2014-11-14T14:45:15-06:00 2013-12-31 010494526 BAKER NEWMAN & NOYES PO BOX 507 PORTLAND ME 04112 990 2013-01-01 010353275 Martin's Point Health Care Inc MART 2077745801 331 Veranda Street Portland ME 041035545 David H Howes MD President & CEO 2077745801 2014-11-12 1 Nicholas E Porto P01310283 2078792100 2013 2015-11-30 17:44:51Z David H Howes MD 331 Veranda Street Portland ME 041035545 548243283 0 X www.martinspoint.org X 1971 ME See Schedule O for Organization Mission Statement 11 10 970 0 149247 124613 0 0 457847695 488932381 9754396 5651252 0 0 467602091 494583633 357586 257743 0 0 76285665 74010041 0 0 0 378110527 423845344 454753778 498113128 12848313 -3529495 328384615 341977475 74963221 78355322 253421394 263622153 X The mission of Martin's Point Health Care is to exemplify and inspire health care and service excellence through leadership, education, and innovation. 0 1 252840594 257743 274633815 Uniform Services Family Health Plan - Please see not-for-profit narrative statement for Martin's Point on Schedule O 181725070 170967988 Generations Advantage - Please see not-for-profit narrative statement for Martin's Point on Schedule O 44070510 41505262 Physician Practices - Please see not-for-profit narrative statement for Martin's Point on Schedule O 2146660 1825316 Third Party Administrator - Please see not-for-profit narrative statement for Martin's Point on Schedule O 2146660 1825316 480782834 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 7115 0 1 970 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 VT X Daniel Chojnowski 2077745801 331 Veranda Street Portland ME 041035545 Buyse MD Marylou Board Member 1.70 X 20510 0 0 Dixon MD Ronald Fitzjohn Board Member 1.70 X 15610 0 0 Campbell Jr George N Board Member 1.70 X 24610 0 0 Durkee Raymond E Board Member 1.70 X 16110 0 0 Hester Jr PhD James A Board Member 1.70 X 15360 0 0 Onion MD Daniel K Board Member 1.70 X 15610 0 0 Thomas Michael E Board Member - Chair 1.70 X X 29990 0 0 Alpern MD Warren D Board Member - Vice Chair 1.70 X X 25610 0 0 Moore Robert A Board Member - Secretary 1.70 X X 24360 0 0 Dupont Jr Edward C Board Member - Treasurer 1.70 X X 22860 0 0 Howes MD David H President & CEO 40.00 X X 624643 0 16030 Rollinson Jane E Interim Chief Financial Officer 40.00 X 124254 0 0 Bradford Dale H Chief Business & Finance Officer 40.00 X 446291 0 13286 Johnson MD Elizabeth Chief Medical Officer 40.00 X 427538 0 4172 Dufresne Duke WJ VP Health Plan Medical Mgmt 40.00 X 351395 0 8693 Freedman MD Sara Physician 40.00 X 329134 0 13773 Monfiletto Sandra L Organizational Effectiveness Officer 40.00 X 329123 0 14950 Connolly MD Patrick Physician 40.00 X 318068 0 16151 3161076 0 87055 143 0 1 0 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical Services 26870188 Eastern Maine Medical Center PO Box 404 Bangor ME 04402 Medical Services 19304275 Central Maine Medical Center 300 Main Street Lewiston ME 04240 Medical Services 10986726 Mid Coast Hospital 123 Medical Center Drive Brunswick ME 04011 Medical Services 9679110 MaineGeneral Medical Center 35 Medical Center Parkway Augusta ME 04330 Medical services 9574889 350 X US Family Health Plan 524114 274633815 274633815 Generations Advantage 524114 170967988 170967988 Physician Practices 621110 41505262 41505262 3rd Party Health Admin 524292 1825316 1825316 488932381 3649266 149247 3500019 55286091 375545 52590691 1068959 2695400 -693414 2001986 2001986 494583633 488932381 149247 5502005 257743 257743 1435133 851302 583831 58191764 49730906 8460858 3657677 2421892 1235785 6758201 6161364 596837 3967266 3587314 379952 9073729 7668226 1405503 914520 264100 650420 430844 274054 156790 176755 176755 768905 768905 1621623 1458780 162843 1871665 1842472 29193 4491832 3551875 939957 3007666 2981082 26584 4496891 4242480 254411 2183784 1619559 564225 432573 52063 380510 6329078 6081492 247586 1316918 1196639 120279 Medical Services 378236909 378236909 Medical Supplies 2407017 2368970 38047 Broker Fees/Commissions 2293329 2293329 Provision for Uncollect 2019240 2019240 1772066 1444288 327778 498113128 480782834 17330294 0 2007270 7822 104341937 65793740 18038396 9822797 826136 915458 2391117 2199531 87371613 37198241 54294555 50173372 98762691 150805807 46761163 61757932 497645 79412 463705 421604 328384615 341977475 66706191 69856933 572538 8257030 7925851 74963221 78355322 X 253421394 263622153 253421394 263622153 328384615 341977475 -3529495 13730254 0 X X 0 1 X 1 0 X 267166255 323848683 389813655 457847695 488932381 1927608669 267166255 323848683 389813655 457847695 488932381 1927608669 0 0 0 1927608669 3728506 3968296 3795132 3720880 3500019 18712833 3728506 3968296 3795132 3720880 3500019 18712833 -34526 59873 109666 94139 149247 378399 270860235 327876852 393718453 461662714 492581647 1946699901 0.99020 0.98840 0.00960 0.01150 X 0 0 0 0 0 1 22755 0 0 1 154000 176755 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 1i: Martin's Point engages a consulting firm to provide support and occasional lobbying services to Martin's Point officials. 4349533 4349533 38615294 8808824 29806470 2385668 1554583 831085 36295581 26193578 10102003 5725537 641256 5084281 50173372 Alternative Investments 61757932 F 61757932 X 507544982 13730254 13730254 493814728 768905 768905 494583633 497344223 0 497344223 768905 768905 498113128 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 and MPCHA are treated as pass-through entities for tax purposes. MPCHP is a for-profit entity and is, therefore, subject to income taxes. 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, 2013, there are no significant deferred tax assets or liabilities. Additionally, MPCHP net income and net loss were insignificant in 2013 and 2012, respectively. 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, 2013. The Company's tax years from 2010 through 2013 are open and subject to examination. 1 United Way of Greater Portland One Canal Plaza Suite 300 Portland ME 04101 010241767 501(c)(3) 19651 General Support MaineShare PO Box 2095 Augusta ME 04338 010444245 501(c)(3) 8855 General Support Community Health Charities of Maine 39 Mechanic Street Suite 100 Westbrook ME 04092 222478946 501(c)(3) 5127 General Support Portland Regional Chamber 60 Pearl Street Portland ME 04101 010043280 501(c)(6) 23500 General Support American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 17500 General Support Southern Maine Agency on Aging 136 US Route 1 Scarborough ME 04101 010360259 501(c)(3) 25000 General Support Maine Quality Counts PO Box 190 30 Association Drive Manchester NH 04351 204935972 501(c)(3) 10000 General Support Spurwink Services 899 Riverside Street Portland ME 04103 010319802 501(c)(3) 10000 General Support Make-A-Wish Foundation 477 Congress Street Suite M1 Portland ME 04101 010477512 501(c)(3) 12000 General Support Center for Grieving Children PO Box 1438 Portland ME 04104 010431150 501(c)(3) 10000 General Support Immigrant Legal Advocacy Project 17 Linden Street Portland ME 04103 223260883 501(c)(3) 7326 General Support Friends of Eastern Promenade PO Box 16025 Portland ME 04101 753240986 501(c)(3) 6000 General Support 11 1 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 1 1 0 0 0 0 0 1 0 Howes MD David H President & CEO 543306 0 33941 0 47396 0 0 0 16030 0 640673 0 0 0 Bradford Dale H Chief Business & Finance Officer 375472 0 21330 0 49489 0 0 0 13286 0 459577 0 22667 0 Johnson MD Elizabeth Chief Medical Officer 116324 0 39870 0 271344 0 0 0 4172 0 431710 0 20467 0 Dufresne Duke WJ VP Health Plan Medical Mgmt 175994 0 12047 0 163354 0 0 0 8693 0 360088 0 0 0 Freedman MD Sara Physician 187962 0 115066 0 26106 0 0 0 13773 0 342907 0 0 0 Monfiletto Sandra L Organizational Effectiveness Officer 300049 0 17123 0 11951 0 0 0 14950 0 344073 0 17533 0 Connolly MD Patrick Physician 156010 0 155884 0 6174 0 0 0 16151 0 334219 0 0 0 Part I, Line 1a Cumberland Club membership with costs of $2,440 for David H. Howes, President & CEO. This is a business club, the membership to which is used exclusively for business purposes. Rent in the amount of $5,800 for an apartment was paid for on behalf of Jane Rollinson, Interim CFO. This amount was included as reportable compensation to her on a Form 1099. A housing allowance of $31,500 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, Lines 4a-b Severance payments were made to Elizabeth Johnson and Duke WJ Dufresne in the amount of $271,264 and $162,555, respectively. Both were included on Form 990, Part VII as highest compensated employees. Members of senior leadership participate in a non-qualified retirement plan. However, during the fiscal year, there were no payments made to these individuals as part of this plan. 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 2469149 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. Jane Rollinson Interim CFO 403850 Jane Rollinson, Interim CFO, is also the President and CEO of Criterion Consulting Solutions. Martin's Point paid Criterion for consulting and CFO services to Martin's Point. All transactions were at arms' length and for fair value. 0 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 3 MPCHA & MPCHP ceased conducting third party administrative services during 2013. Form 990, Part III, Line 4a-d 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 leading the way in providing better care and experience at lower cost in the communities we serve. The primary goal of Martin's Point is to help our patients and members live healthier lives. We achieve this through our commitment to provide the best possible health care experience to those we serve, offering clinical excellence in care, and treating them with warmth and concern. By working in partnership with our patients and members, we help them take an active role in making good health choices and ultimately living happier and healthier lives. More specifically, we care for our communities in primarily three ways: 1.) by providing high-quality primary care and selected 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, both statewide and nationally. PROVIDING HIGH-QUALITY PRIMARY CARE In 2013, Martin's Point Health Care: -Served 75,000 patients through family medicine, pediatrics, internal medicine, cardiology, general surgery, sports medicine, cosmetic dermatology, physical therapy, and more. Many patients were also able to take advantage of onsite radiology, pharmacy, and laboratory services. -Implemented a state of the art integrated medical record and billing system at all of our locations so that patient health records are of high quality, easily available, and support care to the highest clinical standard. -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 in which physicians and other medical staff are grouped into "care teams." Through this team setup, 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 nearly $228,000 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 2013, Martin's Point Health Care: -Served as one of six contracted health plan administrators to the Department of Defense's 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 2013, our US Family Health Plan served close to 42,500 members. In our over 30 years of providing this TRICARE Prime option, we consistently have earned high marks for customer service and member satisfaction. -Provided a Medicare Advantage (MA) insurance plan, which served over 24,300 Maine residents in all 16 counties, as well as 500 residents in two New Hampshire counties, in 2013. Our Prime (HMO-POS) plan was recognized as being among a select group of plans nationally that earned a 4 or 5 star rating from the Centers of Medicare and Medicaid Services (CMS). Martin's Point Generations Advantage was awarded a quality rating of 4.5 stars for 2013. Only 14% of MA plans in the country received a rating of 4.5 stars or above in 2013. 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 2013, 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 2013, Martin's Point Health Care: -Contributed over $210,000 in financial support to close to 100 health care and community nonprofit organizations, agencies, and groups throughout Maine, New Hampshire and New York. -Hosted one free health care education event called the Martin's Point Innovators Series. These events attracted hundreds of health care leaders and professionals throughout Maine and New England to interact with and listen to nationally recognized experts who share and discuss ideas, cutting-edge practices, and health care trends. -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 2013, our employees volunteered 1,740 hours, which totals $55,000 paid in wages to employees for volunteer time. In addition, Martin's Point donated close to $35,000 in monetary support to charitable organizations 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, vice president of finance, 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 The conflict of interest policy is reviewed and given to all new hires during the day-one orientation. Each new hire attests to having received the policy and to have not engaged in any activities that are a conflict of interest to the Organization 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. 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-1s received from Nyes Ledge Capital Partners, LP for investment-related income of $149,247. 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 170967988 40646065 Martin's Point Health Care Inc Martin's Point Community Health Administrators LLC 331 Veranda Street Portland ME 04103 800647782 Third Party Administration ME 1825316 1586746 Martin's Point Health Care Inc Martin's Point Community Health Plan Inc 331 Veranda Street Portland ME 04103 800647785 Reinsurance ME Martin's Point Health Care Inc C 476620 3218710 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 Martin's Point Community Health Plan Inc L 141278 Cash Form 990, Part V, Line 2: The amount shown on Line 2 is for all services provided including any shared employees or facilities noted in Line 1n & 1o.