2019-10-22T13:09:26-05:00 2018-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2018-01-01 010353275 Martin's Point Health Care Inc MART 2077913710 331 Veranda Street PO Box 9746 Portland ME 041045040 David H Howes MD President & CEO 2077913710 2019-09-27 1 Nicholas E Porto P01310283 2078792100 2019-09-27 208.105.168.164 2019-09-27 10:19:53 ED P 3452BD8595D9AC820B41F271E29CE8BF50AD3EDC 86AD5A998A217BD7885303F5109AB5202568ED7D 2018 2020-03-31 21:24:44Z David H Howes MD 331 Veranda Street PO Box 9746 Portland ME 041045040 467653274 0 X www.martinspoint.org X 1971 ME See Schedule O for a description of the Organization's most significant activities. 10 9 906 0 0 0 0 0 420933569 434009538 3535506 8183279 107371 111313 424576446 442304130 260502 324624 0 0 85457967 92668045 0 0 0 323118234 333567935 408836703 426560604 15739743 15743526 345769239 335716022 78954713 76124142 266814526 259591880 X The mission of Martin's Point Health Care is to create a healthier community through authentic relationships built on trust. 0 0 356131057 299056 381173682 Provision of Health Plan Services - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 49364608 25568 52835856 Delivery of Medical Care - Please see not-for-profit narrative statement for Martin's Point on Schedule O. 405495665 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 4257 0 1 906 1 0 0 0 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 Warren Evans 2077913710 331 Veranda Street PO Box 9746 Portland ME 041045040 Ronald F Dixon MD Board Member 1.00 0.50 X 18739 0 295 James A Hester Jr PhD Board Member 1.00 0.50 X 13089 0 1080 Cathleen Morrow MD Board Member 1.00 0.50 X 5629 0 582 Robert A Moore Board Member 1.00 0.50 X 24989 0 47 Daniel K Onion MD Board Member 1.00 0.50 X 19739 0 545 Michael E Thomas Board Member 1.00 0.50 X 18979 0 248 Paul F Kasuba MD Board Member - Chair 1.00 0.50 X X 19729 0 549 Barbara E Trethaway JD Board Member - Vice Chair 1.00 0.50 X X 20479 0 1304 Edward S McKersie Board Member - Treasurer 1.00 0.50 X X 13479 0 73 Edward C Dupont Jr Board Member - Treasurer (part year) 1.00 0.50 X X 17129 0 456 David H Howes MD Chief Executive Officer 20.00 20.00 X X 941678 0 20287 Daniel B Chojnowski Chief Financial Officer 20.00 20.00 X 449805 0 28017 David Currier Esq Board Secretary 1.00 0.50 X 39275 0 0 Sandra L Monfiletto COO - Delivery Systems 40.00 0.00 X 515927 0 30093 Jonathan Easton Harvey MD Chief Medical Officer 40.00 0.00 X 482396 0 29013 Jeffrey Brown Chief Information Officer 40.00 0.00 X 438028 0 30631 Patrick Connolly MD Physician 40.00 0.00 X 435516 0 29327 Teresa A Nizza Chief Human Resources Officer 20.00 20.00 X 414611 0 13610 3889216 0 186157 189 0 1 1 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical Services 23444759 Eastern Maine Medical Center 43 Whiting Hill Road Suite 300 Brewer ME 04412 Medical Services 11727184 Mid Coast Hospital 123 Medical Center Drive Brunswick ME 04011 Medical Services 8337128 HCA Health Services of NH Inc PO Box 402894 Atlanta GA 30384 Medical Services 7203711 Mary Hitchcock Memorial Hospital 1 Medical Center Drive Lebanon NH 03756 Medical Services 6683512 275 Provision of Health Plan Services 524114 381173682 381173682 Delivery of Medical Care 621110 52835856 52835856 434009538 3604512 3604512 111313 0 111313 111313 111313 29626930 300981 24943604 405540 4683326 -104559 4578767 4578767 442304130 434009538 0 8294592 324624 324624 1656221 1051762 604459 74527542 59765216 14762326 2726083 2669213 56870 9329086 8780045 549041 4429113 4004231 424882 5590264 4338124 1252140 239211 177905 61306 151425 112617 38808 345903 345903 660058 660058 3060941 2692980 367961 1033606 1022207 11399 3679876 3366919 312957 6367927 6265704 102223 5588969 5233379 355590 295794 265721 30073 2177840 1271087 906753 161770 161770 3612367 3539561 72806 770770 437253 333517 Medical Services & Phar 279588120 279588120 Medical Supplies & Expe 17670199 17670199 Provision for Uncollect 2080355 2080355 Claims Administration C 492540 492540 426560604 405495665 21064939 0 11138 22222 50414186 35828981 4669745 5418505 929491 969408 3495373 4995368 108487078 54211678 53403544 54275400 157874267 126893407 74668362 100466207 303133 6846524 345769239 335716022 72435234 70418909 358061 373595 5667290 5331638 494128 0 78954713 76124142 X 266814526 259591880 266814526 259591880 345769239 335716022 15743526 -22966172 0 X X 0 1 X 1 0 X 573469568 636596048 399265957 420933569 434009538 2464274680 573469568 636596048 399265957 420933569 434009538 2464274680 0 0 0 2464274680 4785713 3479357 3835102 3106283 3715825 18922280 4785713 3479357 3835102 3106283 3715825 18922280 174113 40630 18882 233625 578429394 640116035 403119941 424039852 437725363 2483430585 0.99230 0.99250 0.00760 0.00740 X 0 1 0 0 0 1 47651 1 6756 0 1 291496 345903 0 Part II-B, Line 1: Part II-B, Line 1f: Martin's Point pays dues to trade associations, a portion of which has been designated as lobbying expense. These expenses are incurred to help track and discuss legislation affecting health care policy. Martin's Point partners with various like-minded trade associations who support policy focused on improving health outcomes and the experience of care while reducing overall cost of care. Part II-B, Line 1b & 1g: The direct cost of wages for time the Martin's Point President, Dr. David Howes, spends attending legislative lobbying meetings, as well as the reimbursed travel costs incurred by David Howes to attend the legislative meetings. Part II-B, Line 1i: Martin's Point engages consulting firms to provide support and occasional lobbying services to Martin's Point officials. 4564533 4564533 54556209 16207901 38348308 2842557 1525755 1316802 43088609 35638565 7450044 3435170 839457 2595713 54275400 Alternative Investments 100466207 F 100466207 X 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. 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, 2018. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments - FMV as of 12/31/18 23699000 Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium 0 0 Investments - FMV as of 12/31/18 5001000 0 0 0 0 0 0 28700000 0 28700000 1 0 1 1 0 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 corporation that exceeded the filing thresholds for Form 5471 during the fiscal year. Accordingly, Form 5471 are not required to be filed. 1 United Way of Greater Portland One Canal Plaza Suite 300 Portland ME 04101 010241767 501(c)(3) 33671 General Support Community Health Charities of Maine 39 Mechanic Street Suite 100 Westbrook ME 04092 222478946 501(c)(3) 12196 General Support American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 20000 General Support Southern Maine Agency on Aging 136 US Route 1 Scarborough ME 04101 010360259 501(c)(3) 47500 Meals on Wheels Program MaineShare PO Box 2095 Augusta ME 04330 010444245 501(c)(3) 16660 General Support Portland Regional Chamber 443 Congress Street Portland ME 04101 010043280 501(c)(6) 23418 Eggs & Issues Sponsorship American Diabetes Association 2451 Crystal Drive Suite 900 Arlington VA 22202 131623888 501(c)(3) 12000 General Support YMCA of Southern Maine 70 Forest Avenue Portland ME 04101 010211568 501(c)(3) 8500 General Support Spurwink Services 901 Washington Avenue Suite 100 Portland ME 04103 010319802 501(c)(3) 5500 General Support 8 1 Part I, Line 2: All requests, solicited or unsolicited, are reviewed by the Martin's Point Health Care, Inc. Charitable Engagement Team (CET). The CET ensures continuity and consistency with the Organization's stated objective. The CET reviews requests. A charitable contributions/sponsorship application is submitted providing program details and funds requested. The CET also reviews program results and the financial health of the organizations as needed. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 David H Howes MD Chief Executive Officer 650656 0 258707 0 32315 0 0 0 20287 0 961965 0 99674 0 Daniel B Chojnowski Chief Financial Officer 332891 0 103644 0 13270 0 0 0 28017 0 477822 0 24469 0 Sandra L Monfiletto COO - Delivery Systems 369157 0 132092 0 14678 0 0 0 30093 0 546020 0 40256 0 Jonathan Easton Harvey MD Chief Medical Officer 356185 0 126211 0 0 0 0 0 29013 0 511409 0 38344 0 Jeffrey Brown Chief Information Officer 351837 0 86191 0 0 0 0 0 30631 0 468659 0 0 0 Patrick Connolly MD Physician 204663 0 219891 0 10962 0 0 0 29327 0 464843 0 0 0 Teresa A Nizza Chief Human Resources Officer 303170 0 99395 0 12046 0 0 0 13610 0 428221 0 0 0 Part I, Line 1a Memberships fees to the Cumberland Club, a club used exclusively for business purposes, were paid on behalf of David H. Howes, President, Teresa Nizza, Chief Human Resources Officer, Sandra Monfiletto, Chief Operating Officer, Dr. Johnathan Harvey, Chief Medical Officer, and Kristen Vallaincourt, Director of Executive Office. The total cost for these memberships was $3,424. 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 ($99,674), Daniel B. Chojnowski ($24,469), Sandra L. Monfiletto ($40,256), and Jonathan E. Harvey ($38,344). 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 is calculated through the Achievement Plan (The Plan). The Plan is an earned bonus which is variable based on obtaining a combination of corporate goals. The goal of the Achievement Plan is to focus employees on meeting critical performance measures. 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 2018, Martin's Point Health Care, Inc. paid Mr. Currier's law firm $39,275 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. A Finance Authority of Maine 010392006 2016-12-15 6100000 Funding for 18,000 sq ft Health Care Center 0 0 0 A 680936 6100000 100876 5999124 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 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 issuers of the bonds has written post issuance compliance procedures in place and Martin's Point Health Care, Inc. has a Tax Regulatory Agreement with the issuers. Form 990, Part III, Line 4a & 4b: 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 six locations throughout Maine and one location in New Hampshire, including onsite pharmacy, radiology, and lab services at most locations; 2. By providing comprehensive medical services to qualifying federal government beneficiaries under a full-risk payment arrangement in Maine, Massachusetts, New Hampshire, New York, Pennsylvania, and Vermont. 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 2018, Martin's Point Health Care: -Served 80,000 patients through family medicine, pediatrics, internal medicine, cardiology, sports medicine, cosmetic dermatology, physical therapy, and more. Many patients were also able to take advantage of onsite radiology, pharmacy, and laboratory services. -Hosted community events and provided services to keep the senior population active - both physically and mentally - through activities such as weekly lunches, yoga, healthy living seminars, and much more. -Continued integrating behavioral health services at many of our locations (including Brunswick Farley Road, Brunswick Baribeau Drive, Portland, Gorham, and Scarborough). -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 $384,000 of financial assistance to patients who were unable to pay for services. PROVIDING HEALTH PLANS FOR MEMBERS Martin's Point offers a health care plan 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 2018, 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, and military retirees and their families across Northern New England, Upstate New York, and Northern Pennsylvania. In 2018, our US Family Health Plan served more than 46,000 members. In over 35 years of providing this TRICARE Prime option, we have consistently earned high marks for customer service and member satisfaction. The National Committee on Quality Assurance (NCQA) has awarded the Martin's Point US Family Health Plan in Maine a "4.5-Star" rating. The Martin's Point US Family Health Plan in New Hampshire, New York, Pennsylvania, and Vermont received a very commendable 4-Star rating. COMMITTED TO TRANSFORMING THE HEALTH CARE SYSTEM Martin's Point is leading the way to transform 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 2018, 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 2018, Martin's Point Health Care: -Contributed over $281,900 in financial support to over 85 health care and community nonprofit organizations, agencies, and groups throughout Maine, New Hampshire, and New York. -Employees personally and collectively contributed $59,526 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 2018, our employees volunteered over 1,898 hours, which totals $77,109 paid in wages to employees for volunteer time. In addition, Martin's Point donated close to $21,000 in monetary support to over 31 charitable organizations and efforts in which our employees are engaged. 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 management. A copy of the Form 990 is provided to the Board of Directors before filing. Form 990, Part VI, Section B, line 12c 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 Each year, Martin's Point Health Care'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 our 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 our 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 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: The audit process has not changed from the prior year. Martin's Point Generations Advantage Inc 331 Veranda Street PO Box 9746 Portland ME 041045040 474682941 Medicare Limited HMO ME 501(c)(4) Martin's Point Health Care 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 Martin's Point Generations Advantage Inc L 11761809 Actual Cost