2012-12-17T15:18:41-06:00 2012-06-30 560747981 DIXON HUGHES GOODMAN LLP 701 TOWN CENTER DRIVE SUITE 700 NEWPORT NEWS VA 236064295 990 2011-07-01 541806317 PATIENT ADVOCATE FOUNDATION PATI 8005325274 421 BUTLER FARM ROAD HAMPTON VA 23666 NANCY DAVENPORT-ENNIS 7578736668 2012-12-13 1 JAMES M HAGGARD P00100566 7578731033 2011 2016-02-24 21:20:13Z NANCY DAVENPORT-ENNIS 421 BUTLER FARM ROAD HAMPTON VA 23666 37688228 0 X WWW.PATIENTADVOCATE.ORG X 1996 VA PATIENT 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. 15 14 257 39 0 0 40570618 31911081 3915224 4965656 270932 251249 252197 90330 45008971 37218316 19119842 33406623 0 0 11430684 10938218 0 0 1082918 5291913 5831840 35842439 50176681 9166532 -12958365 46120293 31786946 3484941 2126904 42635352 29660042 X PATIENT 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. 0 0 6707174 93850 116794 PATIENT 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. 37619553 33312773 IN 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. 2900039 4965656 IN 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. 47226766 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 1 0 1 6 0 1 257 1 0 0 0 0 1 1 1 1 0 0 X 15 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X X X CORPORATE OFFICE 7578736668 421 BUTLER FARM ROAD HAMPTON VA 23666 X NANCY DAVENPORT-ENNIS SEE SCH O 40.00 X X 469827 98073 11731 DENNIS A GASTINEAU 5.00 X X 0 0 0 LEAH LOCK-ARNETT 5.00 X X 0 0 0 ALAN J BALCH 5.00 X 0 0 0 PEARL MOORE 5.00 X 0 0 0 JOHN L MURPHY 5.00 X 0 0 0 BRUCE AVERY 5.00 X 0 0 0 CHRISTIAN G DOWNS 5.00 X 0 0 0 DEBORAH PARHAM HOPSON 5.00 X 0 0 0 LOVELL JONES 5.00 X 0 0 0 REED V TUCKSON 5.00 X 0 0 0 ROBERT M RIFKIN 5.00 X 0 0 0 LORI WILLIAMS 5.00 X 0 0 0 ROY RAMTHUM 5.00 X 0 0 0 MEG GAINES 5.00 X 0 0 0 JOHN H ENNIS 40.00 X 121291 0 8557 FRAN CASTELLOW 40.00 X 152369 0 6095 DYNELLE LUNSFORD 40.00 X 141177 0 6786 WILLIAM NASON 40.00 X 169312 0 18320 BETH PATTERSON 40.00 X 143215 0 10374 ERIN MOARATTY 40.00 X 110798 0 11034 ALAN RICHARDSON 40.00 X 111410 0 8112 ANGELA M WOOD WALKER 40.00 X 138566 0 6202 JACK ESTEP 40.00 X 112015 0 9217 GEORGE EDWIN ANDERSON 40.00 X 110447 0 13122 1780427 98073 109550 12 0 1 0 AEROTEK PROFESSIONAL SERVICES 3689 COLLECTION CTR DR CHICAGO IL 60693 TEMPORARY STAFFING 632021 HEADWAY CORPORATE RESOURCES PO BOX 785381 PHILADELPHIA PA 19178 TEMPORARY STAFFING 217876 SCHMIDT PUBLIC AFFAIRS LLC 917 PRINCE STREET ALEXANDRIA VA 22314 CONSULTING / PUBLIC RELATIONS 146557 3 200000 291621 507562 30911898 37345 31911081 SERVICE CONTRACTS 541900 4965656 4965656 4965656 288925 288925 370000 369686 37990 314 -37990 -37676 -37990 314 35772 291621 62236 -26464 -26464 30104 0 30104 30104 DATA SALES 541900 86690 86690 86690 37218316 5044460 0 262775 300 300 33406323 33406323 1874065 700149 607679 566237 7483719 7011675 442177 29867 127219 117497 6995 2727 782925 656435 78027 48463 670290 547627 76413 46250 77009 5555 67204 4250 68477 68477 662500 619760 27780 14960 1098860 869314 128895 100651 151868 124077 17312 10479 1953429 1781523 103945 67961 753872 694219 43481 16172 340461 246165 3499 90797 177195 62828 55934 58433 85547 80368 4123 1056 351057 286814 40020 24223 73576 16137 57047 392 LOSS ON ABANDONMENT OF 37989 0 37989 0 50176681 47226766 1866997 1082918 3187235 1415140 39301787 26031769 102925 149943 581659 499862 86957 94500 235869 171200 2337039 936855 1542011 1400184 973310 1920717 108540 103631 46120293 31786946 631953 453431 2322968 1261366 530020 412107 3484941 2126904 X 2360255 1707558 38331347 26031769 1943750 1920715 42635352 29660042 46120293 31786946 X -12958365 -16945 X X 0 1 1 X 1 1 X 12635463 12260926 19914737 22345618 30823091 97979835 12635463 12260926 19914737 22345618 30823091 97979835 46078069 51901766 796707 532116 303332 271544 288925 2192624 100172459 20022496 0.51810 0.54540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 662500 662500 49514181 50176681 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 490000 600000 820000 662500 2572500 250000 250000 250000 250000 1000000 1500000 1943750 -23035 1920715 1974377 -30627 1943750 1975136 -759 1974377 1937483 37653 1975136 0 0 78896 4273 74623 1916143 932582 983561 342000 342000 1400184 ACCRUED VACATION 357156 LEASE OBLIGATION 54951 412107 37218316 50176681 -12958365 -16945 -16945 -12975310 37332205 -16945 68598 51653 37280552 -62236 -62236 37218316 50307515 68598 62236 130834 50176681 0 50176681 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. PROMISE OF HOPE 327393 291621 35772 10527 41209 10500 327393 291621 35772 10527 41209 10500 62236 -26464 1 SCHOLARSHIPS 9 24000 CO PAY RELIEF ASSISTANCE 36989 33233585 CANCER PREMIUM ASSISTANCE FUNDING 49 148738 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. X X X X X X 1 0 0 0 0 0 0 0 0 NANCY DAVENPORT-ENNIS SEE SCH O 139827 98073 330000 0 0 0 8040 0 4704 0 482571 98073 0 0 FRAN CASTELLOW 152369 0 0 0 0 0 6095 0 942 0 159406 0 0 0 WILLIAM NASON 169312 0 0 0 0 0 7020 0 12286 0 188618 0 0 0 BETH PATTERSON 143215 0 0 0 0 0 5202 0 6102 0 154519 0 0 0 PART I, LINE 4A PART I, LINE 4A: DYNELLE LUNSFORD - CONFIDENTIAL BASED ON TERMS OF EMPLOYMENT TERMINATION AGREEMENT NANCY DAVENPORT-ENNIS CEO-NPAF 662500 RELATED 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. 0 X 9 1110 RETAIL VALUE X 11936 RETAIL VALUE X 26 4640 RETAIL VALUE X JEWELERY/ACCESSORIES 82 4910 RETAIL VALUE X GIFT BASKETS 97 10772 RETAIL VALUE X FURNITURE / FIXTURES 4 3977 RETAIL VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 JOHN 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 11 THE 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 12C MEMBERS 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 15 PATIENT 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 19 PATIENT 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 I THE 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -16,945. OVERSIGHT / SELECTION PROCESS PART XII, LINE 2C NO CHANGES WERE MADE TO THE ORGANIZATION'S OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. NATIONAL PATIENT ADVOCATE FOUNDATION (NPAF) 725 15TH STREET WASHINGTON DC 20005 541839226 SEEKS TO REMOVE OBSTACLES TO HEALTHCARE ACCESS FOR PATIENTS VA 501(C)(4) PAF IS A SISTER ORG TO NPAF MS ENNIS CEO OF BOTH IS PAID FROM EACH ENTITY 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 NATIONAL PATIENT ADVOCATE FOUNDATION L 662500