Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Martin's Point Health Care Inc
Employer identification number
01-0353275
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
166,543,741
200,713,850
235,473,754
267,166,255
323,848,683
1,193,746,283
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
166,543,741
200,713,850
235,473,754
267,166,255
323,848,683
1,193,746,283
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
1,193,746,283
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
166,543,741
200,713,850
235,473,754
267,166,255
323,848,683
1,193,746,283
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
3,201,558
7,237,315
4,252,066
3,728,506
3,968,296
22,387,741
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
3,201,558
7,237,315
4,252,066
3,728,506
3,968,296
22,387,741
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
34,708
43,965
-55,888
-34,526
59,873
48,132
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
169,780,007
207,995,130
239,669,932
270,860,235
327,876,852
1,216,182,156
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
98.160 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
98.490 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
1.840 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
1.520 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
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 to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Martin's Point Health Care Inc
Employer identification number
01-0353275
Identifier
Return Reference
Explanation
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.