2011-11-14T15:51:20-06:00 2010-12-31 BAKER NEWMAN & NOYES PO BOX 507 PORTLAND ME 04112 990 2010-01-01 010353275 Martin's Point Health Care Inc MART 2077745801 331 Veranda Street Portland ME 041035545 David H Howes MD 2077745801 2011-11-14 1 Nicholas E Porto 2078792100 2011-11-14 2010 2016-03-07 17:11:31Z David H Howes MD 331 Veranda Street Portland ME 041035545 347024748 0 X www.martinspoint.com X 1971 ME The mission of Martin's Point Health Care is to exemplify and inspire health care and service excellence through leadership, education, and innovation. 11 10 885 0 59873 0 0 0 267166255 323848683 232029 4523570 0 0 267398284 328372253 387118 303545 0 0 46202478 60450425 0 0 0 190683391 244157883 237272987 304911853 30125297 23460400 247015717 310401904 50823831 79400684 196191886 231001220 X Mission - The mission of Martin's Point Health Care is to exemplify and inspire health care and service excellence through leadership, education, and innovation.VISION - By the year 2012, Martin's Point has achieved the highest level of trust and distinction in the communities we serve because our people, practices, plans and technologies are models in the health care industry, making us the most influential organization in creating measurable health care excellence.VALUES - Our business strategy is guided by our values of customer centricity, quality of care, innovation and the creation of social benefit, and our personal conduct is guided by our values of integrity, respect, courtesy and excellence.REASON FOR BEING - Martin's Point, a not-for-profit entity, exists to deliver innovative, high quality health care systems to defined patient populations where we create demonstrably superior value.See below for statement of program service accomplishments. 0 0 178890656 303545 252782691 Uniform Services Family Health Plan - Please see not-for-profit narrative statement for Martin's Point on Schedule O 48455125 43018629 Generations Advantage - Please see not-for-profit narrative statement for Martin's Point on Schedule O 35435426 28047363 Physician Practices - Please see not-for-profit narrative statement for Martin's Point on Schedule O 262781207 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 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 0 0 0 1 2090 0 885 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 2072536115 27 Northport Drive Portland ME 04103 Alpern MD Warren D 1.80 X 12500 0 0 Buyse MD Marylou 1.80 X 10000 0 0 Dupont Edward C 1.80 X 5000 0 0 Durkee Raymond E 1.80 X 10000 0 0 Hester Jr PhD James A 1.80 X 5000 0 0 Onion MD Daniel K 1.80 X 2500 0 0 Loeb Lifford MD Karen 1.80 X X 15000 0 0 Thomas Michael E 1.80 X X 15000 0 0 Moore Robert A 1.80 X X 15000 0 0 Campbell Jr George N 1.80 X X 20000 0 0 Howes MD David H 40.00 X X 521781 0 536828 Reese Dennis J 40.00 X 400382 0 21427 Johnson MD Elizabeth 40.00 X 291954 0 26332 Dufresne W J Duke 40.00 X 282710 0 17490 Aranson MD Mark 40.00 X 268699 0 27918 Freedman MD Sara 40.00 X 263465 0 29310 Inger MD David B 40.00 X 253690 0 14573 2392681 0 673878 104 0 1 0 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical Services 11753779 Pizzagalli Construction Co 50 Joy Drive South Burlington VT 05403 Construction Services 10543419 Eastern Maine Medical Center PO Box 404 Bangor ME 04402 Medical Services 7116690 Portsmouth Regional Hospital PO Box 7004 Portsmouth NH 03802 Medical Services 6530525 Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 04011 Medical services 4484680 246 US Family Health Plan 524114 252722547 252722547 Generations Advantage 524114 43018629 43018629 Physician Practices 621110 28047363 28047363 OTC Patient Revenue 446110 46599 46599 Purchase Discounts 900099 13545 13545 323848683 4028169 59873 3968296 19147896 18652495 495401 495401 495401 328372253 323848683 59873 4463697 303545 303545 1590418 1168609 421809 48107083 32725769 15381314 1902311 1100118 802193 6283511 4211618 2071893 2567102 1566959 1000143 4775117 661103 4114014 663253 299180 364073 389246 259326 129920 133678 133678 626632 626632 942478 507988 434490 2852602 1727681 1124921 2939290 1703028 1236262 2609070 474935 2134135 4087293 129139 3958154 2490175 1139835 1350340 105702 105702 3821518 303660 3517858 732446 389068 343378 Medical Services 207172870 207172870 0 Maintenance Contracts 1913517 55053 1858464 Sales Tax 316184 33715 282469 7586812 6848008 738804 304911853 262781207 42130646 0 2007170 2007220 61475075 78212954 5671637 7262578 821277 790512 1157836 1595889 79726916 26053929 34401085 53672987 95592044 115373175 44347101 50360272 895762 763056 646730 363261 247015717 310401904 41633265 70506297 9190566 8894387 50823831 79400684 X 196191886 231001220 196191886 231001220 247015717 310401904 X 23460400 11348934 X X 0 1 1 X 0 X 166543741 200713850 235473754 267166255 323848683 1193746283 166543741 200713850 235473754 267166255 323848683 1193746283 0 0 0 1193746283 3201558 7237315 4252066 3728506 3968296 22387741 3201558 7237315 4252066 3728506 3968296 22387741 34708 43965 -55888 -34526 59873 48132 169780007 207995130 239669932 270860235 327876852 1216182156 0.98160 0.98490 0.01840 0.01520 X 0 1 0 0 0 1 121678 1 12000 0 0 133678 0 Part IV, Supplemental Information: Part II-B, Lines 1b & 1g: Dr. David Howes, president and CEO, spends time with Maine members of Congress and their staff educating them about the need for health care reform and the implications of the legislative provisions being discussed. Part II-B, Line 1f: Martin's Point engages a consulting firm to provide support and occasional lobbying services to Martin's Point officials. Part II-B, Line 1i: Martin's Point also 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. 3715618 3715618 41019363 7349761 33669602 1735619 1063857 671762 30579574 17154807 13424767 2676742 485504 2191238 53672987 Alternative Investments 50360272 F 50360272 328372253 304911853 23460400 11348934 11348934 34809334 339094555 11348934 11348934 327745621 626632 626632 328372253 304285221 0 304285221 626632 626632 304911853 Description of Uncertain Tax Positions Under FIN 48: Part X: Martin's Point (the Company) is exempt from income taxes on related business income under Section 501(c)(3) of the Internal Revenue Code. Generations, Evergreen, MPMG, and BMG are treated as pass-through entities for tax purposes. Accordingly, there is no provision for income taxes within the consolidated financial statements. Tax-exempt organizations 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, 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 position taken on its filed tax returns. The Company has concluded no uncertain income tax positions exist at December 31, 2010. The Company's tax years from 2007 through 2010 are open and subject to examination. 1 Portland Regional Chamber 60 Pearl Street Portland ME 04101 010043280 501(C)6 22500 General Support Southern Maine Agency on Aging 136 US Route 1 Scarborough ME 04074 010360259 501(C)3 15000 General Support United Way of Greater Portland One Canal Plaza Suite 300 Portland ME 04101 010241767 501(C)3 30278 General Support American Diabetes Association 1701 N Beauregard Street Alexandria VA 22311 131623888 501(C)3 10000 General Support Community Health Charities of Maine 39 Mechanic Street Suite 100 Westbrook ME 04092 222478946 501(C)3 11665 General Support MaineShare PO Box 2095 Augusta ME 04338 010444245 501(C)3 15614 General Support Muskie Fund for Legal Services PO Box 547 Portland ME 041120547 010505878 501(C)3 6500 General Support American Heart Association 7272 Greenville Avenue Dalas TX 75231 135613797 501(C)3 40000 General Support Northeast Passage 107 Hewitt Hall 4 Liberty Way Durham NH 03824 020448237 501(C)3 12500 General Support Spurwink Services 899 Riverside Street Portland ME 04103 010319802 501(C)3 10000 General Support Friends of the Music Hall 104 Congress Street Portsmouth NH 03801 020403452 501(C)3 10000 General Support American National Red Cross 2025 E Street NW Washington DC 200065009 530196605 501(C)3 6545 General Support 11 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: All requests, solicited or unsolicited, are reviewed by MPHC charitable contributions committee (CCC). The vice president of corporate affairs provides oversight to the CCC to ensure continuity and consistency with the Organization's stated objective. The CCC meets monthly. Relationships with health care non-profits are overseen by the committee with proper "assignments" made internally as needed (i.e. board seats, program participants). The CCC also reviews program results and the financial health of the organizations. A charitable contributions/sponsorship application must be submitted via mail, fax, or email with the applicant's IRS 501(c)(3) designation and any additional program details for funds requested. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Howes MD David H 436399 0 38531 0 46851 0 511643 0 25185 0 1058609 0 0 0 Reese Dennis J 277024 0 120000 0 3358 0 0 0 21427 0 421809 0 0 0 Johnson MD Elizabeth 275459 0 14387 0 2108 0 0 0 26332 0 318286 0 0 0 Dufresne W J Duke 270027 0 10813 0 1870 0 0 0 17490 0 300200 0 0 0 Aranson MD Mark 170828 0 74762 0 23109 0 7350 0 20568 0 296617 0 0 0 Freedman MD Sara 177691 0 69129 0 16645 0 12000 0 17310 0 292775 0 0 0 Inger MD David B 184402 0 53462 0 15826 0 12000 0 2573 0 268263 0 0 0 Part I, Line 1a Cumberland Club membership with costs of $1,500 for David H Howes, President & CEO. This is a business club, the membership to which is used exclusively for business purposes. Part I, Line 4b 457(f) plan in which David H Howes, CEO, participates. Allocated funds (not paid out)- $437,460 Part I, Line 7 Some of our compensation, the Achievement 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 funds are based on the contribution margin which is tied to the annual budget. MHHEFA 010314384 560425L40 2007-07-18 10395000 Provide funds to refund 2000 issue 0 0 1 290000 10537113 756100 1614 129918 2007 1 0 1 1 0 0 0 0 0 1 0 0 0 1 TransAmerica 23.000000000000 1 0 0 Schedule K, Part I, Line 1, 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. Program Service Accomplishments For Tax Year 2010 Form 990, Part III, Line 4a-d 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 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. 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 three primary ways: 1.) by providing high-quality primary care and selected specialty and ancillary services to patients at 8 locations throughout Maine and 1 location in New Hampshire, including onsite pharmacy, radiology, and lab services at many 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 2010, Martin's Point Health Care: - Finished construction of a new state-of-the-art health care center at our flagship location in Portland, ME. The new health center is a LEED certified building and was opened to the public on November 15, 2010. - Expanded health care access through the addition of 10 primary care and specialty providers. In this year, over 65,000 patients received care in the areas of 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. - Provided more than $225,000 of medical services free-of-charge to patients with insufficient coverage. - Offered health education programs on a broad range of topics including smoking cessation, diabetes control, and weight management to the public, often free of charge. - Began piloting a new 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. PROVIDING HEALTH AND WELLNESS PLANS FOR MEMBERS Martin's Point offers 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 2010, 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 2010, our US Family Health Plan served over 33,000 members. In our 30 years of providing this TRICARE Prime option, we consistently have earned high marks for customer service and member satisfaction. - Provided a Medicare Advantage insurance plan, which served close to 7,000 Maine residents in all 16 counties in 2010. This 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 rating of 4.5 stars put our plan in the top 6% of Medicare plans nationwide. 2010 marked the second year in a row that Martin's Point had the highest rated Medicare Advantage plan in Maine. - Provided a suite of wellness, care management, and plan administrative services to self-insured employers throughout the state of Maine. 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 2010, Martin's Point Health Care: - Served as an active participant in the Maine State Regional Health Information Exchange, HealthInfoNet, which holds vital patient information on over 50% of the State's population. - Continued to enhance our primary care comprehensive payment model to encourage and reward quality care and a better health care experience. - Served as one of the first 40 international prototyping organizations for the Institute for Healthcare Improvement's Triple Aim Initiative. - Participated as a member of the national Alliance of Community Health Plans, 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 2010, Martin's Point Health Care: - Contributed $300,000 in financial support to more than 90 health care and community nonprofit organizations, agencies, and groups throughout Maine, New Hampshire, and New York. - Hosted three health care education events called the Martin's Point Innovators Series. These events attract hundreds of health care leaders and professionals throughout Maine and New England to interact with and listen to nationally recognized health care experts who share and discuss ideas, cutting-edge practices, and health care trends. - Employees personally and collectively contributed over $55,000 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 addition, Martin's Point donates monetary support to 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 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 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 11,348,934. Oversight of Audit Form 990, Part XI, Line 2c: The audit process has not changed from the prior year. Unrelated Business Income Form 990, Part III, Line 4a-d: The Organization's 990-T filing is related to the Schedule K-1 received from Nyes Ledge Capital Partners, LP for investment-related income of $59,873. Martin's Point Generations LLC 331 Veranda Street Portland ME 04103 204505084 Medicare Limited HMO ME 43018629 17580979 N/A Evergreen Woods Primary Care LLC 700 Mount Hope Avenue Bangor ME 04401 260449335 Physician Practices ME 1181666 244887 N/A Martin's Point Medical Group LLC 331 Veranda Street Portland ME 04103 263756814 Physician Practices ME 14689895 1451877 N/A Bowdoin Medical Group LLC 331 Veranda Street Portland ME 04103 270221611 Physician Practices ME 12081280 1830667 N/A Martin's Point Community Health Administrators LLC 331 Veranda Street Portland ME 04103 800647782 Third Party Administration ME 0 0 N/A Martin's Point Community Health Plan Inc 331 Veranda Street Portland ME 04103 800647785 Reinsurance ME N/A C 1000 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0