2021-10-27T14:04:24-05:00 2020-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2020-01-01 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 2021-10-05 1 David Howes MD 999009999 Nicholas E Porto P01310283 2078792100 2021-10-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z David H Howes MD 331 Veranda Street PO Box 9746 Portland ME 041035040 532735904 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 455977129 526711174 1941343 1676785 0 0 457918472 528387959 0 0 0 0 4065371 4039526 0 0 0 449776414 480037873 453841785 484077399 4076687 44310560 142005776 208145867 52898001 70131029 89107775 138014838 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 466956236 0 526711174 Generations Advantage - Please see not-for-profit narrative statement for Martin's Point Generations Advantage on Schedule O. 466956236 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 2497 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 Controller 2077913710 331 Veranda Street PO Box 9746 Portland ME 041035040 David H Howes MD President & CEO 20.00 20.00 X X 0 874462 18257 Jeffrey Brown CIO & Interim CFO (end 12/2020) 20.00 20.00 X 0 674709 34564 Amanda Jackson Chief Financial Officer 20.00 20.00 X 0 169626 14999 David Currier Esq Board Secretary 0.50 1.00 X 0 34268 0 Paul F Kasuba MD Board Member 0.50 1.00 X 0 26750 149 Edward S McKersie Board Member, Treasurer 0.50 1.00 X X 0 20000 10 Barbara E Trethaway JD Board Member, Chair 0.50 1.00 X X 0 19500 227 Cathleen Morrow MD Board Member 0.50 1.00 X 0 18750 195 Robert A Moore Board Member 0.50 1.00 X 0 18610 9 George J Isham MD MS Board Member, Vice Chair 0.50 1.00 X X 0 13750 941 Bradford A Hunter Board Member 0.50 1.00 X 0 13500 919 Ronald F Dixon MD Board Member 0.50 1.00 X 0 14022 0 Kathryn Rand Board Member 0.50 1.00 X 0 13500 179 0 1911447 70449 0 0 1 1 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical services 93072111 Eastern Maine Medical Center 489 State Street Bangor ME 04401 Medical services 26348499 Central Maine Medical Center 300 Main Street Lewiston ME 04240 Medical services 18419721 MaineGeneral Medical Center 35 Medical Center Parkway Augusta ME 04330 Medical services 15574086 Mercy Hospital 144 State Street Portland ME 04101 Medical services 10063397 239 Medicare Advantage revenue 524292 526711174 526711174 526711174 1636672 1636672 4388058 4347945 40113 40113 40113 528387959 526711174 0 1676785 3131507 3131507 146312 146312 549367 549367 212340 212340 25239317 8323744 16915573 1100 1100 205590 205590 4664472 4664472 3903056 3903056 1158507 1158507 11762 11762 6640 6640 36714 36714 Pharmacy/medical care 418141143 418141143 Medical incentives 15925128 15925128 Claims administration 5769538 5769538 Broker fees 4974906 4974906 484077399 466956236 17121163 0 23526776 34685540 9684669 16946358 43038343 51096069 64799888 104461800 956100 956100 142005776 208145867 45766416 58442355 7131585 11688674 52898001 70131029 X 89107775 138014838 89107775 138014838 142005776 208145867 44310560 4596503 0 X X 0 1 X 1 0 0 Due to Parent 11688674 11688674 X 522322275 4596503 4596503 517725772 205590 10456597 10662187 528387959 468816492 0 468816492 205590 15055317 15260907 484077399 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, 2020. Part XI, Line 4b - Other Adjustments: Statutory adjustment - change in non-admitted assets 2,507,817. Statutory adjustment - unrealized losses 7,754,659. Statutory adjustment - provision for bad debts 194,121. Part XII, Line 4b - Other Adjustments: Statutory adjustment - premium deficiency reserves 15,055,317. 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 President & CEO 0 714963 0 135126 0 24373 0 0 0 18257 0 892719 0 0 Jeffrey Brown CIO & Interim CFO (end 12/2020) 0 542856 0 78833 0 53020 0 0 0 34564 0 709273 0 0 Amanda Jackson Chief Financial Officer 0 159543 0 10000 0 83 0 0 0 14999 0 184625 0 0 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 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). Martin's Point Health Care, Inc. (the Company), established a Supplemental Executive Retirement Plan (the "Plan"), effective as of January 1, 2020, in order to help the Company recruit and retain highly qualified executives and reward them for their contributions to the success of the Company. The Plan is intended to constitute an unfunded plan maintained primarily for the purpose of providing deferred compensation to a select group of management or highly compensated employees, within the meaning of Sections 201(2), 301(a)(3), and 401(a)(1) of Employee Retirement Income Security Act of 1974, as amended ("ERISA"). The Plan is intended to be exempt from Section 409A of the Internal Revenue Code of 1986, as amended (the "Code"), by reason of the short-term deferral exception described in Treasury Regulations Section 1.409A-1(b)(4). The Plan shall be administered in a manner that is consistent with such intent and consistent with the requirements of Section 457(f) of the Code regarding the taxation of deferred compensation. Non-qualified plan compensation was accrued in 2020 and paid out as taxable compensation in 2021. Payments were made to David H. Howes ($103,915) and Amanda Jackson ($24,375). As these payments were not made until 2021, none of the compensation or benefits reported on the Organization's 2020 Schedule J, Part II are adjusted for the non-qualified plan. In accordance with IRS Guidance and Instructions, taxable payments and distributions made from the plan will be included in the applicable individuals' compensation as reported on the 2021 Schedule J. 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 2020, Martin's Point Health Care, Inc. paid Mr. Currier's law firm $34,268 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 2020, Martin's Point Generations Advantage: - Provided Generations Advantage (a portfolio of six (6) Medicare Advantage insurance plans) to over 56,000 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 23956513 Actual cost