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            <ZIPCd>20814</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>E-BENEFIT INVESTIG.</ServiceTypeTxt>
          <CompensationAmt>53263</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <ContractorPaidOver50kCnt>0</ContractorPaidOver50kCnt>
      </OfficerDirTrstKeyEmplInfoGrp>
      <SummaryOfDirectChrtblActyGrp>
        <Description1Txt>DELIVERY OF LIFE SUSTAINING MEDICATIONS TO CLINICS AND APPROXIMATELY 82,715 QUALIFYING FINANCIALLY NEEDY PATIENTS WHO LACK INSURANCE COVERAGE THROUGH PATIENT ASSISTANCE</Description1Txt>
        <Expenses1Amt>1857156512</Expenses1Amt>
        <Description2Txt>CONTRACTORS.</Description2Txt>
      </SummaryOfDirectChrtblActyGrp>
      <SumOfProgramRelatedInvstGrp>
        <TotalAmt>0</TotalAmt>
      </SumOfProgramRelatedInvstGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>0</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>0</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>0</TotalFMVOfUnusedAssetsAmt>
        <AcquisitionIndebtednessAmt>0</AcquisitionIndebtednessAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>0</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>0</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>0</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>0</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <Sect4942j3j5FndtnAndFrgnOrgInd>X</Sect4942j3j5FndtnAndFrgnOrgInd>
      </DistributableAmountGrp>
      <QualifyingDistriPartXIIGrp>
        <ExpensesAndContributionsAmt>1857156512</ExpensesAndContributionsAmt>
        <ProgramRelatedInvstTotalAmt>0</ProgramRelatedInvstTotalAmt>
        <CharitableAssetsAcquisPaidAmt>0</CharitableAssetsAcquisPaidAmt>
        <SetAsideSuitabilityTestAmt>0</SetAsideSuitabilityTestAmt>
        <SetAsideCashDistriTestAmt>0</SetAsideCashDistriTestAmt>
        <QualifyingDistributionsAmt>1857156512</QualifyingDistributionsAmt>
        <PctSect4940eOrgNetInvstIncmAmt>0</PctSect4940eOrgNetInvstIncmAmt>
        <AdjustedQualifyingDistriAmt>1857156512</AdjustedQualifyingDistriAmt>
      </QualifyingDistriPartXIIGrp>
      <PrivateOperatingFoundationsGrp>
        <PrivateOperatingFndtnRulingDt>2008-04-23</PrivateOperatingFndtnRulingDt>
        <Section4942j3Ind>X</Section4942j3Ind>
        <LessorAdjNetIncmMinInvstRetGrp>
          <CurrentYearAmt>0</CurrentYearAmt>
          <TotalAmt>0</TotalAmt>
        </LessorAdjNetIncmMinInvstRetGrp>
        <Pct85LessorAdjIncmOrMinRetGrp>
          <CurrentYearAmt>0</CurrentYearAmt>
          <TotalAmt>0</TotalAmt>
        </Pct85LessorAdjIncmOrMinRetGrp>
        <QualifyingDistributionsGrp>
          <CurrentYearAmt>1857156512</CurrentYearAmt>
          <Year1Amt>1359601826</Year1Amt>
          <Year2Amt>1037745531</Year2Amt>
          <Year3Amt>832143285</Year3Amt>
          <TotalAmt>5086647154</TotalAmt>
        </QualifyingDistributionsGrp>
        <QualifyingDistriNotUsedDrtGrp />
        <QualifyingDistriMadeDrtGrp>
          <CurrentYearAmt>1857156512</CurrentYearAmt>
          <Year1Amt>1359601826</Year1Amt>
          <Year2Amt>1037745531</Year2Amt>
          <Year3Amt>832143285</Year3Amt>
          <TotalAmt>5086647154</TotalAmt>
        </QualifyingDistriMadeDrtGrp>
        <TotalAssetsGrp>
          <CurrentYearAmt>124482619</CurrentYearAmt>
          <Year1Amt>97023733</Year1Amt>
          <Year2Amt>81785471</Year2Amt>
          <Year3Amt>24412154</Year3Amt>
          <TotalAmt>327703977</TotalAmt>
        </TotalAssetsGrp>
        <TotalAssetsSect4942j3BiGrp>
          <CurrentYearAmt>124482619</CurrentYearAmt>
          <Year1Amt>97023733</Year1Amt>
          <Year2Amt>81785471</Year2Amt>
          <Year3Amt>24412154</Year3Amt>
          <TotalAmt>327703977</TotalAmt>
        </TotalAssetsSect4942j3BiGrp>
        <TwoThirdsMinimumInvstRetGrp />
        <TotalSupportGrp>
          <TotalAmt>0</TotalAmt>
        </TotalSupportGrp>
        <PublicSupportType>
          <TotalAmt>0</TotalAmt>
        </PublicSupportType>
        <LargestSupportFromEOGrp>
          <TotalAmt>0</TotalAmt>
        </LargestSupportFromEOGrp>
        <GrossInvestmentIncomeGrp>
          <TotalAmt>0</TotalAmt>
        </GrossInvestmentIncomeGrp>
      </PrivateOperatingFoundationsGrp>
      <SupplementaryInformationGrp>
        <ContributingManagerNm>NA</ContributingManagerNm>
        <ShareholderManagerNm>NA</ShareholderManagerNm>
        <ApplicationSubmissionInfoGrp>
          <RecipientPersonNm>NPAF</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>ONE HEALTH PLAZA BLDG 200</AddressLine1Txt>
            <CityNm>EAST HANOVER</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>079361080</ZIPCd>
          </RecipientUSAddress>
          <RecipientPhoneNum>8627781644</RecipientPhoneNum>
          <FormAndInfoAndMaterialsTxt>THE NOVARTIS PATIENT ASSISTANCE FOUNDATION, INC (NPAF) IS COMMITTED TO PROVIDING ACCESS TO NOVARTIS MEDICATIONS FOR THOSE MOST IN NEED. IF YOU ARE EXPERIENCING FINANCIAL HARDSHIP AND HAVE LIMITED OR NO PRESCRIPTION COVERAGE, THEN YOU MAY BE ELIGIBLE TO RECEIVE NOVARTIS MEDICATIONS FOR FREE. TO ENROLL, PLEASE GO TO WWW.PAP.NOVARTIS.COM SELECT YOUR MEDICATION FROM THE LIST AND FOLLOW THE DIRECTIONS PROVIDED.</FormAndInfoAndMaterialsTxt>
          <SubmissionDeadlinesTxt>THERE ARE NO SUBMISSION DEADLINES.</SubmissionDeadlinesTxt>
          <RestrictionsOnAwardsTxt>TO BE ELIGIBLE FOR NPAF ASSISTANCE, YOU MUST: - BE A US RESIDENT - MEET THE INCOME REQUIREMENTS BELOW - HAVE LIMITED OR NO PRIVATE OR PUBLIC PRESCRIPTION COVERAGE FOR MORE INFORMATION REGARDING ANNUAL HOUSEHOLD INCOME THRESHOLD REQUIREMENTS, AND A LIST OF MEDICATIONS, PLEASE GO TO: WWW.PAP.NOVARTIS.COM</RestrictionsOnAwardsTxt>
        </ApplicationSubmissionInfoGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>VARIOUS QUAL PATIENTS</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>NOVARTIS PATIENT ASST FDN INC</AddressLine1Txt>
            <AddressLine2Txt>ONE HEALTH PLAZA BLDG 200</AddressLine2Txt>
            <CityNm>EAST HANOVER</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07936</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>I</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>SEE ATTACHMENT 5</GrantOrContributionPurposeTxt>
          <Amt>1820013709</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>1820013709</TotalGrantOrContriPdDurYrAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <FeesContractsFromGovtAgGrp />
        <MembershipDuesAndAssmntGrp />
        <IntOnSavAndTempCashInvstGrp />
        <DivAndIntFromSecPartVIIGrp />
        <NetRntlIncmReDebtFincdPropGrp />
        <NetRntlIncmReNotDebtFincdProp />
        <NetRentalIncomePersonalPropGrp />
        <OtherInvestmentIncmPartVIIGrp />
        <GainSalesAstOthThanInvntryGrp />
        <NetIncomeLossFromSpecialEvtGrp />
        <GrossProfitLossSlsOfInvntryGrp />
        <SubtotalsIncmProducingActyGrp />
      </AnalysisIncomeProducingActyGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>false</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <GeneralRuleInd>X</GeneralRuleInd>
      <ContributorInformationGrp>
        <ContributorNum>1</ContributorNum>
        <ContributorPersonNm>NOVARTIS PHARMACEUTICAL CORPORATION</ContributorPersonNm>
        <ContributorUSAddress>
          <AddressLine1Txt>ONE HEALTH PLAZA</AddressLine1Txt>
          <CityNm>EAST HANOVER</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07936</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>1873100585</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
        <NoncashContributionInd>X</NoncashContributionInd>
      </ContributorInformationGrp>
      <ContributorInformationGrp>
        <ContributorNum>2</ContributorNum>
        <ContributorPersonNm>SANDOZ</ContributorPersonNm>
        <ContributorUSAddress>
          <AddressLine1Txt>506 CARNEGIE CENTER</AddressLine1Txt>
          <CityNm>PRINCETON</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08540</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>11514813</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
        <NoncashContributionInd>X</NoncashContributionInd>
      </ContributorInformationGrp>
      <NonCashPropertyContributionGrp>
        <ContributorNum>1</ContributorNum>
        <NoncashPropertyDesc>PHARMACEUTICAL PRODUCTS</NoncashPropertyDesc>
        <FairMarketValueAmt>1835957783</FairMarketValueAmt>
      </NonCashPropertyContributionGrp>
      <NonCashPropertyContributionGrp>
        <ContributorNum>2</ContributorNum>
        <NoncashPropertyDesc>PHARMACEUTICAL PRODUCTS</NoncashPropertyDesc>
        <FairMarketValueAmt>11514813</FairMarketValueAmt>
      </NonCashPropertyContributionGrp>
    </IRS990ScheduleB>
    <DepreciationSchedule documentId="DepreciationSch" />
    <OtherExpensesSchedule documentId="OtherExpensesSch">
      <OtherExpensesScheduleGrp>
        <Desc>CALL CTR &amp; PHARMA FULFILLMENT</Desc>
        <RevenueAndExpensesPerBooksAmt>30669360</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>30669360</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>SHIPPING</Desc>
        <RevenueAndExpensesPerBooksAmt>6097501</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>6097501</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>PATIENT SERVICE MANAGEMENT</Desc>
        <RevenueAndExpensesPerBooksAmt>322679</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>322679</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>COMP SOFTWARE/E-BEN INVESTIG.</Desc>
        <RevenueAndExpensesPerBooksAmt>53263</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>53263</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
  </ReturnData>
</Return>