2015-11-13T09:16:28-06:00 2014-12-31 010494526 BAKER NEWMAN & NOYES PO BOX 507 PORTLAND ME 04112 990 2014-01-01 010353275 Martin's Point Health Care Inc MART 2077745801 331 Veranda Street Portland ME 041035545 Daniel Chojnowski Current CFO 2077745801 2015-11-10 1 Nicholas E Porto P01310283 2078792100 2015-11-10 2014 2016-03-07 17:11:31Z David H Howes MD 331 Veranda Street Portland ME 041035545 648669659 0 X www.martinspoint.org X 1971 ME See Schedule O for Organization Mission Statement 11 10 952 0 174113 145300 0 0 488932381 573469568 5651252 9114032 0 0 494583633 582583600 257743 322516 0 0 74010041 73902976 0 0 0 423845344 500897020 498113128 575122512 -3529495 7461088 341977475 351329632 78355322 81432084 263622153 269897548 The mission of Martin's Point Health Care is to exemplify and inspire health care and service excellence through leadership, education, and innovation. 0 0 259069097 322516 305782236 Uniform Services Family Health Plan - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 249694681 0 231553922 Generations Advantage - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 47823131 36133410 Physician Practices - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 556586909 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 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 6593 0 1 952 1 1 1 0 0 0 0 0 0 0 0 0 X 11 10 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 Buyse MD Marylou Board Member 1.70 X 14110 0 0 Dixon MD Ronald Fitzjohn Board Member 1.70 X 13860 0 0 Campbell Jr George Nelson Board Member 1.70 X 17110 0 0 Durkee Raymond Eldon Board Member 1.70 X 13110 0 0 Hester Jr PhD James A Board Member 1.70 X 12860 0 0 Onion MD Daniel Kent Board Member 1.70 X 13110 0 0 Thomas Michael Eric Board Member 1.70 X 23110 0 0 Alpern MD Warren Deems Board Member - Chair 1.70 X X 21360 0 0 Moore Robert Adair Board Member - Vice Chair/Secretary 1.70 X X 18610 0 0 Dupont Jr Edward Charles Board Member - Treasurer 1.70 X X 20610 0 0 Howes MD David H Chief Executive Officer 40.00 X X 643509 0 129753 Bradford Dale H Chief Business & Financial Officer 40.00 X 455722 0 120037 Monfiletto Sandra L Organizational Effectiveness Officer 40.00 X 357685 0 99441 Henry Lawrence D Chief Operating Officer 40.00 X 331072 0 88404 Harvey Jonathan Easton Chief Medical Officer 40.00 X 309357 0 79884 Connolly MD Patrick Physician 40.00 X 329435 0 17324 Inger MD David B Physician 40.00 X 308755 0 0 2903385 0 534843 144 0 1 0 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical Services 32252743 Eastern Maine Medical Center PO Box 404 Bangor ME 04402 Medical Services 21762962 Central Maine Medical Center 300 Main Street Lewiston ME 04240 Medical Services 15305729 Mid Coast Hospital 123 Medical Center Drive Brunswick ME 04011 Medical Services 11000283 MaineGeneral Medical Center 35 Medical Parkway Augusta ME 04330 Medical Services 8430145 401 X US Family Health Plan 524114 305782236 305782236 Generations Advantage 524114 231553922 231553922 Physician Practices 621110 36133410 36133410 573469568 4959826 174113 4785713 70240265 65596420 489639 4643845 -489639 4154206 4154206 582583600 573469568 174113 8939919 310016 310016 12500 12500 1494204 941112 553092 59044265 49388631 9655634 2073334 1989919 83415 7336239 6819880 516359 3954934 3542624 412310 7532212 5256235 2275977 906055 271154 634901 594526 426342 168184 266351 266351 1007353 1007353 2241010 2028072 212938 2096839 2067310 29529 5370610 4202984 1167626 4154399 4085963 68436 4679405 4450121 229284 2433008 1669454 763554 395997 29675 366322 5002132 4800126 202006 790494 685916 104578 Medical Services 452973848 452973848 Broker Fees/Commissions 2914207 2914207 Medical Supplies 2680132 2610658 69474 Provision for Uncollect 1599453 1599453 3258989 3244358 14631 575122512 556586909 18535603 0 7822 7822 65793740 37074747 9822797 22219874 915458 1087523 2199531 2827475 91737898 41274793 50173372 50463105 150805807 172740176 61757932 64167035 79412 74598 421604 667277 341977475 351329632 69856933 72982280 572538 870132 7925851 7579672 78355322 81432084 X 263622153 269897548 263622153 269897548 341977475 351329632 X 7461088 -4104402 2918709 X X 0 1 X 1 0 X 323848683 389813655 457847695 488932381 573469568 2233911982 323848683 389813655 457847695 488932381 573469568 2233911982 0 0 0 2233911982 3968296 3795132 3720880 3500019 4785713 19770040 3968296 3795132 3720880 3500019 4785713 19770040 59873 109666 94139 149247 174113 587038 327876852 393718453 461662714 492581647 578429394 2254269060 0.99100 0.99020 0.00880 0.00960 X 0 1 0 0 0 1 32335 1 14924 0 1 219092 266351 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 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. 4386533 4386533 42455275 9972568 32482707 1797209 1331424 465785 37983828 29274388 8709440 5115053 696413 4418640 50463105 Alternative Investments 64167035 F 64167035 X 577471845 -4104402 -4104402 581576247 1007353 1007353 582583600 574115159 0 574115159 1007353 1007353 575122512 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. MPCHA, also treated as a pass-through entity for tax purposes, was inactive in 2014. MPCHP, a for-profit entity subject to income taxes, was inactive in 2014. MPCHP follows the asset and liability method of accounting for income taxes whereby deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. At December 31, 2014, there are no significant deferred tax assets or liabilities. The Company and MPCHP 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, 2014. The Company's tax years from 2011 through 2014 are open and subject to examination. Central America and the Caribbean 0 0 Investments - FMV as of 12/31/14 None 7413999 0 0 0 0 0 0 7413999 0 7413999 1 0 1 1 0 0 1 United Way of Greater Portland One Canal Plaza Suite 300 Portland ME 04101 010241767 501(c)(3) 25738 General Support MaineShare PO Box 2095 Augusta ME 04338 010444245 501(c)(3) 13808 General Support Community Health Charities of Maine 39 Mechanic Street Suite 100 Westbrook ME 04092 222478946 501(c)(3) 10963 General Support Portland Regional Chamber 60 Pearl Street Portland ME 04101 010043280 501(c)(6) 20000 Eggs & Issues Sponsorship American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 17700 Go Red for Women, Heart Walk sponsorship, and National Walking Day Southern Maine Agency on Aging 136 US Route 1 Scarborough ME 04101 010360259 501(c)(3) 15000 Maine Senior Games sponsorship Spurwink Services 899 Riverside Street Portland ME 04103 010319802 501(c)(3) 10000 Humanitarian of the Year sponsorship American Diabetes Association PO Box 10310 Portland ME 04104 131623888 501(c)(3) 10000 Tour de Cure sponsorship Veteran's Outreach Center 459 South Avenue Rochester NY 16201 161137379 501(c)(3) 6000 Golf Tournament & Flag Day sponsorship United Way of Eastern Maine 24 Springer Drive Bangor ME 011013621 010211478 501(c)(3) 5625 General Support Friends of Eastern Promenade PO Box 16025 Portland ME 04101 753240986 501(c)(3) 17500 Concert series sponsorship 10 1 Martin's Point Health Care Scholarship Fund 1 12500 0 Part I, Line 2: All requests, solicited or unsolicited, are reviewed by MPHC 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 0 1 0 0 0 0 0 1 0 Howes MD David H Chief Executive Officer 583168 0 28325 0 32016 0 116634 0 13119 0 773262 0 0 0 Bradford Dale H Chief Business & Financial Officer 360000 0 40667 0 55055 0 103200 0 16837 0 575759 0 22667 0 Monfiletto Sandra L Organizational Effectiveness Officer 295877 0 32005 0 29803 0 82604 0 16837 0 457126 0 17533 0 Henry Lawrence D Chief Operating Officer 310693 0 14000 0 6379 0 68352 0 20052 0 419476 0 0 0 Harvey Jonathan Easton Chief Medical Officer 284465 0 13250 0 11642 0 62560 0 17324 0 389241 0 0 0 Connolly MD Patrick Physician 170340 0 155860 0 3235 0 0 0 17324 0 346759 0 0 0 Inger MD David B Physician 158489 0 150080 0 186 0 0 0 0 0 308755 0 0 0 Part I, Line 1a Cumberland Club membership with costs of $2,578 for David H. Howes, CEO. This is a business club, the membership to which is used exclusively for business purposes. A housing allowance of $31,200 was paid on behalf of Dale Bradford, Chief Business and Financial Officer. This amount was included as reportable compensation on his W-2. 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 the long term incentive program were made to Dale H. Bradford ($22,667) and Sandra L. Monfiletto ($17,533) during the fiscal year and included in Box 5 of their W-2. 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 1860000 10537113 756100 1614 129918 10444662 2007 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 1 TransAmerica 23.000000000000 1 0 0 A 0 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 I, Line 1: The mission of Martin's Point Health Care is to exemplify and inspire health care and service excellence through leadership, education, and innovation. Form 990, Part III, Line 4a-c: Not-for-Profit Narrative Statement 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 eight 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 2014, Martin's Point Health Care: - Served 76,400 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 Gorham, Maine 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 free of charge. -Continued integrating behavioral health services at five of our locations (Bangor, 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 $196,800 of medical services free-of-charge to patients with insufficient coverage. 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 2014, 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, military retirees and their families across Northern New England, Upstate New York and Northern Pennsylvania. In 2014, our US Family Health Plan served 44,300 members. In over 30 years of providing this TRICARE Prime option, we consistently have earned high marks for customer service and member satisfaction. In 2014, the National Committee for Quality Assurance (NCQA) rated private commercial HMO plans, where our US Family Health Plan ranked #9 in Maine and #45 out of 507, nationwide. - Provided a Medicare Advantage insurance plan, which served over 30,860 Maine residents in all 16 counties, as well as 660 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 2014, Martin's Point Health Care: - Served as an active participant in the Maine State Regional Health Information Exchange, HealthInfoNet, which holds vital patient information for almost all Maine residents and is connected to the majority of health care facilities in Maine. - Continued to enhance our Primary Care Comprehensive Payment model to encourage and reward quality care and a better health care experience. - Continued to work with the Institute for Healthcare Improvement on their Triple Aim Initiative. - 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 2014, Martin's Point Health Care: - Contributed over $270,000 in financial support to over 140 health care and community nonprofit organizations, agencies and groups throughout Maine, New Hampshire, and New York. - Employees personally and collectively contributed $37,000 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, Northeast Passage, 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 2014, our employees worked together to build and maintain a community garden near our Portland Health Care Center. Employees harvested 860 pounds of fresh, organic produce, which were donated to a local food shelter. - In 2014, our employees volunteered 1,690 hours, which totals $56,000 paid in wages to employees for volunteer time. In addition, Martin's Point donated close to $45,000 in monetary support to over 100 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 the Corporate Controller, CFO, and President. A copy of the 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 10 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 $174,113. Form 990, Part XI, line 9: Transfer of Net Assets from MPCHP 2,918,709. 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 231553922 62838375 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 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 0 0 0 0 0 0 0 1 Martin's Point Community Health Plan Inc S 2918095 Actual per Books