PATIENT ADVOCATE FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PATIENT ADVOCATE FOUNDATION INC (EIN 54-1806317)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-12-17
IRS object ID
201203529349301010
Schema version
2011v1.2
Note
A later return for the same period supersedes this one.
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)
Timestamp2012-12-17T15:18:41-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1701 TOWN CENTER DRIVE SUITE 700AddressLine1
CityNEWPORT NEWSCity
StateVAState
ZIP Code236064295ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541806317EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PATIENT ADVOCATE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPATINameControl
Phone8005325274Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1421 BUTLER FARM ROADAddressLine1
CityHAMPTONCity
StateVAState
ZIP Code23666ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNANCY DAVENPORT-ENNISName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone7578736668Phone
Date Signed2012-12-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES M HAGGARDName
PTINP00100566PTIN
Phone7578731033Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNANCY DAVENPORT-ENNISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1421 BUTLER FARM ROADAddressLine1
CityHAMPTONCity
StateVAState
ZIP Code23666ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37688228GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PATIENTADVOCATE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionPATIENT ADVOCATE FOUNDATION IS A NATIONAL NON-PROFIT ORGANIZATION THAT SEEKS TO SAFEGUARD PATIENTS THROUGH EFFECTIVE MEDIATION ASSURING ACCESS TO CARE, MAINTENANCE OF EMPLOYMENT AND PRESERVATION OF THEIR FINANCIAL STABILITY RELATIVE TO THEIR DIAGNOSIS OF LIFE THREATENING OR DEBILITATING DISEASES.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees257TotalNbrEmployees
Total Nbr Volunteers39TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year40570618ContributionsGrantsPriorYear
Contributions Grants Current Year31911081ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3915224ProgramServiceRevenuePriorYear
Program Service Revenue CY4965656ProgramServiceRevenueCY
Investment Income Prior Year270932InvestmentIncomePriorYear
Investment Income Current Year251249InvestmentIncomeCurrentYear
Other Revenue Prior Year252197OtherRevenuePriorYear
Other Revenue Current Year90330OtherRevenueCurrentYear
Total Revenue Prior Year45008971TotalRevenuePriorYear
Total Revenue Current Year37218316TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year19119842GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY33406623GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11430684SalariesEtcPriorYear
Salaries Etc Current Year10938218SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1082918TotalFundrsngExpCurrentYear
Other Expense Prior Year5291913OtherExpensePriorYear
Other Expenses Current Year5831840OtherExpensesCurrentYear
Total Expenses Prior Year35842439TotalExpensesPriorYear
Total Expenses Current Year50176681TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9166532RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-12958365RevenuesLessExpensesCY
Total Assets BOY46120293TotalAssetsBOY
Total Assets EOY31786946TotalAssetsEOY
Total Liabilities BOY3484941TotalLiabilitiesBOY
Total Liabilities EOY2126904TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY42635352NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY29660042NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPATIENT ADVOCATE FOUNDATION IS A NATIONAL NON-PROFIT ORGANIZATION THAT SEEKS TO SAFEGUARD PATIENTS THROUGH EFFECTIVE MEDIATION ASSURING ACCESS TO CARE, MAINTENANCE OF EMPLOYMENT AND PRESERVATION OF THEIR FINANCIAL STABILITY RELATIVE TO THEIR DIAGNOSIS OF LIFE THREATENING OR DEBILITATING DISEASES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6707174Expense
Grants93850Grants
Revenue116794Revenue
DescriptionPATIENT ADVOCATE FOUNDATION PROVIDES SUSTAINED, ONE ON ONE, CASE MANAGEMENT SERVICES TO PATIENTS THROUGHOUT THE COUNTRY WHO ARE EXPERIENCING ACCESS TO CARE ISSUES. THE PROFESSIONAL CASE MANAGEMENT STAFF WORK WITH PATIENT'S INSURERS, EMPLOYERS AND/OR CREDITORS IN AN EFFORT TO RESOLVE ACCESS TO CARE, DEBT CRISIS AND JOB RETENTION ISSUES THAT ARE A RESULT OF A LIFE THREATENING AND/OR DEBILITATING ILLNESS. THE PAF PROFESSIONAL CASE MANAGEMENT STAFF DIRECTLY ASSISTED 31,333 INDIVIDUALS IN FY11/12. ON AVERAGE, CASE MANAGERS MADE 17.51 CONTACTS ON BEHALF OF EACH PATIENT TO RELEVANT STAKEHOLDERS IN ORDER TO BRING RESOLUTION TO THE PATIENTS ACCESS ISSUE. PAF HAS AN ESTABLISHED PUBLICATIONS COMMITTEE THAT IS RESPONSIBLE FOR PUBLISHING NEW PATIENT EDUCATION MATERIALS THAT ARE WIDELY USED WITH PAF PATIENTS AS WELL AS PROVIDED TO OTHER ORGANIZATIONS AND FACILITIES FOR USE WITH PATIENTS. PAF HAS AUTHORED A TOTAL OF 30 PATIENT EDUCATIONAL PUBLICATIONS. IN FY11/12, PAF COMPLETED WRITING TWO FULL LENGTH PUBLICATIONS: "MEDICARE - ANSWERING YOUR QUESTIONS" AND "THE NATIONAL UNINSURED RESOURCE DIRECTORY". AS WELL, A COMPREHENSIVE SIX MODULE OVERVIEW OF THE PAF CASE MANAGEMENT PROGRAM WAS DEVELOPED BY THE PAF TRAINING COORDINATOR TO BE USED WITH TRAINING INTERNAL PAF STAFF MEMBERS. IN JUNE 2012, PAF COMPLETED A REVIEW OF OUR CORPORATE WEBSITE, THAT SERVED TO MAKE THE WEBSITE MORE USER FRIENDLY AND ACCURATE. THE LINKS TO THE PUBLICATIONS NOW ALL REFLECT THE MOST CURRENT VERSION OF EACH, AND ARE ORGANIZED IN A WAY THAT MATCHES THE FOCUS AREAS OF OUR MISSION. THIS PROJECT ALSO SIGNIFICANTLY ENHANCED THE RESOURCES FOR OUR SPANISH SPEAKING AUDIENCE, AS OUR SPANISH AREAS OF THE WEBSITE ARE NOW MORE PROMINENT WITH A FULL NAVIGATION STRUCTURE FOR THE PAGES WITHIN SPANISH, AND COMPLETE LISTING WITHIN THE SITE MAP. THERE IS ALSO A NEWLY CREATED PUBLICATIONS ORDER FORM FOR THOSE PUBLICATIONS SPECIFICALLY AVAILABLE IN SPANISH. WE ALSO ADDED THE FUNCTIONALITY OF SPANISH WEB CHAT OFFERING PATIENTS THE ABILITY TO INTERACT WITH ONE OF OUR BILINGUAL CASE MANAGERS TO ADDRESS THE QUESTIONS OF OUR SPANISH PATIENTS.THE FOUNDATION'S DIRECT PATIENT SERVICES STAFF PROVIDED FOLLOW UP EDUCATIONAL MATERIALS TO ALL PATIENTS SERVED BY PAF. THE FOUNDATION'S CASE MANAGEMENT STAFF SELECTS APPROPRIATE EDUCATIONAL MATERIALS FROM OVER 400 PUBLICATIONS AVAILABLE IN THE PAF RESOURCE CENTER. THESE PUBLICATIONS INCLUDE THOSE AUTHORED BY PAF AS WELL AS MATERIALS PUBLISHED BY GOVERNMENT AGENCIES, VARIOUS NON-PROFIT HEALTHCARE ORGANIZATIONS, ACADEMIC INSTITUTIONS, HEALTHCARE PROVIDERS AND FACILITIES AS WELL AS FOR PROFIT HEALTHCARE COMPANIES. PAF DISTRIBUTED 86,029 PIECES OF EDUCATIONAL MATERIAL IN CUSTOMIZED PATIENT EDUCATION PACKETS TO THOSE PATIENTS WE SERVED IN FY11/12. DURING FY11/12, THE PAF DIRECT PATIENT SERVICES TEAM ALSO CONDUCTED EDUCATIONAL OUTREACH AT THE LOCAL, REGIONAL AND NATIONAL LEVELS WITH THE GOAL OF EDUCATING HEALTHCARE PROFESSIONALS, NON-PROFIT ORGANIZATIONS AND THE GENERAL PUBLIC ABOUT THE SERVICES OFFERED BY PAF. THIS OUTREACH WAS, IN SOME CASES, TARGETED TO A SPECIFIC POPULATION THAT IS KNOWN TO BE CONSIDERED DISPARATE IN HEALTHCARE ACCESS AND DISEASE OUTCOMES DATA. THESE TARGETED OUTREACH POPULATIONS INCLUDE THE AFRICAN AMERICAN POPULATION, HISPANIC/LATINO POPULATIONS, THE MEDICARE POPULATION AND THE HEMATOLOGIC CANCER PATIENT POPULATION. IN FY11/12 PAF DISTRIBUTED OVER 49,862 EDUCATIONAL PUBLICATIONS THROUGH THESE OUTREACH EVENTS.THROUGH PATIENT ADVOCATE FOUNDATIONS SCHOLARSHIP FOR SURVIVORS, 9 SCHOLARSHIPS ARE AWARDED TO STUDENTS WHOSE STUDIES WERE INTERRUPTED OR DELAYED BY A DIAGNOSIS OF A LIFE THREATENING, CHRONIC OR DEBILITATING DISEASE. THE STUDENTS MUST BE ENROLLED FULL-TIME, MAINTAINING GPA OF 3.0 OR BETTER AND COMPLETE 20 HOURS OF COMMUNITY SERVICE DURING THE ACADEMIC YEAR.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense37619553Expense
Grants33312773Grants
DescriptionIN FY11/12, PAF PROVIDED CO-PAYMENT ASSISTANCE TO 36,989 QUALIFIED PATIENTS THROUGH THE CO-PAY RELIEF PROGRAM. SINCE ITS INCEPTION IN 2004, PAF HAS PROVIDED CO-PAYMENT ASSISTANCE TO OVER 87,000 INDIVIDUALS ALLOCATING MORE THAN $170,000 MILLION DOLLARS IN CO-PAYMENT AWARDS.LAUNCHED IN 2004, THE PATIENT ADVOCATE FOUNDATION (PAF) CO-PAY RELIEF PROGRAM (CPR) CURRENTLY PROVIDES DIRECT FINANCIAL SUPPORT TO INSURED PATIENTS, INCLUDING PRIVATELY INSURED, EMPLOYER SPONSORED AND MEDICARE PART D BENEFICIARIES, WHO FINANCIALLY AND MEDICALLY QUALIFY TO FULFILL THEIR OUT OF POCKET CO-PAYMENT RESPONSIBILITIES, THUS, INSURING ACCESS TO NEEDED THERAPIES. THE PROGRAM OFFERS PERSONAL SERVICE TO ALL PATIENTS THROUGH THE USE OF CALL COUNSELORS; PERSONALLY GUIDING PATIENTS THROUGH THE ENROLLMENT AND BENEFIT PROCESS.CO-PAY RELIEF PROGRAM CURRENTLY ASSISTS PATIENTS WHO ARE BEING TREATED FOR AUTOIMMUNE DISORDERS, BREAST CANCER, CHEMOTHERAPY INDUCED ANEMIA OR NEUTROPENIA, COLON CANCER, CUTANEOUS T-CELL LYMPHOMA, ELECTROLYTE IMBALANCE, HEPATITIS C, HORMONE SUPPRESSION THERAPY, MALIGNANT BRAIN TUMORS, MULTIPLE MYELOMA, MYELODYSPLASTIC SYNDROME, NON-MUSCLE INVASIVE BLADDER CANCER, NON-SMALL CELL LUNG CANCER (NSCLC), OSTEOPOROSIS, PAIN, PROSTATE CANCER, RHEUMATOID ARTHRITIS AND SARCOMA.CURRENTLY THE PAF CO-PAY RELIEF PROGRAM OFFERS A DEDICATED, SECURE WEB SITE FOR MEDICAL PROVIDERS TO ENROLL ELECTRONICALLY FOR THE CPR PROGRAM ON BEHALF OF THEIR PATIENTS. AS WELL, CPR OFFERS A DEDICATED, SECURE WEB BASED APPLICATION FOR PATIENTS TO ENROLL ELECTRONICALLY FOR THE CO-PAY RELIEF PROGRAM (CPR) DIRECTLY FROM THE CPR WEBSITE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2900039Expense
Revenue4965656Revenue
DescriptionIN FY08/09 PAF ENTERED INTO A TRANSPARENT SERVICE ADMINISTRATION CONTRACT WITH A NATIONAL NON-PROFIT ORGANIZATION. PAF HAS BEEN CONTRACTED TO PROVIDE FULL SERVICE, TRANSPARENT ADMINISTRATION SERVICES TO QUALIFIED PATIENTS THAT ENTER THEIR CO-PAY ASSISTANCE PROGRAM. PAF CONTINUED TO PROVIDE THIS CONTRACTUAL SERVICE DURING FY11/12 AND WAS PAID ADMINISTRATION FEES ON A MONTHLY BASIS THROUGH THIS SERVICE CONTRACT. PAF ADMINISTERED SERVICES TO 19,078 PATIENTS IN FY11/12 THROUGH THIS CONTRACT.Description
FieldValueIRS element (for citing)
Total Program Service Expense47226766TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees257NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 FiledVAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CORPORATE OFFICEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7578736668TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1421 BUTLER FARM ROADAddressLine1
CityHAMPTONCity
StateVAState
ZIP Code23666ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
NANCY DAVENPORT-ENNIS SEE SCH O
CHIEF EXECUTIVE OFFICER40.00XX4698279807311731
DENNIS A GASTINEAU
BOARD PRESIDENT5.00XX000
LEAH LOCK-ARNETT
BOARD SECRETARY5.00XX000
ALAN J BALCH
BOARD MEMBER5.00X000
PEARL MOORE
BOARD MEMBER5.00X000
JOHN L MURPHY
FINANCE COMMITTEE CHAIR5.00X000
BRUCE AVERY
BOARD MEMBER5.00X000
CHRISTIAN G DOWNS
BOARD MEMBER5.00X000
DEBORAH PARHAM HOPSON
BOARD MEMBER5.00X000
LOVELL JONES
BOARD MEMBER5.00X000
REED V TUCKSON
BOARD MEMBER5.00X000
ROBERT M RIFKIN
BOARD MEMBER5.00X000
LORI WILLIAMS
BOARD MEMBER5.00X000
ROY RAMTHUM
BOARD MEMBER5.00X000
MEG GAINES
BOARD MEMBER5.00X000
JOHN H ENNIS
CHIEF DEVELOPMENT OFFICER40.00X12129108557
FRAN CASTELLOW
PRESIDENT, OPERATIONS40.00X15236906095
DYNELLE LUNSFORD
CHIEF FINANCIAL OFFICER40.00X14117706786
WILLIAM NASON
CHIEF OPERATING OFFICER40.00X169312018320
BETH PATTERSON
PRESIDENT, MISSION DELIVER40.00X143215010374
ERIN MOARATTY
CHIEF OF MISSION DELIVERY40.00110798011034X
ALAN RICHARDSON
CHIEF CORP DEV OPERATIONS OFFICER40.0011141008112X
ANGELA M WOOD WALKER
CHIEF OF HUMAN RESOURCES40.0013856606202X
JACK ESTEP
CHIEF OF MISSION DEL40.0011201509217X
GEORGE EDWIN ANDERSON
DIRECTOR OF INF TECH40.00110447013122X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1780427TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs98073TotalReportableCompFrmRltdOrgs
Total Other Compensation109550TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AEROTEK PROFESSIONAL SERVICES
3689 COLLECTION CTR DRCHICAGOIL60693TEMPORARY STAFFING632021
HEADWAY CORPORATE RESOURCES
PO BOX 785381PHILADELPHIAPA19178TEMPORARY STAFFING217876
SCHMIDT PUBLIC AFFAIRS LLC
917 PRINCE STREETALEXANDRIAVA22314CONSULTING / PUBLIC RELATIONS146557
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Membership Dues200000MembershipDues
Fundraising Events291621FundraisingEvents
Government Grants507562GovernmentGrants
All Other Contributions30911898AllOtherContributions
Noncash Contributions37345NoncashContributions
Total Contributions31911081TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE CONTRACTSDescription
Business Code541900BusinessCode
Total Revenue Column4965656TotalRevenueColumn
Related Or Exempt Function Income4965656RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4965656TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column288925TotalRevenueColumn
Exclusion$288,925ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities370000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities369686Securities
Other37990Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities314Securities
Other-37990Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-37676TotalRevenueColumn
Related Or Exempt Function Income-37990RelatedOrExemptFunctionIncome
Exclusion$314ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events35772GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events291621CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses62236FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-26464TotalRevenueColumn
Exclusion-$26,464ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory30104GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column30104TotalRevenueColumn
Related Or Exempt Function Income30104RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDATA SALESDescription
Business Code541900BusinessCode
Total Revenue Column86690TotalRevenueColumn
Related Or Exempt Function Income86690RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue86690TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37218316TotalRevenueColumn
Related Or Exempt Function Income5044460RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$262,775ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total300Total
Program Services300ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total33406323Total
Program Services33406323ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1874065Total
Program Services700149ProgramServices
Management And General607679ManagementAndGeneral
Fundraising566237Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7483719Total
Program Services7011675ProgramServices
Management And General442177ManagementAndGeneral
Fundraising29867Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total127219Total
Program Services117497ProgramServices
Management And General6995ManagementAndGeneral
Fundraising2727Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total782925Total
Program Services656435ProgramServices
Management And General78027ManagementAndGeneral
Fundraising48463Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total670290Total
Program Services547627ProgramServices
Management And General76413ManagementAndGeneral
Fundraising46250Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total77009Total
Program Services5555ProgramServices
Management And General67204ManagementAndGeneral
Fundraising4250Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68477Total
Management And General68477ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total662500Total
Program Services619760ProgramServices
Management And General27780ManagementAndGeneral
Fundraising14960Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1098860Total
Program Services869314ProgramServices
Management And General128895ManagementAndGeneral
Fundraising100651Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total151868Total
Program Services124077ProgramServices
Management And General17312ManagementAndGeneral
Fundraising10479Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1953429Total
Program Services1781523ProgramServices
Management And General103945ManagementAndGeneral
Fundraising67961Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total753872Total
Program Services694219ProgramServices
Management And General43481ManagementAndGeneral
Fundraising16172Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total340461Total
Program Services246165ProgramServices
Management And General3499ManagementAndGeneral
Fundraising90797Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total177195Total
Program Services62828ProgramServices
Management And General55934ManagementAndGeneral
Fundraising58433Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total85547Total
Program Services80368ProgramServices
Management And General4123ManagementAndGeneral
Fundraising1056Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total351057Total
Program Services286814ProgramServices
Management And General40020ManagementAndGeneral
Fundraising24223Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total73576Total
Program Services16137ProgramServices
Management And General57047ManagementAndGeneral
Fundraising392Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionLOSS ON ABANDONMENT OFDescription
Total37989Total
Program Services0ProgramServices
Management And General37989ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50176681Total
Program Services47226766ProgramServices
Management And General1866997ManagementAndGeneral
Fundraising1082918Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3187235BOY
EOY1415140EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY39301787BOY
EOY26031769EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY102925BOY
EOY149943EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY581659BOY
EOY499862EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY86957BOY
EOY94500EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY235869BOY
EOY171200EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2337039LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec936855LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1542011BOY
EOY1400184EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY973310BOY
EOY1920717EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY108540BOY
EOY103631EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY46120293BOY
EOY31786946EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY631953BOY
EOY453431EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2322968BOY
EOY1261366EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY530020BOY
EOY412107EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3484941BOY
EOY2126904EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2360255BOY
EOY1707558EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY38331347BOY
EOY26031769EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1943750BOY
EOY1920715EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42635352BOY
EOY29660042EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46120293BOY
EOY31786946EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-12958365ReconcilationRevenueExpenses
Reconcilation Other Changes-16945ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12635463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12260926CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19914737CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22345618CurrentTaxYearMinus1Year
Current Tax Year30823091CurrentTaxYear
Total97979835Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12635463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12260926CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19914737CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22345618CurrentTaxYearMinus1Year
Current Tax Year30823091CurrentTaxYear
Total97979835Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total46078069AmountsSubstContributorsTotal
Public Support Total17051901766PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years796707CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years532116CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years303332CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year271544CurrentTaxYearMinus1Year
Current Tax Year288925CurrentTaxYear
Total2192624Total
FieldValueIRS element (for citing)
Total Support100172459TotalSupport
Gross Receipts From Admissions Etc20022496GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.51810PublicSupportPertcentage170
Public Support Pertcent Prior Year0.54540PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals662500FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals662500FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals49514181FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals50176681FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3490000CurrentYearMinus3
Current Year Minus2600000CurrentYearMinus2
Current Year Minus1820000CurrentYearMinus1
Current Year662500CurrentYear
Total2572500Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1943750BeginningOfYearBalance
Investment Earnings Or Losses-23035InvestmentEarningsOrLosses
End Of Year Balance1920715EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1974377BeginningOfYearBalance
Investment Earnings Or Losses-30627InvestmentEarningsOrLosses
End Of Year Balance1943750EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1975136BeginningOfYearBalance
Investment Earnings Or Losses-759InvestmentEarningsOrLosses
End Of Year Balance1974377EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1937483BeginningOfYearBalance
Investment Earnings Or Losses37653InvestmentEarningsOrLosses
End Of Year Balance1975136EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis78896OtherCostOrOtherBasis
Depreciation4273Depreciation
Book Value74623BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1916143OtherCostOrOtherBasis
Depreciation932582Depreciation
Book Value983561BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis342000OtherCostOrOtherBasis
Book Value342000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1400184TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED VACATION$357,156
LEASE OBLIGATION$54,951
FieldValueIRS element (for citing)
Total Of Amounts412107TotalOfAmounts
Total Revenue37218316TotalRevenue
Total Expenses50176681TotalExpenses
Excess Or Deficit For Year-12958365ExcessOrDeficitForYear
Net Unrealized GL On Investments-16945NetUnrealizedGLOnInvestments
Total Adjustments-16945TotalAdjustments
Excess Or Deficit Per FS-12975310ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt37332205TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-16945NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities68598DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99051653RevenueNotRptdF990
Revenue Subtotal37280552RevenueSubtotal
Other Revenues Not Included-62236OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-62236RevenueNotRptdOnFinStmt
Total Revenue Per Form99037218316TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt50307515TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities68598DonatedServicesUseOfFacilities
Other Expenses Included62236OtherExpensesIncluded
Expenses Not Rptd F990130834ExpensesNotRptdF990
Expenses Subtotal50176681ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99050176681TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT FUND OF PATIENT ADVOCATE FOUNDATION WAS ESTABLISHED IN 2001 TO FURTHER ITS EXEMPT PURPOSE BY SUPPORTING DIRECT PATIENT SERVICES. THE ENDOWMENT FUND BUILDS LONG-TERM STABILITY FOR THE FUTURE OF THE FOUNDATION BY PROVIDING AN ADDITIONAL SOURCE OF INCOME TO MEET AN INCREASING DEMAND FOR NATIONAL PROGRAMS AND SERVICES. IT PROVIDES FOR INTEREST INCOME TO BE USED BY PAF AND RESTRICTS ACCESS TO PRINCIPAL EXCEPT IN THE EVENT OF A CATASTROPHIC EVENT SUCH AS TOTAL FINANCIAL COLLAPSE OF FUNDING RECEIVABLES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:DIRECT EXPENSES FOR FUNDRAISING EVENT -62,236.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES FOR FUNDRAISING EVENT 62,236.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PROMISE OF HOPENameOfEvent1
Gross Receipts Event1327393GrossReceiptsEvent1
Charitable Contributions Event1291621CharitableContributionsEvent1
Gross Revenue Event135772GrossRevenueEvent1
Rent Facility Costs Event110527RentFacilityCostsEvent1
Food And Beverage Event141209FoodAndBeverageEvent1
Entertainment Event110500EntertainmentEvent1
Gross Receipts Total327393GrossReceiptsTotal
Charitable Contributions Total291621CharitableContributionsTotal
Gross Revenue Total Events35772GrossRevenueTotalEvents
Rent Facility Costs Total Events10527RentFacilityCostsTotalEvents
Food And Beverage Total Events41209FoodAndBeverageTotalEvents
Entertainment Total Events10500EntertainmentTotalEvents
Direct Expense Summary Events62236DirectExpenseSummaryEvents
Net Income Summary-26464NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS924000
CO PAY RELIEF ASSISTANCE3698933233585
CANCER PREMIUM ASSISTANCE FUNDING49148738

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: THROUGH PATIENT ADVOCATE FOUNDATIONS SCHOLARSHIP FOR SURVIVORS, 9 SCHOLARSHIPS WERE AWARDED TO STUDENTS WHOSE STUDIES WERE INTERRUPTED OR DELAYED BY A DIAGNOSIS OF A LIFE THREATENING, CHRONIC OR DEBILITATING DISEASE. THE STUDENTS MUST BE ENROLLED FULL-TIME, MAINTAINING GPA OF 3.0 OR BETTER AND COMPLETE 20 HOURS OF COMMUNITY SERVICE DURING THE ACADEMIC YEAR. PATIENT ADVOCATE FOUNDATION (PAF) CO-PAY RELIEF PROGRAM (CPR) CURRENTLY PROVIDES DIRECT FINANCIAL SUPPORT TO INSURED PATIENTS WHO MUST FINANCIALLY AND MEDICALLY QUALIFY TO ACCESS PHARMACEUTICAL CO-PAYMENT ASSISTANCE. THE PROGRAM OFFERS PERSONAL SERVICE TO ALL PATIENTS THROUGH THE USE OF CALL COUNSELORS; PERSONALLY GUIDING PATIENTS THROUGH THE ENROLLMENT PROCESS. PATIENT ADVOCATE FOUNDATION'S CANCER PREMIUM ASSISTANCE FUND PROVIDES CANCER PATIENTS WHO MEDICALLY AND FINANCIALLY QUALIFY WITH ASSISTANCE FOR THEIR INSURANCE PREMIUMS WHEN THEY CANNOT AFFORD THEM IN AN EFFORT TO MAINTAIN THEIR INSURANCE BENEFITS. THIS PROGRAM OFFERS PREMIUM ASSISTANCE TO CANCER PATIENTS WHO ARE COMMERCIALLY INSURED AND/OR ARE PURSUING A HIGH RISK POOL OR COBRA BENEFIT. PATIENTS WHO ARE APPROVED FOR SUPPORT RECEIVE A MAXIMUM AWARD AMOUNT OF $2,000, ENSURING THAT PREMIUM SUPPORT IS PROVIDED, IDEALLY, FOR A 4-6 MONTH PERIOD.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
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 (4 entries)

Base 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
NANCY DAVENPORT-ENNIS SEE SCH O
1398279807333000000080400470404825719807300
FRAN CASTELLOW
15236900000609509420159406000
WILLIAM NASON
1693120000070200122860188618000
BETH PATTERSON
143215000005202061020154519000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationPART I, LINE 4A: DYNELLE LUNSFORD - CONFIDENTIAL BASED ON TERMS OF EMPLOYMENT TERMINATION AGREEMENTExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonNANCY DAVENPORT-ENNISNamePerson
FieldValueIRS element (for citing)
RelationshipCEO-NPAFRelationship
Amount Of Transaction662500AmountOfTransaction
Description Of TransactionRELATED ENTITY - NANCY DAVENPORT-ENNIS IS THE FOUNDER AND CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION. SHE IS ALSO THE CHIEF EXECUTIVE OFFICER OF NATIONAL PATIENT ADVOCATE FOUNDATION, A SISTER ORGANIZATION OF PATIENT ADVOCATE FOUNDATION. PATIENT ADVOCATE FOUNDATION HAS A CONSULTING AGREEMENT WITH NATIONAL PATIENT ADVOCATE FOUNDATION IN WHICH PATIENT ADVOCATE FOUNDATION PAYS NATIONAL PATIENT ADVOCATE FOUNDATION FEES TO REPRESENT THE POLICY INTERESTS OF PAF.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions9NumberOfContributions
Noncash Contribs Rptd F9901110NoncashContribsRptdF990
Method Of Determining RevenuesRETAIL VALUEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99011936NoncashContribsRptdF990
Method Of Determining RevenuesRETAIL VALUEMethodOfDeterminingRevenues

Collectibles Collectibles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions26NumberOfContributions
Noncash Contribs Rptd F9904640NoncashContribsRptdF990
Method Of Determining RevenuesRETAIL VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XJEWELERY/ACCESSORIES824910RETAIL VALUE
XGIFT BASKETS9710772RETAIL VALUE
XFURNITURE / FIXTURES43977RETAIL VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2JOHN L. MURPHY, BOARD MEMBER OF PATIENT ADVOCATE FOUNDATION, IS THE BROTHER-IN-LAW OF NANCY DAVENPORT-ENNIS, CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION. FRANCES CASTELLOW, PRESIDENT, OPERATIONS OF PATIENT ADVOCATE FOUNDATION, IS THE DAUGHTER OF NANCY DAVENPORT-ENNIS, CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION. JACK ENNIS, CHIEF DEVELOPMENT OFFICER AND CO-FOUNDER OF PATIENT ADVOCATE FOUNDATION, IS THE HUSBAND OF NANCY DAVENPORT-ENNIS,CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION. BETH PATTERSON,PRESIDENT, MISSION DELIVERY OF PATIENT ADVOCATE FOUNDATION, IS THE DAUGHTER OF NANCY DAVENPORT-ENNIS, CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS RECEIVES A DRAFT COPY OF THE FORM 990 THEN SUBSEQUENTLY REVIEWS IT FOR ACCURACY AND COMPLIANCE. ONCE IT IS APPROVED BY THE FINANCE COMMITTEE, ALL MEMBERS OF THE EXECUTIVE BOARD OF DIRECTORS RECEIVE THE FINAL COPY OF THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING AND IS SO NOTED IN THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS OF THE PAF BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY UPON ESTABLISHING MEMBERSHIP ON THE BOARD AND AGAIN ANNUALLY AT THE DIRECTION OF THE EXECUTIVE COMMITTEE. EACH MEMBER MUST DISCLOSE ANY/ALL KNOWN CONFLICTS OF INTEREST AT THAT TIME. IF ANY CONFLICTS OF INTEREST ARE NOTED MORE INFORMATION WILL BE GATHERED BY THE EXECUTIVE COMMITTEE AND A DETERMINATION ON THE EXISTENCE OF A MATERIAL CONFLICT WILL BE ISSUED. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH ENFORCEMENT OF THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 15PATIENT ADVOCATE FOUNDATION COMMISSIONS INDEPENDENT COMPENSATION STUDIES THAT UTILIZE NATIONAL COMPARABILITY DATA OF ORGANIZATIONS SIMILAR IN MISSION, SIZE AND REVENUES. PAF HAS A COMPENSATION COMMITTEE WITHIN THE BOARD OF DIRECTORS THAT CONSISTS OF FOUR (4) EXECUTIVE BOARD MEMBERS AND IS CHAIRED BY THE BOARD PRESIDENT. THIS COMMITTEE IS PROVIDED WITH THE INDEPENDENTLY PRODUCED COMPENSATION REPORT AND UTILIZES IT TO ESTABLISH THE CEO'S ANNUAL COMPENSATION. THIS COMMITTEE ALSO REVIEWS THE COMPENSATION OF KEY EMPLOYEES UTILIZING THE COMPENSATION REPORT. THIS PROCESS IS DOCUMENTED THROUGH MINUTES OF THE COMPENSATION COMMITTEE MEETING.
FORM 990, PART VI, SECTION C, LINE 19PATIENT ADVOCATE FOUNDATION MAKES AVAILABLE THE LAST 8 YEARS OF FORM 990'S, AUDITED FINANCIAL STATEMENTS, ANNUAL REPORTS AND CURRENT LIST OF BOARD MEMBERS ON THE ORGANIZATION'S WEBSITE, WWW.PATIENTADVOCATE.ORG UNDER THE "MEET PAF" SECTION. ADDITIONALLY, PAF MAKES AVAILABLE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, ARCHIVED FORM 990'S (OLDER THAN 8 YEARS) AND AUDITED FINANCIAL STATEMENTS (OLDER THAN 8 YEARS) UPON REQUEST.
FORM 990 - PART VII - SECTION A - COLUMN D / FORM 990 - SCHEDULE J - PART ITHE REPORTABLE COMPENSATION FROM THE ORGANIZATION PAID TO NANCY DAVENPORT-ENNIS, CEO, IN 2011 WAS INCLUSIVE OF A $280,000 RETIREMENT CATCH UP CONTRIBUTION ASSOCIATED WITH HER SERVICES AS FOUNDER AND CEO OVER THE PAST 15 YEARS. THE RETIREMENT CATCH UP CONTRIBUTION LEVEL WAS DEFINED AS APPROPRIATE THROUGH AN INDENPENDENT COMPENSATION AND RETIREMENT STUDY THAT WAS COMPLETED BY AN INDEPENDT COMPANSATION AND BENEFIT FIRM SELECTED BY THE BOARD OF DIRECTORS OF PAF AND NPAF. THE STUDY WAS COMPLETED IN 2010 AND PRESENTED TO THE BOARD OF DIRECTORS BY THE INDPENDENT PREPARERS FOR THEIR CONSIDERATION AND APPROVAL. THE BOARD OF DIRECTORS DEFINED AND APPROVED THE RETIREMENT CATCH UP CONTRIBUTION IN SEPTEMBER 2010 FOR PAYMENT BEGINNING IN DECEMBER 2010 AND CONTINUING FOR A 3 YEAR PERIOD ENDING IN DECEMBER 2012.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -16,945.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XII, LINE 2CNO CHANGES WERE MADE TO THE ORGANIZATION'S OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.OVERSIGHT / SELECTION PROCESS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NATIONAL PATIENT ADVOCATE FOUNDATION (NPAF)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1725 15TH STREETAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode
FieldValueIRS element (for citing)
EIN541839226EIN
Primary ActivitiesSEEKS TO REMOVE OBSTACLES TO HEALTHCARE ACCESS FOR PATIENTSPrimaryActivities
Legal Domicile StateVALegalDomicileState
Exempt Code Section501(C)(4)ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PAF IS A SISTER ORG TO NPAF MS ENNIS CEO OF BOTH IS PAID FROM EACH ENTITYBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NATIONAL PATIENT ADVOCATE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionType
Amount Involved662500AmountInvolved

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