverage. 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 MEDICARE ADVANTAGE HEALTH PLANS Martin's Point Generations Advantage offers a Medicare Advantage insurance plan across all of Maine and New Hampshire. Our plan members receive comprehensive benefits and quality care. In 2019, Martin's Point Generations Advantage: - Provided Generations Advantage (a portfolio of six (6) Medicare Advantage insurance plans) to over 50,000 members. Generations Advantage was offered in all of Maine and New Hampshire. Our Prime (HMO-POS), Focus DC (HMO-SNP), Value Plus (HMO) and Value (HMO) plan received a 5-star rating from the Centers of Medicare and Medicaid Services (CMS). Generations Advantage has been the highest rated plan in Northern New England for multiple years. COMMITTED TO TRANSFORMING THE HEALTH CARE SYSTEM Martin's Point Generations Advantage is leading the way to transforming 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 system. 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 health care is delivered and coordinated. Form 990, Part V, Line 2a: All employees are employed by Martin's Point Health Care, Inc. (MPHC), the sole corporate member of the Martin's Point Generations Advantage, Inc. (MPGA). There is a management services agreement between MPHC and MPGA where MPHC employees provide services and functions to MPGA. MPGA reimburses MPHC for services provided at actual costs. Form 990, Part VI, Section A, line 6 The sole member of Martin's Point Generations Advantage, Inc. is Martin's Point Health Care, Inc. Form 990, Part VI, Section A, line 7a The sole member of Martin's Point Generations Advantage, Inc., Martin's Point Health Care, Inc., has the power to appoint, remove, and replace directors. Form 990, Part VI, Section A, line 7b Martin's Point Health Care, Inc., the sole member of Martin's Point Generations Advantage, Inc., has the power to amend the articles of incorporation and the bylaws. 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 Martin's Point Health Care, Inc. management. A copy of the Form 990 is provided to the Board of Directors before filing. Form 990, Part VI, Section B, line 12c The Organization follows the conflict of interest policy of its Parent, Martin's Point Health Care, Inc. Under the provisions of that policy, 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 All of Martin's Point Generations Advantage, Inc.'s Officers are compensated by its Parent, Martin's Point Health Care, Inc. Each year, Martin's Point Health Care's (MPHC'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 MPHC 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 the 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's sole corporate member, Martin's Point Health Care, Inc., 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: Martin's Point Generations Advantage, Inc.'s audit process is conducted with its sole corporate member parent, Martin's Point Health Care, Inc. Accordingly, all oversight is carried out by Martin's Point Health Care, Inc.'s audit review process which has not changed from the prior year. Martin's Point Health Care Inc 331 Veranda Street Portland ME 04103 010353275 Health Care and Services ME 501(c)(3) Line 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 Martin's Point Health Care Inc M 21911283 Actual cost