2016-11-09T10:04:13-06:00 2015-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2015-01-01 010353275 Martin's Point Health Care Inc MART 2077745801 331 Veranda Street Portland ME 041035545 David H Howes MD President & CEO 2077745801 2016-11-08 1 Nicholas E Porto P01310283 2078792100 2016-11-08 2015 2017-02-10 21:41:12Z David H Howes MD 331 Veranda Street Portland ME 041035545 683591678 0 X www.martinspoint.org X 1971 ME See Schedule O for a description of the Organization's most significant activities. 10 9 980 0 40630 34105 0 0 573469568 636596048 9114032 16447876 0 0 582583600 653043924 322516 264841 0 0 73902976 77810183 0 0 0 500897020 569280803 575122512 647355827 7461088 5688097 351329632 336790419 81432084 87547097 269897548 249243322 The mission of Martin's Point Health Care is to create a healthier community through authentic relationships built on trust. 0 0 279277587 264841 319303946 Uniform Services Family Health Plan - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 302771532 275129040 Generations Advantage - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 50900987 42163062 Delivery System - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 632950106 1 0 0 1 0 0 0 0 0 0 1 1 0 1 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 1 1 1 1 0 0 1 6806 0 1 980 1 1 1 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 Daniel Chojnowski 2077745801 331 Veranda Street Portland ME 041035545 Marylou Buyse MD Board Member (part year) 1.70 0.00 X 10020 0 0 Ronald F Dixon MD Board Member 1.70 0.00 X 18860 0 0 George N Campbell Jr Board Member 1.70 0.00 X 12360 0 0 Raymond E Durkee Board Member (part year) 1.70 0.00 X 9520 0 0 James A Hester Jr PhD Board Member 1.70 0.00 X 13610 0 0 Daniel K Onion MD Board Member 1.70 0.00 X 15360 0 0 Michael E Thomas Board Member 1.70 0.00 X 18360 0 0 Barbara E Trethaway JD Board Member 1.70 0.00 X 8250 0 0 Warren D Alpern MD Board Member - Chair 1.70 0.00 X X 25360 0 0 Robert A Moore Board Member - Vice Chair 1.70 0.00 X X 19110 0 0 Edward C Dupont Jr Board Member - Treasurer 1.70 0.00 X X 19860 0 0 David H Howes MD Chief Executive Officer 40.00 0.00 X X 862059 0 368422 Daniel B Chojnowski Chief Financial Officer 39.00 1.00 X 273104 0 74373 Dale H Bradford Chief Financial Officer (part year) 40.00 0.00 X 538821 0 19150 Sandra L Monfiletto COO - Delivery Systems 40.00 0.00 X 458653 0 125642 Lawrence D Henry COO - Health Plans 39.00 1.00 X 436486 0 125574 Jonathan E Harvey MD Chief Medical Officer 40.00 0.00 X 400270 0 118436 Patrick Connolly MD Physician 40.00 0.00 X 335513 0 23752 Roy M Nakamura MD Physician 40.00 0.00 X 355869 0 26905 3831445 0 882254 143 0 1 0 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical Services 36193475 Eastern Maine Medical Center PO Box 404 Bangor ME 04402 Medical Services 23746368 Central Maine Medical Center 300 Main Street Lewiston ME 04240 Medical Services 14683541 MaineGeneral Medical Center 35 Medical Parkway Augusta ME 04330 Medical Services 9008161 Mid Coast Hospital 123 Medical Center Drive Brunswick ME 04011 Medical Services 7935291 499 X US Family Health Plan 524114 319303946 319303946 Generations Advantage 524114 275129040 275129040 Delivery System 621110 42163062 42163062 636596048 3519987 40630 3479357 43475643 30326618 221136 13149025 -221136 12927889 12927889 653043924 636596048 40630 16407246 264841 264841 2306599 1401151 905448 59338483 52896580 6441903 3435902 3159543 276359 8650181 7768677 881504 4079018 3671813 407205 9470984 7956257 1514727 733287 273841 459446 294449 123241 171208 924812 924812 2120015 1985907 134108 2475070 2475070 5041913 4077906 964007 4225609 4200385 25224 4082733 3927901 154832 423472 382674 40798 2070239 1406035 664204 351440 351440 4613188 4486960 126228 792774 668322 124452 Medical Services & Supp 524439647 524370783 68864 Broker Fees/Commissions 2830783 2830783 Provision for Uncollect 1513196 1513196 UBI Tax 91451 91451 2785741 2756800 28941 647355827 632950106 14405721 0 7822 7852 37074747 16411412 22219874 31879594 1087523 993898 2827475 3377088 95770796 45381032 50463105 50389764 172740176 172925484 64167035 39763009 74598 69786 667277 20972532 351329632 336790419 72982280 79580421 870132 753183 7579672 7213493 81432084 87547097 X 269897548 249243322 269897548 249243322 351329632 336790419 X 5688097 -20242323 -6100000 X X 0 1 X 1 0 X 389813655 457847695 488932381 573469568 636596048 2546659347 389813655 457847695 488932381 573469568 636596048 2546659347 0 0 0 2546659347 3795132 3720880 3500019 4785713 3479357 19281101 3795132 3720880 3500019 4785713 3479357 19281101 109666 94139 149247 174113 40630 567795 393718453 461662714 492581647 578429394 640116035 2566508243 0.99230 0.99100 0.00750 0.00880 X 0 1 0 0 0 1 36736 1 7547 0 1 230158 274441 0 Part II-B, Line 1: Part II-B, Line 1f: Martin's Point pays the cost of the lobbying portion of dues to trade associations. These expenses are incurred to help track and discuss legislation affecting health care policy, striving to create policy which will drive a system to improve health outcomes, improve the experience of care, and reduce the overall costs of care. Part II-B, Line 1b & 1g: Martin's Point President, Dr. Howes's direct cost of wages for time attending legislative lobbying meetings. Part II-B, Line 1i: Martin's Point engages a consulting firm to provide support and occasional lobbying services to Martin's Point officials. 4564533 4564533 45570324 11206260 34364064 1810787 1325344 485443 38825056 32103418 6721638 5000096 746010 4254086 50389764 Alternative Investments 39763009 F 39763009 Debt Service Funds 361493 Receivables Due from Securities 20307906 Artwork 303133 20972532 X 631785348 -20242323 10 -20242313 652027661 924812 91451 1016263 653043924 646339564 0 646339564 924812 91451 1016263 647355827 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. Generations is treated as a pass-through entity for tax purposes. 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 tax returns. The Company has concluded no uncertain income tax positions exist at December 31, 2015. The Company's tax years from 2012 through 2015 are open and subject to examination. Part XI, Line 2d - Other Adjustments: Income of Subsidiary 10. Part XI, Line 4b - Other Adjustments: Unrelated Business Income Tax 91,451. Part XII, Line 4b - Other Adjustments: Unrelated Business Income Tax 91,451. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments - FMV as of 12/31/15 6066000 0 0 0 0 0 0 6066000 0 6066000 1 0 1 1 1 0 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 partnership or corporation that exceeded the filing thresholds for Form 8865 or Form 5471 during the fiscal year. Accordingly, these IRS Forms are not required to be filed. 1 United Way of Greater Portland One Canal Plaza Suite 300 Portland ME 04101 010241767 501(c)(3) 18509 General Support Community Health Charities of Maine 39 Mechanic Street Suite 100 Westbrook ME 04092 222478946 501(c)(3) 6990 General Support American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 22750 General Support Southern Maine Agency on Aging 136 US Route 1 Scarborough ME 04101 010360259 501(c)(3) 27500 1927 Blue Book Value Used van General Support American Diabetes Association PO Box 10310 Portland ME 04104 131623888 501(c)(3) 10000 General Support Veteran's Outreach Center 459 South Avenue Rochester NY 16201 161137379 501(c)(3) 10000 General Support Oasis Free Clinics 66 Baribeau Drive Suite 5B Box 1 Brunswick ME 04011 010497587 501(c)(3) 6000 General Support Make-a-Wish Foundation 477 Congress Street Suite M1 Portland ME 04101 010477512 501(c)(3) 6000 General Support 8 0 Part I, Line 2: All requests, solicited or unsolicited, are reviewed by the Martin's Point Health Care, Inc. Charitable Contributions Committee (CCC). The CCC ensures continuity and consistency with the Organization's stated objective. The CCC meets monthly. A charitable contributions/sponsorship application is submitted providing program details and funds requested. The CCC also reviews program results and the financial health of the organizations as needed. X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 David H Howes MD Chief Executive Officer 598513 0 233250 0 30296 0 351721 0 16701 0 1230481 0 116634 0 Daniel B Chojnowski Chief Financial Officer 204798 0 58691 0 9615 0 49968 0 24405 0 347477 0 32460 0 Dale H Bradford Chief Financial Officer (part year) 215893 0 139200 0 183728 0 0 0 19150 0 557971 0 103200 0 Sandra L Monfiletto COO - Delivery Systems 327356 0 118143 0 13154 0 101189 0 24453 0 584295 0 82604 0 Lawrence D Henry COO - Health Plans 333844 0 102642 0 0 0 101169 0 24405 0 562060 0 68352 0 Jonathan E Harvey MD Chief Medical Officer 305619 0 94651 0 0 0 94684 0 23752 0 518706 0 62560 0 Patrick Connolly MD Physician 158598 0 171298 0 5617 0 0 0 23752 0 359265 0 0 0 Roy M Nakamura MD Physician 151931 0 198035 0 5903 0 0 0 26905 0 382774 0 0 0 Part I, Line 1a Cumberland Club membership with costs of $2,569 for David H. Howes, CEO. This is a business club, the membership to which is used exclusively for business purposes. A housing allowance of $15,965 was paid on behalf of Dale Bradford, Chief Financial Officer. This amount was included as reportable compensation on his Form W-2. Part I, Lines 4a-b Severance payments were made to Dale Bradford, Chief Financial Officer, in the amount of $159,231. This amount was included as reportable compensation on his Form W-2. 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 ($116,634), Dale H. Bradford ($103,200), Daniel J. Chojnowski ($32,460), Sandra L. Monfiletto ($82,604), Lawrence D. Henry ($68,352), and Jonathan Easton Harvey ($62,560). 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. Part I, Line 7 Some of the compensation for individuals listed in Part VII of Form 990 are calculated through the Achievement Plan. The Plan is an earned bonus which is variable based on obtaining a combination of corporate and department goals. The goal of the Achievement Plan is to focus employees on meeting critical performance measures. The Plan funding is based on the contribution margin which is tied to department goals. A MHHEFA 010314384 560425L40 2007-07-18 10395000 Provide funds to refund 2000 issue 0 0 1 A 2220000 10537113 756100 1614 129918 10444662 2007 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 1 TransAmerica 23.000000000000 1 0 0 A 0 Date Rebate Computation Performed Issuer Name: MHHEFA Date the Rebate Computation was Performed: 07/18/2013 Schedule K, Part I, Line A, Column e: The issue price listed differs from the amount reported on Form 8038, Part III of $97,716,087. This is due to the bond issuance being made as part of a pooled financing issue. The amount reported by the Organization on Schedule K is representative of the amount of the issue allocated to the Organization. Schedule K, Part IV, Line 2c The rebate computation was performed on July 18, 2013. No report was filed with the IRS as there was no rebate liability. 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 Issuer of the bonds, Maine Health and Higher Education Facilities Authority, has written post issuance compliance procedures in place and Martin's Point Health Care, Inc. has a Tax Regulatory Agreement with the Issuer. Form 990, Part III, Line 4a-c: Martin's Point Health Care 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, our primary goal is to help our patients and members live healthier lives by providing them with the best possible health care experience, offering high-quality health care and treating our customers with warmth and concern. We help our patients and members take an active role in making good health decisions which lead to happier and healthier lives. This work is achieved in three ways: 1. By providing high-quality primary care and select specialty and ancillary services to patients at seven locations throughout Maine and one location in New Hampshire, including onsite pharmacy, radiology, and lab services at most locations; 2. By administering Military and Medicare Advantage health insurance plans; and 3. By making positive improvements that help transform the health care system in the communities we serve and that can also serve as models of improved care beyond our communities, statewide, and nationally. PROVIDING HIGH-QUALITY PRIMARY CARE In 2015, Martin's Point Health Care: -Served 77,758 patients through family medicine, pediatrics, internal medicine, cardiology, eye care, sports medicine, cosmetic dermatology, physical therapy, and more. Many patients were also able to take advantage of onsite radiology, pharmacy, and laboratory services. -Built a new health care center in Biddeford in partnership with SMRT, a nationally recognized architectural firm, focusing the design and flow on patient experience. The health care center hosts a "community room" which can be used for community and educational events. -Continued integrating behavioral health services at four of our locations (Brunswick Cook's Corner, Brunswick Bowdoin, Portland, and South Portland). -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 $185,000 of financial assistance to patients who were unable to pay for services. PROVIDING HEALTH PLANS FOR MEMBERS Martin's Point offers two health care plans for select groups throughout the Northeast. Our plan members receive comprehensive benefits and quality care, and they consistently give us high ratings for exemplary service and satisfaction. In 2015, 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, Reserve, and military retirees and their families across Northern New England, Upstate New York and Northern Pennsylvania. In 2015, our US Family Health Plan served 44,806 members. In over 30 years of providing this TRICARE Prime option, we consistently have earned high marks for customer service and member satisfaction. According to the NCQA Private Health Insurance Plan Rankings 2015-2016, the Martin's Point HMO US Family Health Plan (ME) and US Family Health Plan (MA, NH, NY, PA, VT) were ranked in the top ten percent of 491 private commercial plans across the nation. -Provided Generations Advantage (a Medicare Advantage insurance plan), which served over 36,102 Maine residents in all sixteen counties, as well as residents in two New Hampshire counties. Our Prime (HMO-POS) and Value (PPO) plan was recognized as the only plan in New England to receive an overall health plan rating of 5 stars (the highest possible) from the Centers of Medicare and Medicaid Services (CMS). COMMITTED TO TRANSFORMING THE HEALTH CARE SYSTEM Martin's Point 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 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 2015, 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 2015, Martin's Point Health Care: -Contributed over $205,000 in financial support to over 100 health care and community nonprofit organizations, agencies, and groups throughout Maine, New Hampshire, and New York. -Employees personally and collectively contributed $33,400 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 2015, our employees worked together to build and maintain a community garden near our Portland Health Care Center. Employees harvested 605 pounds of fresh, organic produce, which were donated to a local food shelter. -In 2015, our employees volunteered 1,855 hours, which totals $65,530 paid in wages to employees for volunteer time. In addition, Martin's Point donated close to $35,000 in monetary support to over 50 charitable organizations and efforts in which our employees are engaged. Form 990, Part VI, Section B, line 11 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 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 board directors receive conflict of interest training and must attest to no conflicts. Form 990, Part VI, Section B, line 15 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 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. 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 in excess of $10,000. However, those 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. Therefore, there were 9 independent voting members on the Organization's board of directors at the end of the current tax year. Form 990, Part VIII, Line 3c: The Organization's 990-T filing is related to Schedule K-1's received from Nyes Ledge Capital Partners, LP for investment-related income of $40,630. Form 990, Part XI, line 9: Transfer to Subsidiary -6,100,000. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Martin's Point Generations LLC 331 Veranda Street Portland ME 04103 204505084 Medicare Limited HMO ME 275129040 73625447 Martin's Point Health Care Inc Martin's Point Community Health Administrators LLC 331 Veranda Street Portland ME 04103 800647782 Inactive ME 0 0 Martin's Point Health Care Inc Martin's Point Generations Advantage Inc 331 Veranda Street Portland ME 04103 474682941 Medicare Limited HMO ME 501(c)(4) Martin's Point Health Care 1 Martin's Point Community Health Plan Inc 331 Veranda Street Portland ME 04103 800647785 Inactive ME Martin's Point Health Care Inc C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 Martin's Point Generations Advantage Inc R 6100000 Cash