2017-11-13T09:42:18-06:00 2016-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2016-01-01 474682941 Martin's Point Generations Advantage Inc MART 2077745801 331 Veranda Street Portland ME 041035545 David H Howes MD President, MPHC Board of Directors 2077745801 2017-11-07 1 Nicholas E Porto P01310283 2078792100 2017-11-07 208.105.168.164 2017-11-07 10:11:15 ES P 45A87A58F6C00BCB2409326513FED20CCB94F06D 2CC4C4610C7CE537855CCDE76D04A8640C960E3E 2016 2017-02-10 21:41:12Z David H Howes MD 331 Veranda Street Portland ME 041035545 355744501 0 X https://medicare.martinspoint.org/ X 2015 ME See Schedule O for a description of the Organization's most significant activities. 11 10 0 0 0 0 0 0 0 329279875 10 738091 0 0 10 330017966 0 0 0 0 0 5462026 0 0 0 0 337698257 0 343160283 10 -13142317 6100010 97185018 0 45000336 6100010 52184682 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 337022776 329279875 Generations Advantage - Please see not-for-profit narrative statement for Martin's Point Generations Advantage on Schedule O. 337022776 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 2362 0 1 0 0 0 0 0 0 0 X 11 10 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Daniel Chojnowski 2077745801 331 Veranda Street Portland ME 041035545 Warren D Alpern MD Board Member 0.50 1.00 X 0 19495 0 George N Campbell Jr Board Member 0.50 1.00 X 0 9816 0 Ronald F Dixon MD Board Member 0.50 1.00 X 0 14440 0 James A Hester Jr PhD Board Member 0.50 1.00 X 0 11140 0 Daniel K Onion MD Board Member 0.50 1.00 X 0 15403 0 Michael E Thomas Board Member 0.50 1.00 X 0 14822 0 Barbara E Trethaway JD Board Member 0.50 1.00 X 0 12106 0 Lawrence D Henry President (part year) 30.00 10.00 X X 0 470560 25791 Robert A Moore Board Member - Chair 0.50 1.00 X X 0 16830 0 Paul F Kasuba MD Board Member - Vice Chair 0.50 1.00 X X 0 9991 0 Edward C Dupont Jr Board Member - Treasurer 0.50 1.00 X X 0 16908 0 Rebekah J Dube Secretary (part year) 30.00 10.00 X X 0 261814 25791 David H Howes MD Chief Executive Officer 20.00 20.00 X X 0 986900 194090 David Currier Esq Board Secretary 0.50 1.00 X 0 0 0 Daniel B Chojnowski Chief Financial Officer 20.00 20.00 X 0 333459 29916 0 2193684 275588 0 0 1 0 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical Services 33473467 Eastern Maine Medical Center 43 Whiting Hill Road Suite 300 Brewer ME 04412 Medical Services 18029082 Central Maine Medical Center PO Box 4100 Lewiston ME 40243 Medical Services 18022861 MaineGeneral Medical Center PO Box 860 Waterville ME 04901 Medical Services 10818036 Mid Coast Hospital 123 Medical Center Drive Brunswick ME 04011 Medical Services 9472617 201 Medicare Advantage Revenue 524292 329279875 329279875 329279875 707476 707476 25757150 25726535 30615 30615 30615 330017966 329279875 0 738091 4383789 4383789 180348 180348 623950 623950 273939 273939 11059680 5029865 6029815 5000 5000 12192 12192 107692 107692 7895943 7895943 1829609 1829609 993601 993601 13436 13436 44907 44907 65789 65789 Med & Pharmacy Services 301360972 301360972 Medical Incentives 7660530 7660530 Claims Admin Costs 3710699 3710699 Outside Sales Commissio 2761407 2761407 176800 176800 343160283 337022776 6137507 0 6000000 12646785 100010 34517820 49845613 0 174800 6100010 97185018 41072404 0 3927932 0 45000336 X 6100010 52184682 6100010 52184682 6100010 97185018 X -13142317 944090 58282899 X X 0 1 X 1 0 0 Due to Parent 3927932 3927932 X 328415698 944090 31158 975248 327440450 107692 2469824 2577516 330017966 343102366 49775 49775 343052591 107692 107692 343160283 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. Generations was treated as a pass-through entity for tax purposes. 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, 2016. Part XI, Line 2d - Other Adjustments: Statutory Adjustment - Unrealized Gains/Losses 31,158. Part XI, Line 4b - Other Adjustments: Change in Non-Admitted Assets 2,469,824. Part XII, Line 2d - Other Adjustments: Statutory Adjustment - Bad Debt 49,775. 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 of 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 Lawrence D Henry President (part year) 0 344391 0 126169 0 0 0 0 0 25791 0 496351 0 101169 Rebekah J Dube Secretary (part year) 0 188891 0 70620 0 2303 0 0 0 25791 0 287605 0 38543 David H Howes MD Chief Executive Officer 0 616346 0 351721 0 18833 0 176719 0 17371 0 1180990 0 351721 Daniel B Chojnowski Chief Financial Officer 0 272395 0 49968 0 11096 0 4125 0 25791 0 363375 0 49968 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 senior leadership participate in a long term incentive program and a retention award program. Deferred compensation was reported to individuals as part of these programs. Payments under these programs were made to David H. Howes ($351,721), Daniel B. Chojnowski ($49,968), Lawrence D. Henry ($101,169), and Rebekah J. Dube ($38,543) These payments were reported in Box 5 of the individuals' W-2 and was previously reported on Form 990, Schedule J, Part II, Column C as deferred compensation in prior years. Form 990, Part III, Line 4a: Martin's Point Generations Advantage is a progressive, not-for-profit health care organization, based in Portland, Maine that is dedicated to providing affordable high-quality health care in the communities we serve. At Martin's Point Generations Advantage, our primary goal is to help our members live healthier lives by providing them with the best possible health care experience, offering high-quality health care, and treating our members with warmth and concern. We help our members take an active role in making good health decisions which lead to happier and healthier lives. This work is achieved in two ways: 1. By administering our Medicare Advantage health insurance plan; and 2. By making positive improvements that help transform the health care system in the communities we serve that can also serve as models of improved care beyond our communities, statewide, and nationally. PROVIDING HEALTH PLANS FOR MEMBERS Martin's Point Generations Advantage offers a Medicare advantage insurance plan across all of Maine and parts of New Hampshire. Our plan members receive comprehensive benefits and quality care, and they consistently give us high ratings for exemplary service and satisfaction. In 2016, Martin's Point Generations Advantage: - Provided Generations Advantage (a Medicare Advantage insurance plan) to over 40,000 members. Generations Advantage was offered in all 16 Maine counties, as well as two New Hampshire counties. Our Prime (HMO-POS) and Value (PPO) plan received a 4.5 star rating from the Centers of Medicare and Medicaid Services (CMS). Generations Advantage has been the highest rated plan in Maine for the past 7 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, 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 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 purchased services agreement between MPHC and MPGA where MPHC employees provide services and functions to MPGA. MPGA reimburses MPHC for services provided at mutually agreed upon rates. Form 990, Part VI, Section A, line 4 The Organization amended its bylaws to increase the maximum number of members from 9 to 11. 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, each new hire 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. The new hire is prompted to report any conflict of interest they may have as defined in the policy. All employees, as a condition of employment, take the annual compliance training which includes conflict of interest training. Questions specific to identifying conflicts of interest are answered by each employee. The responses are monitored for conflict of interest indicators. All members of the board of directors receive conflict of interest training and must attest to no conflicts. 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, 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 XI, line 9: Transfer from Parent 58,282,899. 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 Martin's Point Community Health Plan Inc 331 Veranda Street Portland ME 04103 800647785 Inactive ME N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 Martin's Point Health Care Inc S 58282899 Cash Martin's Point Health Care Inc M 23041082 Cash