SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Martin's Point Health Care Inc
 
Employer identification number

01-0353275
Return Reference Explanation
Form 990, Part III, Line 4a & 4b: Martin's Point Health Care is a not-for-profit organization serving our community's health care needs with the highest-quality care and coverage. As an organization providing both direct health care services and health insurance plans, we are uniquely positioned to fulfill our mission to create a healthier community through authentic relationships built on trust. 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 HIGH-QUALITY PRIMARY CARE In 2020, Martin's Point Health Care: - Served over 88,000 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 $51,799 of financial assistance to patients who were unable to pay for services. ADMINISTRATING THE US FAMILY HEALTH PLAN Martin's Point offers a TRICARE Prime plan for select groups throughout the Northeast. Our plan members receive comprehensive benefits and quality care. In 2020, 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 2020, our US Family Health Plan served more than 46,000 members. In over 40 years of providing this TRICARE Prime option, we have consistently earned high marks for customer service and member satisfaction. - The Martin's Point US Family Health Plan received a 4.5-out-of-5 overall rating from The National Committee on Quality Assurance (NCQA) for its access to quality care, prevention and wellness efforts, management of chronic diseases, and overall quality of member experience. NCQA uses measures of clinical quality (HEDIS) and patient experience (CAHPS) and Standards from the NCQA Accreditation process to rate health plans. 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 2020, 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. Direct Medical Services for our Community: To support our neediest members of our community, we provide free care on a sliding scale. In 2020, we provided over $100,000 of services and $160,000 for prescription drugs to uninsured and underinsured members of our community through this program. We also offer a prompt pay discount for amounts not covered by insurance which reduced costs for the uninsured by almost $50,000 in 2020. In addition to these charitable programs, we wrote off over one and a half million dollars in amounts uncollected from individual members of our community who were unable to make payments. All of our services are available to Medicare and Medicaid patients. These government programs do not pay the full cost of services provided. Unlike some local for-profit physician's practices, Martin's Point provides services under these programs to everyone as a benefit to the community. In 2020, the cost of services provided exceeded reimbursements by more than ten million dollars. Supporting the Community During the Pandemic: The extraordinary events of the pandemic had significant impact on Martin's Point, especially at our care delivery sites. Fee for service revenue from our clinics dropped to just thirty percent of expected levels in April and was almost twelve million dollars lower than expected, a twenty-four percent decrease, for the year. Martin's Point is proud of our efforts to support the health and stability of our community during this time. We were able to retain connection with almost 99% of our patients and to keep our staff 100% employed. When patient visits decreased, we supported innovations like drive through testing, conversion of one of our call centers into a vaccine clinic, and build-outs in our primary care facilities to convert exam rooms to handle the added risks of treating patients who were in critical need and also highly contagious. Direct costs associated with these activities totaled three million dollars in 2020. While our services and service revenue decreased, we kept all our staff fully employed, helping to keep our local economy relatively stable during the turbulence of pandemic. We did not furlough any of our employees nor did we have lay-offs. Full employment, as compared to reducing staff to meet demand, cost an estimated eleven million dollars in 2020. Since the beginning of the pandemic, we have supported remote work for all but our patient facing staff. We also spent the last quarter of 2020 preparing our vaccine clinic to open as vaccine became available in 2021. This effort was setting the stage for over 40,000 vaccines we were able to distribute in 2021. In 2020, Martin's Point Health Care: - Contributed over $400,000 in financial support to over 100 health care and community nonprofit organizations, agencies, and groups throughout Maine, New Hampshire, and New York. - Employees personally and collectively contributed $167,342 of their wages to their local United Ways and other charities, which Martin's Point matches, dollar for dollar. - 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. - Martin's Point is proud to provide paid time off for our employees to volunteer at local not-for-profits. In 2020, this totaled to over 1,200, hours, which represents about $50,000 in wages to employees for volunteer time. Martin's Point donated over $400,000in monetary support to over 100 community partners 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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