PATIENT ACCESS NETWORK FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PATIENT ACCESS NETWORK FOUNDATION (EIN 20-1184743)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-08
IRS object ID
201302209349300480
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-08T10:23:29-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560574444EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 METROPOLITAN AVENUE SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201184743EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PATIENT ACCESS NETWORK FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPATINameControl
Phone2023479272Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11331 F STREET NO 975AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20004ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICK MCKERCHERName
TitlePRESIDENTTitle
Phone2023479272Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKELLIANNE F BENSONName
PTINP01345659PTIN
Phone7043771678Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICK MCKERCHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11331 F STREET NO 975AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20004ZIPCode
FieldValueIRS element (for citing)
Gross Receipts290312837GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PANFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionHELPING UNDERINSURED PATIENTS ACCESS NEEDED MEDICAL TREATMENTS THROUGH CO-PAYMENT ASSISTANCE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees8TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year83632322ContributionsGrantsPriorYear
Contributions Grants Current Year179458330ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year5122736InvestmentIncomePriorYear
Investment Income Current Year6514981InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year88755058TotalRevenuePriorYear
Total Revenue Current Year185973311TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year28379485GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY108460641GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year707467SalariesEtcPriorYear
Salaries Etc Current Year1291997SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year904685TotalFundrsngExpCurrentYear
Other Expense Prior Year6215872OtherExpensePriorYear
Other Expenses Current Year10293757OtherExpensesCurrentYear
Total Expenses Prior Year35302824TotalExpensesPriorYear
Total Expenses Current Year120046395TotalExpensesCurrentYear
Revenues Less Expenses Prior Year53452234RevenuesLessExpensesPriorYear
Revenues Less Expenses CY65926916RevenuesLessExpensesCY
Total Assets BOY132290472TotalAssetsBOY
Total Assets EOY232396417TotalAssetsEOY
Total Liabilities BOY14389783TotalLiabilitiesBOY
Total Liabilities EOY47176235TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY117900689NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY185220182NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPATIENT ACCESS NETWORK (PAN) FOUNDATION OFFERS HELP AND HOPE TO PEOPLE WITH CHRONIC OR LIFE THREATENING ILLNESSES WHO OTHERWISE CANNOT AFFORD BREAKTHROUGH MEDICAL TREATMENTS. THE PAN FOUNDATION ENVISIONS A SOCIETY IN WHICH EVERY INDIVIDUAL CAN ACCESS NEEDED MEDICAL CARE, OFFERING HOPE FOR A HEALTHY TOMORROW. SINCE 2004, PAN FOUNDATION HAS OFFERED FINANCIAL ASSISTANCE TO OVER 150,000 PATIENTS BY GIVING OUT APPROXIMATELY $350 MILLION THROUGH MORE THAN 50 DISEASE CATEGORIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense116018909Expense
Grants108460641Grants
DescriptionIN 2012, PAN FOUNDATION CREATED, SOLICITED, AND DISTRIBUTED FUNDING AND ADMINISTERED GRANTS FOR MORE THAN 40 FUNDS REPRESENTING A SOLID FOOTPRINT IN THE AREAS OF ONCOLOGY, CHRONIC AND RARE DISEASES. PAN FOUNDATION ASSISTED A TOTAL OF 59,283 PATIENTS IN 2012. OF THAT TOTAL, 46,344 WERE PATIENTS SEEKING AND RECEIVING ASSISTANCE FROM THE PAN FOUNDATION FOR THE FIRST TIME. IN THE SAME YEAR, PAN PAID MORE THAN 215,000 CLAIMS RELATED TO PATIENTS' OUT OF POCKET PRESCRIPTION DRUG EXPENSES AND RECEIVED OVER 230,000 PHONE CALLS. PAN'S REACH INCLUDES PARTNERSHIPS WITH OVER 80 SPECIALTY PHARMACIES AND 20,000 PROVIDERS ACROSS THE USA.Description
Total Program Service Expense116018909TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961534NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees8NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledDCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledALStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKSStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMSStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
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States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
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States Where Copy Of Return Is FiledHIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RICHARD L GOLDSTEINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2023479271TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11331 F STREET NW SUITE 975AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20004ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
LYN BOOCOCK-TAYLOR
DIRECTOR3.00X600000
STEPHEN F LOEBS PHD
DIRECTOR2.00X900000
DONALD BARONE
DIRECTOR1.00X300000
MICHAEL C GERALD PHD
DIRECTOR1.00X600000
ALLAN GOLDSTEIN MD
DIRECTOR3.00X600000
ANITA PLOTINSKY PHD
DIRECTOR3.00X800000
MICHAEL O'GRADY
DIRECTOR3.00X300000
FRED SCHNELL MD
DIRECTOR3.00X600000
KIM SCHWARTZ
DIRECTOR3.00X1100000
IAN D SPATZ JD
DIRECTOR2.00X900000
DAVID BORENSTEIN
DIRECTOR1.00X000
NORRIE THOMAS
DIRECTOR1.00X300000
PATRICK L MCKERCHER PHD
PRESIDENT40.0025427207938X
RICHARD GOLDSTEIN
CFO40.0054546012635X
KORAB ZUKA
VICE PRESIDENT40.00210240025922X
FieldValueIRS element (for citing)
Total Reportable Comp From Org589058TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation46495TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE LASH GROUP INC
3735 GLEN LAKE DRIVECHARLOTTENC28208PATIENT ASSISTANCE6692922
AMPLIFY PUBLIC AFFAIRS LLC
1750 K STREET NW 7TH FLOORWASHINGTONDC20006PUBLIC AFFAIRS185758
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions179458330AllOtherContributions
Total Contributions179458330TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4656432TotalRevenueColumn
Exclusion$4,656,432ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities106198075Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities104339526Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1858549Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1858549TotalRevenueColumn
Exclusion$1,858,549ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column185973311TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,514,981ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total105109048Total
Program Services105109048ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3351593Total
Program Services3351593ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total635553Total
Management And General513327ManagementAndGeneral
Fundraising122226Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total406673Total
Management And General167226ManagementAndGeneral
Fundraising239447Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total32249Total
Management And General21058ManagementAndGeneral
Fundraising11191Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total199139Total
Management And General130034ManagementAndGeneral
Fundraising69105Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18383Total
Management And General12004ManagementAndGeneral
Fundraising6379Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total671459Total
Management And General671459ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total139927Total
Management And General139927ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66350Total
Management And General66350ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total542427Total
Management And General542427ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total541953Total
Management And General541953ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total176294Total
Fundraising176294Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24880Total
Management And General24880ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total26051Total
Management And General26051ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3640Total
Fundraising3640Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total15331Total
Management And General15331ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FEES FOR PROGRAM OPERAT71546617154661
PHARMACY CARDS330250330250
MANAGEMENT EXPENSE250774250774
EDUCATION/AWARENESS7335773357

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total276403Total
Fundraising276403Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total120046395Total
Program Services116018909ProgramServices
Management And General3122801ManagementAndGeneral
Fundraising904685Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY18518997BOY
EOY14537395EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY11950000BOY
EOY50520000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25049BOY
EOY5000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23854BOY
EOY71702EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49001LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17384LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38868BOY
EOY31617EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY101733704BOY
EOY167230703EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY132290472BOY
EOY232396417EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1301610BOY
EOY4569235EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13088173BOY
EOY42607000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14389783BOY
EOY47176235EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6268902BOY
EOY10802700EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY111631787BOY
EOY174417482EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY117900689BOY
EOY185220182EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY132290472BOY
EOY232396417EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses65926916ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1392577ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54511561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34511711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35551233CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83632322CurrentTaxYearMinus1Year
Current Tax Year179458330CurrentTaxYear
Total387665157Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54511561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34511711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35551233CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83632322CurrentTaxYearMinus1Year
Current Tax Year179458330CurrentTaxYear
Total387665157Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total301036940AmountsSubstContributorsTotal
Public Support Total17086628217PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2653011CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1258146CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2862450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3798553CurrentTaxYearMinus1Year
Current Tax Year4656432CurrentTaxYear
Total15228592Total
FieldValueIRS element (for citing)
Total Support402893749TotalSupport
Public Support Pertcentage1700.21500PublicSupportPertcentage170
Public Support Pertcent Prior Year0.19000PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
Facts And Circumstances TestPATIENT ACCESS NETWORK FOUNDATION CONTINUES TO QUALIFY AS A PUBLIC CHARITY UNDER THE FACTS AND CIRCUMSTANCES TEST. THE PUBLIC SUPPORT RECEIVED BY THE ORGANIZATION EQUALS AT LEAST 10% OF THE TOTAL SUPPORT RECEIVED BY THE ORGANIZATION. THE ORGANIZATION IS ORGANIZED AND OPERATED TO ATTRACT NEW AND ADDITIONAL PUBLIC SUPPORT ON A CONTINUOUS BASIS AND IS MAINTAINING A PROGRAM TO SOLICIT FUNDS FROM THE GENERAL PUBLIC. IN ADDITION, THE 10% TEST IS SATISFIED BY SUPPORT FROM A NUMBER OF UNRELATED DONORS (AS OPPOSED TO SUPPORT FROM MEMBERS OF A SINGLE FAMILY), THE ORGANIZATION'S GOVERNING BODY REPRESENTS THE BROAD INTERESTS OF THE PUBLIC RATHER THAN THE PERSONAL OR PRIVATE INTERESTS OF A LIMITED NUMBER OF DONORS, THE ORGANIZATION PROVIDES SERVICES DIRECTLY FOR THE BENEFIT OF THE GENERAL PUBLIC ON A CONTINUOUS BASIS AND THE ORGANIZATION MAINTAINS A DEFINITIVE PROGRAM FOR ACCOMPLISHING ITS CHARITABLE WORK IN THE COMMUNITY.FactsAndCircumstancesTest

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis49001OtherCostOrOtherBasis
Depreciation17384Depreciation
Book Value31617BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31617TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ETFS AND CLOSED END FUNDS64726804F
MUTUAL FUNDS44986883F
GOV. & AGENCY SECURITIES24705620F
CORPORATE BONDS32324191F
PREFERRED STOCK487205F
FieldValueIRS element (for citing)
Total Of Book Value Securities167230703TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCO PAYMENT ASSISTANCE OBLIGATIONDescription
Amount$42,607,000Amount
FieldValueIRS element (for citing)
Total Of Amounts42607000TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt186823461TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1392577NetUnrealizedGainsInvestments
Revenue Not Rptd F9901392577RevenueNotRptdF990
Revenue Subtotal185430884RevenueSubtotal
Investment Expenses Not Included542427InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt542427RevenueNotRptdOnFinStmt
Total Revenue Per Form990185973311TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt119503968TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal119503968ExpensesSubtotal
Investment Expenses Not Included2542427InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt542427ExpensesNotRptdOnFinStmt
Total Expenses Per Form990120046395TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationMANAGEMENT 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. MANAGEMENT BELIEVES THERE ARE NO SUCH POSITIONS AS OF DECEMBER 31, 2012 AND 2011 AND, ACCORDINGLY, NO LIABILITY HAS BEEN ACCRUED.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (560 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
MAINE CENTER FOR CANCER MEDICINE
100 CAMPUS DR 100SCARBOROUGHME0407401035768414366PATIENT ASSISTANCE
RHEUMATOLOGY ASSOC OF BALTIMORE
1220 B EAST JOPPA RD 310TOWSONMD2128601060607917354PATIENT ASSISTANCE
ROBERT LEVIN MD
646 VIRGINIA ST 4TH FLRDUNEDINFL346980106943228079PATIENT ASSISTANCE
LITTLETON REGIONAL HOSP
600 ST JOHNSBURRY RDLITTLETONNH035610202221527500PATIENT ASSISTANCE
NEW HAMPSHIRE ONC HEMA
200 TECHNOLOGY DRHOOKSETTNH031060203350608829PATIENT ASSISTANCE
HUNTERDON HEMATOLOGY & ONCOLOGY
2100 WESCOTT DRFLEMINGTONNJ088220205432709018PATIENT ASSISTANCE
EYE MDS OF QUICY SC
709 BROADWAYQUINCYIL623010207780809197PATIENT ASSISTANCE
MOUNTAIN VIEW CANCER ASSOC
PO BOX 643388PITTSBURGHPA1526403048055127536PATIENT ASSISTANCE
SHANKAR GARG MD
10 WINTHROP ST 15WORCESTERMA016040425473765600PATIENT ASSISTANCE
J SCOTT TODER
1524 ATWOOD AVE 333JOHNSTONRI0291905041492110404PATIENT ASSISTANCE
MEDICAL SPECIATIST OF FAIRFIELD
425 POST RDFAIRFIELDCT0682406086710512894PATIENT ASSISTANCE
RETINA CONSULTANTS PC
191 MAIN STMANCHESTERCT060410609689379601PATIENT ASSISTANCE
CONNECTICUT ONCOLOGY GROUP
536 SAYBROOK RDMIDDLETOWNCT064570610084866436PATIENT ASSISTANCE
CANCER CARE OF N FL
PO BOX 1642LAKE CITYFL320560616412289640PATIENT ASSISTANCE
TSUYOSHI INOSHITA MD
916 11 TH STNEW BOSTONOH456620616643857418PATIENT ASSISTANCE
OCALA CANCER INSTITUTE INC
2820 SE 3RD CT 2OCALAFL344710617205828418PATIENT ASSISTANCE
VALLEY CANCER ASSOC PA
1719 TREASURE HILLS BLVDHARLINGENTX785500618315435110PATIENT ASSISTANCE
NORTHSHORE HEMATOLOGY ONCOLOGY ASSOC
PO BOX 5773HICKSVILLENY1180211241953419981PATIENT ASSISTANCE
SOUTH SHORE HEMAONCOLOGY ASSOC
242 MERRICK RD 301ROCKVILLE CENTRENY115701126575667411PATIENT ASSISTANCE
PROHEALTH CARE ASSOCIATES
2800 MARCUS AVELAKE SUCCESSNY1104211335560410946PATIENT ASSISTANCE
NORTH SHORE HEMATOLOGY ONCOLOGY
1201 NORTHERN BLVDMANHASSETNY110301134722238123PATIENT ASSISTANCE
JOSEPH PODHORSER MD
445 KINGS HWYBROOKLYNNY112231136333965553PATIENT ASSISTANCE
MARYLAND ONCOLOGY AND HEMATOLOGY
PO BOX 75581BALTIMOREMD212751136525737539PATIENT ASSISTANCE
RETINA CONSULTATIONS
915 PALMER RDBRONXVILLENY1070813338427712001PATIENT ASSISTANCE
WESTCHESTER MEDICAL GROUP
PO BOX 417414BOSTONMA0224113388416812404PATIENT ASSISTANCE
QUEENS MEDICAL ASSOCIATES
176-60 UNION TPKE 360FRESH MEADOWSNY1136613414586719320PATIENT ASSISTANCE
GOLDEN TRIANGLE RADIATION ONCOLOGY
DEPT 283 PO BOX 4869HOUSTONTX772101342121155792PATIENT ASSISTANCE
THE CENTER FOR RHEUMATOLOGY
1367 WASHINGTON AVE 101ALBANYNY122061416475768306PATIENT ASSISTANCE
NEW YORK ONCOLOGY HEMATOLOGY PC
43 NEW SCOTLAND AVE MC7ALBANYNY122081417997246818PATIENT ASSISTANCE
DEPARTMENT OF MEDICINE
PO BOX 4848SYRACUSENY132211614752785036PATIENT ASSISTANCE
ARTHRITIS HEALTH ASSOCIATES PLLC
310 S CROUSE AVESYRACUSENY1321016154645311600PATIENT ASSISTANCE
BROOME ONCOLOGY
30 HARRISON ST 100JOHNSON CITYNY1379016161170324589PATIENT ASSISTANCE
RETINA HEALTH CTR
1567 HAYLEY LNFORT MYERSFL3390716162537611585PATIENT ASSISTANCE
RHEUMATOLOGY ASSOCIATES OF SOUTH TX
PO BOX 823SAN ANTONIOTX7829316175161710015PATIENT ASSISTANCE
SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATE
148 WEST NORTH STSPRINGFIELDOH4550420024011713125PATIENT ASSISTANCE
SURINDER VOHRA MD
1600 SIXTH AVE 101YORKPA174032003818219050PATIENT ASSISTANCE
ARTHRITIS & RHEUMATOLOGY ASSOC OF PALM BEACH
1515 N FLAGER DR 620WEST PALM BEACHFL3340120046826416399PATIENT ASSISTANCE
KEYSTONE ONCOLOGY
PO BOX 7282LANCASTERPA176032004720905958PATIENT ASSISTANCE
CANCER CTR OF HUNTVILLE
201 GOVERNORS DR 320HUNTSVILLEAL3580120054668611953PATIENT ASSISTANCE
MCBRIDE CLINIC
PO BOX 268981OKLAHOMA CITYOK731032005614748642PATIENT ASSISTANCE
TENNESSEE CANCER SPECIALISTS
PO BOX 10988KNOXVILLETN37939200677400276824PATIENT ASSISTANCE
CANCER HLTH TREATMENT CTRS
8127 MERRILLVILLE RDMERRILLVILLEIN464102010906898550PATIENT ASSISTANCE
CENTRAL COAST MEDICAL ONCOLOGY
1325 E CHURCH ST 301SANTA MARIACA934542012232047684PATIENT ASSISTANCE
NORTH WEST FLA HEM ONC P A
301 W 26TH STLYNN HAVENFL3244420160642333815PATIENT ASSISTANCE
BRYSON CANCER CARE
5345 W HILLSDALE DRVISALIACA932912016734275850PATIENT ASSISTANCE
KENNETH E STARK MD
1613 BANNING BEACH RDTAVARESFL327782017238357570PATIENT ASSISTANCE
NORTHEAST GA CANCER CARE
3320 OLD JEFFERSON RD 700ATHENSGA3060720184262328566PATIENT ASSISTANCE
FRONT RANGE CANCER SPECIALISTS
2315 E HARMONY 110FORT COLLINSCO8052820198919717126PATIENT ASSISTANCE
TRI HEALTH GROUP LLC
PO BOX 633448CINCINNATIOH452632023051587433PATIENT ASSISTANCE
CATALINA POINTE ARTHRITIS & RHEU SPECIALIST
7520 N ORACLE RDTUCSONAZ857042023351696078PATIENT ASSISTANCE
ONCOLOGY HEMATOLOGY RADIATION LLC
PO BOX 864381ORLANDOFL3288620262751639984PATIENT ASSISTANCE
DAYTON PHYSICIANS
PO BOX 635098CINCINNATIOH4526320313084433715PATIENT ASSISTANCE
CANCER CTRS OF SW OK
104 NW 31ST STLAWTONOK735052033153098842PATIENT ASSISTANCE
MARION HEART CENTER
1040 SW 2ND AVEOCALAFL3447420331649411787PATIENT ASSISTANCE
REGIONAL CANCER CARE
4411 BEN FRANKLIN RDDURHAMNC277042039116376986PATIENT ASSISTANCE
ARTHRITIS & RHEUMATOLOGY OF GA
980 JOHNSON FERRY RD NE 220ATLANTAGA303422039261797738PATIENT ASSISTANCE
HEMATOLOGY AND ONCOLOGY CENTER PLLC
401 BOYLE ST 101SOMERSETKY4250320409584718577PATIENT ASSISTANCE
HEARTLAND CANCER CARE
131 PATTERSON RDHAINES CITYFL3384420426803110108PATIENT ASSISTANCE
AUBURN SURGICAL CENTER
PO BOX 1409AUBURNWA980712044130585280PATIENT ASSISTANCE
HEMATOLOGY ONCOLOGY SERVICES OF AR
9101 KANIS RD 101LITTLE ROCKAR722052049256449040PATIENT ASSISTANCE
CHARLESTON HEMATOLOGY-ONCOLOGY
2085 HENRY TECKLENBURG BLVD 2ND FLCHARLESTONSC2941420561514870783PATIENT ASSISTANCE
WAVERLY HEMATOLOGY ONCOLOGY
PO BOX 601043CHARLOTTENC2826020581529515470PATIENT ASSISTANCE
SOUTHERN CANCER CENTER
29653 ANCHOR CROSS BLVDDAPHNEAL3652620809763923680PATIENT ASSISTANCE
RETINA ASSOC OF NJ PA
628 CEDAR LNTEANECKNJ0766620834698116776PATIENT ASSISTANCE
AGAJANIAN INSTITUTE OF ONC & HEMA
11480 BROOKSHIRE AVE SUITE 309DOWNEYCA9024120836670926930PATIENT ASSISTANCE
SONORAN HEMATOLOGY & ONCOLOGY
PO BOX 29338PHOENIXAZ850382083918907853PATIENT ASSISTANCE
NORTH GEORGIA CANCER CARE PC
400 TIMMS RD ACALHOUNGA3070120849737310038PATIENT ASSISTANCE
SOUTHERN VITREORETINAL ASSOC
2439 CARE DRTALLAHASSEEFL3230820851528548980PATIENT ASSISTANCE
ARIZONA INSTITUTE OF UROLOGY PLLC
1106 N EL DORADO PLACETUCSONAZ857152085518678687PATIENT ASSISTANCE
21ST CENTURY ONCOLOGY
PO BOX 864373ORLANDOFL3288620875430856671PATIENT ASSISTANCE
ASSOCIATED PODIATRISTS OF NORTH HAVEN
83 WASHINGTON AVENORTH HAVENCT0647320885834510324PATIENT ASSISTANCE
HACKENSACK UNIVERSITY MED CTR
PO BOX 48027NEWARKNJ071012214875766041PATIENT ASSISTANCE
CENTER FOR CANCER AND HEMATOLOGIC DISEASE
1930 E RTE 70 V107CHERRY HILLNJ080032220985555641PATIENT ASSISTANCE
SOMERSET HEMATOLOGY ONCOLOGY ASSOC
30 REHILL AVENUE 2500SOMERVILLENJ088762228361386156PATIENT ASSISTANCE
REGIONAL CANCER CARE ASSOC
100 1ST ST 301HACKENSACKNJ0760122314176123849PATIENT ASSISTANCE
RETINAL & OPHTALMIC CONSULTANTS
1500 TILTON RDNORTHFIELDNJ082252231462607118PATIENT ASSISTANCE
DR RICHARD FEIN & DR DAVID RICHARDS
75 VERONICA AVE 201SOMERSETNJ088732231665815347PATIENT ASSISTANCE
SHORE HEALTH GROUP
1168 BEACON AVEMANAHAWKINNJ080502233604085296PATIENT ASSISTANCE
CALIFORNIA RETINA CONSULTANTS
515 E MICHELTORENA ST CSANTA BARBARACA9310322369703018932PATIENT ASSISTANCE
ALBERT EINSTEIN MEDICAL CENTER
PO BOX 8500-7135PHILADELPHIAPA191782313967945569PATIENT ASSISTANCE
BERKS HEMATOLOGY ONCOLOGY ASSOC
PO BOX 16052READINGPA1961223188691514747PATIENT ASSISTANCE
RETINOUVITREOUS ASSOC
PO BOX 7780 1600PHILADELPHIAPA1918223193286917068PATIENT ASSISTANCE
RHEUMATIC DISEASE ASSOCIATES LTD
2400 MARYLAND RD 40WILLOW GROVEPA190902320031995113PATIENT ASSISTANCE
CANCER CARE ASSOC OF YORK
25 MONUMENT RD 294YORKPA174032321224366964PATIENT ASSISTANCE
HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NEPA
1100 MEAD STDUNMOREPA1851223213708311820PATIENT ASSISTANCE
PENNSYLVANIA RETINA SPECIALISTS
220 GRANDVIEW AVE SUITE 200CAMP HILLPA1701123215284223380PATIENT ASSISTANCE
HEMATOLOGY ONCOLOGY ASSOCIATES
33 CHESTER PIKERIDLEY PARKPA1907823217767045736PATIENT ASSISTANCE
ABINGTON HEMO ONCOL ASSOC
2500 MARYLAND RD 312WILLOW GROVEPA1909023218811121798PATIENT ASSISTANCE
BUX MONT ONCOLOGY HEMATOLOGY
915 LAWN AVESELLERSVILLEPA189602322117685297PATIENT ASSISTANCE
BENJAMIN BLOOM MD
TWO PENN BLVD 117PHILADELPHIAPA1914423223657114218PATIENT ASSISTANCE
CHESTER COUNTY RHEUMATOLGY PC
795 E MARSHALL ST 101WEST CHESTERPA193802323358555788PATIENT ASSISTANCE
ANDREWS & PATEL ASSOC
3912 TRINDLE RDCAMP HILLPA170112323827278678PATIENT ASSISTANCE
MICHAEL D PERILSTEIN MD
13 ARMAND HAMMER BLVD 210POTTSTOWNPA194642323836585600PATIENT ASSISTANCE
SATISH A SHAH MDPC
20 EXPEDITION TRL 101GETTYSBURGPA173252325860608552PATIENT ASSISTANCE
CANCER CARE OF CENTRAL PA
1575 N OLD TRAILSELINSGROVEPA1787023268402118922PATIENT ASSISTANCE
ELLEN M FIELD MD
1665 VALLEY CENTER PKWY 150BETHLEHEMPA180172329393165612PATIENT ASSISTANCE
PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES
PO BOX 828078PHILADELPHIAPA1916223297283327445PATIENT ASSISTANCE
KALISPELL REGIONAL MEDICAL CENTER
310 SUNNYVIEW LNKALISPELLMT599012372938745282PATIENT ASSISTANCE
GUTHRIE CLINIC
130 CENTERWAYCORNINGNY148302508157955368PATIENT ASSISTANCE
UNIVERSITY OF PITTSBURG MEDICAL CENTER
PO BOX 382007PITTSBURGHPA1525025096548012141PATIENT ASSISTANCE
WARREN GENERAL CANCER CTR
2 CRESCENT PARK WESTWARRENPA163652509655987165PATIENT ASSISTANCE
CONEMAUGH CANCER CARE ASSOC
1020 FRANKLIN STJOHNSTOWNPA1590525165828313183PATIENT ASSISTANCE
CHARTWELL SPECIALTY PHARMACY
215 BEECHAM DRCRAFTONPA1520525172971416883PATIENT ASSISTANCE
ONCOLOGY HEMATOLOGY ASSOC OF NORTHERN PAPC
PO BOX 447DU BOISPA158012518861238450PATIENT ASSISTANCE
VENANGO ONCOLOGY HEMATOLOGY ASSOC
PO BOX 18837NEWARKNJ071912518966397175PATIENT ASSISTANCE
UTAH HEMATOLOGY ONCOLOGY
5290 S 400 EOGDENUT8440526004303165323PATIENT ASSISTANCE
HH SERVICES BATES ET AL LLC
PO BOX 77000 DEPT 771412DETROITMI482772603961048411PATIENT ASSISTANCE
GREEN BAY ORTHOPEDIC LTV
2223 LIME KILN RD 1GREEN BAYWI5431126113275915857PATIENT ASSISTANCE
NW AR RETINA
601 W MAPLE AVE 205ASPRINGDALEAR727642622093075650PATIENT ASSISTANCE
ARTHRITIS CARE CENTER OF OKLAHOMA
PO BOX 5160BELFASTME049152627581937473PATIENT ASSISTANCE
RELIANT HEALTHCARE
1004 N 19TH STMONROELA712012629488386978PATIENT ASSISTANCE
RETINA & VITREOUS SURGEONS OF UT
1055 N 300 W 210PROVOUT846042634203895819PATIENT ASSISTANCE
TEXAS MED AND SLEEP SPEC
PO BOX 230SAN ANTONIOTX782912637496197006PATIENT ASSISTANCE
LUTHERAN MEDICAL GROUP
7916 W JEFFERSON BLVDFORT WAYNEIN468042642138398935PATIENT ASSISTANCE
FOOT & ANKLE ASSOC OF CENTRAL IL
1515 W WALNUT ST 12JACKSONVILLEIL626502700561665074PATIENT ASSISTANCE
UAP BONE & JOINT CTR
1725 N FIFTH STTERRE HAUTEIN478042705814018654PATIENT ASSISTANCE
KRISHNAN HEMATOLOGY ONCOLOGY ASSOC
PO BOX 2595ELLICOTT CITYMD2104127059791312877PATIENT ASSISTANCE
SHANAHAN RHEUMATOLOGY & IMMUN PLLC
PO BOX 910GREENFIELDMA013022708458956284PATIENT ASSISTANCE
SOUTHEAST PHYSICIANS NETWORK PC
PO BOX 830525BIRMINGHAMAL352832709966008878PATIENT ASSISTANCE
GLOBAL ONCOLOGY
600 N GARFIELD AVE 210MONTEREY PARKCA917542714261429907PATIENT ASSISTANCE
PAN COASTAL HEMATOLOGY ONCOLGY
2417 JENKS AVEPANAMA CITYFL324052724424925286PATIENT ASSISTANCE
SAN ANTONIO ARTHRITIS CARE CENTER
8527 VILLAGE DR 103SAN ANTONIOTX7821727257185517051PATIENT ASSISTANCE
ADVANCED SCRIPT INC
740 E 20TH ST DHOUSTONTX770082725760176237PATIENT ASSISTANCE
CAROLINA UROLOGY PARTNERS
9735 KINCEY AVE STE 201HUNTERSVILLENC280782739055506842PATIENT ASSISTANCE
MIDTOWN ALLERGY & ARTHRITIS CARE PC
35 E 30TH ST STE 1ANEW YORKNY100162740327547778PATIENT ASSISTANCE
CENTRAL JERSEY HEALTHCARE ASSOC
240 WILLIAMSON ST 305ELIZABETHNJ072023001799505168PATIENT ASSISTANCE
GOOD SAMARITAN HOSPITAL
PO BOX 633580CINCINNATIOH4526331053698110071PATIENT ASSISTANCE
HEMATOLOGY AND ONCOLOGY
495 COOPER RD STE 225WESTERVILLEOH4308131095787619764PATIENT ASSISTANCE
ONCOLOGY HEMATOLOGY CARE
PO BOX 641174CINCINNATIOH4526431110641849038PATIENT ASSISTANCE
MID OHIO ONCOLOGYHEMATOLOGY
3100 PLAZA PROPERTIES BLVDCOLUMBUSOH4321931114186895389PATIENT ASSISTANCE
ALLIANCE PHYSICIANS INC
PO BOX 711808COLUMBUSOH4327131117571724091PATIENT ASSISTANCE
ELAINE A BEED MD INC
PO BOX 641185CINCINNATIOH452643113505669048PATIENT ASSISTANCE
COLUMBUS ARTHRITIS CTR
1211 DUBLIN RDCOLUMBUSOH4321531142516666735PATIENT ASSISTANCE
GENESIS HEALTHCARE SYSTEM
PO BOX 951442CLEVELANDOH441933114809415987PATIENT ASSISTANCE
ARTHRITIS CENTER OF LEXINGTON
330 WALLER AVE 100LEXINGTONKY405043115162855062PATIENT ASSISTANCE
ARVIND B SHAH MD INC
401 DIVISION ST 100CHARLESTONWV2530931154744216865PATIENT ASSISTANCE
OHIO CANCER SPECIALISTS
1125 ASPIRA CTMANSFIELDOH4490631165264510095PATIENT ASSISTANCE
PREMIER HEALTHCARE ASSOCIATES
7702 E PARHAM RD 101RICHMONDVA232943117692129156PATIENT ASSISTANCE
NORTHERN MI HEMATOLOGY ONCOLOGY
416 CONNABLE AVEPETOSKEYMI4977032002029318330PATIENT ASSISTANCE
CANCER CARE ASSOCIATES
514 N PROSPECT AVE 4TH FLOORREDONDO BEACHCA9027733000473522495PATIENT ASSISTANCE
KOUSAY AL-KOURAINY MD
480 4TH AVE 409CHULA VISTACA9191033010825911246PATIENT ASSISTANCE
ST JUDE MEDICAL GROUP
DEPT LA 21190PASADENACA9118233018503145922PATIENT ASSISTANCE
PACIFIC SHORES MED GROUP
1043 ELM AVE STE 104LONG BEACHCA9081333055394039125PATIENT ASSISTANCE
CANCER CTR ONCOLOGY MED
5555 GROSSMONT CTR DRLA MESACA91942330565963100850PATIENT ASSISTANCE
MEDICAL ONCOLOGY ASSOC OF SAN DIEGO
3075 HEALTH CENTER DR 102SAN DIEGOCA9212333059065211382PATIENT ASSISTANCE
HEMATOLOGY ONCOLOGY CONSULTANTS
301 N SAN JACINTO STHEMETCA9254333064385073090PATIENT ASSISTANCE
ARTHRITIS AUTOIMMUNE & ALLERGY
1893 N CLYDE MORRIS BLVD 110DAYTONA BEACHFL3211733115595510943PATIENT ASSISTANCE
AKRON GENERAL MEDICAL CTR
PO BOX 715228COLUMBUSOH432713407144787406PATIENT ASSISTANCE
CLEVELAND CLINIC
PO BOX 931058CLEVELANDOH441933407145856932PATIENT ASSISTANCE
SUMMA HEALTH SYSTEM
PO BOX 3540AKRONOH4430934071475511612PATIENT ASSISTANCE
SOUTHWEST GENERAL HEALTH CENTER
18697 BAGLEY RD SCCMIDDLEBURG HEIGHTSOH4413034075353115356PATIENT ASSISTANCE
KAISER PERMENTE
5420 LANCASTER DRBROOKLYN HEIGHTSOH441313409222689247PATIENT ASSISTANCE
TOLEDO CLINIC INC
4235 SECOR RDTOLEDOOH4362334093620720974PATIENT ASSISTANCE
NORTH CANTON MEDICAL FNDTN
PO BOX 74793CLEVELANDOH4419434108853030999PATIENT ASSISTANCE
MAHONING VALLEY HEMA ONC
LOCK BOX 6536 PO BOX 8500PHILADELPHIAPA1917834110543942867PATIENT ASSISTANCE
TRI-COUNTY HEMATOLOGY& ONCOLOGY
PO BOX 36660CANTONOH4473534129469221713PATIENT ASSISTANCE
RETINA ASSOCIATES OF CLEVELAND
3401 ENTERPRISE PKWY 300BEACHWOODOH441223414119376228PATIENT ASSISTANCE
SANDUSKY ORTHOPEDICS & RHEUMATOLOGY
1401 BONE CREEK DRSANDUSKYOH448703414467405101PATIENT ASSISTANCE
CAREPOINT PARTNERS
4137 BOARDMAN-CANFIELDCANFIELDOH4440634151646116842PATIENT ASSISTANCE
BLOOD & CANCER CENTER INC
3695 A BOARDMAN CANFIELD RDCANFIELDOH444063415882729908PATIENT ASSISTANCE
MORNINGSTAR HEMONC INC
2600 6TH ST SWCANTONOH447103419207878733PATIENT ASSISTANCE
FULTON COUNTY HEALTH CENTER
PO BOX 3493COLUMBUSOH4326034442821410210PATIENT ASSISTANCE
WYANDOT MEMORIAL HOSPITAL
885 N SANDUSKY AVEUPPER SANDSKYOH433513464086987500PATIENT ASSISTANCE
DEACONESS HOSPITAL
PO BOX 152EVANSVILLEIN4770135059339012851PATIENT ASSISTANCE
RHEUMATOLOGY ASSOCIATES PC
8902 N MERIDIAN ST 108INDIANAPOLISIN462603513734368462PATIENT ASSISTANCE
FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY
7910 W JEFFERSON BLVD 108FORT WAYNEIN46804351400631137733PATIENT ASSISTANCE
TRI-STATE OPTHALMOLOGY
350 W COLUMBIA ST 250EVANSVILLEIN477103514624137385PATIENT ASSISTANCE
HEMATOLOGY - ONCOLOGY OF IN
8301 HARCOURT RD 200INDIANAPOLISIN462603515361255275PATIENT ASSISTANCE
MICHIANA HEMATOLOGY ONCOLOGY
PO BOX 448SOUTH BENDIN4662435168605461420PATIENT ASSISTANCE
ELKHART CLINIC LLC
P O BOX 2968ELKHARTIN4651535191185714206PATIENT ASSISTANCE
AMERICAN HEALTH NETWORK
15397 STONY CREEK WAY 101NOBLESVILLEIN4606035210872914136PATIENT ASSISTANCE
MIDWEST PODIATRY SERVICES LTD
610 S MAPLE AVE 2550OAK PARKIL603043631360385000PATIENT ASSISTANCE
METRO INFECTIOUS DISEASE CONSULTANTS LLC
901 MCCLINTOCK DR 202BURR RIDGEIL605273639667456895PATIENT ASSISTANCE
LOYOLA UNIVERSITY MEDICAL CENTER
PO BOX 95009CHICAGOIL606943640155605326PATIENT ASSISTANCE
PROVENA UNITED SAM MEDICAL CTR
2665 MOMENTUM PLACECHICAGOIL606893641951266476PATIENT ASSISTANCE
EL PASO SPECIALTY HOSP LTD
PO BOX 731163DALLASTX753733643201395870PATIENT ASSISTANCE
MUHAMMAD ZAFAR MD
122 SOUTH MAIN STFLANAGANIL617403710361547500PATIENT ASSISTANCE
ILLIONIS CANCER CARE PC
8940 N WOOD SAGE RDPEORIAIL6161537133101770883PATIENT ASSISTANCE
MEDICAL AND SURGICAL SPECIALISTS
834 N SEMINARY STGALESBURGIL614013713936548474PATIENT ASSISTANCE
CHRISTOPHER L PARIS MD PC
2820 CENTRAL AVE BBILLINGSMT591023714488775201PATIENT ASSISTANCE
UNIVERSITY OF IL AT CHICAGO
506 S WRIGHT 209URBANAIL618013760005118653PATIENT ASSISTANCE
GARDEN CITY HOSPITAL
6245 INKSTER RDGARDEN CITYMI481353813583907063PATIENT ASSISTANCE
MUNSON MEDICAL CTR
PO BOX 1131TRAVERSE CITYMI496853813628307421PATIENT ASSISTANCE
ASSOCIATED RETINAL
39650 ORCHARD HILL PL200NOVIMI4837538194676113067PATIENT ASSISTANCE
ALLEGIANCE HEALTH
DEPT 64787 DRAWER 64000DETROITMI482643820276899959PATIENT ASSISTANCE
SINGH & ARORA ONCOLOGY HEMATOLOGY
4100 BEECHER RDFLINTMI485323821991935549PATIENT ASSISTANCE
GRAND RAPIDS OPHTHALMOLOGY
750 E BELTLINEGRAND RAPIDSMI495253823949205804PATIENT ASSISTANCE
CANCER & HEMATOLOGY CTR OF WESTERN MICHIGAN
PO BOX 30516LANSINGMI48909382777354137749PATIENT ASSISTANCE
MACOMB HEMOONCO PC
11900 E 12 MILE RD 210WARRENMI480933830760575902PATIENT ASSISTANCE
GENESEE CANCER & BLOOD DISEASES
302 KENSINGTON AVEFLINTMI4850338328551513926PATIENT ASSISTANCE
IHA OF ANNE ARBOR PC
PO BOX 948YPSILANTIMI4819738331655910918PATIENT ASSISTANCE
ARTHRITIS EDUCATION AND TREATMENT CTR
1155 E PARIS AVE 100GRAND RAPIDSMI4954638342114514248PATIENT ASSISTANCE
CADILLAC CANCER CARE CENTER
520 COBBS STCADILLACMI496013834506195194PATIENT ASSISTANCE
COMPASSIONATE CANCER CARE
18111 BROOKHURST ST 6100FOUNTAIN VALLEYCA9270838365006024747PATIENT ASSISTANCE
UNIV OF MI HOSPITALS & HEALTH CENTERS
PO BOX 77000DETROITMI4827738600630915725PATIENT ASSISTANCE
MARSHFIELD CLINIC
1000 N OAK AVEMARSHFIELDWI544493904529709804PATIENT ASSISTANCE
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METCARE OF FLORIDA - METCARE ONCOLOGY
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CENTRAL AR RAD THER INST
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HIGHLANDS ONCOLOGY GRP
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SOUTHERN CO CLINIC
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US SPECIALTY CARE
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EYE CARE CENTER OF NORTHERN CO PC
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SOUTHWEST ONCOLOGY
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COLORADO CENTER FOR ARTHRITIS AND OSTEOPOROSI
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MOUNTAIN RHEUMATOLOGY
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NEW MEXICO ONCOLOGY HEMATOLOGY - ALBUQUERQUE
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INTERNISTS ONCOLOGISTS LTD
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BANNER ARIZONA MED CTR
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PALO VERDE HEMATOLOGY AND ONCOLOGY
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ARIZON ARTHRITIS-RHEUMATOLOGY
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LOS NINOS HOSPITAL
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ARIZONA CTR FOR HEMATOLOGY ONCOLOGY
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VALLEY ARTHRITIS CARE
13943 N 91ST AVE IPEORIAAZ8538186101050314629PATIENT ASSISTANCE
JOHN SAER MD
3901 HOUMA BLVD 310METAIRIELA7000686105433416029PATIENT ASSISTANCE
CENTRAL UT CLINIC
PO BOX 30079SALT LAKE CITYUT8413087028102820284PATIENT ASSISTANCE
UTAH CANCER CENTER
1121 E 3900 S STE C240HOLLADAYUT8412487051969113050PATIENT ASSISTANCE
RETINA ASSOCIATES OF UT
5169 S COTTONWOOD ST 630MURRAYUT8410787052568234147PATIENT ASSISTANCE
UTAH VALLEY PEDIATRICS
1355 N UNIVERSITY AVE 210PROVOUT8460487054905717566PATIENT ASSISTANCE
ARTHRITIS SPECIALTY CTR
1448 E CENTER ST EPOCATELLOID8320187070524819350PATIENT ASSISTANCE
NEVADA CANCER CTR
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ALPINE HEMATOLOGY AND ONCOLOGY
236 W 6TH ST 400RENONV895038801522397643PATIENT ASSISTANCE
ARTHRITIS SPECIALISTS OF NORTHERN NV
93 BELL STRENONV895038802066669334PATIENT ASSISTANCE
COMPREHENSIVE CANCER CENTERS OF NV
PO BOX 911265DALLASTX7539188035018051503PATIENT ASSISTANCE
FAYLONA GOLLARD KAUSHAL NYAMUSWA AND PARK LTD
58 N PECOS RDHENDERSONNV8907488037055311265PATIENT ASSISTANCE
WILLIAM KIM MD
5980 S RAINBOW BLVD 100LAS VEGASNV891188803928537204PATIENT ASSISTANCE
CHRISTIANNE YUNG MD
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ARTHRITIS CONSULTANTS
160 COUNTRY ESTATES CIR STE 2RENONV895118804263315327PATIENT ASSISTANCE
SAN JOAQUIN HEMATOLOGY
PO BOX 7667STOCKTONCA952679000856846543PATIENT ASSISTANCE
INNOVATIVE INFUSIONS LLC
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UMPQUA MEDICAL GROUP LLC
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BANNER ARIZONA MED CTR
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ROCKWOOD CANCER TREATMENT
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NEBRASKA HEMATOLOGY AND ONCOLOGY PC
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COLUMBIA RHEUMATOLOGY
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NORTH BEND MEDICAL CTR
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OREGON UROLOGY INSTITUTE PC
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ONCOLOGY ASSOC OF OREGON
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RETINA CONSULTANTS
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HEMATOLOGY ONCOLOGY ASSOCIATES
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HEMATOLOGYONCOLOGY OF SALEM LLP
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NORTHWEST CANCER SPECIALISTS
PO BOX 79308CITY OF INDUSTRYCA9171693128020627434PATIENT ASSISTANCE
RADIOLOGICAL ASSOC OF SACRAMENTO MEDCIAL GRO
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HEMATOLOGY AND ONCOLOGY MEDICAL GROUP OF FRES
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IV THERAPY IHC
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NORTHERN CALIFORNIA RETINA VITREOUS ASS
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PACIFIC RHEUMATOLOGY ASSOC
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ONCARE HI INC
PO BOX 30460HONOLULUHI9682094326640615674PATIENT ASSISTANCE
EPIC CARE
4721 DALLAS RNCH RDANTIOCHCA9453194330665528454PATIENT ASSISTANCE
MATTHEWS HEMATOLOGY ONOCOLOGY ASSOCIATES
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HEMATOLOGY ONCOLOGY MEDICAL GROUP
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SHAPIRO STAFFORD AND YEE MD
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NORTH COUNTY ONCOLOGY MED CLINIC
3617 VISTA WAYOCEANSIDECA9205695308388631671PATIENT ASSISTANCE
MARTIN BERRY MD
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LOS ALAMITOS HEMATOLOGY ONCOLOGY
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VALLEY TUMOR MED GRP
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XAVIER J CARO MD
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EAST VALLEY HEMATOLOGYONCOLOGY
2601 W ALAMEDA AVE 210BURBANKCA915059537386807500PATIENT ASSISTANCE
ONCOLOGY INSTITUTE OF HOPE & INNOVATION
101 E BEVERLY BLVD 200MONTEBELLOCA9064095392984130678PATIENT ASSISTANCE
RUDY GREENE MD
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FACEY MEDICAL GROUP
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LOS ANGELES HEMATOLOGY & ONCOLOGY MED GROUP
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TOWER HEMATOLOGY ONCOLOGY
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HEALTHCARE PARTNERS MEDICAL GROUP
PO BOX 6560TORRANCECA905049545261125395PATIENT ASSISTANCE
KEN ARAKAWA
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SUSAN S HIRAOKA DPM LLC
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FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations560TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCOPAY ASSISTANCETypeOfGrant
Number Of Recipients470NumberOfRecipients
Amount Of Cash Grant3351593AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THESE FUNDS REPRESENT GRANTS MADE FOR THE BENEFIT OF PATIENTS. THROUGH AN APPLICATION PROCESS WHICH INCLUDES INCOME ATTESTATION WITH RANDOM VERIFICATION AGAINST CRITERIA SET BY THE BOARD, A DOCTOR'S ATTESTATION TO VALIDATE THE PATIENT MEDICAL NEED AND AN INSURANCE BENEFITS VERIFICATION, PAN ENSURES THAT ALL PATIENTS WHO REQUEST OUR SERVICES MEET THE CRITERIA FOR A DISEASE FUND 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICK L MCKERCHER PHD
PRESIDENT2342720200000007938000262210000
KORAB ZUKA
VICE PRESIDENT18524002500000082130177090236162000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SOUTH CAROLINA ONCOLOGY ASSOCIATESBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipBOB SMITH, FORMER DIRECTOR OF THE ORGANIZATION, IS A PRINCIPAL PARTNERRelationship
Amount Of Transaction257450AmountOfTransaction
Description Of TransactionBOB SMITH, FORMER DIRECTOR OF THE ORGANIZATION, IS A PRINCIPAL PARTNER WITH SOUTH CAROLINA ONCOLOGY ASSOCIATES. SOUTH CAROLINA ONCOLOGY ASSOCIATES IS A RECIPIENT OF A GRANT TO BE USED FOR THE BENEFIT OF ITS PATIENTS. ALL TRANSACTIONS ARE AT ARM'S LENGTH AND FAIR MARKET VALUE.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 IS ELECTRONICALLY MAILED TO ALL DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. THEIR COMMENTS ARE THEN INCORPORATED INTO THE FORM. THE FINAL 990 IS SUBMITTED UNDER THE PRESIDENT'S SIGNATORY.
FORM 990, PART VI, SECTION B, LINE 12CAS 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. IF IT IS MATERIAL, WE INVOLVE LEGAL COUNSEL AND A DETAILED FOLLOW UP AND RESOLUTION WILL OCCUR.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE PRESIDENT IS DETERMINED BY THE INDEPENDENT BOARD OF DIRECTORS. THE BOARD REVIEWS THE RECOMMENDATION OF AN INDEPENDENT CONSULTANT THAT HAS BEEN RETAINED AS WELL AS THE FORMS 990 OF ORGANIZATIONS WITH SIMILAR MISSIONS AND BUDGETS TO DETERMINE AN APPROPRIATE SALARY FOR THE PRESIDENT. THE PRESIDENT DETERMINES ALL OTHER EMPLOYEES' COMPENSATION AND ALL BONUSES MUST BE APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE FINANCIAL STATEMENTS, LIST OF BOARD MEMBERS, AND THE ANNUAL REPORT ARE POSTED ON THE ORGANIZATION'S WEBSITE.
FORM 990, PART XII, LINE 2CTHE AUDIT AND FINANCE COMMITTEE'S PURPOSE IS TO ASSIST THE BOARD IN ITS OVERSIGHT OF THE FOUNDATION'S FINANCIAL AFFAIRS, INCLUDING THE AUDIT PROCESS. IT IS THE COMMITTEE'S RESPONSIBILITY TO SELECT AND DISCHARGE INDEPENDENT AUDITORS AND SUPERVISE AND EVALUATE THE PERFORMANCE OF THE AUDITORS.AUDIT COMMITTEE
PAGE 6, SECTION C, DISCLOSURETHE ORGANIZATION'S BOOKS ARE LOCATED IN CHARLOTTE, NORTH CAROLINA IN CARE OF DENISE BADGETT AT LASH GROUP, INC, 3735 GLEN LAKE DRIVE, CHARLOTTE, NC 28208, 704-357-3071. THE RECORDS ARE LOCATED AS STATED ON PAGE 6, SECTION C.BOOKS & RECORDS

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