PATIENT ACCESS NETWORK FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PATIENT ACCESS NETWORK FOUNDATION (EIN 20-1184743)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-05
- IRS object ID
- 201212799349300321
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-05T11:39:59-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560574444 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT & HOLLAND LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 METROPOLITAN AVENUE SUITE 1000 | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201184743 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATIENT ACCESS NETWORK FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PATI | NameControl |
| Phone | 2023479272 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1331 F STREET NO 975 | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20004 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICK MCKERCHER | Name |
| Title | PRESIDENT | Title |
| Phone | 2023479272 | Phone |
| Date Signed | 2012-10-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JANICE A RATICA | Name |
| PTIN | P00358837 | PTIN |
| Phone | 7043771678 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PATRICK MCKERCHER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1331 F STREET NO 975 | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 171565334 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PANFOUNDATION.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | DC | StateLegalDomicile |
| Activity Or Mission Description | HELPING UNDERINSURED PATIENTS ACCESS NEEDED MEDICAL TREATMENTS THROUGH CO-PAYMENT ASSISTANCE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 35551233 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 83632322 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2954255 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5122736 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 38505488 | TotalRevenuePriorYear |
| Total Revenue Current Year | 88755058 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 37562665 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 28379485 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 616785 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 707467 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 641883 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7003349 | OtherExpensePriorYear |
| Other Expenses Current Year | 6215872 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 45182799 | TotalExpensesPriorYear |
| Total Expenses Current Year | 35302824 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6677311 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 53452234 | RevenuesLessExpensesCY |
| Total Assets BOY | 82276880 | TotalAssetsBOY |
| Total Assets EOY | 132290472 | TotalAssetsEOY |
| Total Liabilities BOY | 5937330 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3001610 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 76339550 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 129288862 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PATIENT ACCESS NETWORK (PAN) FOUNDATION OFFERS HELP AND HOPE TO PEOPLE WITH CHRONIC OR LIFE THREATENING ILLNESSES WHO OTHERWISE CANNOT AFFORD BREAKTHROUGH MEDICAL TREATMENTS. IN JUST SIX YEARS, PAN HAS HELPED OVER 110,860 PATIENTS BY PROVIDING NEARLY $187,245,807 IN FINANCIAL ASSISTANCE THROUGH OUR ADVOCACY FOR THE GROWING UNDERINSURED POPULATION STRUGGLING WITH INCREASING OUT-OF-POCKET COSTS.THROUGH A SIMPLE AND QUICK APPLICATION PROCESS, PAN PROVIDES CO-PAYMENT ASSISTANCE TO PATIENTS WITH INSURANCE, INCOME LEVELS BELOW 300% TO 500% OF THE FEDERAL POVERTY LEVEL, WHO LIVE IN A US STATE OR TERRITORY, AND NEED ASSISTANCE FOR MEDICATIONS RELATED TO 37 ONCOLOGY AND CHRONIC DISEASES. THESE 37 CONDITIONS INCLUDE BREAST CANCER, LUNG CANCER, PANCREATIC CANCER, MULTIPLE MYELOMA, CYSTIC FIBROSIS AND KIDNEY TRANSPLANTS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 32203890 | Expense |
| Grants | 28379485 | Grants |
| Description | APPROVED 6,002 HEPATITIS C, MULTIPLE MYELOMA, SOLID ORGAN TRANSPLANT IMMUNOSUPPRESSANT AND SECONDARY HYPERPARATHYROIDISM PATIENTS AND PROVIDED FINANCIAL ASSISTANCE TO HELP PAY FOR MEDICATIONS.APPROVED 7,297 PATIENTS WITH OTHER DISEASES AND PROVIDED FINANCIAL ASSISTANCE TO HELP PAY FOR MEDICATIONS. | Description |
| Total Program Service Expense | 32203890 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1320 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 6 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | DC | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | AL | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | AK | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | AR | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | CO | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | KS | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | KY | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MD | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MS | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NM | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | ND | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | OK | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | RI | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | SC | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | TN | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | UT | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | WV | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | HI | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | AZ | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MO | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICK MCKERCHER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2023479271 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1331 F STREET NW SUITE 975 | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20004 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| LYN BOOCOCK-TAYLOR | |||||||
| DIRECTOR/CHAIR | 10.00 | X | X | 9000 | 0 | 0 | |
| STEPHEN F LOEBS PHD | |||||||
| DIRECTOR/TREASURER/SECRETARY | 5.00 | X | X | 12000 | 0 | 0 | |
| ROBERT E SMITH MD | |||||||
| DIRECTOR | 5.00 | X | 3000 | 0 | 0 | ||
| MICHAEL C GERALD PHD | |||||||
| DIRECTOR | 5.00 | X | 12000 | 0 | 0 | ||
| KIM SCHWARTZ | |||||||
| DIRECTOR | 5.00 | X | 11000 | 0 | 0 | ||
| ALLAN GOLDSTEIN MD | |||||||
| DIRECTOR | 5.00 | X | 12000 | 0 | 0 | ||
| ANITA PLOTINSKY PHD | |||||||
| DIRECTOR | 5.00 | X | 12000 | 0 | 0 | ||
| MICHAEL O'GRADY | |||||||
| DIRECTOR | 5.00 | X | 12000 | 0 | 0 | ||
| FRED SCHNELL MD | |||||||
| DIRECTOR | 5.00 | X | 12000 | 0 | 0 | ||
| PATRICK L MCKERCHER PHD | |||||||
| DIRECTOR | 5.00 | X | 3000 | 0 | 0 | ||
| IAN D SPATZ JD | |||||||
| DIRECTOR | 5.00 | X | 6000 | 0 | 0 | ||
| PATRICK L MCKERCHER PHD | |||||||
| PRESIDENT (BEGAN 08/15/11) | 40.00 | X | 89015 | 0 | 4180 | ||
| DONNA ROMAN | |||||||
| PRESIDENT (THRU 04/15/11) | 40.00 | X | 52222 | 0 | 1179 | ||
| KORAB ZUKA | |||||||
| VICE PRESIDENT | 40.00 | 184133 | 0 | 15633 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 429370 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 20992 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THE LASH GROUP INC | |||||
| 3735 GLEN LAKE DRIVE | CHARLOTTE | NC | 28208 | PATIENT ASSISTANCE | 4682126 |
| MCKERCHER ASSOCIATES | |||||
| 2212 S PARK ST | KALAMAZOO | MI | 49001 | CONSULTING SERVICES | 111000 |
| GOLINHARRIS INTERNATIONAL | |||||
| 111 E WACKER DR STE 1100 | CHICAGO | IL | 60601 | COMMUNICATIONS SERVICES | 108846 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| All Other Contributions | 83632322 | AllOtherContributions |
| Total Contributions | 83632322 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3798553 | TotalRevenueColumn |
| Exclusion | $3,798,553 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 84134459 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 82810276 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1324183 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1324183 | TotalRevenueColumn |
| Exclusion | $1,324,183 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 88755058 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $5,122,736 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20090860 | Total |
| Program Services | 20090860 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8288625 | Total |
| Program Services | 8288625 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450362 | Total |
| Management And General | 250596 | ManagementAndGeneral |
| Fundraising | 199766 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175226 | Total |
| Management And General | 59217 | ManagementAndGeneral |
| Fundraising | 116009 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15744 | Total |
| Management And General | 3666 | ManagementAndGeneral |
| Fundraising | 12078 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26574 | Total |
| Management And General | 10887 | ManagementAndGeneral |
| Fundraising | 15687 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39561 | Total |
| Management And General | 18207 | ManagementAndGeneral |
| Fundraising | 21354 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110627 | Total |
| Management And General | 110627 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172477 | Total |
| Management And General | 172477 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251418 | Total |
| Management And General | 251418 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1207667 | Total |
| Management And General | 1207667 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 221106 | Total |
| Fundraising | 221106 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71489 | Total |
| Management And General | 71489 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27553 | Total |
| Management And General | 27553 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114318 | Total |
| Management And General | 114318 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134392 | Total |
| Management And General | 134392 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3397 | Total |
| Fundraising | 3397 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11377 | Total |
| Management And General | 11377 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| FEES FOR PROGRAM OPERAT | 3686878 | 3686878 |
| ADMN COSTS-PHARMACY CAR | 104078 | 104078 |
| EDUCATION/AWARENESS | 33449 | 33449 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65646 | Total |
| Management And General | 13160 | ManagementAndGeneral |
| Fundraising | 52486 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35302824 | Total |
| Program Services | 32203890 | ProgramServices |
| Management And General | 2457051 | ManagementAndGeneral |
| Fundraising | 641883 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7188283 | BOY |
| EOY | 18518997 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 373235 | BOY |
| EOY | 11950000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 25049 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21702 | BOY |
| EOY | 23854 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 52612 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13744 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5057 | BOY |
| EOY | 38868 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74688603 | BOY |
| EOY | 101733704 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82276880 | BOY |
| EOY | 132290472 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5937330 | BOY |
| EOY | 3001610 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5937330 | BOY |
| EOY | 3001610 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4208137 | BOY |
| EOY | 6268902 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72131413 | BOY |
| EOY | 123019960 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76339550 | BOY |
| EOY | 129288862 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82276880 | BOY |
| EOY | 132290472 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 53452234 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -502922 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 48197417 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 54511561 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34511711 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35551233 | CurrentTaxYearMinus1Year |
| Current Tax Year | 83632322 | CurrentTaxYear |
| Total | 256404244 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 48197417 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 54511561 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34511711 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35551233 | CurrentTaxYearMinus1Year |
| Current Tax Year | 83632322 | CurrentTaxYear |
| Total | 256404244 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 206330073 | AmountsSubstContributorsTotal |
| Public Support Total170 | 50074171 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3112680 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2653011 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1258146 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2862450 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3798553 | CurrentTaxYear |
| Total | 13684840 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2852 | CurrentTaxYearMinus4Years |
| Total | 2852 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 270091936 | TotalSupport |
| Public Support Pertcentage170 | 0.19000 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.16000 | PublicSupportPertcentPriorYear |
| Ten Percent Test Current Year | X | TenPercentTestCurrentYear |
| Facts And Circumstances Test | PATIENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52612 | OtherCostOrOtherBasis |
| Depreciation | 13744 | Depreciation |
| Book Value | 38868 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 38868 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| EXCHANGE TRADED AND CLOSED END FUNDS | 26730540 | F |
| MUTUAL FUNDS | 31590719 | F |
| GOVERNMENT & AGENCY SECURITIES | 21915428 | F |
| CORPORATE BONDS | 21061936 | F |
| PREFERRED STOCK | 435081 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 101733704 | TotalOfBookValueSecurities |
| Total Revenue | 88755058 | TotalRevenue |
| Total Expenses | 35302824 | TotalExpenses |
| Excess Or Deficit For Year | 53452234 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -502922 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -502922 | TotalAdjustments |
| Excess Or Deficit Per FS | 52949312 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 88000718 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -502922 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -502922 | RevenueNotRptdF990 |
| Revenue Subtotal | 88503640 | RevenueSubtotal |
| Investment Expenses Not Included | 251418 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 251418 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 88755058 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 35051406 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 35051406 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 251418 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 251418 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 35302824 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | MANAGEMENT HAS EVALUATED THE EFFECT OF FASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS BY PRESCRIBING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE FOUNDATION'S POLICY IS TO RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE FOUNDATION, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION TAKEN BY MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. MANAGEMENT BELIEVES THERE ARE NO SUCH POSITIONS AS OF DECEMBER 31, 2011 AND 2010 AND, ACCORDINGLY, NO LIABILITY HAS BEEN ACCRUED. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (517 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|
| BLOCK AND GRATWICK PA | ||||||
| 275 UNION ST | BANGOR | ME | 04401 | 010347787 | 7499 | PATIENT ASSISTANCE |
| KLEYNBERG MEDICAL CLINIC | ||||||
| 6221 WILSHIRE BLVD 504 | LOS ANGELES | CA | 90048 | 010562626 | 6863 | PATIENT ASSISTANCE |
| RHEUM ASSOC OF BALTIMORE | ||||||
| 1220 B EAST JOPPA RD 310 | TOWSON | MD | 21286 | 010606079 | 10052 | PATIENT ASSISTANCE |
| WACCAMAW ONOCOLOGY | ||||||
| 2405 N FRASER ST | GEORGETOWN | SC | 29440 | 010638011 | 19091 | PATIENT ASSISTANCE |
| ROBERT LEVIN MD | ||||||
| 646 VIRGINIA ST 4TH FLR | DUNEDIN | FL | 34698 | 010694322 | 8237 | PATIENT ASSISTANCE |
| FLORIDA CANCER INSTITUTE | ||||||
| PO BOX 863245 | ORLANDO | FL | 32886 | 010749843 | 47899 | PATIENT ASSISTANCE |
| EYE MDS OF QUICY SC | ||||||
| 709 BROADWAY | QUINCY | IL | 62301 | 020778080 | 14693 | PATIENT ASSISTANCE |
| DANA FARBER CANCER INSTITUTE INC | ||||||
| PO BOX 414744 | BOSTON | MA | 02241 | 042263040 | 9100 | PATIENT ASSISTANCE |
| SHANKAR GARG MD | ||||||
| 10 WINTHROP ST 15 | WORCESTER | MA | 01604 | 042547376 | 5341 | PATIENT ASSISTANCE |
| COMMONWEALTH HEMATOLOGY ONCOLOGY | ||||||
| 10 WILLARD ST | QUINCY | MA | 02169 | 043296910 | 5371 | PATIENT ASSISTANCE |
| ANIL N RAIKER MD PLC | ||||||
| 6499 38TH AVE N G1 | SAINT PETERSBURG | FL | 33710 | 043589781 | 5753 | PATIENT ASSISTANCE |
| EAST VALLEY ONCOLOGISTS & HEMATOLOGY | ||||||
| 600 S DOBSON RD BLDG B 10 | CHANDLER | AZ | 85224 | 043719964 | 18391 | PATIENT ASSISTANCE |
| J SCOTT TODER | ||||||
| 1524 ATWOOD AVE 333 | JOHNSTON | RI | 02919 | 050414921 | 8745 | PATIENT ASSISTANCE |
| HEMATOLOGY & ONCOLOGY ASSOC OF RI INC | ||||||
| 1220 PONTIAC AVE 101 | CRANSTON | RI | 02920 | 050475195 | 17712 | PATIENT ASSISTANCE |
| RETINA CONSULTANTS PC | ||||||
| 85 SEYMOUR ST | HARTFORD | CT | 06106 | 060968937 | 7931 | PATIENT ASSISTANCE |
| TSUYOSHI INOSHITA MD | ||||||
| 916 11 TH ST | NEW BOSTON | OH | 45662 | 061664385 | 24298 | PATIENT ASSISTANCE |
| OCALA CANCER INSTITUTE INC | ||||||
| 2820 SE 3RD CT 2 | OCALA | FL | 34471 | 061720582 | 13551 | PATIENT ASSISTANCE |
| LONG ISLAND VITREO RETINAL CONSULTANTS | ||||||
| 600 NORTHERN BLVD 216 | GREAT NECK | NY | 11021 | 112566918 | 9821 | PATIENT ASSISTANCE |
| SOUTH SHORE HEMAONCOLOGY ASSOC | ||||||
| 242 MERRICK RD 301 | ROCKVILLE CENTRE | NY | 11570 | 112657566 | 5817 | PATIENT ASSISTANCE |
| PARK SLOPE MEDICINE PC | ||||||
| PO BOX 5450 | NEW YORK | NY | 10087 | 113362663 | 6275 | PATIENT ASSISTANCE |
| CARECENTRIX | ||||||
| PO BOX 277947 | ATLANTA | GA | 30384 | 113454103 | 12477 | PATIENT ASSISTANCE |
| MARYLAND ONCOLOGY AND HEMATOLOGY | ||||||
| 11065 LITTLE PATUXENT PKWY | COLUMBIA | MD | 21044 | 113652573 | 6118 | PATIENT ASSISTANCE |
| RETINA CONSULTATIONS | ||||||
| 915 PALMER RD | BRONXVILLE | NY | 10708 | 133384277 | 33656 | PATIENT ASSISTANCE |
| QUEENS MEDICAL ASSOCIATES | ||||||
| 176-60 UNION TPKE 360 | FRESH MEADOWS | NY | 11365 | 134145867 | 40181 | PATIENT ASSISTANCE |
| NEW YORK ONCOLOGY & HEMATOLOGY | ||||||
| PO BOX 18259 | NEWARK | NJ | 07191 | 141799724 | 29481 | PATIENT ASSISTANCE |
| RETINA ASSOCIATES OF WESTERN NEW YORK | ||||||
| 160 SAWGRASS DR 200 | ROCHESTER | NY | 14620 | 161182825 | 11178 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY OF CENTRAL NY | ||||||
| PO BOX 2010 | EAST SYRACUSE | NY | 13057 | 161184100 | 12167 | PATIENT ASSISTANCE |
| THE EYE CARE CENTER | ||||||
| 325 WEST ST | CANANDAIGUA | NY | 14424 | 161233573 | 8491 | PATIENT ASSISTANCE |
| JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY LLC | ||||||
| 21 PORTER AVE | JAMESTOWN | NY | 14701 | 161577910 | 6122 | PATIENT ASSISTANCE |
| BROOME ONCOLOGY | ||||||
| 30 HARRISON ST 100 | JOHNSON CITY | NY | 13790 | 161611703 | 16344 | PATIENT ASSISTANCE |
| RETINA HEALTH CTR | ||||||
| 1567 HAYLEY LN | FORT MYERS | FL | 33907 | 161625376 | 14091 | PATIENT ASSISTANCE |
| RIO BRAVO CANCER & BLOOD PA | ||||||
| 1301 AVENUE G | DEL RIO | TX | 78840 | 200148164 | 6740 | PATIENT ASSISTANCE |
| SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATES | ||||||
| 148 WEST NORTH ST | SPRINGFIELD | OH | 45504 | 200240117 | 23048 | PATIENT ASSISTANCE |
| TLC CANCER CLINIC | ||||||
| 1600 SIXTH AVE 101 | PA | PA | 17403 | 200381821 | 6804 | PATIENT ASSISTANCE |
| ARTHRITIS & RHEUMATOLOGY ASSOC OF PALM BEACH | ||||||
| 1515 N FLAGER DR 620 | WEST PALM BEACH | FL | 33401 | 200468264 | 13756 | PATIENT ASSISTANCE |
| CANCER CENTER INSTITUTE OF CAROLINA | ||||||
| 111 MIRACLE DR | AIKEN | SC | 29801 | 200566725 | 8581 | PATIENT ASSISTANCE |
| MONTGOMERY CANCER CTR | ||||||
| 644 MAYSVILLE RD 10 | MOUNT STERLING | KY | 40353 | 200671902 | 7181 | PATIENT ASSISTANCE |
| TENNESSEE CANCER SPECIALISTS | ||||||
| PO BOX 10988 | KNOXVILLE | TN | 37939 | 200677400 | 156550 | PATIENT ASSISTANCE |
| HARSHI BAINS MD PA | ||||||
| 1519 E FRONT ST | TYLER | TX | 75702 | 200937057 | 7194 | PATIENT ASSISTANCE |
| CENTRAL COAST MEDICAL ONCOLOGY | ||||||
| 220 S PALISADE DR 204 | SANTA MARIA | CA | 93454 | 201223204 | 19632 | PATIENT ASSISTANCE |
| NORTH WEST FLA HEM ONC P A | ||||||
| 301 W 26TH ST | LYNN HAVEN | FL | 32444 | 201606423 | 34617 | PATIENT ASSISTANCE |
| KENNETH E STARK MD | ||||||
| 1613 BANNING BEACH RD | TAVARES | FL | 32778 | 201723835 | 8486 | PATIENT ASSISTANCE |
| NORTHEAST GA CANCER CARE | ||||||
| 3320 OLD JEFFERSON RD 700 | ATHENS | GA | 30607 | 201842623 | 18492 | PATIENT ASSISTANCE |
| VICTOR MELGEN MD | ||||||
| 938 SAXON BLVD | ORANGE CITY | FL | 32763 | 201908250 | 26776 | PATIENT ASSISTANCE |
| ONCOLOGY HEMATOLOGY RADIATION LLC | ||||||
| PO BOX 864381 | ORLANDO | FL | 32886 | 202627516 | 61418 | PATIENT ASSISTANCE |
| DAYTON PHYSICIANS LLC | ||||||
| PO BOX 635098 | CINCINNATI | OH | 45263 | 203130844 | 49718 | PATIENT ASSISTANCE |
| CANCER CTRS OF SW OK | ||||||
| PO BOX 6130 | LAWTON | OK | 73505 | 203315309 | 6081 | PATIENT ASSISTANCE |
| STEVE PERKINS MD SRIDEVI JUVVADI MD NAROTHAM | ||||||
| 5939 HARRY HINES BLVD 800 | DALLAS | TX | 75235 | 203687364 | 5644 | PATIENT ASSISTANCE |
| REGIONAL CANCER CARE | ||||||
| 4411 BEN FRANKLIN RD | DURHAM | NC | 27704 | 203911637 | 18882 | PATIENT ASSISTANCE |
| VIDALIA REGIONAL CANCER CENTER | ||||||
| 1707 MEADOWS LN C | VIDALIA | GA | 30474 | 203954745 | 10274 | PATIENT ASSISTANCE |
| HEMATOLOGY AND ONCOLOGY CENTER PLLC | ||||||
| 401 BOYLE ST 101 | SOMERSET | KY | 42503 | 204095847 | 40100 | PATIENT ASSISTANCE |
| NORTHCAL HEMATOLOGY ONCOLOGY INC | ||||||
| 11795 EDUCATION ST 220 | AUBURN | CA | 95602 | 204473377 | 5698 | PATIENT ASSISTANCE |
| MEDICAL OFFICE OF FREDERICK AST | ||||||
| PO BOX 1750 | NEW YORK | NY | 10156 | 205044321 | 7751 | PATIENT ASSISTANCE |
| OLATHE CANCER CENTER | ||||||
| 20375 W 151ST ST | OLATHE | KS | 66061 | 205243667 | 22802 | PATIENT ASSISTANCE |
| FLORIDA MEDICAL SPECIALISTS | ||||||
| PO BOX 850001 | ORLANDO | FL | 32885 | 205283786 | 5047 | PATIENT ASSISTANCE |
| CHARLESTON HEMATOLOGY ONCOLOGY ASSOC | ||||||
| PO BOX 890513 | CHARLOTTE | NC | 28289 | 205615148 | 8011 | PATIENT ASSISTANCE |
| MARK H NELSON MD PA | ||||||
| 750 HIGHLAND OAKS DR 100 | WINSTON SALEM | NC | 27103 | 205932901 | 7149 | PATIENT ASSISTANCE |
| SOUTHERN CANCER CENTER | ||||||
| 29653 ANCHOR CROSS BLVD | DAPHNE | AL | 36526 | 208097639 | 30825 | PATIENT ASSISTANCE |
| MANDELL RETINA CENTER PC | ||||||
| 397 LITTLE NECK RD | VIRGINIA BCH | VA | 23452 | 208242063 | 7764 | PATIENT ASSISTANCE |
| ASSOCIATED RETINAL CONSULTANTS | ||||||
| 1700 GALLOPING HILL RD | KENILWORTH | NJ | 07033 | 208346981 | 34340 | PATIENT ASSISTANCE |
| AGAJANIAN INSTITUTE OF ONCOLOGY HEMATOLOGY | ||||||
| 11480 BROOKSHIRE AVE 309 | DOWNEY | CA | 90241 | 208366709 | 68179 | PATIENT ASSISTANCE |
| NAVJEET GANDHOK MD | ||||||
| PO BOX 29338 DEPT 1009 | PHOENIX | AZ | 85038 | 208391890 | 9678 | PATIENT ASSISTANCE |
| SOUTHERN VITREORETINAL ASSOC | ||||||
| 2439 CARE DR | TALLAHASSEE | FL | 32308 | 208515285 | 53195 | PATIENT ASSISTANCE |
| 21ST CENTURY ONCOLOGY | ||||||
| PO BOX 116954 | ATLANTA | GA | 30368 | 208754308 | 52557 | PATIENT ASSISTANCE |
| SOUTHWESTERN VERMONT MEDICAL CENTER | ||||||
| PO BOX 1361 | SAINT GEORGE | VT | 05495 | 222563241 | 6807 | PATIENT ASSISTANCE |
| NEW JERSEY ASSOCIATES IN MEDICINE PA | ||||||
| 3100 BROADWAY | FAIR LAWN | NJ | 07410 | 223001282 | 5548 | PATIENT ASSISTANCE |
| CALIFORNIA RETINA CONSULTANTS | ||||||
| 515 E MICHELTORENA ST C | SANTA BARBARA | CA | 93103 | 223697030 | 8294 | PATIENT ASSISTANCE |
| BERKS HEMATOLOGY ONCOLOGY ASSOC | ||||||
| PO BOX 16052 | READING | PA | 19612 | 231886915 | 26161 | PATIENT ASSISTANCE |
| RETINOVITREOUS ASSOCIATES- WYNDMOOR | ||||||
| PO BOX 7780 1600 | PHILADELPHIA | PA | 19182 | 231932869 | 15528 | PATIENT ASSISTANCE |
| ASSOCIATES IN HEMATOLOGY-ONCOLOGY | ||||||
| 1 MEDICAL CENTER BLVD STE 341 | CHESTER | PA | 19013 | 232131037 | 11100 | PATIENT ASSISTANCE |
| GREATER PHILADELPHIA CANCER & HEMATOLOGY | ||||||
| 3998 RED LION RD 130 | PHILADELPHIA | PA | 19114 | 232142664 | 18569 | PATIENT ASSISTANCE |
| PENNSYLVANIA RETINA SPECIALISTS | ||||||
| 220 GRANDVIEW AVE SUITE 200 | CAMP HILL | PA | 17011 | 232152842 | 42021 | PATIENT ASSISTANCE |
| MEDICAL ONCOLOGY ASSOC | ||||||
| 382 PIERCE ST | KINGSTON | PA | 18704 | 232170323 | 5171 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY ASSOCIATES | ||||||
| 33 CHESTER PIKE | RIDLEY PARK | PA | 19078 | 232177670 | 5699 | PATIENT ASSISTANCE |
| BENJAMIN BLOOM MD | ||||||
| TWO PENN BLVD 117 | PHILA | PA | 19144 | 232236571 | 9114 | PATIENT ASSISTANCE |
| ANDREWS & PATEL ASSOC | ||||||
| COMMERCE PARK PROFESSIONAL CTR | EXPEDITION TRL GETTYS | PA | 17325 | 232586060 | 7265 | PATIENT ASSISTANCE |
| CANCER CARE OF CENTRAL PA | ||||||
| 2 E 18TH ST | SELINSGROVE | PA | 17870 | 232684021 | 14894 | PATIENT ASSISTANCE |
| AIKEN REGIONAL MEDICAL CENTER | ||||||
| PO BOX 198865 | ATLANTA | GA | 30384 | 232791808 | 7500 | PATIENT ASSISTANCE |
| ELLEN M FIELD MD | ||||||
| 1665 VALLEY CENTER PKWY 150 | BETHLEHEM | PA | 18017 | 232939316 | 5009 | PATIENT ASSISTANCE |
| PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES | ||||||
| PO BOX 828078 | PHILADELPHIA | PA | 19162 | 232972833 | 13240 | PATIENT ASSISTANCE |
| SHARON REGIONAL HEALTH SYSTEM | ||||||
| 2320 HIGHLAND RD | HERMITAGE | PA | 16148 | 250979377 | 10959 | PATIENT ASSISTANCE |
| ONCOLOGY HEMATOLOGY ASSOC | ||||||
| PO BOX 643042 | PITTSBURGH | PA | 15264 | 251762980 | 13508 | PATIENT ASSISTANCE |
| ONCOLOGY HEMATOLOGY ASSOC OF NORTHERN PAPC | ||||||
| PO BOX 447 | DU BOIS | PA | 15801 | 251886123 | 14726 | PATIENT ASSISTANCE |
| ORTHOPEDIC SPORTS MEDICINE SPE | ||||||
| 720 S VAN BUREN ST 101 | GREEN BAY | WI | 54301 | 261132759 | 15499 | PATIENT ASSISTANCE |
| SYED N RAZA MD | ||||||
| PO BOX 2219 | UNIVERSAL CITY | TX | 78148 | 261211885 | 52131 | PATIENT ASSISTANCE |
| WOODLANDS MEDICAL SPECIALISTS PA | ||||||
| 1717 NORTH E STREET 231 | PENSACOLA | FL | 32501 | 261802830 | 9839 | PATIENT ASSISTANCE |
| CENTRAL PLAINS EYE MDS LLC | ||||||
| 7717 E 29TH 100 | BEL AIRE | KS | 67226 | 262298905 | 16862 | PATIENT ASSISTANCE |
| SUMEET K MENDONCA MD | ||||||
| PO BOX 52840 | PHOENIX | AZ | 85072 | 262555893 | 14239 | PATIENT ASSISTANCE |
| FIRST HEALTH-UNCHCS LLC | ||||||
| PO BOX 24427 | WINSTON SALEM | NC | 27114 | 262568199 | 5144 | PATIENT ASSISTANCE |
| VISTA ONCOLOGY INC PS | ||||||
| 410 BLACK HILLS LN SW C | OLYMPIA | WA | 98502 | 262768163 | 5339 | PATIENT ASSISTANCE |
| RICHMOND CANCER AND BLOOD DISEASE CTR INC | ||||||
| PO BOX 517 | RICHMOND | IN | 47374 | 263064027 | 62512 | PATIENT ASSISTANCE |
| NEW VISION EYE CTR | ||||||
| 777 37TH ST D103 | VERO BEACH | FL | 32960 | 270354278 | 6825 | PATIENT ASSISTANCE |
| LAKELAND MEDICAL PRACTICES | ||||||
| PO BOX 458 | NILES | MI | 49120 | 270381199 | 5200 | PATIENT ASSISTANCE |
| KRISHNAN HEMATOLOGY ONCOLOGY ASSOC | ||||||
| PO BOX 2595 | ELLICOTT CITY | MD | 21041 | 270597913 | 13833 | PATIENT ASSISTANCE |
| INTEGRITY ONCOLOGY | ||||||
| PO BOX 5116 | MEMPHIS | TN | 38101 | 270830591 | 75377 | PATIENT ASSISTANCE |
| GLOBAL ONCOLOGY | ||||||
| 600 N GARFIELD AVE 210 | MONTEREY PARK | CA | 91754 | 271426142 | 10717 | PATIENT ASSISTANCE |
| BOX ARTHRITIS & RHEUMATOLOGY OF THE CAROLINAS | ||||||
| 10502 PARK RD 100 | CHARLOTTE | NC | 28210 | 271622318 | 5856 | PATIENT ASSISTANCE |
| DENTON CANCER CENTER PLLC | ||||||
| PO BOX 741178 | ATLANTA | GA | 30374 | 272312769 | 5141 | PATIENT ASSISTANCE |
| CANCER CARE CENTER PC | ||||||
| 1310 14TH AVE SE | DECATUR | AL | 35601 | 274384748 | 5275 | PATIENT ASSISTANCE |
| LUTHERRVILLE HEMATOLOGY ONCOLOGY SERVICE LLC | ||||||
| PO BOX 824407 | PHILA | PA | 19182 | 274697590 | 5259 | PATIENT ASSISTANCE |
| JAMES POWERS DO PA | ||||||
| 2002 COFFEE POT BLVD NE | ST PETERSBURG | FL | 33704 | 300183763 | 6074 | PATIENT ASSISTANCE |
| GOOD SAMARITAN HOSPITAL | ||||||
| PO BOX 2537 | DAYTON | OH | 45401 | 310536981 | 13760 | PATIENT ASSISTANCE |
| HEMATOLOGY AND ONCOLOGY | ||||||
| 495 COOPER RD STE 225 | WESTERVILLE | OH | 43081 | 310957876 | 14076 | PATIENT ASSISTANCE |
| ONCOLOGY HEMATOLOGY CARE | ||||||
| PO BOX 641174 | CINCINNATI | OH | 45264 | 311106418 | 59204 | PATIENT ASSISTANCE |
| MID OHIO ONCOLOGYHEMATOLOGY | ||||||
| 3100 PLAZA PROPERTIES BLVD | COLUMBUS | OH | 43222 | 311141868 | 65704 | PATIENT ASSISTANCE |
| ALLIANCE PHYSICIANS INC | ||||||
| PO BOX 711808 | COLUMBUS | OH | 43271 | 311175717 | 20294 | PATIENT ASSISTANCE |
| COLUMBUS ARTHRITIS CTR | ||||||
| 1211 DUBLIN RD | COLUMBUS | OH | 43215 | 311425166 | 16414 | PATIENT ASSISTANCE |
| ARVIND B SHAH MD INC | ||||||
| 401 DIVISION ST 100 | CHARLESTON | WV | 25309 | 311547442 | 21421 | PATIENT ASSISTANCE |
| OHIO CANCER SPECIALISTS | ||||||
| 1125 ASPIRA CT | MANSFIELD | OH | 44906 | 311652645 | 20782 | PATIENT ASSISTANCE |
| NORTHERN MI HEMATOLOGY ONCOLOGY | ||||||
| 416 CONNABLE AVE | PETOSKEY | MI | 49770 | 320020293 | 5958 | PATIENT ASSISTANCE |
| HOPE LLC | ||||||
| DEPT 6021 | CAROL STREAM | IL | 60122 | 320081761 | 8674 | PATIENT ASSISTANCE |
| KOUSAY AL-KOURAINY MD | ||||||
| 480 4TH AVE 409 | CHULA VISTA | CA | 91910 | 330108259 | 10223 | PATIENT ASSISTANCE |
| MEDICAL INSTITUTE LCM | ||||||
| PO BOX 541034 | LOS ANGELES | CA | 90054 | 330283773 | 7295 | PATIENT ASSISTANCE |
| SAN DIEGO PACIFIC ONCOLOGY & HEMATOLOGY ASSOC | ||||||
| 9850 GENESEE AVE 830 | LA JOLLA | CA | 92037 | 330373680 | 14730 | PATIENT ASSISTANCE |
| PACIFIC SHORES MED GROUP | ||||||
| 1043 ELM AVE STE 104 | LONG BEACH | CA | 90813 | 330553940 | 12896 | PATIENT ASSISTANCE |
| CANCER CTR ONCOLOGY MED | ||||||
| 5555 GROSSMONT CTR DR | LA MESA | CA | 91942 | 330565963 | 115125 | PATIENT ASSISTANCE |
| MEDICAL ONCOLOGY ASSOC OF SAN DIEGO | ||||||
| 3075 HEALTH CENTER DR 102 | SAN DIEGO | CA | 92123 | 330590652 | 16192 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY CONSULTANTS | ||||||
| 301 N SAN JACINTO ST | HEMET | CA | 92543 | 330643850 | 20970 | PATIENT ASSISTANCE |
| DESERT VALLEY MEDICAL GROUP | ||||||
| 16850 BEAR VALLEY RD 202 | VICTORVILLE | CA | 92395 | 330674406 | 7823 | PATIENT ASSISTANCE |
| AULTMAN INFUSION HOSPITAL | ||||||
| 2821 WOODLAWN AVE NW | CANTON | OH | 44708 | 340714538 | 7500 | PATIENT ASSISTANCE |
| TOLEDO CLINIC INC | ||||||
| 4235 SECOR RD | TOLEDO | OH | 43623 | 340936207 | 30060 | PATIENT ASSISTANCE |
| NORTH CANTON MEDICAL FNDTN | ||||||
| PO BOX 74793 | CLEVELAND | OH | 44194 | 341088530 | 10036 | PATIENT ASSISTANCE |
| MAHONING VALLEY HEMATOLOGY ONCOLOGY | ||||||
| LOCKBOX 6536 PO BOX 8500 | PHILADELPHIA | PA | 19178 | 341105439 | 39566 | PATIENT ASSISTANCE |
| RETINA VITREOUS ASSOC | ||||||
| 2213 CHERRY ST 400 | TOLEDO | OH | 43608 | 341196311 | 7636 | PATIENT ASSISTANCE |
| NORTH COAST CANCER CARE | ||||||
| 417 QUARRY LAKES DR | SANDUSKY | OH | 44870 | 341224416 | 5210 | PATIENT ASSISTANCE |
| TRI-COUNTY HEMATOLOGY& ONCOLOGY | ||||||
| 3688 DRESSLER RD NW | CANTON | OH | 44718 | 341294692 | 9602 | PATIENT ASSISTANCE |
| DRS MUBASHIR MARQUINEZ & REHMAN INC | ||||||
| 224 W EXCHANGE ST | AKRON | OH | 44302 | 341733317 | 5952 | PATIENT ASSISTANCE |
| THE RETINA GRP OF NE OHIO INC | ||||||
| 75 ARCH ST 302 | AKRON | OH | 44304 | 341760572 | 6830 | PATIENT ASSISTANCE |
| MORNINGSTAR HEMONC INC | ||||||
| 2600 6TH ST SW | CANTON | OH | 44710 | 341920787 | 7182 | PATIENT ASSISTANCE |
| WESTSIDE HEMATOLOGYONCOLOGY INC | ||||||
| 29101 HEALTH CAMPUS DR 260 | WESTLAKE | OH | 44145 | 341969760 | 8697 | PATIENT ASSISTANCE |
| MERCY MEDICAL GRP | ||||||
| PO BOX 60000 FILE 72938 | SAN FRANCISCO | CA | 94160 | 341996544 | 7500 | PATIENT ASSISTANCE |
| FULTON COUNTY HEALTH CENTER | ||||||
| PO BOX 3493 | COLUMBUS | OH | 43260 | 344428214 | 5697 | PATIENT ASSISTANCE |
| CENTRAL IN CANCER CENTER | ||||||
| PO BOX 60603 | CHARLOTTE | NC | 28260 | 351348013 | 16127 | PATIENT ASSISTANCE |
| FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY | ||||||
| 11143 PARKVIEW PLAZA DR STE 100 | FORT WAYNE | IN | 46845 | 351400631 | 85384 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY OF INDIANA | ||||||
| 8301 HARCOURT RD 200 | INDIANAPOLIS | IN | 46260 | 351536125 | 5647 | PATIENT ASSISTANCE |
| MICHIANA HEMATOLOGY ONCOLOGY | ||||||
| PO BOX 448 | SOUTH BEND | IN | 46624 | 351686054 | 31784 | PATIENT ASSISTANCE |
| ELKHART ONCOLOGY | ||||||
| P O BOX 2968 | ELKHART | IN | 46515 | 351911857 | 8783 | PATIENT ASSISTANCE |
| ALLEN COUNTY RETINAL SURGEONS PC | ||||||
| 7900 WEST JEFFERSON 300 | FORT WAYNE | IN | 46804 | 351971489 | 9199 | PATIENT ASSISTANCE |
| AMERICAN HEALTH NETWORK OF INDIANA | ||||||
| 6820 PARKDALE 200 | INDIANAPOLIS | IN | 46254 | 352108729 | 16448 | PATIENT ASSISTANCE |
| FORT WAYNE RETINA PC | ||||||
| 7305 W JEFFERSON BLVD | FORT WAYNE | IN | 46804 | 352115519 | 7872 | PATIENT ASSISTANCE |
| JOSEPH BOWEN MD LLC | ||||||
| 1075 CHASE PKWY SUITE A | WATERBURY | CT | 06708 | 352191169 | 5055 | PATIENT ASSISTANCE |
| CAROLINA BLOOD & CANCER CARE | ||||||
| 1583 HEALTHCARE DR | ROCK HILL | SC | 29732 | 352221941 | 27226 | PATIENT ASSISTANCE |
| HEMATOLOGY AND ONCOLOGY CONSULTANTS | ||||||
| 100 SPAULDING DR STE 110 | NAPERVILLE | IL | 60540 | 363082580 | 6296 | PATIENT ASSISTANCE |
| JOSHUA STOLOW MD | ||||||
| 8527 VILLAGE DR 103 | SAN ANTONIO | TX | 78217 | 363632588 | 13801 | PATIENT ASSISTANCE |
| CANCER CARE & HEMATOLOGY SPECIALISTS | ||||||
| 3610 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 363980044 | 5932 | PATIENT ASSISTANCE |
| DREYER MEDICAL CLINIC | ||||||
| PO BOX 2091 | AURORA | IL | 60507 | 364088232 | 7531 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY ASSOC OF IL | ||||||
| 1365 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 364117454 | 7341 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY CONSULTANTS INC | ||||||
| 815 E 5TH ST 303 | ALTON | IL | 62002 | 371283036 | 6292 | PATIENT ASSISTANCE |
| ONCOHEMO ASSOC OF CENTRAL IL | ||||||
| 8940 N WOOD SAGE RD | PEORIA | IL | 61615 | 371331017 | 34640 | PATIENT ASSISTANCE |
| MEDICAL AND SURGICAL SPECIALISTS | ||||||
| 834 N SEMINARY ST | GALESBURG | IL | 61401 | 371393654 | 12943 | PATIENT ASSISTANCE |
| EDWARD P ROSE MD | ||||||
| 4600 MEMORIAL DR 480 | BELLEVILLE | IL | 62226 | 371393701 | 7431 | PATIENT ASSISTANCE |
| GARDEN CITY HOSPITAL | ||||||
| 6245 INKSTER RD | GARDEN CITY | MI | 48135 | 381358390 | 7912 | PATIENT ASSISTANCE |
| ASSOCIATED RETINAL | ||||||
| 1150 E SHERMAN BLVD | MUSKEGON | MI | 49444 | 381946761 | 24789 | PATIENT ASSISTANCE |
| ALLEGIANCE HEALTH | ||||||
| DEPT 64787 DRAWER 64000 | DETROIT | MI | 48264 | 382027689 | 22215 | PATIENT ASSISTANCE |
| CANCER & HEMATOLOGY CTR OF WESTERN MICHIGAN | ||||||
| PO BOX 30516 | LANSING | MI | 48909 | 382777354 | 89856 | PATIENT ASSISTANCE |
| GRAND VIEW HEALTH SYSTEM | ||||||
| N10561 GRAND VIEW LN | IRONWOOD | MI | 49938 | 382908586 | 5081 | PATIENT ASSISTANCE |
| WEST MICHIGAN REGIONAL CANCER & BLOOD CENTER | ||||||
| 6050 N US-31 | FREE SOIL | MI | 49411 | 383322171 | 9966 | PATIENT ASSISTANCE |
| CADILLAC CANCER CARE CENTER | ||||||
| 520 COBBS ST | CADILLAC | MI | 49601 | 383450619 | 6047 | PATIENT ASSISTANCE |
| COMPASSIONATE CANCER CARE | ||||||
| 18111 BROOKHURST ST 6100 | FOUNTAIN VALLEY | CA | 92708 | 383650060 | 51593 | PATIENT ASSISTANCE |
| ARTHRITIS CARE OF MICHIANA | ||||||
| 100 NAVARRE PL 5570 | SOUTH BEND | IN | 46601 | 383650151 | 11589 | PATIENT ASSISTANCE |
| UNIV OF MI HOSPITALS & HEALTH CENTERS | ||||||
| PO BOX 77000 | DETROIT | MI | 48277 | 386006309 | 11660 | PATIENT ASSISTANCE |
| MARSHFIELD CLINIC | ||||||
| 1000 N OAK AVE | MARSHFIELD | WI | 54449 | 390452970 | 19558 | PATIENT ASSISTANCE |
| GUNDERSEN CLINIC LTD | ||||||
| 1836 S AVE | LA CROSSE | WI | 54601 | 391028657 | 7105 | PATIENT ASSISTANCE |
| GREEN BAY ONCOLOGY | ||||||
| PO BOX 13453 | GREEN BAY | WI | 54307 | 391314853 | 27161 | PATIENT ASSISTANCE |
| WEST SUBURBAN CTR FOR ARTHRITIS | ||||||
| 601 N BARKER RD 110 | BROOKFIELD | WI | 53045 | 391418162 | 5334 | PATIENT ASSISTANCE |
| AURORA ADVANCED HEALTHCARE | ||||||
| PO BOX 404 DEPT 4018 | MILWAUKEE | WI | 53201 | 391595302 | 38054 | PATIENT ASSISTANCE |
| AURORA MEDICAL GROUP | ||||||
| PO BOX 979 | SHEBOYGAN | WI | 53082 | 391678306 | 10479 | PATIENT ASSISTANCE |
| RHEUMATIC DISEASE CENTER | ||||||
| 7080 N PORT WASHINGTON RD | MILWAUKEE | WI | 53217 | 391713075 | 22231 | PATIENT ASSISTANCE |
| MILWAUKEE RHEUMATOLOGY | ||||||
| 2901 W KK RIVER PKWY 301 | MILWAUKEE | WI | 53215 | 392008962 | 10489 | PATIENT ASSISTANCE |
| HUBERT HUMPHREY CANCER CENTER | ||||||
| 3300 OAKDALE AVE N PLAZA 100 | MINNEAPOLIS | MN | 55422 | 410729979 | 5988 | PATIENT ASSISTANCE |
| DULUTH CLINIC LTD | ||||||
| 400 EAST THIRD STREET | DULUTH | MN | 55805 | 410883623 | 10507 | PATIENT ASSISTANCE |
| ARTHRITIS & RHEUMATOLOGY CONSULTANTS | ||||||
| 7250 FRANCE AVE S 215 | EDINA | MN | 55435 | 411774839 | 5863 | PATIENT ASSISTANCE |
| MINNESOTA ONCOLOGY HEMATOLOGY | ||||||
| 1175 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 411793418 | 28663 | PATIENT ASSISTANCE |
| AHMAD QADRI MD | ||||||
| 601 E SAM ANTONIO ST 402W | VICTORIA | TX | 77901 | 412029727 | 5238 | PATIENT ASSISTANCE |
| THE MACULA CENTER | ||||||
| 3280 N MCMULLEN BOOTH RD STE 120 | CLEARWATER | FL | 33761 | 412104585 | 15208 | PATIENT ASSISTANCE |
| MARK MCCARTHY MD | ||||||
| 4990 E MEDITERRANEN DR STED | SIERRA VISTA | AZ | 85635 | 412110658 | 12265 | PATIENT ASSISTANCE |
| FLORIDA ONCOLOGY ASSOC | ||||||
| PO BOX 85001 | ORLANDO | FL | 32885 | 412152274 | 181688 | PATIENT ASSISTANCE |
| IOWA LUTHERAN HOSPITAL | ||||||
| 1221 PLEASANT ST 100 | DES MOINES | IA | 50309 | 420680452 | 14697 | PATIENT ASSISTANCE |
| WOLFE EYE CLINIC | ||||||
| 309 EAST CHURCH ST | MARSHALLTOWN | IA | 50158 | 420954581 | 19680 | PATIENT ASSISTANCE |
| EYE SURGEONS ASSOCIATES PC | ||||||
| 777 TANGLEFOOT LN | BETTENDORF | IA | 52722 | 421160748 | 17408 | PATIENT ASSISTANCE |
| IOWA HEALTH HOME CARE | ||||||
| 11333 AURORA AVE | URBANDALE | IA | 50322 | 421477471 | 5305 | PATIENT ASSISTANCE |
| BAKERSFIELDS HEMATOLOGY ONCOLOGY | ||||||
| 9800 BRIMHALL RD | BAKERSFIELD | CA | 93312 | 421727030 | 22110 | PATIENT ASSISTANCE |
| SABATES EYE CENTER | ||||||
| 11261 NALL AVE | LEAWOOD | KS | 66211 | 430955525 | 11247 | PATIENT ASSISTANCE |
| DIGESTIVE DISEASE SPECIALISTS | ||||||
| 100 VILLAGE SQUARE | HAZELWOOD | MO | 63042 | 431122905 | 8684 | PATIENT ASSISTANCE |
| ST LOUIS ONCOLOGY ASSOCIATES INC | ||||||
| 10012 KENNERLY RD 100 | SAINT LOUIS | MO | 63128 | 431240180 | 7253 | PATIENT ASSISTANCE |
| ST LOUIS CANCER CARE | ||||||
| PO BOX 60450 | SAINT LOUIS | MO | 63160 | 431369550 | 22883 | PATIENT ASSISTANCE |
| SSM DEPAUL MEDICAL GROUP | ||||||
| 1551 WALL ST 310 | ST CHARLES | MO | 63303 | 431715106 | 17561 | PATIENT ASSISTANCE |
| MISSOURI CANCER ASSOC | ||||||
| 1705 E BROADWAY STE 100 | COLUMBIA | MO | 65201 | 431763016 | 8495 | PATIENT ASSISTANCE |
| KANSAS CITY CANCER CTR | ||||||
| 88001 EXPEDIATE WAY | CHICAGO | IL | 60695 | 431766738 | 19657 | PATIENT ASSISTANCE |
| ARTHRITIS & RHEUMATOLOGY CLINICS OF KS | ||||||
| 2450 N WOODLAWN ST | WICHITA | KS | 67220 | 431899877 | 9892 | PATIENT ASSISTANCE |
| MERCY CANCER CARE - DAVID C PRATT CTR | ||||||
| 607 S NEW BALLAS RD 3300 | SAINT LOUIS | MO | 63141 | 431927040 | 21556 | PATIENT ASSISTANCE |
| ADVANCED CARE SCRIPTS | ||||||
| 2400 LAKE ORANGE DR 200 | ORLANDO | FL | 32837 | 432080503 | 9200 | PATIENT ASSISTANCE |
| CACHE VALLEY CANCER TREATMENT & RESEARCH CLINIC | ||||||
| 1281 N 600 E | LOGAN | UT | 84341 | 450486684 | 11863 | PATIENT ASSISTANCE |
| AVERA MCKENNAN HOME INFUSION | ||||||
| 1020 SOUTH CLIFF AVE | SIOUX FALLS | SD | 57104 | 460224743 | 22350 | PATIENT ASSISTANCE |
| WILLIAM P MAIER PC | ||||||
| 633 E 11TH AVE | EUGENE | OR | 97401 | 460485850 | 7353 | PATIENT ASSISTANCE |
| CAROLINA HEMATOLOGY ONCOLOGY ASSOC | ||||||
| PO BOX 60065 | CHARLOTTE | NC | 28260 | 460486024 | 5324 | PATIENT ASSISTANCE |
| ARTHRITIS CTR OF NE | ||||||
| 3901 PINE LAKE RD STE 120 | LINCOLN | NE | 68516 | 470527967 | 13232 | PATIENT ASSISTANCE |
| GASTROENTEROLOGY SPECIALTIES PC | ||||||
| 4545 R ST 100 | LINCOLN | NE | 68503 | 470717686 | 7455 | PATIENT ASSISTANCE |
| J C WELCH OPHTHALMOLOGY PC | ||||||
| 2115 N KANSAS AVE 104 | HASTINGS | NE | 68901 | 470717975 | 5539 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY CONSULTANTS | ||||||
| 6901 N 72ND ST 2244 | OMAHA | NE | 68122 | 470770654 | 5863 | PATIENT ASSISTANCE |
| OCALA ONCOLOGY | ||||||
| 433 SW 10TH ST | OCALA | FL | 34474 | 470872321 | 9088 | PATIENT ASSISTANCE |
| THE MEDICAL CENTER | ||||||
| 1100 N MAIN | HUTCHINSON | KS | 67501 | 480788513 | 6497 | PATIENT ASSISTANCE |
| CENTRAL CARE PA | ||||||
| PO BOX 256 | SALINA | KS | 67402 | 481125116 | 5209 | PATIENT ASSISTANCE |
| CANCER CENTER OF KS PA | ||||||
| 818 N EMPORIA 403 | WICHITA | KS | 67214 | 481181579 | 133204 | PATIENT ASSISTANCE |
| RETINA ASSOCIATES PA | ||||||
| PO BOX 802720 | KANSAS CITY | MO | 64180 | 481211774 | 16365 | PATIENT ASSISTANCE |
| AUSTIN TX RADIATIONS ONCOLOGY GROUP | ||||||
| PO BOX 923 | SAN ANTONIO | TX | 78294 | 481271862 | 19101 | PATIENT ASSISTANCE |
| RHEUMATOLOGY CONSULTANTS OF DELAWARE | ||||||
| 1305 SAVANNAH RD | LEWES | DE | 19958 | 510409459 | 12624 | PATIENT ASSISTANCE |
| ONCOLOGY HEMATOLOGY ASSOC INC | ||||||
| 8926 WOODYARD RD 201 | CLINTON | MD | 20735 | 521106217 | 44004 | PATIENT ASSISTANCE |
| ELMAN RETINA GROUP PA | ||||||
| 9114 PHILADELPHIA RD STE310 | ROSEDALE | MD | 21237 | 521803322 | 40302 | PATIENT ASSISTANCE |
| KLEIN & ASSOCIATES | ||||||
| PO BOX 333 | LITITZ | PA | 17543 | 521850319 | 5531 | PATIENT ASSISTANCE |
| ROBERT SHAW MD | ||||||
| 412 MALCOLM DR 206 | WESTMINSTER | MD | 21157 | 521914881 | 11108 | PATIENT ASSISTANCE |
| THE RETINA CARE CENTER | ||||||
| 6115 FALLS RD | BALTIMORE | MD | 21209 | 522117156 | 5790 | PATIENT ASSISTANCE |
| BIRMINGHAM HEMATOLOGY & ONCOLOGY | ||||||
| PO BOX 2445 | COLUMBUS | GA | 31902 | 522170293 | 12673 | PATIENT ASSISTANCE |
| DIVISION OF HEMONC AT GEORGE WASHINGTON HOSP | ||||||
| 2150 PENNSYLVANIA AVE STE 3-428 | WASHINGTON | DC | 20037 | 522220700 | 5208 | PATIENT ASSISTANCE |
| PIEDMONT HEMATOLOGYONCOLOGY | ||||||
| PO BOX 1243 | CHARLOTTE | NC | 28201 | 522381026 | 19250 | PATIENT ASSISTANCE |
| VISTAR EYE CENTER | ||||||
| PO BOX 1789 | ROANOKE | VA | 24008 | 540853078 | 5957 | PATIENT ASSISTANCE |
| VIRGINIA CANCER INSTITUTE | ||||||
| 6605 W BROAD ST C | RICHMOND | VA | 23230 | 541066435 | 6587 | PATIENT ASSISTANCE |
| LYNCHBURG HEMATOLOGY ONCOLOGY CLINIC | ||||||
| 1937 THOMSON DR | LYNCHBURG | VA | 24501 | 541111445 | 19402 | PATIENT ASSISTANCE |
| INTRAVENE | ||||||
| 2215 LANDOVER PL | LYNCHBURG | VA | 24501 | 541131672 | 7427 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY PATIENT ENTERPRISES | ||||||
| 459 LOCUST AVE | CHARLOTTESVILLE | VA | 22902 | 541302037 | 36669 | PATIENT ASSISTANCE |
| ARTHRITIS & RHEUMATIC DISEASES | ||||||
| 329 MCLAWS CIR | WILLIAMSBURG | VA | 23185 | 541374556 | 8591 | PATIENT ASSISTANCE |
| DANVILLE HEMATOLOGY & ONCOLOGY | ||||||
| 125 EXECUTIVE DR J | DANVILLE | VA | 24541 | 541397275 | 18356 | PATIENT ASSISTANCE |
| AUGUSTA EYE ASSOCIATES PLC | ||||||
| 17 N MEDICAL PARK DR | FISHERSVILLE | VA | 22939 | 541738160 | 40308 | PATIENT ASSISTANCE |
| VIRGINIA ONCOLOGY ASSOC - NORFOLK | ||||||
| 5900 LAKE WRIGHT DR SUITE 300 | NORFOLK | VA | 23502 | 541768662 | 64404 | PATIENT ASSISTANCE |
| FAIRFAX NORTHERN VIRGINA HEMATOLOGY | ||||||
| 8503 ARLINGTON BLVD 400 | FAIRFAX | VA | 22031 | 541795091 | 15201 | PATIENT ASSISTANCE |
| CANCER OUTREACH ASSOC | ||||||
| 104 ABINGDON PL | ABINGDON | VA | 24211 | 541888668 | 9363 | PATIENT ASSISTANCE |
| ONCOLOGY & HEMATOLOGY ASSOC | ||||||
| PO BOX 601507 | CHARLOTTE | NC | 28260 | 541922084 | 30787 | PATIENT ASSISTANCE |
| SB KONDRAGUNTA LLC | ||||||
| 700 S SYCAMORE ST 11 | PETERSBURG | VA | 23803 | 541989200 | 7813 | PATIENT ASSISTANCE |
| BLUEFIELD HEMATOLOGY ONCOLOGY ASSOC | ||||||
| 1027 FREDERICK ST | BLUEFIELD | WV | 24701 | 550659088 | 6546 | PATIENT ASSISTANCE |
| CRAIG M MORGAN MD | ||||||
| 1611 13TH AVE | HUNTINGTON | WV | 25701 | 550726025 | 32852 | PATIENT ASSISTANCE |
| MID-ATLANTIC RETINA CONSULTANTS | ||||||
| 3120 COLLINS FERRY RD | MORGANTOWN | WV | 26505 | 550739273 | 7808 | PATIENT ASSISTANCE |
| PRIMARY ONCOLOGY NETWORK | ||||||
| 1325 LOCUST AVE 15 | FAIRMONT | WV | 26554 | 550763359 | 11610 | PATIENT ASSISTANCE |
| MEDFUSIONRX | ||||||
| 5511 HWY 280 SUITE 301-302 | BIRMINGHAM | AL | 35242 | 550824381 | 31943 | PATIENT ASSISTANCE |
| EDWARD WAGNER MD | ||||||
| 31852 COAST HWY 303 | LAGUNA BEACH | CA | 92651 | 557297661 | 8515 | PATIENT ASSISTANCE |
| BEAUFORT COUNTY HOSPITAL | ||||||
| 628 EAST 12TH STREET | WASHINGTON | NC | 27889 | 560675676 | 6951 | PATIENT ASSISTANCE |
| CRAVEN REGIONAL MED CTR | ||||||
| PO BOX 12157 | NEW BERN | NC | 28561 | 560755775 | 11169 | PATIENT ASSISTANCE |
| KINSTON MEDICAL SPECIALISTS | ||||||
| 701 DOCTORS DRIVE N | KINSTON | NC | 28501 | 560986098 | 15911 | PATIENT ASSISTANCE |
| CAROLINA ONCOLOGY ASSOCIATES | ||||||
| 825 W HENDERSON ST | SALISBURY | NC | 28144 | 561279668 | 12786 | PATIENT ASSISTANCE |
| CAROLINA OPHTHALMOLOGY PA | ||||||
| PO BOX 2300 | HENDERSONVILLE | NC | 28793 | 561310375 | 12030 | PATIENT ASSISTANCE |
| MOUNTAIN MEDICAL ASSOC | ||||||
| 600 HOSPITAL DR 9 | CLYDE | NC | 28721 | 561340324 | 9367 | PATIENT ASSISTANCE |
| CAROMONT MEDICAL GRPARTHRITIS & OSTEOPOROSIS CTR | ||||||
| PO BOX 550970 | GASTONIA | NC | 28055 | 561479712 | 12713 | PATIENT ASSISTANCE |
| REX HEMATOLOGY & ONCOLOGY ASSOC | ||||||
| 4420 LAKE BOONE TRAIL | RALEIGH | NC | 27607 | 561509260 | 13897 | PATIENT ASSISTANCE |
| CANCER CARE OF WNC PA | ||||||
| PO BOX 536860 | ATLANTA | GA | 30353 | 561693667 | 5526 | PATIENT ASSISTANCE |
| SOUTHEASTERN MEDICAL ONCOLOGY CTR | ||||||
| 203 COX BLVD | GOLDSBORO | NC | 27534 | 561711669 | 144447 | PATIENT ASSISTANCE |
| CAROLINA ARTHRITIS ASSOC | ||||||
| 1710 S 17TH ST | WILMINGTON | NC | 28401 | 561745946 | 7219 | PATIENT ASSISTANCE |
| GASTON HEMATOLOGY & ONCOLOGY | ||||||
| 2610 ABERDEEN BLVD | GASTONIA | NC | 28054 | 561875764 | 63218 | PATIENT ASSISTANCE |
| PINEHURST RHEUMATOLOGY | ||||||
| 681 S BENNETT ST | SOUTHERN PINES | NC | 28387 | 561912684 | 19113 | PATIENT ASSISTANCE |
| CORNERSTONE HEALTH CARE | ||||||
| 607 IDOL ST | HIGH POINT | NC | 27262 | 561935767 | 19618 | PATIENT ASSISTANCE |
| RALEIGH HEMATOLOGY ONCOLOGY | ||||||
| PO BOX 60630 | CHARLOTTE | NC | 28260 | 561938316 | 36003 | PATIENT ASSISTANCE |
| THE BLOOD & CANCER CLINIC | ||||||
| 1565 PURDUE DR STE 301 | FAYETTEVILLE | NC | 28303 | 561951959 | 8790 | PATIENT ASSISTANCE |
| ASHEVILLE HEMATOLOGY & ONCOLOGY | ||||||
| PO BOX 60060 | CHARLOTTE | NC | 28260 | 561963333 | 9081 | PATIENT ASSISTANCE |
| PIEDMONT HEALTHCARE SPEC | ||||||
| 766 HARTNESS RD | STATESVILLE | NC | 28677 | 561965983 | 6702 | PATIENT ASSISTANCE |
| WESTERN CAROLINA RETINAL ASSOC | ||||||
| 8 MEDICAL PARK DRIVE | ASHEVILLE | NC | 28803 | 561967404 | 10084 | PATIENT ASSISTANCE |
| HENRY W BURNETT MD | ||||||
| PO BOX 5231 | WINSTON SALEM | NC | 27113 | 562050869 | 11007 | PATIENT ASSISTANCE |
| COASTAL CAROLINA HEALTHCARE | ||||||
| PO BOX 12248 | NEW BERN | NC | 28561 | 562054060 | 11226 | PATIENT ASSISTANCE |
| UNIVERSITY OF NC AT CHAPEL HILL | ||||||
| PO BOX 24427 | WINSTON SALEM | NC | 27114 | 562164416 | 8546 | PATIENT ASSISTANCE |
| ONCOLOGY SPECIALISTS OF CHARLOTTE | ||||||
| 2711 RANDOLPH RD 100 | CHARLOTTE | NC | 28207 | 562179043 | 10661 | PATIENT ASSISTANCE |
| ARTHRITIS & OSTEOPOROSIS CENTER | ||||||
| PO BOX 63235 | CHARLOTTE | NC | 28263 | 562202409 | 10034 | PATIENT ASSISTANCE |
| CAROLINA ARTHRITIS CTR | ||||||
| 2355 HEMBY LANE | GREENVILLE | NC | 27834 | 562257862 | 8979 | PATIENT ASSISTANCE |
| MECKLENBURG MEDICAL GROUP | ||||||
| PO BOX 60063 | CHARLOTTE | NC | 28260 | 562274416 | 8350 | PATIENT ASSISTANCE |
| COASTAL ONCOLOGY | ||||||
| 325 CLYDE MORRIS BLVD 450 | ORMOND BEACH | FL | 32174 | 562347830 | 25240 | PATIENT ASSISTANCE |
| AMERITA | ||||||
| DEPT 719 | DENVER | CO | 80291 | 562554975 | 5545 | PATIENT ASSISTANCE |
| ST LUKE'S MAGIC VALLEY | ||||||
| PO BOX 409 | HOLLISTER | ID | 83301 | 562570686 | 6502 | PATIENT ASSISTANCE |
| CAROLINA MEDICAL AFFILIATES | ||||||
| PO BOX 2288 | SPARTANBURG | SC | 29304 | 570563123 | 6675 | PATIENT ASSISTANCE |
| PIEDMONT ARTHRITIS CLINIC | ||||||
| 3 ST FRANCIS DR 400 | GREENVILLE | SC | 29601 | 570702625 | 39159 | PATIENT ASSISTANCE |
| ASSOCIATED MEDICAL SPECIALISTS PA | ||||||
| 8121 ROURK ST | MYRTLE BEACH | SC | 29572 | 570777346 | 12299 | PATIENT ASSISTANCE |
| SOUTH CAROLINA ONCOLOGY ASSOCIATES | ||||||
| 166 STONERIDGE DR | COLUMBIA | SC | 29210 | 570787600 | 88887 | PATIENT ASSISTANCE |
| DIGESTIVE DISEASE GROUP | ||||||
| 103 LINEAR DR | GREENWOOD | SC | 29646 | 570890141 | 5778 | PATIENT ASSISTANCE |
| INTERNAL MEDICINE OF GREENVILLE | ||||||
| 105 DOCTORS DRIVE | GREENVILLE | SC | 29605 | 571004971 | 5358 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY ASSOCIATES | ||||||
| PO BOX 60626 | CHARLOTTE | NC | 28260 | 571018487 | 28706 | PATIENT ASSISTANCE |
| ARTHRITIS AND OSTEOPOROSIS CTR | ||||||
| 1768 VILLAGE PARK DR | ORANGEBURG | SC | 29118 | 571044974 | 10519 | PATIENT ASSISTANCE |
| PALMETTO INFUSION SERVICES | ||||||
| 39509 TREASURY CENTER | CHICAGO | IL | 60694 | 571085343 | 24369 | PATIENT ASSISTANCE |
| LOW COUNTRY HEMATOLOGY ONCOLOGY | ||||||
| 900 BOWMAN RD 103 | MOUNT PLEASANT | SC | 29464 | 571120005 | 10306 | PATIENT ASSISTANCE |
| PALM BEACH CANCER INST | ||||||
| PO BOX 863310 | ORLANDO | FL | 32886 | 571139372 | 65716 | PATIENT ASSISTANCE |
| NORTHEAST GA DIAGNOSTIC CLINIC | ||||||
| 1240 JESSE JEWELL PKWY 500 | GAINESVILLE | GA | 30501 | 580656907 | 8378 | PATIENT ASSISTANCE |
| AUGUSTA ONCOLOGY | ||||||
| 3696 WHEELER RD | AUGUSTA | GA | 30909 | 581481590 | 61697 | PATIENT ASSISTANCE |
| GEORGIA RETINA PC | ||||||
| 155 MEDICAL WAY E | RIVERDALE | GA | 30274 | 581519372 | 24986 | PATIENT ASSISTANCE |
| HAMILTON MED CTR | ||||||
| PO BOX 1168 | DALTON | GA | 30722 | 581519911 | 8217 | PATIENT ASSISTANCE |
| SOUTH ATLANTA HEMATOLOGY ONCOLOGY | ||||||
| 34 SE UPPER RIVERDALE RD 200 | RIVERDALE | GA | 30274 | 581715376 | 7239 | PATIENT ASSISTANCE |
| NW GEORGIA HEMATOLOGY & ONCOLOGY | ||||||
| 1504 N THORNTON AVE 102 | DALTON | GA | 30720 | 581793611 | 26416 | PATIENT ASSISTANCE |
| NORTHWEST GA ONCOLOGY CENTERS | ||||||
| 1700 HOSPITAL S DR 300 | AUSTELL | GA | 30106 | 581923818 | 114148 | PATIENT ASSISTANCE |
| THE LONG STREET CLINIC | ||||||
| PO DRAWER 658 | GAINESVILLE | GA | 30503 | 582117020 | 17828 | PATIENT ASSISTANCE |
| GEORGIA CANCER SPECIALISTS | ||||||
| 1100 JOHNSON FERRY RD 600 | ATLANTA | GA | 30342 | 582181189 | 476668 | PATIENT ASSISTANCE |
| PRICE WALKER JR MD | ||||||
| PO BOX 9516 | COLUMBUS | GA | 31908 | 582321052 | 5690 | PATIENT ASSISTANCE |
| S GA ONCOLOGY HEMATOLOGY CTR | ||||||
| 1100 OCILLA HWY | DOUGLAS | GA | 31533 | 582328459 | 12555 | PATIENT ASSISTANCE |
| UPSTATE OSTEOPOROSIS AND ARTHRITIS PA | ||||||
| 200 PATEWOOD DR A 160 | GREENVILLE | SC | 29615 | 582329400 | 8129 | PATIENT ASSISTANCE |
| HORIZON HEMATOLOGY ONCOLOGY | ||||||
| 1455 E MAIN ST 103 | SPARTANBURG | SC | 29307 | 582423840 | 6017 | PATIENT ASSISTANCE |
| CENTRAL GEORGIA CANCER CARE PC | ||||||
| 1062 FORSYTH ST 1B | MACON | GA | 31201 | 582537874 | 84147 | PATIENT ASSISTANCE |
| MEDICAL ONCOLOGY ASSOCIATES | ||||||
| 1348 WALTON WAY 6700 | AUGUSTA | GA | 30901 | 582585871 | 22038 | PATIENT ASSISTANCE |
| SACRED HEART HOSPITAL | ||||||
| PO BOX 2728 | PENSACOLA | FL | 32513 | 590634434 | 10156 | PATIENT ASSISTANCE |
| BAPTIST HOSPITAL INC | ||||||
| 1000 W MORENO ST | PENSACOLA | FL | 32501 | 590657322 | 7997 | PATIENT ASSISTANCE |
| SUNCOAST INTERNAL MEDICINE | ||||||
| 13644 WALSINGHAM RD | LARGO | FL | 33774 | 591273247 | 32379 | PATIENT ASSISTANCE |
| CLARK & DAUGHTREY MEDICAL GROUP PA | ||||||
| PO BOX 917394 | ORLANDO | FL | 32891 | 591273583 | 6166 | PATIENT ASSISTANCE |
| RETINA VITREOUS ASSOC OF FL | ||||||
| 2705 W SAINT ISABEL ST | TAMPA | FL | 33607 | 591501675 | 19238 | PATIENT ASSISTANCE |
| HEMATOLOGY & ONCOLOGY CONSULTANTS | ||||||
| 2111 W SWANN AVE 102 | TAMPA | FL | 33606 | 591674575 | 16399 | PATIENT ASSISTANCE |
| BOND CLINIC PA | ||||||
| 500 E CENTRAL AVE | WINTER HAVEN | FL | 33880 | 591867898 | 20125 | PATIENT ASSISTANCE |
| STUART ONCOLOGY ASSOCIATES | ||||||
| 501 E OSCEOLA ST 3RD FL 301 | STUART | FL | 34994 | 592003116 | 7224 | PATIENT ASSISTANCE |
| MID-FL HEMATOLOY ONCOLOGY PA | ||||||
| 1061 MEDICAL CENTER DR 110 | ORANGE CITY | FL | 32763 | 592021436 | 59170 | PATIENT ASSISTANCE |
| RETINA CONSULTANTS OF SW FL | ||||||
| 6901 INTERNATIONAL CTR BLVD | FORT MYERS | FL | 33912 | 592086792 | 12112 | PATIENT ASSISTANCE |
| HEMATOLOGY & ONCOLOGY CONSULTANTS | ||||||
| 2501 N ORANGE AVE 381 | ORLANDO | FL | 32804 | 592109057 | 10389 | PATIENT ASSISTANCE |
| GASTROENTEROLOGY & ONCOLOGY ASSOC PA | ||||||
| 5767 49TH N | SAINT PETERSBURG | FL | 33709 | 592114530 | 9325 | PATIENT ASSISTANCE |
| PASCO HERNANDO ONCOLOGY ASSOCIATES PA | ||||||
| PO BOX 919022 | ORLANDO | FL | 32891 | 592155792 | 9738 | PATIENT ASSISTANCE |
| WEST FLMEDICAL CENTER CLINIC | ||||||
| PO BOX 11407 LOCK BOX 1328 | BIRMINGHAM | AL | 35246 | 592193856 | 10762 | PATIENT ASSISTANCE |
| V UPENDER RAO MD PA | ||||||
| 521 N LECANTO HWY | LECANTO | FL | 34461 | 592321218 | 18082 | PATIENT ASSISTANCE |
| RETINA ASSOCIATES OF FL | ||||||
| 602 S MACDILL AVE | TAMPA | FL | 33609 | 592695288 | 22907 | PATIENT ASSISTANCE |
| OPHTHALMIC CONSULTANTS | ||||||
| 1700 S TUTTLE AVE | SARASOTA | FL | 34239 | 592726035 | 6335 | PATIENT ASSISTANCE |
| FLORIDA INFUSION SVCS | ||||||
| 4190 CORPORATE CT | PALM HARBOR | FL | 34683 | 592822698 | 14543 | PATIENT ASSISTANCE |
| FLORIDA HEMATOLOGY AND ONCOLOGY | ||||||
| PO BOX 863373 | ORLANDO | FL | 32886 | 592956642 | 12876 | PATIENT ASSISTANCE |
| SYED MAHMOOD MD | ||||||
| 2614 JENKS AVE | PANAMA CITY | FL | 32405 | 592980557 | 5891 | PATIENT ASSISTANCE |
| VITREOUS AND RETINA CONSULTANTS | ||||||
| 250 AVE K SW 200 | WINTER HAVEN | FL | 33880 | 593028408 | 7025 | PATIENT ASSISTANCE |
| OMNI HEALTHCARE | ||||||
| 95 BULLDOG BLVD 100 | MELBOURNE | FL | 32901 | 593169815 | 12148 | PATIENT ASSISTANCE |
| CITRUS HEMATOLOGY & ONCOLOGY | ||||||
| 770 SE 5TH TER | CRYSTAL RIVER | FL | 34429 | 593208438 | 25872 | PATIENT ASSISTANCE |
| FL PHYSICIANS MEDICAL | ||||||
| PO BOX 538600 | ORLANDO | FL | 32853 | 593214635 | 15236 | PATIENT ASSISTANCE |
| ORLICK BERGER KASPER MD PA | ||||||
| 5800 49TH ST N S109 | SAINT PETERSBURG | FL | 33709 | 593219393 | 11218 | PATIENT ASSISTANCE |
| RAKESH ROHATGI MD PA | ||||||
| 321 SE 29TH PL 102 | OCALA | FL | 34471 | 593329469 | 6279 | PATIENT ASSISTANCE |
| ARTHRITIS & RHEUMATISM ASSOC | ||||||
| 612 DRUID RD E | CLEARWATER | FL | 33756 | 593337044 | 12485 | PATIENT ASSISTANCE |
| PINELLAS HEMATOLOGY AND ONCOLOGY | ||||||
| 5000 PARK ST N 1017 | SAINT PETERSBURG | FL | 33709 | 593363610 | 11783 | PATIENT ASSISTANCE |
| SPACE COAST MEDICAL ASSOCIATES LLP | ||||||
| 490 N WASHINGTON AVE | TITUSVILLE | FL | 32796 | 593369134 | 25220 | PATIENT ASSISTANCE |
| KARAMALI A BANDEALY MD | ||||||
| 814 N JOHN YOUNG PKWY | KISSIMMEE | FL | 34741 | 593370576 | 10153 | PATIENT ASSISTANCE |
| GULFCOAST ONCOLOGY ASSOCIATES | ||||||
| 1201 5TH AVE N | SAINT PETERSBURG | FL | 33705 | 593379136 | 6619 | PATIENT ASSISTANCE |
| TAMPA EYE CLINIC | ||||||
| 3000 W MLK BLVD | TAMPA | FL | 33607 | 593395383 | 6812 | PATIENT ASSISTANCE |
| ORLANDO ARTHRITIS INSTITUTE | ||||||
| 1111 S ORANGE AVE 3RD FL | ORLANDO | FL | 32806 | 593470767 | 21648 | PATIENT ASSISTANCE |
| CANCER CENTERS OF FL | ||||||
| PO BOX 863265 | ORLANDO | FL | 32886 | 593649134 | 15000 | PATIENT ASSISTANCE |
| DAVID DRESDNER MD PA | ||||||
| 1099 5TH AVE N 120 | SAINT PETERSBURG | FL | 33705 | 593695009 | 34588 | PATIENT ASSISTANCE |
| BAPTIST HOSPITAL EAST | ||||||
| PO BOX 32860 | LOUISVILLE | KY | 40232 | 610444707 | 6264 | PATIENT ASSISTANCE |
| LOUISVILLE ONCOLOGY | ||||||
| DEPT 86156 PO BOX 9501854 | LOUISVILLE | KY | 40295 | 610703799 | 9048 | PATIENT ASSISTANCE |
| RETINA & VITREOUS ASSOC OF KY | ||||||
| 120 N EAGLE CREEK DR 500 | LEXINGTON | KY | 40509 | 610918053 | 10839 | PATIENT ASSISTANCE |
| JEWISH HOSPITAL | ||||||
| PO BOX 950207 | LOUISVILLE | KY | 40295 | 611029768 | 10088 | PATIENT ASSISTANCE |
| RHEUMATOLOGY ASSOCIATES | ||||||
| 3430 NEWBURG RD 250 | LOUISVILLE | KY | 40218 | 611183441 | 5088 | PATIENT ASSISTANCE |
| COMMONWEALTH CANCER CENTER | ||||||
| 110 DIAGNOSTIC DR SUITE B | FRANKFORT | KY | 40601 | 611277847 | 35378 | PATIENT ASSISTANCE |
| KENTUCKY CTR FOR BETTER BONES & JOINTS | ||||||
| 100 E LIBERTY ST 202 | LOUISVILLE | KY | 40202 | 611357515 | 6016 | PATIENT ASSISTANCE |
| RHEUMATOLOGY CONSULTANTS CHARTERED | ||||||
| PO BOX 412194 | KANSAS CITY | MO | 64141 | 611452962 | 5908 | PATIENT ASSISTANCE |
| GAJERA AND PATEL | ||||||
| 1717 HIGH ST STE 1A | HOPKINSVILLE | KY | 42240 | 611459460 | 6072 | PATIENT ASSISTANCE |
| FORT SANDERS REGIONAL INFUSION | ||||||
| DEPT 888001 | KNOXVILLE | TN | 37995 | 620528340 | 7572 | PATIENT ASSISTANCE |
| CUMBERLAND MEDICAL CENTER | ||||||
| 421 S MAIN ST | CROSSVILLE | TN | 38555 | 620790132 | 8562 | PATIENT ASSISTANCE |
| RETINA VITREOUS ASSOCIATES | ||||||
| 345 23RD AVE N 350 | NASHVILLE | TN | 37203 | 621042760 | 17620 | PATIENT ASSISTANCE |
| RHEUMATOLOGY CONSULTANTS | ||||||
| 4707 PAPERMILL DR 200 | KNOXVILLE | TN | 37909 | 621064119 | 8230 | PATIENT ASSISTANCE |
| SOUTHEASTERN RETINA ASSOCIATES | ||||||
| 979 E 3RD ST C235 | CHATTANOOGA | TN | 37421 | 621094813 | 34032 | PATIENT ASSISTANCE |
| EAST TN HEMATOLOGYONCOLOGY ASSOC PC | ||||||
| PO BOX 3770 | JOHNSON CITY | TN | 37602 | 621326721 | 9483 | PATIENT ASSISTANCE |
| ARTHRITIS ASSOCIATES | ||||||
| 3 SHERIDAN SQUARE | KINGSPORT | TN | 37660 | 621523356 | 6224 | PATIENT ASSISTANCE |
| WEST CLINIC | ||||||
| PO BOX 240728 | MEMPHIS | TN | 38124 | 621526296 | 67710 | PATIENT ASSISTANCE |
| KINGSPORT HEMATOLOGY ONCOLOGY | ||||||
| 111 W STONE DR 300 | KINGSPORT | TN | 37660 | 621567353 | 50621 | PATIENT ASSISTANCE |
| ATLANTA CANCER CARE | ||||||
| PO BOX 934119 | ATLANTA | GA | 31193 | 621611429 | 30746 | PATIENT ASSISTANCE |
| WELLMONT HEALTH SYSTEM | ||||||
| PO BOX 1089 | BRISTOL | TN | 37621 | 621636465 | 9336 | PATIENT ASSISTANCE |
| TENNESSEE ONCOLOGY | ||||||
| 4230 HARDING RD 707 E PLAZA | NASHVILLE | TN | 37205 | 621647259 | 291387 | PATIENT ASSISTANCE |
| E TN HEMATOLOGY ONCOLOGY | ||||||
| 1406 TUSCULUM BLVD STE 2000 | GREENEVILLE | TN | 37745 | 621663564 | 8307 | PATIENT ASSISTANCE |
| FAMILY CANCER CENTER | ||||||
| 6005 PARK AVE 1000 B | MEMPHIS | TN | 38101 | 621714907 | 53268 | PATIENT ASSISTANCE |
| THE JONES CLINIC | ||||||
| PO BOX 1000 DEPT 552 | MEMPHIS | TN | 38148 | 621717770 | 7348 | PATIENT ASSISTANCE |
| LEWIS-GALE MEDICAL CENTER | ||||||
| PO BOX 402830 | ATLANTA | GA | 30384 | 621760148 | 5265 | PATIENT ASSISTANCE |
| NASHVILLE ONCOLOGY ASSOC | ||||||
| 2011 CHURCH ST 701 PLAZA 1 | NASHVILLE | TN | 37203 | 621762036 | 42536 | PATIENT ASSISTANCE |
| FLOWERS HOSP | ||||||
| PO BOX 404782 | ATLANTA | GA | 30384 | 621762412 | 6197 | PATIENT ASSISTANCE |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | ||||||
| PO BOX 3855 | JACKSON | TN | 38303 | 626010402 | 8420 | PATIENT ASSISTANCE |
| ONCOLOGY SPECIALTIES PC | ||||||
| PO BOX 18428 | HUNTSVILLE | AL | 35804 | 630897317 | 89654 | PATIENT ASSISTANCE |
| RHEUMATOLOGY ASSOCIATES OF N AL | ||||||
| 201 SIVLEY RD SE 600 | HUNTSVILLE | AL | 35801 | 630907980 | 13030 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY ASSOC LLC | ||||||
| DEPARTMENT 3162 PO BOX 2153 | BIRMINGHAM | AL | 35287 | 631137578 | 10046 | PATIENT ASSISTANCE |
| MONTGOMERY CANCER CENTER | ||||||
| 4145 CARMICHAEL RD A | MONTGOMERY | AL | 36106 | 631155108 | 9242 | PATIENT ASSISTANCE |
| SOUTHEAST CANCER NETWORK | ||||||
| PO BOX 2092 | BIRMINGHAM | AL | 35201 | 631171068 | 5660 | PATIENT ASSISTANCE |
| BLOOD & CANCER CTR | ||||||
| 202 E DR HICKS BLVD | FLORENCE | AL | 35630 | 631277866 | 6249 | PATIENT ASSISTANCE |
| UNIVERSITY OF AL AT BIRMINGHAM | ||||||
| PO BOX 11407 | BIRMINGHAM | AL | 35246 | 636005396 | 9887 | PATIENT ASSISTANCE |
| HATTIESBURG CLINIC PA | ||||||
| PO BOX 2467 | JACKSON | MS | 39225 | 640507572 | 5211 | PATIENT ASSISTANCE |
| NORTH MISSISSIPPI MEDICAL CENTER | ||||||
| PO BOX 2240 | TUPELO | MS | 38803 | 640662976 | 7110 | PATIENT ASSISTANCE |
| THE HEMATOLOGY & ONCOLOGY CLINIC | ||||||
| 103 ASBURY CIRCLE | HATTIESBURG | MS | 39402 | 640803393 | 6337 | PATIENT ASSISTANCE |
| DELTA ONCOLOGY INC | ||||||
| 333 HWY 82 WEST | GREENWOOD | MS | 38930 | 640932526 | 6802 | PATIENT ASSISTANCE |
| RETINA GROUP OF FL | ||||||
| 5601 N DIXIE HWY 307 | OAKLAND PARK | FL | 33334 | 650017482 | 12409 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY ASSOCIATES | ||||||
| 2300 S CONGRESS AVE 103 | BOYNTON BEACH | FL | 33426 | 650539792 | 19068 | PATIENT ASSISTANCE |
| SOUTH FLORIDA ONCOLOGY HEMATOLOGY CONSULTANTS | ||||||
| 260 SW 84TH AVE C | PLANTATION | FL | 33324 | 650577436 | 6370 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY ASSOC | ||||||
| 1871 SE TIFFANY AVE 100 | FORT PIERCE | FL | 34952 | 650696665 | 39369 | PATIENT ASSISTANCE |
| METROPOLITAN HEALTH NETWORK DBA METCARE ONCOLOGY | ||||||
| 250 S AUSTRAILIAN AVE 400 | WEST PALM BEACH | FL | 33401 | 650710916 | 20197 | PATIENT ASSISTANCE |
| FLORIDA CANCER SPECIALIST PL | ||||||
| 4371 VERONICA S SHOEMAKER BLVD | FORT MYERS | FL | 33916 | 650825133 | 283463 | PATIENT ASSISTANCE |
| METCARE OF FLORIDA | ||||||
| PO BOX 864582 | ORLANDO | FL | 32886 | 650879131 | 14536 | PATIENT ASSISTANCE |
| TREASURE COAST CANCER CARE | ||||||
| 1700 SE HILLMOOR DR 306 | PORT SAINT LUCIE | FL | 34952 | 650891840 | 6787 | PATIENT ASSISTANCE |
| CHARLES KHAN & WAYNE RISKIN MD PA | ||||||
| 4700 SHERIDAN ST C | HOLLYWOOD | FL | 33021 | 650900699 | 9509 | PATIENT ASSISTANCE |
| MEDICAL ONCOLOGY ASSOCIATES | ||||||
| PO BOX 996 | HAYDEN | ID | 83835 | 651180332 | 8547 | PATIENT ASSISTANCE |
| OPTION CARE ENTERPRISES | ||||||
| 2021 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 680208702 | 6677 | PATIENT ASSISTANCE |
| SIERRA HEMATOLOGY ONCOLOGY | ||||||
| 6555 COYLE AVE 301 | CARMICHAEL | CA | 95608 | 680305843 | 39627 | PATIENT ASSISTANCE |
| JOHN F KIRALY MD | ||||||
| PO BOX 913 | W SACRAMENTO | CA | 95691 | 680309878 | 7942 | PATIENT ASSISTANCE |
| REDWOOD REGIONAL ONCOLOGY GROUP | ||||||
| PO BOX 1559 | SANTA ROSA | CA | 95402 | 680344865 | 8802 | PATIENT ASSISTANCE |
| BEND MEMORIAL CLINIC | ||||||
| PO BOX 6048 | BEND | CA | 97708 | 680637976 | 14595 | PATIENT ASSISTANCE |
| LITTLE ROCK DIAGNOSTIC CLINIC | ||||||
| 10001 LILE DR | LITTLE ROCK | AR | 72205 | 710412630 | 6557 | PATIENT ASSISTANCE |
| COOPER CLINIC | ||||||
| 6801 ROGERS AVE | FORT SMITH | AR | 72903 | 710445686 | 9665 | PATIENT ASSISTANCE |
| ARKANSAS ONCOLOGY ASSOC | ||||||
| PO BOX 910860 | DALLAS | TX | 75391 | 710492053 | 14118 | PATIENT ASSISTANCE |
| LITTLE ROCK HEMATOLOGY ONCOLOGY | ||||||
| 9500 LILE DR | LITTLE ROCK | AR | 72205 | 710583396 | 28174 | PATIENT ASSISTANCE |
| CENTRAL ARKANSAS HEMATOLOGY ONCOLOGY CLINIC PA | ||||||
| 133 HARMONY PARK CIR | HOT SPRINGS NATIONAL P | AR | 71913 | 710627544 | 10745 | PATIENT ASSISTANCE |
| LITTLE ROCK CANCER CLINIC | ||||||
| 500 S UNIVERSITY AVE 811 | LITTLE ROCK | AR | 72205 | 710779617 | 7198 | PATIENT ASSISTANCE |
| HIGHLANDS ONCOLOGY GRP | ||||||
| 3232 N NORTH HILLS BLVD | FAYETTEVILLE | AR | 72704 | 710788742 | 36811 | PATIENT ASSISTANCE |
| RANDY D ROBERTS MD | ||||||
| 1000 E MATTHEWS AVE C | JONESBORO | AR | 72401 | 710822361 | 47625 | PATIENT ASSISTANCE |
| RETINAL CONSULTANTS | ||||||
| PO BOX 668 | SLINGERLANDS | NY | 12159 | 710870207 | 7477 | PATIENT ASSISTANCE |
| UNIVERSITY OF AR FOR MEDICAL SCIENCE | ||||||
| 4301 W MARKHAM ST | LITTLE ROCK | AR | 72250 | 716046242 | 6241 | PATIENT ASSISTANCE |
| LA ONCOLOGY | ||||||
| 501 W ST MARY BLVD 200 | LAFAYETTE | LA | 70506 | 721188733 | 20831 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY LIFE CTR | ||||||
| 605 B MEDICAL CENTER DR | ALEXANDRIA | LA | 71301 | 721506854 | 7150 | PATIENT ASSISTANCE |
| ACADIANA ONCOLOCY | ||||||
| 602 N LEWIS 600 | NEW IBERIA | LA | 70563 | 721512320 | 7855 | PATIENT ASSISTANCE |
| ST ANTHONY HOSPITAL | ||||||
| PO BOX 269009 | OKLAHOMA CITY | OK | 73126 | 730657693 | 24004 | PATIENT ASSISTANCE |
| MCBRIDE CLINIC | ||||||
| 1110 N LEE | OKLAHOMA CITY | OK | 73103 | 730714291 | 29274 | PATIENT ASSISTANCE |
| OKLAHOMA CTR FOR ARTHRITIS THERAPY AND RESEARCH | ||||||
| 1430 TERRACE DR | TULSA | OK | 74104 | 731522819 | 83842 | PATIENT ASSISTANCE |
| OKLAHOMA ARTHRITIS CTR | ||||||
| 1701 S RENAISSANCE BLVD 110 | EDMOND | OK | 73013 | 731578116 | 15197 | PATIENT ASSISTANCE |
| IRONWOOD CANCER & RESEARCH CENTERS | ||||||
| PO BOX 6423 | CHANDLER | AZ | 85246 | 731636831 | 204040 | PATIENT ASSISTANCE |
| SOUTHWEST HEMATOLOGY ONCOLOGY | ||||||
| 1 EAST CAMELBACK RD SUITE 700 | PHOENIX | AZ | 85012 | 731683689 | 77353 | PATIENT ASSISTANCE |
| ROCKY MOUNTAIN ONCOLOGY CTR | ||||||
| 6501 E 2ND | CASPER | WY | 82609 | 731684200 | 7500 | PATIENT ASSISTANCE |
| COMANCHE COUNTY MEMORIAL HOSPITAL | ||||||
| PO BOX 129 | LAWTON | OK | 73502 | 736061037 | 19872 | PATIENT ASSISTANCE |
| CHARLES THOMAS MD RADIATION ONCO | ||||||
| PO BOX 225529 | DALLAS | TX | 75222 | 741586031 | 8400 | PATIENT ASSISTANCE |
| AUSTIN DIAGNOSTIC CLINIC | ||||||
| PO BOX 843768 | DALLAS | TX | 75284 | 741625143 | 14114 | PATIENT ASSISTANCE |
| RHEUMATOLOGY ASSOC | ||||||
| 5939 HARRY HINES BLVD 400 | DALLAS | TX | 75235 | 741958530 | 29597 | PATIENT ASSISTANCE |
| AUSTIN REGIONAL CLINIC | ||||||
| PO BOX 260179 | DALLAS | TX | 75326 | 742109824 | 11421 | PATIENT ASSISTANCE |
| VITREORETINAL CONSULTANTS | ||||||
| 6560 FANNIN 750 | HOUSTON | TX | 77030 | 742109903 | 57075 | PATIENT ASSISTANCE |
| RADIATION ONCOLOGY SAN ANTONIO | ||||||
| PO BOX 1979 | SAN ANTONIO | TX | 78297 | 742332650 | 345997 | PATIENT ASSISTANCE |
| WACO HEMATOLOGY ONCOLOGY ASSOCIATES PA | ||||||
| 2911 HERRING AVE 209 | WACO | TX | 76708 | 742569127 | 5168 | PATIENT ASSISTANCE |
| CANCER SPECIALISTS OF SOUTH TEXAS | ||||||
| 1625 RODD FIELD RD | CORPUS CHRISTI | TX | 78412 | 742722597 | 11858 | PATIENT ASSISTANCE |
| CANCER CARE NETWORK OF S TX | ||||||
| PO BOX 911234 | DALLAS | TX | 75391 | 742782325 | 151203 | PATIENT ASSISTANCE |
| MAYMAN GHRAOWI MD PA | ||||||
| 1205 S 19TH ST | CORPUS CHRISTI | TX | 78405 | 742815622 | 27547 | PATIENT ASSISTANCE |
| MASOUD KHORSAND- SAHBAIE MD | ||||||
| PO BOX 1574 | ROSWELL | NM | 88202 | 742823514 | 11230 | PATIENT ASSISTANCE |
| EL PASO INTEGRATED PHYSICIANS GROUPS | ||||||
| 1810 MURCHISON DR 300 | EL PASO | TX | 79902 | 742838972 | 8263 | PATIENT ASSISTANCE |
| THOMAS SPANN CLINIC PA | ||||||
| PO BOX 6409 | CORPUS CHRISTI | TX | 78466 | 742868847 | 5717 | PATIENT ASSISTANCE |
| SOUTH TX ONCOLOGY & HEMATOLOGY | ||||||
| PO BOX 268 | SAN ANTONIO | TX | 78291 | 742915297 | 60533 | PATIENT ASSISTANCE |
| NOOR MERCHANT MD | ||||||
| 13060 US HIGHWAY 1 SUITE A | SEBASTIAN | FL | 32958 | 743026893 | 9684 | PATIENT ASSISTANCE |
| PURCHASE CANCER GROUP | ||||||
| PO BOX 7564 | PADUCAH | KY | 42003 | 743112051 | 7500 | PATIENT ASSISTANCE |
| TEXAS HEALTH PRESBYTERIAN HOSP DALLAS | ||||||
| PO BOX 910115 | DALLAS | TX | 75391 | 751047527 | 6826 | PATIENT ASSISTANCE |
| COLLUM AND CARNEY CLINIC | ||||||
| 5002 COWHORN CREEK RD | TEXARKANA | TX | 75503 | 751151440 | 7500 | PATIENT ASSISTANCE |
| CANCER CENTER ASSOCIATES | ||||||
| PO BOX 730023 | DALLAS | TX | 75373 | 751312419 | 54548 | PATIENT ASSISTANCE |
| TEXAS ONCOLOGY PA | ||||||
| PO BOX 911230 | DALLAS | TX | 75391 | 752131429 | 453088 | PATIENT ASSISTANCE |
| TYLER HEMATOLOGY ONCOLOGY PA | ||||||
| 721-A CLINIC DR | TYLER | TX | 75701 | 752288596 | 12183 | PATIENT ASSISTANCE |
| GREGORY A ECHT MD PA | ||||||
| PO BOX 674004 | DALLAS | TX | 75267 | 752338371 | 14994 | PATIENT ASSISTANCE |
| FEBE LINDA ORO-CASTILLO | ||||||
| 1105 MEMORIAL DR 110 | DENISON | TX | 75020 | 752355001 | 5238 | PATIENT ASSISTANCE |
| THE CENTER CANCER AND BLOOD DISORDER | ||||||
| 800 W MAGNOLIA AVE | FORT WORTH | TX | 76104 | 752512142 | 16538 | PATIENT ASSISTANCE |
| DALLAS DIAGNOSTIC ASSN OF GARLAND | ||||||
| PO BOX 844128 | DALLAS | TX | 75284 | 752536818 | 9593 | PATIENT ASSISTANCE |
| SOUTHWEST HEMATOLOGY ONCOLOGY ASSOC | ||||||
| 4002 21ST ST B | LUBBOCK | TX | 79407 | 752638688 | 6009 | PATIENT ASSISTANCE |
| MEDICAL EDGE HEALTHCARE GROUP | ||||||
| PO BOX 650268 | DALLAS | TX | 75265 | 752648615 | 40639 | PATIENT ASSISTANCE |
| DALLAS ONCOLOGY CONSULTANTS PA | ||||||
| 310 E HIGHWAY 67 | DUNCANVILLE | TX | 75137 | 752653455 | 17369 | PATIENT ASSISTANCE |
| DOCTORS MEDICAL CENTER OF MODESTO | ||||||
| FILE 57376 | LOS ANGELES | CA | 90074 | 752918774 | 7500 | PATIENT ASSISTANCE |
| DABAS CANCER INSTITUTE | ||||||
| 12501 JUDSON RD 102 | SAN ANTONIO | TX | 78233 | 753066737 | 5623 | PATIENT ASSISTANCE |
| CORAM ALTERNATIVE SITE SERVICE | ||||||
| 11660 W EXECUTIVE DR | BOISE | ID | 83713 | 760215922 | 7011 | PATIENT ASSISTANCE |
| HOUSTON CANCER INSTITUTE | ||||||
| 1220 BLALOCK 205 | HOUSTON | TX | 77055 | 760326673 | 7825 | PATIENT ASSISTANCE |
| KELSEY SEYBOLD CLINIC | ||||||
| PO BOX 847929 | DALLAS | TX | 75284 | 760386391 | 48800 | PATIENT ASSISTANCE |
| HOUSTON CANCER CLINIC | ||||||
| 920 MEDICAL PLAZA DR 140 | THE WOODLANDS | TX | 77380 | 760528826 | 14781 | PATIENT ASSISTANCE |
| NORTHWEST DIAGNOSTIC CLINIC | ||||||
| 1140 CYPRESS STATION DR | HOUSTON | TX | 77090 | 760530863 | 6262 | PATIENT ASSISTANCE |
| ONCOLOGY CONSULTANTS PA | ||||||
| 925 GESSNER RD STE 600 | HOUSTON | TX | 77024 | 760605200 | 9178 | PATIENT ASSISTANCE |
| BAKERSFIELD FAMILY MED | ||||||
| PO BOX 7002 | LANCASTER | CA | 93539 | 770051579 | 9699 | PATIENT ASSISTANCE |
| PHYSICIANS PLAZA CORPORATION | ||||||
| PO BOX 3628 | BAKERSFIELD | CA | 93385 | 770333077 | 9439 | PATIENT ASSISTANCE |
| RAVI PATEL MD | ||||||
| 6501 TRUXTUN AVE | BAKERSFIELD | CA | 93309 | 770356364 | 19403 | PATIENT ASSISTANCE |
| SANTA BARBARA HEM ONCOLOGY MEDICAL GROUP | ||||||
| 2040 VIBORG RD 235 | SOLVANG | CA | 93463 | 770361234 | 34071 | PATIENT ASSISTANCE |
| SAN LUIS OBISPO EYE ASSOCIATES | ||||||
| P O BOX 14038 | SAN LUIS OBISPO | CA | 93406 | 770410120 | 9650 | PATIENT ASSISTANCE |
| BARRY EIBSCHUTZ MD | ||||||
| 1551 BISHOP ST 230 | SAN LUIS OBISPO | CA | 93401 | 770485060 | 5469 | PATIENT ASSISTANCE |
| DANIEL WATROUS MD | ||||||
| 5315 W HILLSDALE | VISALIA | CA | 93291 | 770542374 | 5738 | PATIENT ASSISTANCE |
| PUBLIC HOSPITAL DISTRICT #304 SKAGIT COUNTY | ||||||
| PO BOX 34936 DEPT 5008 | SEATTLE | WA | 98124 | 810622393 | 6661 | PATIENT ASSISTANCE |
| NORTHERN HEMATOLOGY ONCOLOGY | ||||||
| DEPT 1483 | DENVER | CO | 80291 | 830346340 | 12512 | PATIENT ASSISTANCE |
| ST JOSEPH HOSPITAL | ||||||
| DEPT 224 | DENVER | CO | 80291 | 840417134 | 6885 | PATIENT ASSISTANCE |
| KAISER FOUNDATION HEALTH PLAN OF CO | ||||||
| DEPT 1603 | DENVER | CO | 80271 | 840591617 | 36227 | PATIENT ASSISTANCE |
| DENVER ARTHRITIS CLINIC | ||||||
| PO BOX 201150 | DENVER | CO | 80220 | 840717541 | 16794 | PATIENT ASSISTANCE |
| GREELEY MEDICAL CLINIC | ||||||
| 1900 16TH ST | GREELEY | CO | 80631 | 840979593 | 9444 | PATIENT ASSISTANCE |
| SOUTHERN CO CLINIC | ||||||
| PO BOX 9000 | PUEBLO | CO | 81008 | 841074070 | 20137 | PATIENT ASSISTANCE |
| ROCKY MOUNTAIN CANCER CTRS | ||||||
| PO BOX 911263 | DALLAS | TX | 75391 | 841457488 | 80508 | PATIENT ASSISTANCE |
| NEW MEXICO ONCOLOGY HEMATOLOGY - ALBUQUERQUE | ||||||
| PO BOX 52163 MSC 609 | PHOENIX | AZ | 85072 | 850367056 | 10673 | PATIENT ASSISTANCE |
| NEW MEXICO CANCER CARE ASSOC | ||||||
| 490 A WEST ZIA RD | SANTA FE | NM | 87505 | 850463005 | 9719 | PATIENT ASSISTANCE |
| INTERNISTS ONCOLOGISTS LTD | ||||||
| 1300 N 12TH ST 612 | PHOENIX | AZ | 85006 | 860216599 | 8246 | PATIENT ASSISTANCE |
| PALO VERDE HEMATOLOGY AND ONCOLOGY | ||||||
| 5601 W EUGIE AVE 106 | GLENDALE | AZ | 85304 | 860416050 | 148504 | PATIENT ASSISTANCE |
| ARIZON ARTHRITIS-RHEUMATOLOGY | ||||||
| 10599 N TATUM BLVD F150 | PARADISE VALLEY | AZ | 85253 | 860765242 | 12222 | PATIENT ASSISTANCE |
| INTEGRATED MEDICAL SERVICES INC | ||||||
| PO BOX 9004 | PHOENIX | AZ | 85068 | 860783428 | 8825 | PATIENT ASSISTANCE |
| ARIZONA CTR FOR HEMATOLOGY ONCOLOGY | ||||||
| 5750 W THUNDERBIRD RD C300 | GLENDALE | AZ | 85306 | 860930581 | 104918 | PATIENT ASSISTANCE |
| ARIZONA ONCOLOGY ASSOCIATES | ||||||
| PO BOX 910221 | DALLAS | TX | 75391 | 860938204 | 90343 | PATIENT ASSISTANCE |
| HARRISON J BACHRACH MD PC | ||||||
| PO BOX 52840 | PHOENIX | AZ | 85072 | 860956948 | 13544 | PATIENT ASSISTANCE |
| MICHAEL M LONG | ||||||
| PO BOX 52840 | PHOENIX | AZ | 85072 | 861018668 | 9750 | PATIENT ASSISTANCE |
| JOHN SAER MD | ||||||
| 3901 HOUMA BLVD 310 | METAIRIE | LA | 70006 | 861054334 | 10911 | PATIENT ASSISTANCE |
| CENTRAL UT CLINIC | ||||||
| 1055 N 500 W 202 | PROVO | UT | 84604 | 870281028 | 30251 | PATIENT ASSISTANCE |
| JEFFREY MATTHEWS MD | ||||||
| 3650 N UNIVERSITY AVE 150 | PROVO | UT | 84604 | 870398215 | 5005 | PATIENT ASSISTANCE |
| RETINA ASSOCIATES OF UT | ||||||
| 5169 S COTTONWOOD ST 630 | MURRAY | UT | 84107 | 870525682 | 15942 | PATIENT ASSISTANCE |
| UTAH VALLEY PEDIATRICS | ||||||
| 1355 N UNIVERSITY AVE 210 | PROVO | UT | 84604 | 870549057 | 11553 | PATIENT ASSISTANCE |
| SNOW CANYON CANCER CLINIC | ||||||
| 272 E CENTER ST 104 | IVINS | UT | 84738 | 870609622 | 6654 | PATIENT ASSISTANCE |
| ARTHRITIS SPECIALTY CTR | ||||||
| 1448 E CENTER ST E | POCATELLO | ID | 83201 | 870705248 | 6598 | PATIENT ASSISTANCE |
| NEVADA CANCER CTR | ||||||
| PO BOX 26237 | LAS VEGAS | NV | 89126 | 880133767 | 34276 | PATIENT ASSISTANCE |
| ALPINE HEMATOLOGY AND ONCOLOGY | ||||||
| 236 W 6TH ST 400 | RENO | NV | 89503 | 880152239 | 5657 | PATIENT ASSISTANCE |
| LAS VEGAS CANCER CTR | ||||||
| 2904 W HORIZON RIDGE PKWY 200 | LAS VEGAS | NV | 89052 | 880326483 | 9959 | PATIENT ASSISTANCE |
| COMPREHENSIVE CANCER CENTERS OF NV | ||||||
| PO BOX 911265 | DALLAS | TX | 75391 | 880350180 | 59564 | PATIENT ASSISTANCE |
| ARTHRITIS MEDICAL CLINIC | ||||||
| 5980 S RAINBOW 100 | LAS VEGAS | NV | 89118 | 880392853 | 5547 | PATIENT ASSISTANCE |
| OSTEOPOROSIS & ARTHRITIS CENTER | ||||||
| 10001 S EASTERN AVE 306 | HENDERSON | NV | 89052 | 880418235 | 10454 | PATIENT ASSISTANCE |
| SAN JOAQUIN HEMATOLOGY | ||||||
| PO BOX 7667 | STOCKTON | CA | 95267 | 900085684 | 9544 | PATIENT ASSISTANCE |
| DIRK DAVIDSON MD | ||||||
| PO BOX 1086 | CROSSVILLE | TN | 38557 | 900111512 | 7404 | PATIENT ASSISTANCE |
| THE EVERETT CLINIC | ||||||
| PO BOX 5127 | EVERETT | WA | 98206 | 910214500 | 15696 | PATIENT ASSISTANCE |
| THE VANCOUVER CLINIC | ||||||
| PO BOX 873010 | VANCOUVER | WA | 98687 | 910851599 | 5467 | PATIENT ASSISTANCE |
| OVERLAKE INTERNAL MEDICAL ASSOCIATES - ONCOLOGY | ||||||
| PO BOX 84088 | SEATTLE | WA | 98124 | 910858190 | 7500 | PATIENT ASSISTANCE |
| CANCER CENTER NW | ||||||
| PO BOX 3868 | SPOKANE | WA | 99220 | 911007627 | 9556 | PATIENT ASSISTANCE |
| ROGER MARIS CANCER CENTER | ||||||
| 820 4TH ST N | FARGO | ND | 58122 | 911770748 | 6525 | PATIENT ASSISTANCE |
| NEBRASKA MEDICAL CENTER | ||||||
| PO BOX 3839 | OMAHA | NE | 68103 | 911858433 | 5023 | PATIENT ASSISTANCE |
| NORTHWEST MEDICAL SPECIALTIES | ||||||
| 1624 S I ST 305 | TACOMA | WA | 98405 | 911867315 | 22343 | PATIENT ASSISTANCE |
| COLUMBIA RHEUMATOLOGY | ||||||
| 512 N YOUNG ST C | KENNEWICK | WA | 99336 | 912066291 | 8250 | PATIENT ASSISTANCE |
| RETINA CENTER NORTHWEST | ||||||
| 9800 LEVIN RD 203 | SILVERDALE | WA | 98383 | 912086736 | 6327 | PATIENT ASSISTANCE |
| SACRED HEART HOSPITAL | ||||||
| PO BOX 569 | EUGENE | OR | 97440 | 930395583 | 8044 | PATIENT ASSISTANCE |
| NORTH BEND MEDICAL CTR | ||||||
| 1900 WOODLAND DR | COOS BAY | OR | 97420 | 930635514 | 8733 | PATIENT ASSISTANCE |
| ONCOLOGY ASSOC OF OR | ||||||
| POBOX 79045 | CITY OF INDUSTRY | CA | 91716 | 930746296 | 26691 | PATIENT ASSISTANCE |
| PROVIDENCE ARTHRITIS CENTER | ||||||
| 5050 NE HOYT ST 155 | PORTLAND | OR | 97213 | 931097258 | 7127 | PATIENT ASSISTANCE |
| CORVALLIS CLINIC | ||||||
| 3680 NW SAMARITAN DR | CORVALLIS | OR | 97330 | 931221257 | 8666 | PATIENT ASSISTANCE |
| HEMATOLOGYONCOLOGY OF SALEM LLP | ||||||
| 875 OAK ST SE 4030 | SALEM | OR | 97301 | 931273254 | 79252 | PATIENT ASSISTANCE |
| NORTHWEST CANCER SPECIALISTS | ||||||
| PO BOX 79308 | CITY OF INDUSTRY | CA | 91716 | 931280206 | 44897 | PATIENT ASSISTANCE |
| PALO ALTO MEDICAL FOUNDATION | ||||||
| PO BOX 60000 FILE 74003 | SAN FRANCISCO | CA | 94160 | 941156581 | 12830 | PATIENT ASSISTANCE |
| CAPITOL HEMATOLOGY ONCOLOGY | ||||||
| 2 MEDICAL PLAZA 200 | ROSEVILLE | CA | 95661 | 941696582 | 6082 | PATIENT ASSISTANCE |
| WEST COAST RETINA MEDICAL GROUP INC | ||||||
| 185 BERRY ST 130 | SAN FRANCISCO | CA | 94107 | 942275625 | 6873 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY MED GRP OF FRESNO | ||||||
| 7130 N MILLBROOK AVE 100 | FRESNO | CA | 93720 | 942356945 | 17013 | PATIENT ASSISTANCE |
| IHC HEALTH SERVICES | ||||||
| PO BOX 30180 | SALT LAKE CITY | UT | 84130 | 942854057 | 23850 | PATIENT ASSISTANCE |
| BAY AREA RETINA ASSOCIATES | ||||||
| 122 LA CASA VIA 223 | WALNUT CREEK | CA | 94598 | 943064464 | 16862 | PATIENT ASSISTANCE |
| PACIFIC RHEUMATOLOGY ASSOC | ||||||
| 2100 WEBSTER ST 112 | SAN FRANCISCO | CA | 94115 | 943166656 | 6771 | PATIENT ASSISTANCE |
| SAN FRANCISCO ONCOLOGY ASSOC | ||||||
| 2100 WEBSTER ST 326 | SAN FRANCISCO | CA | 94115 | 943255519 | 5084 | PATIENT ASSISTANCE |
| ONCARE HI | ||||||
| P O BOX 30460 | HONOLULU | HI | 96820 | 943266406 | 7828 | PATIENT ASSISTANCE |
| EAST BAY MEDICAL ONC-HEMA | ||||||
| 4721 DALLAS RANCH RD | ANTIOCH | CA | 94531 | 943306655 | 35807 | PATIENT ASSISTANCE |
| MATTHEWS HEMATOLOGY ONOCOLOGY ASSOCIATES | ||||||
| 3036 SENNA DR | MATTHEWS | NC | 28105 | 943416694 | 24170 | PATIENT ASSISTANCE |
| UNIVERSITY OF SOUTHERN CALIFORNIA NORRIS CANCER HOSPITAL | ||||||
| FILE 749240 | LOS ANGELES | CA | 90074 | 951642394 | 7436 | PATIENT ASSISTANCE |
| SANTA BARBARA COTTAGE HOSP | ||||||
| FILE 53309 | LOS ANGELES | CA | 90074 | 951644629 | 5919 | PATIENT ASSISTANCE |
| HEMATOLOGY ONCOLOGY MEDICAL GROUP | ||||||
| 1010 W LA VETA AVE STE 200 | ORANGE | CA | 92868 | 952665069 | 57641 | PATIENT ASSISTANCE |
| WILSHIRE ONCOLOGY MEDICAL GRP | ||||||
| 1502 ARROW HWY | LA VERNE | CA | 91750 | 952754041 | 62244 | PATIENT ASSISTANCE |
| NORTH COUNTY ONCOLOGY MED CLINIC | ||||||
| 3617 VISTA WAY | OCEANSIDE | CA | 92056 | 953083886 | 38073 | PATIENT ASSISTANCE |
| RHEUMATOLOGY SERVICES | ||||||
| 3737 SAN DIMAS ST 101 | BAKERSFIELD | CA | 93301 | 953159908 | 9030 | PATIENT ASSISTANCE |
| LOS ALAMITOS HEMATOLOGY ONCOLOGY | ||||||
| 3801 KATELLA AVE 207 | LOS ALAMITOS | CA | 90720 | 953184731 | 9986 | PATIENT ASSISTANCE |
| VALLEY TUMOR MED GRP | ||||||
| 44105 15TH ST W 207 | LANCASTER | CA | 93534 | 953275524 | 21830 | PATIENT ASSISTANCE |
| INLAND HEMATOLOGY ONCOLOGY MED GRP INC | ||||||
| 401 C E HIGHLAND AVE | SAN BERNARDINO | CA | 92404 | 953285720 | 6620 | PATIENT ASSISTANCE |
| XAVIER J CARO MD | ||||||
| 18350 ROSCOE BLVD 418 | NORTHRIDGE | CA | 91325 | 953563324 | 10792 | PATIENT ASSISTANCE |
| DESERT MEDICAL GRP | ||||||
| 275 N EL CIELO RD | PALM SPRINGS | CA | 92262 | 953898275 | 9339 | PATIENT ASSISTANCE |
| ONCOLOGY CARE | ||||||
| 101 E BEVERLY BLVD 200 | MONTEBELLO | CA | 90640 | 953929841 | 29194 | PATIENT ASSISTANCE |
| HIGH DESERT MEDICAL GROUP | ||||||
| PO BOX 7007 | LANCASTER | CA | 93539 | 953930862 | 8302 | PATIENT ASSISTANCE |
| FACEY MEDICAL GROUP | ||||||
| FILE 50670 | LOS ANGELES | CA | 90074 | 954322584 | 22940 | PATIENT ASSISTANCE |
| LOS ANGELES HEMATOLOGY & ONCOLOGY MED GROUP | ||||||
| 1245 WILSHIRE BLVD 303 | LOS ANGELES | CA | 90017 | 954332724 | 17562 | PATIENT ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 0 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 517 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | COPAY ASSISTANCE | TypeOfGrant |
| Number Of Recipients | 604 | NumberOfRecipients |
| Amount Of Cash Grant | 8288625 | AmountOfCashGrant |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KORAB ZUKA | NamePerson |
| Base Compensation Filing Org | 149071 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 35062 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 7176 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 8457 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 199766 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | WHILE SERVING AS INTERIM PRESIDENT, HOUSING WAS PROVIDED FOR THE INTERIM PRESIDENT, PATRICK MCKERCHER. | |
| PART III | PATRICK MCKERCHER RECEIVED COMPENSATION FROM MCKERCHER ASSOCIATES, AN UNRELATED ORGANIZATION, FOR HIS SERVICES TO THE FILING ORGANIZATION. HE RECEIVED $89,015 IN 2011 AND A BONUS OF $20,000 WAS ACCRUED FOR HIS SERVICES IN 2011, BUT NOT PAID UNTIL 2012. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCKERCHER ASSOCIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | PATRICK MCKERCHER, INTERIM PRESIDENT, IS OWNER OF MCKERCHER ASSOCIATES | Relationship |
| Amount Of Transaction | 111000 | AmountOfTransaction |
| Description Of Transaction | MCKERCHER ASSOCIATES PERFORMED CONSULTING SERVICES FOR PATIENT ACCESS NETWORK FOUNDATION. THE TRANSACTION WAS CONDUCTED AT ARM'S LENGTH AND AT FAIR MARKET VALUE. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS 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 SECRETARY/TREASURER SIGNATORY. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AS POTENTIAL BOARD MEMBERS OR OFFICERS ARE RECRUITED THEY ARE ASKED ABOUT POSSIBLE CONFLICTS OF INTEREST. ONCE THEY JOIN PAN, OR ANNUALLY, THEY WILL READ THE CONFLICT OF INTEREST POLICY AND FILL OUT AND SIGN THE FORM. 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 15 | THE ORGANIZATION HIRED RUSSELL REYNOLDS ASSOCIATES, AN EXECUTIVE SEARCH FIRM, TO ASSIST WITH THE HIRING OF A NEW PRESIDENT. THE ORGANIZATION'S SEARCH COMMITTEE EVALUATED THE CANDIDATES AGAINST A DEFINED SET OF CRITERIA IN ORDER TO DETERMINE WHO WAS THE MOST APPROPRIATE PERSON TO LEAD THE ORGANIZATION. THE FULL BOARD OF DIRECTORS DISCUSSED, EVALUATED AND VOTED ON THE HIRING OF THE NEW PRESIDENT, PATRICK MCKERCHER. THE COMPENSATION OF THE PRESIDENT IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD REVIEWS THE FORM 990S 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 BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS, LIST OF BOARD MEMBERS AND THE ANNUAL REPORT ARE POSTED ON THE ORGANIZATION'S WEBSITE. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -502,922. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE 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, DISCLOSURE | THE 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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