2023-07-28T13:03:20-05:00 2022-12-31 882730877 CHERRY BEKAERT ADVISORY LLC 1111 METROPOLITAN AVE STE 900 CHARLOTTE NC 28204 990 2022-01-01 201184743 PATIENT ACCESS NETWORK FOUNDATION PATI 2023479272 805 15TH STREET NW 500 WASHINGTON DC 20005 KEVIN HAGAN PRESIDENT & CEO 2023479272 2023-07-24 1 KEVIN HAGAN 999009999 0 AMANDA ADAMS P00748038 7043771678 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEVIN HAGAN 805 15TH STREET NW 500 WASHINGTON DC 20005 380675678 0 X WWW.PANFOUNDATION.ORG X 2004 DC TO HELP UNDERINSURED PEOPLE WITH LIFE-THREATENING, CHRONIC AND RARE DISEASES GET THE MEDICATIONS AND TREATMENT THEY NEED BY PAYING FOR THEIR OUT-OF-POCKET COSTS AND ADVOCATING FOR IMPROVED ACCESS AND AFFORDABILITY. 14 14 199 0 0 0 297101560 277827701 0 0 13178324 6373322 0 0 310279884 284201023 380051359 298040691 0 0 8351678 8809880 540483 606117 1309635 17829405 23330880 406772925 330787568 -96493041 -46586545 507970702 405191661 176958193 137766552 331012509 267425109 TO HELP UNDERINSURED PEOPLE WITH LIFE-THREATENING, CHRONIC AND RARE DISEASES GET THE MEDICATIONS AND TREATMENT THEY NEED BY PAYING FOR THEIR OUT-OF-POCKET COSTS AND ADVOCATING FOR IMPROVED ACCESS AND AFFORDABILITY. 0 0 321134356 298040691 AT THE PAN FOUNDATION, WE ENVISION A NATION IN WHICH EVERYONE CAN GET ACCESS TO THE TREATMENT THEY NEED. WITH THE SUPPORT OF OUR GENEROUS DONORS AND IN COLLABORATION WITH HEALTHCARE PROVIDERS AND PHARMACIES THROUGHOUT THE U.S., PAN IS ABLE TO COVER PREMIUMS, DEDUCTIBLES, CO-PAYMENTS AND COINSURANCE FOR THOUSANDS OF UNDERINSURED PATIENTS. AS A RESULT, THESE PATIENTS ARE ABLE TO OBTAIN THE TREATMENTS THEY NEED TO BEST MANAGE THEIR CONDITIONS AND IMPROVE THEIR QUALITY OF LIFE. IN 2022, THE PAN FOUNDATION ASSISTED 132,729 PATIENTS, AND PAID OVER 741,000 CLAIMS FOR PATIENTS' OUT-OF-POCKET COSTS FOR THEIR CRITICAL MEDICATIONS. THE PAN FOUNDATION OPERATES UNDER AN ADVISORY OPINION ISSUED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE INSPECTOR GENERAL (OIG ADVISORY OPINION 07-18). 321134356 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 54 0 1 199 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AR CA DC FL GA HI IL KS KY MD MA MS MI MN NH NM NJ NY OR PA RI SC TN UT VA WV WI X X SCOTT SCHLENOFF 2026618080 805 15TH STREET NW 500 WASHINGTON DC 20005 X DEANNA BANKS CHAIR 3.00 0.00 X X 16000 0 0 NANCY MCGEE VICE CHAIR 3.00 0.00 X X 10000 0 0 JAMES DUNLOP SECRETARY 3.00 0.00 X X 12000 0 0 MIRIAM ATKINS DIRECTOR 3.00 0.00 X 8000 0 0 WENDY BULLINGTON DIRECTOR 3.00 0.00 X 12000 0 0 JOSEPH D'AVELLA DIRECTOR 3.00 0.00 X 12000 0 0 JONAS DE SOUZA DIRECTOR 3.00 0.00 X 12000 0 0 MARY FINDLEY DIRECTOR 3.00 0.00 X 12000 0 0 CHRISTOPHER GRAHAM DIRECTOR 3.00 0.00 X 12000 0 0 JEFFREY KING DIRECTOR 3.00 0.00 X 12000 0 0 ANNA MCKEAN DIRECTOR 3.00 0.00 X 12000 0 0 WINFRED PARNELL DIRECTOR 3.00 0.00 X 12000 0 0 GARY THOMAS DIRECTOR 3.00 0.00 X 12000 0 0 HOWARD WEINBERG DIRECTOR 3.00 0.00 X 8000 0 0 SCOTT SCHLENOFF CFO & TREASURER 40.00 0.00 X 264534 0 34663 KEVIN HAGAN PRESIDENT & CEO 40.00 0.00 X 465826 0 37343 AMY NILES CHIEF ADVOCACY & ENGAGEMENT OFFICER 40.00 0.00 X 249979 0 21023 NECHUMAH GETZ CHIEF STRATEGY & OPERATIONS OFFICER 40.00 0.00 X 303583 0 13222 LEENA PATEL VICE PRESIDENT OF DEVELOPMENT 40.00 0.00 X 221640 0 25827 AYESHA AZAM VICE PRESIDENT OF MEDICAL AFFAIRS 40.00 0.00 X 295259 0 11230 STUART CHERANDE-FRIEDMAN SENIOR DIRECTOR OF SPECIAL PROJECTS 40.00 0.00 X 174304 0 3896 RICHARD CITRENBAUM VICE PRESIDENT, PATIENT SUPPORT SERVICES 40.00 0.00 X 234394 0 33894 JOEL STRAUS CONTROLLER 40.00 0.00 X 164241 0 31961 DANIEL KLEIN FORMER PRESIDENT & CEO 0.00 0.00 X 365813 0 0 2901573 0 213059 22 1 1 0 AD HOC 1350 I ST NW SUITE 550 WASHINGTON DC 20005 SOFTWARE DEVELOPMENT AND IT SUPPORT 10465243 ERNST & YOUNG LLP 200 PLAZA DRIVE SECAUCUS NJ 07094 STRATEGIC CONSULTANT 3998059 SS&C HEALTH 13804 COLLECTIONS DRIVE CHICAGO IL 60693 CLAIM ADMINISTRATION 1310900 TRUSTMARK 62923 COLLECTION CENTER DRIVE CHICAGO IL 60693 CLAIM ADMINISTRATION 1102988 FAEGRE DRINKER BIDDLE & REATH LLP 1500 K ST NW SUITE 1100 WASHINGTON DC 20005 LEGAL SERVICES 636996 16 277827701 277827701 7890347 7890347 94957630 96474655 -1517025 -1517025 -1517025 284201023 0 0 6373322 298040691 298040691 1552172 587807 964365 365813 365813 5560279 3370030 1715513 474736 264477 174343 66959 23175 578886 372766 158954 47166 488253 276876 177876 33501 1146066 1146066 438293 438293 606117 606117 693001 693001 14789839 13728618 1023965 37256 514817 20456 440371 53990 785478 369445 416033 411283 304349 94595 12339 208365 38850 150024 19491 161508 16710 142934 1864 3560778 3552910 7868 340947 340947 ALLIANCE EXPENSES 280505 280505 330787568 321134356 8343577 1309635 101414537 110719572 20760000 12959999 955227 1680327 17685857 10697993 6115693 6987864 378725245 270324530 0 2519369 507970702 405191661 14854822 12484058 162103371 125282494 176958193 137766552 X 42596877 20867456 288415632 246557653 331012509 267425109 507970702 405191661 -46586545 -17000855 0 X 0 1 X 1 0 X 530743654 434035433 439121644 297101560 277827701 1978829992 530743654 434035433 439121644 297101560 277827701 1978829992 1455275889 523554103 8605773 13565060 9824200 9266883 7890347 49152263 2027982255 0.25820 0.24690 X 1. THE FOUNDATION'S PUBLIC SUPPORT PERCENTAGE IS AT LEAST 10%.2. THE FOUNDATION MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC.3. AT 25.82% THE FOUNDATION'S PUBLIC SUPPORT PERCENTAGE FOR 2022 IS WELL ABOVE THE MINIMUM REQUIREMENT OF 10% AND NARROWLY FALLS SHORT OF THE NORMAL REQUIREMENT OF 33 1/3%.4. THE FOUNDATION NORMALLY RECEIVES SUPPORT FROM A LARGE NUMBER OF UNRELATED DONORS. DURING THE PERIOD 2018-2022, THE FOUNDATION RECEIVED SUPPORT FROM 30+ CORPORATE DONORS AND WELL OVER 1,000 INDIVIDUAL DONORS. 5. THE FOUNDATION HAS A GOVERNING BODY WHICH REPRESENTS THE BROAD INTERESTS OF THE PUBLIC. THE BOARD OF DIRECTORS INCLUDES INDIVIDUALS FROM THE ACADEMIC, NONPROFIT, BUSINESS, AND MEDICAL COMMUNITIES AS WELL AS ATTORNEYS AND CPAS. 6. THE FOUNDATION'S PROGRAMS PROVIDE GREAT BENEFIT TO THE PUBLIC. SINCE INCEPTION, THE FOUNDATION HAS PROVIDED OVER $4 BILLION IN MEDICAL SUPPORTASSISTANCE TO OVER 1 MILLION FINANCIALLY NEEDY PATIENTS WITH SERIOUS, CHRONIC AND RARE DISEASES PAY FOR THEIR OUT-OF-POCKET MEDICATION COSTS.7. THE FOUNDATION PROVIDES OTHER BENEFITS DIRECTLY TO THE PUBLIC, INCLUDING: - OFFERS FINANCIAL NAVIGATION SERVICES TO HELP ELIGIBLE PATIENTS APPLY FOR THE FEDERAL LOW-INCOME SUBSIDY PROGRAM AND REDUCE THEIR OUT-OF-POCKET MEDICARE PART D MEDICATION COSTS. EDUCATES PATIENTS ABOUT THE PROGRAM AND ELIGIBILITY REQUIREMENTS. - PROVIDES TRANSPORTATION FINANCIAL ASSISTANCE TO HELP ELIGIBLE PATIENTS GET TO AND FROM THEIR MEDICAL APPOINTMENTS AND PHARMACIES. - PROVIDES TWO MENTAL HEALTH FINANCIAL ASSISTANCE PROGRAMS TO HELP FINANCIALLY NEEDY PATIENTS PAY FOR THEIR OUT-OF-POCKET MEDICATION COSTS FOR BIPOLAR DISORDER AND SCHIZOPHRENIA. - OPERATES FUNDFINDER, A DIGITAL WEBSITE AND APPLICATION THAT ALLOWS PATIENTS AND HEALTHCARE PROFESSIONALS TO RAPIDLY DETERMINE THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM ANY PATIENT ASSISTANCE FOUNDATION AND PROVIDES A DIRECTORY OF PATIENT SUPPORT ORGANIZATIONS. - OFFERS PATIENTS REFERRALS TO OTHER FINANCIAL RESOURCES WHEN THEY DO NOT QUALIFY FOR ASSISTANCE AT THE PAN FOUNDATION. - MAINTAINS A NETWORK OF ALLIANCE PARTNERSHIPS WITH NATIONAL PATIENT SUPPORT ORGANIZATIONS WHO PROVIDE DISEASE-RELATED EDUCATION AND SUPPORT TO PATIENTS AND CAREGIVERS. - EDUCATES HEALTHCARE PROFESSIONALS ON NAVIGATING PATIENT ASSISTANCE AND SAFETY NET RESOURCES TO HELP ENROLL THEIR PATIENTS IN RELEVANT ASSISTANCE PROGRAMS. - OFFERS A SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL FOR HEALTHCARE PROFESSIONALS TO USE WITH THEIR PATIENTS TO IDENTIFY THEIR SOCIAL DETERMINANT OF HEALTH NEEDS. - CONDUCTS RESEARCH AND POLLING ON TOPICS RELATED HEALTHCARE ACCESS AND AFFORDABILITY, INCLUDING BUT NOT LIMITED TO SOCIAL DETERMINANTS OF HEALTH, MENTAL HEALTH, MEDICATION ADHERENCE, AND OTHER ACCESS ISSUES. - DEVELOPS RESOURCES TO EDUCATE POLICYMAKERS AND OTHER STAKEHOLDERS ABOUT COMPLEX HEALTHCARE ACCESS AND AFFORDABILITY TOPICS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 630813 625900 4913 17055044 10072093 6982951 6987864 CO-PAYMENT ASSISTANCE OBLIGATION 122732163 OPERATING LEASE LIABILITY 2550331 125282494 X 266507167 -17000855 -17000855 283508022 693001 693001 284201023 330094567 0 330094567 693001 693001 330787568 PART X, LINE 2: THE FOUNDATION IS A NON-PROFIT, TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE FOUNDATION CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX EXEMPT ORGANIZATION AND IS NOT SUBJECT TO TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE EFFECT OF FASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS BY PRESCRIBING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE FOUNDATION'S POLICY IS TO RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE FOUNDATION, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION TAKEN BY MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. X X X X X 1 THE PURSUANT GROUP 15660 N DALLAS PKWY 1000 DALLAS TX 75248 INDIVIDUAL GIVING CAMPAIGN 0 0 606117 -606117 606117 -606117 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY SCHEDULE G, PART I, LINE 2B, COLUMN (IV): NO AMOUNT HAS BEEN REPORTED IN COLUMN (IV) BECAUSE IT IS DIFFICULT TO DETERMINE WHAT PORTION OF CONTRIBUTION REVENUE RECEIVED DURING THE YEAR WAS ATTRIBUTABLE TO THIS FUNDRAISER'S EFFORTS. 1 MEDICATION CO-PAY ASSISTANCE 132729 298040691 PART I, LINE 2: THESE FUNDS REPRESENT THE GRANTS MADE FOR THE BENEFIT OF PATIENTS. THROUGH AN APPLICATION PROCESS WHICH INCLUDES INCOME VERIFICATION AND CONFIRMATION OF MEDICAL NEED AGAINST ELIGIBILITY CRITERIA SET BY THE BOARD, PAN ENSURES THAT ALL PATIENTS WHO REQUEST OUR SERVICES MEET THE CRITERIA FOR RECEIVING A GRANT BEFORE ANY FUNDS ARE DISBURSED. THE PATIENT'S GRANT WILL PROVIDE ASSISTANCE FOR THEIR RESPONSIBILITY (DEDUCTIBLE, CO-PAYMENT, OR COINSURANCE) FOR COVERED MEDICATION SERVICES AFTER PAYMENT FROM THE PRIMARY INSURANCE OR THE AMOUNT AVAILABLE TO EACH PATIENT IS LIMITED BY A CAP SET BY THE BOARD. FUNDS ARE DISBURSED TO THE PHARMACY OR PHYSICIAN'S OFFICE WHEN POSSIBLE, SINCE WE WANT TO ENSURE THAT THE PATIENT DOES NOT NEED TO PROVIDE FUNDS OUT-OF-POCKET FOR THEIR MEDICATIONS. X X X X X 1 1 0 0 0 0 0 0 0 KEVIN HAGAN PRESIDENT & CEO 448048 0 17203 0 575 0 12200 0 25143 0 503169 0 0 0 DANIEL KLEIN FORMER PRESIDENT & CEO 0 0 365813 0 0 0 0 0 0 0 365813 0 0 0 NECHUMAH GETZ CHIEF STRATEGY & OPERATIONS OFFICER 264833 0 38176 0 574 0 12092 0 1130 0 316805 0 0 0 AYESHA AZAM VICE PRESIDENT OF MEDICAL AFFAIRS 131935 0 12441 0 150883 0 4596 0 6634 0 306489 0 0 0 SCOTT SCHLENOFF CFO & TREASURER 232241 0 31945 0 348 0 10358 0 24305 0 299197 0 0 0 AMY NILES CHIEF ADVOCACY & ENGAGEMENT OFFICER 217356 0 31218 0 1405 0 5100 0 15923 0 271002 0 0 0 RICHARD CITRENBAUM VICE PRESIDENT, PATIENT SUPPORT SERV 208503 0 25782 0 109 0 8750 0 25144 0 268288 0 0 0 LEENA PATEL VICE PRESIDENT OF DEVELOPMENT 194507 0 26984 0 149 0 8227 0 17600 0 247467 0 0 0 JOEL STRAUS CONTROLLER 142672 0 21033 0 536 0 6817 0 25144 0 196202 0 0 0 STUART CHERANDE-FRIEDMAN SENIOR DIRECTOR OF SPECIAL PROJECTS 86955 0 12578 0 74771 0 3446 0 450 0 178200 0 0 0 PART I, LINES 4A-B SEVERANCE: STUART CHERANDE-FRIEDMAN RECEIVED SEVERANCE BENEFITS OF $74,671. AYESHA AZAM RECEIVED SEVERANCE BENEFITS OF $63,162. SHE ALSO RECEIVED BENEFITS IN CONNECTION WITH THE RETENTION PLAN AS DESCRIBED BELOW. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: SCOTT SCHLENOFF, AMY NILES, NECHUMAH GETZ, LEENA PATEL, AND AYESHA AZAM PARTICIPATED IN THE ORGANIZATION'S 457(F) PLAN EFFECTIVE JANUARY 1, 2020. THE BENEFIT PAYABLE TO EACH PARTICIPANT UNDER THE PLAN IS AN AMOUNT EQUAL TO 75% OF THE PARTICIPANT'S 2020 ANNUAL BASE SALARY. EACH PARTICIPANT WILL BECOME VESTED IN HIS OR HER BENEFIT ON DECEMBER 31, 2023, IF THE PARTICIPANT REMAINS CONTINUOUSLY EMPLOYED BY THE FOUNDATION ON A FULL-TIME BASIS THROUGH THAT DATE. AYESHA AZAM SEPARATED FROM THE ORGANIZATION PRIOR TO THE END OF 2022, AND RECEIVED A PRORATED AMOUNT UNDER THIS PLAN EQUAL TO $87,615. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE MAKES DECISIONS ON BEHALF OF THE FULL BOARD BETWEEN BOARD MEETINGS IN URGENT CIRCUMSTANCES AND FULFILLS ANY OTHER SPECIFIC ACTIONS DELEGATED TO THE COMMITTEE BY THE FULL BOARD. URGENT CIRCUMSTANCES ARE DETERMINED BY THE BOARD CHAIR IN CONSULTATION WITH THE PRESIDENT AND CEO. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE ALSO VOTING BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 4 BYLAW CHANGES WERE RECOMMENDED BY THE GOVERNANCE COMMITTEE AT ITS OCTOBER 2022 MEETING TO REMOVE PUBLIC POLICY AS A STANDING COMMITTEE AND REPLACE IT WITH STRATEGY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE FINANCE COMMITTEE. ALL BOARD MEMBERS RECEIVE A COPY OF THE FORM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C AS POTENTIAL BOARD MEMBERS OR OFFICERS ARE RECRUITED THEY ARE ASKED ABOUT POSSIBLE CONFLICTS OF INTEREST. UPON JOINING PAN, AND AT LEAST ANNUALLY, MEMBERS READ AND SIGN THE CONFLICT OF INTEREST POLICY. IF ANY CONFLICTS ARE NOTED ON THE FORM, MORE INFORMATION WILL BE GATHERED AND IT WILL BE DETERMINED IF THE ISSUE IS MATERIAL. IN ADDITION, THAT MEMBER WILL ABSTAIN FROM ALL DISCUSSIONS AND VOTE ON THE MATTER. IF IT IS MATERIAL, WE INVOLVE LEGAL COUNSEL AND A DETAILED FOLLOW UP AND RESOLUTION WILL OCCUR. FORM 990, PART VI, SECTION B, LINE 15 THE INDEPENDENT BOARD DETERMINES THE COMPENSATION FOR THE PRESIDENT/CEO. THE NEW PRESIDENT/CEO STARTED IN SEPTEMBER 2021. HIS COMPENSATION WAS DETERMINED WITH THE HELP OF AN OUTSIDE CONSULTANT WHO USED DATA FROM OTHER ORGANIZATIONS' 990S. ALL OTHER EMPLOYEES SALARIES ARE DETERMINED BY THE PRESIDENT/CEO IN ACCORDANCE WITH THIRD PARTY COMPENSATION SURVEYS. THE MOST RECENT STAFF COMPENSATION STUDY WAS COMPLETED IN 2022. IN ADDITION, PERIODICALLY, THE STAFF REVIEWS FORMS 990 OF ORGANIZATIONS WITH SIMILAR MISSIONS TO HELP DETERMINE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE POSTED ON ITS WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY MAY BE MADE AVAILABLE UPON REQUEST ON A CASE BY CASE BASIS. FORM 990, PART VII, SECTION A, LINE 1A: DANIEL KLEIN, FORMER PRESIDENT & CEO OF THE FOUNDATION, RECEIVED A BONUS IN 2022 FOR HIS WORK DURING 2021 TO ASSIST THE FOUNDATION IN TRANSITIONING TO A NEW CEO.