PATIENT ADVOCATE FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PATIENT ADVOCATE FOUNDATION INC (EIN 54-1806317)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-14
IRS object ID
201143189349302259
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T09:31:27-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1701 TOWN CENTER DRIVE SUITE 700AddressLine1
CityNEWPORT NEWSCity
StateVAState
ZIP Code236064295ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541806317EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameNANCY DAVENPORT-ENNISName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone7578736668Phone
Date Signed2011-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES M HAGGARDName
Phone7578731033Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1421 BUTLER FARM ROADAddressLine1
CityHAMPTONCity
StateVAState
ZIP Code23666ZIPCode
FieldValueIRS element (for citing)
Gross Receipts45385404GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PATIENTADVOCATE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionPATIENT ADVOCATE FOUNDATION IS A NATIONAL NON-PROFIT ORGANIZATION THAT SEEKS TO SAFEGUARD PATIENTS THROUGH EFFECTIVE MEDIATION ASSURING ACCESS TO CARE, MAINTENANCE OF EMPLOYMENT AND PRESERVATION OF THEIR FINANCIAL STABILITY RELATIVE TO THEIR DIAGNOSIS OF LIFE THREATENING OR DEBILITATING DISEASES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees249TotalNbrEmployees
Total Nbr Volunteers31TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year33316237ContributionsGrantsPriorYear
Contributions Grants Current Year40570618ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1731075ProgramServiceRevenuePriorYear
Program Service Revenue CY3915224ProgramServiceRevenueCY
Investment Income Prior Year303329InvestmentIncomePriorYear
Investment Income Current Year270932InvestmentIncomeCurrentYear
Other Revenue Prior Year109778OtherRevenuePriorYear
Other Revenue Current Year252197OtherRevenueCurrentYear
Total Revenue Prior Year35460419TotalRevenuePriorYear
Total Revenue Current Year45008971TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13535559GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY19119842GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8086038SalariesEtcPriorYear
Salaries Etc Current Year11430684SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1161846TotalFundrsngExpCurrentYear
Other Expense Prior Year4137675OtherExpensePriorYear
Other Expenses Current Year5291913OtherExpensesCurrentYear
Total Expenses Prior Year25759272TotalExpensesPriorYear
Total Expenses Current Year35842439TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9701147RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9166532RevenuesLessExpensesCY
Total Assets BOY36953148TotalAssetsBOY
Total Assets EOY46120293TotalAssetsEOY
Total Liabilities BOY3468557TotalLiabilitiesBOY
Total Liabilities EOY3484941TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33484591NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY42635352NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPATIENT ADVOCATE FOUNDATION IS A NATIONAL NON-PROFIT ORGANIZATION THAT SEEKS TO SAFEGUARD PATIENTS THROUGH EFFECTIVE MEDIATION ASSURING ACCESS TO CARE, MAINTENANCE OF EMPLOYMENT AND PRESERVATION OF THEIR FINANCIAL STABILITY RELATIVE TO THEIR DIAGNOSIS OF LIFE THREATENING OR DEBILITATING DISEASES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8815337Expense
Grants700305Grants
Revenue252998Revenue
DescriptionPATIENT ADVOCATE FOUNDATION PROVIDES SUSTAINED, ONE ON ONE, CASE MANAGEMENT SERVICES TO PATIENTS THROUGHOUT THE COUNTRY WHO ARE EXPERIENCING ACCESS TO CARE ISSUES. THE PROFESSIONAL CASE MANAGEMENT STAFF WORK WITH PATIENT'S INSURERS, EMPLOYERS AND/OR CREDITORS IN AN EFFORT TO RESOLVE ACCESS TO CARE, DEBT CRISIS AND JOB RETENTION ISSUES THAT ARE A RESULT OF A LIFE THREATENING AND/OR DEBILITATING ILLNESS. THE PAF PROFESSIONAL CASE MANAGEMENT STAFF DIRECTLY ASSISTED 33,903 INDIVIDUALS IN FY10/11. ON AVERAGE, CASE MANAGERS MADE 12.5 CONTACTS ON BEHALF OF EACH PATIENT TO RELEVANT STAKEHOLDERS IN ORDER TO BRING RESOLUTION TO THE PATIENTS ACCESS ISSUE. PAF HAS AN ESTABLISHED PUBLICATIONS COMMITTEE THAT IS RESPONSIBLE FOR PUBLISHING NEW PATIENT EDUCATION MATERIALS THAT ARE WIDELY USED WITH PAF PATIENTS AS WELL AS PROVIDED TO OTHER ORGANIZATIONS AND FACILITIES FOR USE WITH PATIENTS. PAF HAS AUTHORED A TOTAL OF 28 PATIENT EDUCATIONAL PUBLICATIONS. IN FY10/11, PAF BEGAN WRITING TWO FULL LENGTH PUBLICATIONS: "MEDICARE - ANSWERING YOUR QUESTIONS" AND "THE NATIONAL UNINSURED RESOURCE DIRECTORY". THE PAF PUBLICATION COMMITTEE PUBLISHED A 1 PAGE ARTICLE IN THE WINTER 2010 WOMEN'S MAGAZINE TITLED "HEALTHCARE REFORM: HOW WILL IT AFFECT YOU?" ADDITIONALLY, IN FY10/11 PAF SERVED AS PEER REVIEWERS AND PROVIDED EDITS ON MULTIPLE NATIONAL ORGANIZATION'S PUBLICATIONS TO INCLUDE: THE LEUKEMIA & LYMPHOMA SOCIETY'S BOOKLET, "FINANCIAL HEALTH MATTERS"; SUPPORT FOR PEOPLE WITH ORAL AND HEAD AND NECK CANCER (SPOHNC)'S BOOK, "MEETING THE CHALLENGES OF ORAL & HEAD & NECK CANCER: A SURVIVOR'S GUIDE" CHAPTER 9 "MEETING THE CHALLENGES OF INSURANCE ISSUES"; THE NATIONAL CHILDREN'S CANCER SOCIETY'S, "THE MOUNTAIN YOU HAVE CLIMBED: A YOUNG ADULT'S GUIDE TO CHILDHOOD CANCER SURVIVORSHIP" AND "THE MOUNTAIN YOU HAVE CLIMBED: A PARENT'S GUIDE TO CHILDHOOD CANCER SURVIVORSHIP". LASTLY, THE FOUNDATION'S PUBLICATION COMMITTEE TRANSLATED THE FULL LENGTH PUBLICATION "LIGHTING THE WAY: CLINICAL TRIALS GUIDE" INTO SPANISH. THE FOUNDATION'S DIRECT PATIENT SERVICES STAFF PROVIDED FOLLOW UP EDUCATIONAL MATERIALS TO ALL PATIENTS SERVED BY PAF. THE FOUNDATION'S CASE MANAGEMENT STAFF SELECTS APPROPRIATE EDUCATIONAL MATERIALS FROM OVER 300 PUBLICATIONS AVAILABLE IN THE PAF RESOURCE CENTER. THESE PUBLICATIONS INCLUDE THOSE AUTHORED BY PAF AS WELL AS MATERIALS PUBLISHED BY GOVERNMENT AGENCIES, VARIOUS NON-PROFIT HEALTHCARE ORGANIZATIONS, ACADEMIC INSTITUTIONS, HEALTHCARE PROVIDERS AND FACILITIES AS WELL AS FOR PROFIT HEALTHCARE COMPANIES. PAF DISTRIBUTED 96,689 PIECES OF EDUCATIONAL MATERIAL IN CUSTOMIZED PATIENT EDUCATION PACKETS TO THOSE PATIENTS WE SERVED IN FY10/11. DURING FY10/11, THE PAF DIRECT PATIENT SERVICES TEAM ALSO CONDUCTED EDUCATIONAL OUTREACH AT THE LOCAL, REGIONAL AND NATIONAL LEVELS WITH THE GOAL OF EDUCATING HEALTHCARE PROFESSIONALS, NON-PROFIT ORGANIZATIONS AND THE GENERAL PUBLIC ABOUT THE SERVICES OFFERED BY PAF. THIS OUTREACH WAS, IN SOME CASES, TARGETED TO A SPECIFIC POPULATION THAT IS KNOWN TO BE CONSIDERED DISPARATE IN HEALTHCARE ACCESS AND DISEASE OUTCOMES DATA. THESE TARGETED OUTREACH POPULATIONS INCLUDE THE AFRICAN AMERICAN POPULATION, HISPANIC/LATINO POPULATIONS, THE MEDICARE POPULATION AND THE HEMATOLOGIC CANCER PATIENT POPULATION. IN FY10/11 PAF DISTRIBUTED OVER 59,000 EDUCATIONAL PUBLICATIONS THROUGH THESE OUTREACH EVENTS.THROUGH PATIENT ADVOCATE FOUNDATIONS SCHOLARSHIP FOR SURVIVORS, 11 SCHOLARSHIPS ARE AWARDED TO STUDENTS WHOSE STUDIES WERE INTERRUPTED OR DELAYED BY A DIAGNOSIS OF A LIFE THREATENING, CHRONIC OR DEBILITATING DISEASE. THE STUDENTS MUST BE ENROLLED FULL-TIME, MAINTAINING GPA OF 3.0 OR BETTER AND COMPLETE 20 HOURS OF COMMUNITY SERVICE DURING THE ACADEMIC YEAR.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense21711008Expense
Grants18419537Grants
DescriptionIN FY10/11, PAF PROVIDED CO-PAYMENT ASSISTANCE TO 13,781 QUALIFIED PATIENTS THROUGH THE CO-PAY RELIEF PROGRAM. SINCE ITS INCEPTION IN 2004, PAF HAS PROVIDED CO-PAYMENT ASSISTANCE TO OVER 50,000 INDIVIDUALS ALLOCATING MORE THAN $130,000 MILLION DOLLARS IN CO-PAYMENT AWARDS.LAUNCHED IN 2004, THE PATIENT ADVOCATE FOUNDATION (PAF) CO-PAY RELIEF PROGRAM (CPR) CURRENTLY PROVIDES DIRECT FINANCIAL SUPPORT TO INSURED PATIENTS, INCLUDING PRIVATELY INSURED, EMPLOYER SPONSORED AND MEDICARE PART D BENEFICIARIES, WHO FINANCIALLY AND MEDICALLY QUALIFY TO FULFILL THEIR OUT OF POCKET CO-PAYMENT RESPONSIBILITIES, THUS, INSURING ACCESS TO NEEDED THERAPIES. THE PROGRAM OFFERS PERSONAL SERVICE TO ALL PATIENTS THROUGH THE USE OF CALL COUNSELORS; PERSONALLY GUIDING PATIENTS THROUGH THE ENROLLMENT AND BENEFIT PROCESS.PAF'S CO-PAY RELIEF PROGRAM (CPR) CURRENTLY ASSISTS PATIENTS WHO ARE BEING TREATED FOR BREAST, COLON, HEAD & NECK, KIDNEY, LUNG, LYMPHOMA, NONSQUOMOUS NON-SMALL CELL LUNG (NSCLC), PANCREATIC AND PROSTATE CANCERS, AUTOIMMUNE DISORDERS, CHEMOTHERAPY INDUCED ANEMIA OR NEUTROPENIA, CUTANEOUS T-CELL LYMPHOMA, DIABETES, HEPATITIS C, MALIGNANT BRAIN TUMORS, MULTIPLE MYELOMA, MYELODYSPLASTIC SYNDROME, OSTEOPOROSIS, PAIN, RHEUMATOID ARTHRITIS AND SARCOMA.CURRENTLY THE PAF CO-PAY RELIEF PROGRAM OFFERS A DEDICATED, SECURE WEB SITE FOR MEDICAL PROVIDERS TO ENROLL ELECTRONICALLY FOR THE CPR PROGRAM ON BEHALF OF THEIR PATIENTS. AS WELL, CPR OFFERS A DEDICATED, SECURE WEB BASED APPLICATION FOR PATIENTS TO ENROLL ELECTRONICALLY FOR THE CO-PAY RELIEF PROGRAM (CPR) DIRECTLY FROM THE CPR WEBSITE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2354439Expense
Revenue3915224Revenue
DescriptionIN FY08/09 PAF ENTERED INTO A TRANSPARENT SERVICE ADMINISTRATION CONTRACT WITH A NATIONAL NON-PROFIT ORGANIZATION. PAF HAS BEEN CONTRACTED TO PROVIDE FULL SERVICE, TRANSPARENT ADMINISTRATION SERVICES TO QUALIFIED PATIENTS THAT ENTER THEIR CO-PAY ASSISTANCE PROGRAM. PAF CONTINUED TO PROVIDE THIS CONTRACTUAL SERVICE DURING FY10/11 AND WAS PAID ADMINISTRATION FEES ON A MONTHLY BASIS THROUGH THIS SERVICE CONTRACT. PAF ADMINISTERED SERVICES TO 16,195 PATIENTS IN FY10/11 THROUGH THIS CONTRACT.Description
FieldValueIRS element (for citing)
Total Program Service Expense32880784TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees249NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
NANCY DAVENPORT-ENNIS SEE SCH O
CHIEF EXECUTIVE OFFICER40.00XX4507111000008696
JOHN H ENNIS
CHIEF DEVELOPMENT OFFICER40.00X11927908696
DENNIS A GASTINEAU
PRESIDENT5.00XX000
LEAH ARNETT
SECRETARY5.00XX000
ALAN J BALCH
FINANCE COMMITTEE5.00X000
PEARL MOORE
FINANCE COMMITTEE5.00X000
JOHN L MURPHY
FINANCE COMMITTEE5.00X000
BRUCE AVERY
BOARD MEMBER5.00X000
CHRISTIAN DOWNS
BOARD MEMBER5.00X000
MARTHA E GAINES
BOARD MEMBER5.00X000
DEBORAH PARHAM HOPSON
BOARD MEMBER5.00X000
LOVELL JONES
BOARD MEMBER5.00X000
ROY RAMTHUN
BOARD MEMBER5.00X000
REED V TUCKSON
BOARD MEMBER5.00X000
FRAN CASTELLOW
PRESIDENT, OPERATIONS40.00X14411901125
DYNELLE LUNSFORD
CHIEF FINANCIAL OFFICER40.00X108244189004005
WILLIAM NASON
CHIEF OPERATIONS OFFICER40.00X157567012626
BETH PATTERSON
PRESIDENT, MISSION DELIVERY40.00X13760607054
ERIN MOARATTY
CHIEF OF EXTERNAL COMMUNICATIONS40.0010893804506X
ALAN RICHARDSON
CHIEF CORPORATE DEVELOPMENT OPERATIONS OFFICER40.0010718605591X
JONATHAN SANDS
EVP OF NATIONAL ACCOUNTS40.0015484605221X
ANGELA WOOD
CHIEF HUMAN RESOURCE OFFICER40.0012140002505X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1609896TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs118900TotalReportableCompFrmRltdOrgs
Total Other Compensation60025TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SCHMIDT PUBLIC AFFAIRS LLC
917 PRINCE STREETALEXANDRIAVA22314CONSULTING / PUBLIC RELATIONS283941
HEADWAY CORPORATE RESOURCES
PO BOX 785381PHILADELPHIAPA19178TEMPORARY STAFFING228204
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Membership Dues175000MembershipDues
Fundraising Events309407FundraisingEvents
Government Grants1296070GovernmentGrants
All Other Contributions38790141AllOtherContributions
Noncash Contributions73821NoncashContributions
Total Contributions40570618TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE CONTRACTSDescription
Business Code541900BusinessCode
Total Revenue Column3915224TotalRevenueColumn
Related Or Exempt Function Income3915224RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3915224TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column271544TotalRevenueColumn
Exclusion$271,544ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities325000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities325612Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-612Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-612TotalRevenueColumn
Exclusion-$612ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events50020GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events309407CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses50821FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-801TotalRevenueColumn
Exclusion-$801ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory12744GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column12744TotalRevenueColumn
Related Or Exempt Function Income12744RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDATA SALESDescription
Business Code541900BusinessCode
Total Revenue Column240254TotalRevenueColumn
Related Or Exempt Function Income240254RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue240254TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column45008971TotalRevenueColumn
Related Or Exempt Function Income4168222RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$270,131ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1279Total
Program Services1279ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total19118563Total
Program Services19118563ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1399696Total
Program Services324396ProgramServices
Management And General528911ManagementAndGeneral
Fundraising546389Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8311159Total
Program Services7388492ProgramServices
Management And General710223ManagementAndGeneral
Fundraising212444Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total104339Total
Program Services95197ProgramServices
Management And General6722ManagementAndGeneral
Fundraising2420Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total890144Total
Program Services759186ProgramServices
Management And General111383ManagementAndGeneral
Fundraising19575Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total725346Total
Program Services586527ProgramServices
Management And General85244ManagementAndGeneral
Fundraising53575Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38481Total
Program Services35254ProgramServices
Management And General2322ManagementAndGeneral
Fundraising905Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45334Total
Program Services4702ProgramServices
Management And General40632ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total820000Total
Program Services763690ProgramServices
Management And General32000ManagementAndGeneral
Fundraising24310Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total322346Total
Program Services281633ProgramServices
Management And General29377ManagementAndGeneral
Fundraising11336Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total344732Total
Program Services322133ProgramServices
Management And General11796ManagementAndGeneral
Fundraising10803Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1713579Total
Program Services1587594ProgramServices
Management And General53390ManagementAndGeneral
Fundraising72595Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total817449Total
Program Services749488ProgramServices
Management And General47786ManagementAndGeneral
Fundraising20175Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total350651Total
Program Services263056ProgramServices
Management And General6974ManagementAndGeneral
Fundraising80621Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total336709Total
Program Services199621ProgramServices
Management And General40372ManagementAndGeneral
Fundraising96716Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total99075Total
Program Services89746ProgramServices
Management And General6081ManagementAndGeneral
Fundraising3248Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total314532Total
Program Services291126ProgramServices
Management And General17161ManagementAndGeneral
Fundraising6245Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total58373Total
Program Services19101ProgramServices
Management And General38783ManagementAndGeneral
Fundraising489Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
BAD DEBTS2500025000
LOSS ON ABANDONMENT OF56525652

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35842439Total
Program Services32880784ProgramServices
Management And General1799809ManagementAndGeneral
Fundraising1161846Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2688952BOY
EOY3187235EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY31143707BOY
EOY39301787EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY120611BOY
EOY102925EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY312373BOY
EOY581659EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY69359BOY
EOY86957EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY260049BOY
EOY235869EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2377309LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec835298LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1178231BOY
EOY1542011EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1065492BOY
EOY973310EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY114374BOY
EOY108540EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36953148BOY
EOY46120293EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY494944BOY
EOY631953EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2407856BOY
EOY2322968EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY565757BOY
EOY530020EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3468557BOY
EOY3484941EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1275392BOY
EOY2360255EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY30234822BOY
EOY38331347EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1974377BOY
EOY1943750EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33484591BOY
EOY42635352EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36953148BOY
EOY46120293EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9166532ReconcilationRevenueExpenses
Reconcilation Other Changes-15771ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9421995CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12635463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12260926CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19914737CurrentTaxYearMinus1Year
Current Tax Year22345618CurrentTaxYear
Total76578739Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9421995CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12635463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12260926CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19914737CurrentTaxYearMinus1Year
Current Tax Year22345618CurrentTaxYear
Total76578739Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total33254312AmountsSubstContributorsTotal
Public Support Total17043324427PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years953827CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years796707CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years532116CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year303332CurrentTaxYearMinus1Year
Current Tax Year271544CurrentTaxYear
Total2857526Total
FieldValueIRS element (for citing)
Total Support79436265TotalSupport
Gross Receipts From Admissions Etc15536727GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.54540PublicSupportPertcentage170
Public Support Pertcent Prior Year0.56080PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals820000FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals820000FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals35022439FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals35842439FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3675000CurrentYearMinus3
Current Year Minus2490000CurrentYearMinus2
Current Year Minus1600000CurrentYearMinus1
Current Year820000CurrentYear
Total2585000Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1937483BeginningOfYearBalance
Investment Earnings Or Losses37653InvestmentEarningsOrLosses
End Of Year Balance1975136EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis78896OtherCostOrOtherBasis
Depreciation2250Depreciation
Book Value76646BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1547970OtherCostOrOtherBasis
Depreciation768926Depreciation
Book Value779044BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis750443OtherCostOrOtherBasis
Depreciation64122Depreciation
Book Value686321BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1542011TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED VACATION$406,593
LEASE OBLIGATION$123,427
FieldValueIRS element (for citing)
Total Of Amounts530020TotalOfAmounts
Total Revenue45008971TotalRevenue
Total Expenses35842439TotalExpenses
Excess Or Deficit For Year9166532ExcessOrDeficitForYear
Net Unrealized GL On Investments-15771NetUnrealizedGLOnInvestments
Total Adjustments-15771TotalAdjustments
Excess Or Deficit Per FS9150761ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt45136899TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-15771NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities92878DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99077107RevenueNotRptdF990
Revenue Subtotal45059792RevenueSubtotal
Other Revenues Not Included-50821OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-50821RevenueNotRptdOnFinStmt
Total Revenue Per Form99045008971TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35986138TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities92878DonatedServicesUseOfFacilities
Other Expenses Included50821OtherExpensesIncluded
Expenses Not Rptd F990143699ExpensesNotRptdF990
Expenses Subtotal35842439ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99035842439TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT FUND OF PATIENT ADVOCATE FOUNDATION WAS ESTABLISHED IN 2001 TO FURTHER ITS EXEMPT PURPOSE BY SUPPORTING DIRECT PATIENT SERVICES. THE ENDOWMENT FUND BUILDS LONG-TERM STABILITY FOR THE FUTURE OF THE FOUNDATION BY PROVIDING AN ADDITIONAL SOURCE OF INCOME TO MEET AN INCREASING DEMAND FOR NATIONAL PROGRAMS AND SERVICES. IT PROVIDES FOR INTEREST INCOME TO BE USED BY PAF AND RESTRICTS ACCESS TO PRINCIPAL EXCEPT IN THE EVENT OF A CATASTROPHIC EVENT SUCH AS TOTAL FINANCIAL COLLAPSE OF FUNDING RECEIVABLES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:DIRECT EXPENSES FOR FUNDRAISING EVENT -50,821.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES FOR FUNDRAISING EVENT 50,821.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PROMISE OF HOPENameOfEvent1
Gross Receipts Event1359427GrossReceiptsEvent1
Charitable Contributions Event1309407CharitableContributionsEvent1
Gross Revenue Event150020GrossRevenueEvent1
Rent Facility Costs Event14276RentFacilityCostsEvent1
Food And Beverage Event138544FoodAndBeverageEvent1
Entertainment Event18000EntertainmentEvent1
Gross Receipts Total359427GrossReceiptsTotal
Charitable Contributions Total309407CharitableContributionsTotal
Gross Revenue Total Events50020GrossRevenueTotalEvents
Rent Facility Costs Total Events4276RentFacilityCostsTotalEvents
Food And Beverage Total Events38544FoodAndBeverageTotalEvents
Entertainment Total Events8000EntertainmentTotalEvents
Direct Expense Summary Events50820DirectExpenseSummaryEvents
Net Income Summary-800NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS1131500
CO PAY RELIEF ASSISTANCE1422118419537
COLORECTAL CARE LINE AWARDS1592656163
CANCER PREMIUM ASSISTANCE FUNDING1811363

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THROUGH PATIENT ADVOCATE FOUNDATIONS SCHOLARSHIP FOR SURVIVORS, 11 SCHOLARSHIPS ARE AWARDED TO STUDENTS WHOSE STUDIES WERE INTERRUPTED OR DELAYED BY A DIAGNOSIS OF A LIFE THREATENING, CHRONIC OR DEBILITATING DISEASE. THE STUDENTS MUST BE ENROLLED FULL-TIME, MAINTAINING GPA OF 3.0 OR BETTER AND COMPLETE 20 HOURS OF COMMUNITY SERVICE DURING THE ACADEMIC YEAR. PATIENT ADVOCATE FOUNDATION (PAF) CO-PAY RELIEF PROGRAM (CPR) CURRENTLY PROVIDES DIRECT FINANCIAL SUPPORT TO INSURED PATIENTS WHO MUST FINANCIALLY AND MEDICALLY QUALIFY TO ACCESS PHARMACEUTICAL CO-PAYMENT ASSISTANCE. THE PROGRAM OFFERS PERSONAL SERVICE TO ALL PATIENTS THROUGH THE USE OF CALL COUNSELORS; PERSONALLY GUIDING PATIENTS THROUGH THE ENROLLMENT PROCESS. PATIENT ADVOCATE FOUNDATION'S COLORECTAL CARELINE PROVIDES A FINANCIAL ASSISTANCE GRANT OF $400 PER PATIENT FOR COLORECTAL PATIENTS IN NEED OF FINANCIAL ASSISTANCE RELATED TO COSTS ASSOCIATED WITH TRANSPORTATION TO AND FROM TREATMENT. PATIENT ADVOCATE FOUNDATION'S CANCER PREMIUM ASSISTANCE FUND PROVIDES CANCER PATIENTS WHO MEDICALLY AND FINANCIALLY QUALIFY WITH ASSISTANCE FOR THEIR INSURANCE PREMIUMS WHEN THEY CANNOT AFFORD THEM IN AN EFFORT TO MAINTAIN THEIR INSURANCE BENEFITS. THIS PROGRAM OFFERS PREMIUM ASSISTANCE TO CANCER PATIENTS WHO ARE COMMERCIALLY INSURED AND/OR ARE PURSUING A HIGH RISK POOL OR COBRA BENEFIT. PATIENTS WHO ARE APPROVED FOR SUPPORT RECEIVE A MAXIMUM AWARD AMOUNT OF $2,000, ENSURING THAT PREMIUM SUPPORT IS PROVIDED, IDEALLY, FOR A 4-6 MONTH PERIOD.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NANCY DAVENPORT-ENNIS SEE SCH O
12071110000033000000000869604594071000005958850000
WILLIAM NASON
1575670000000126260170193000
JONATHAN SANDS
154846000000052210160067000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationJONATHAN SANDS - CONFIDENTIAL BASED ON TERMS OF EMPLOYMENT TERMINATION AGREEMENTExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonNANCY DAVENPORT-ENNISNamePerson
FieldValueIRS element (for citing)
RelationshipCEO-NPAFRelationship
Amount Of Transaction820000AmountOfTransaction
Description Of TransactionRELATED ENTITY - NANCY DAVENPORT-ENNIS IS THE FOUNDER AND CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION. SHE IS ALSO THE CHIEF EXECUTIVE OFFICER OF NATIONAL PATIENT ADVOCATE FOUNDATION, A SISTER ORGANIZATION OF PATIENT ADVOCATE FOUNDATION. PATIENT ADVOCATE FOUNDATION HAS A CONSULTING AGREEMENT WITH NATIONAL PATIENT ADVOCATE FOUNDATION IN WHICH PATIENT ADVOCATE FOUNDATION PAYS NATIONAL PATIENT ADVOCATE FOUNDATION FEES TO REPRESENT THE POLICY INTERESTS OF PAF.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions28NumberOfContributions
Noncash Contribs Rptd F9905367NoncashContribsRptdF990
Method Of Determining RevenuesRETAIL VALUEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99018947NoncashContribsRptdF990
Method Of Determining RevenuesRETAIL VALUEMethodOfDeterminingRevenues

Collectibles Collectibles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions30NumberOfContributions
Noncash Contribs Rptd F9906191NoncashContribsRptdF990
Method Of Determining RevenuesRETAIL VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XJEWELERY/ACCESSORIES1077288RETAIL VALUE
XGIFT BASKETS11519978RETAIL VALUE
XFURNITURE / FIXTURES316050RETAIL VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2JOHN L. MURPHY, BOARD MEMBER OF PATIENT ADVOCATE FOUNDATION, IS THE BROTHER-IN-LAW OF NANCY DAVENPORT-ENNIS, CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION. FRANCES CASTELLOW, PRESIDENT, OPERATIONS OF PATIENT ADVOCATE FOUNDATION, IS THE DAUGHTER OF NANCY DAVENPORT-ENNIS, CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION. JACK ENNIS, CHIEF DEVELOPMENT OFFICER AND CO-FOUNDER OF PATIENT ADVOCATE FOUNDATION, IS THE HUSBAND OF NANCY DAVENPORT-ENNIS,CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION. BETH PATTERSON,PRESIDENT, MISSION DELIVERY OF PATIENT ADVOCATE FOUNDATION, IS THE DAUGHTER OF NANCY DAVENPORT-ENNIS, CHIEF EXECUTIVE OFFICER OF PATIENT ADVOCATE FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS RECEIVES A DRAFT COPY OF THE FORM 990 THEN SUBSEQUENTLY REVIEWS IT FOR ACCURACY AND COMPLIANCE. ONCE IT IS APPROVED BY THE FINANCE COMMITTEE, ALL MEMBERS OF THE EXECUTIVE BOARD OF DIRECTORS RECEIVE THE FINAL COPY OF THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING AND IS SO NOTED IN THE BOARD MEETING MINUTES.
MEMBERS OF THE PAF BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY UPON ESTABLISHING MEMBERSHIP ON THE BOARD AND AGAIN ANNUALLY AT THE DIRECTION OF THE EXECUTIVE COMMITTEE. EACH MEMBER MUST DISCLOSE ANY/ALL KNOWN CONFLICTS OF INTEREST AT THAT TIME. IF ANY CONFLICTS OF INTEREST ARE NOTED MORE INFORMATION WILL BE GATHERED BY THE EXECUTIVE COMMITTEE AND A DETERMINATION ON THE EXISTENCE OF A MATERIAL CONFLICT WILL BE ISSUED. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH ENFORCEMENT OF THIS POLICY.FORM 990, PART VI, SECTION B, LINE 12C
PATIENT ADVOCATE FOUNDATION COMMISSIONS INDEPENDENT COMPENSATION STUDIES THAT UTILIZE NATIONAL COMPARABILITY DATA OF ORGANIZATIONS SIMILAR IN MISSION, SIZE AND REVENUES. PAF HAS A COMPENSATION COMMITTEE WITHIN THE BOARD OF DIRECTORS THAT CONSISTS OF FOUR (4) EXECUTIVE BOARD MEMBERS AND IS CHAIRED BY THE BOARD PRESIDENT. THIS COMMITTEE IS PROVIDED WITH THE INDEPENDENTLY PRODUCED COMPENSATION REPORT AND UTILIZES IT TO ESTABLISH THE CEO'S ANNUAL COMPENSATION. THIS COMMITTEE ALSO REVIEWS THE COMPENSATION OF KEY EMPLOYEES UTILIZING THE COMPENSATION REPORT. THIS PROCESS IS DOCUMENTED THROUGH MINUTES OF THE COMPENSATION COMMITTEE MEETING.FORM 990, PART VI, SECTION B, LINE 15
PATIENT ADVOCATE FOUNDATION MAKES AVAILABLE THE LAST 5 YEARS OF FORM 990'S, ANNUAL REPORTS AND CURRENT LIST OF BOARD MEMBERS ON THE ORGANIZATION WEBSITE, WWW.PATIENTADVOCATE.ORG UNDER THE "MEET PAF" SECTION. ADDITIONALLY, PAF MAKES AVAILABLE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, ARCHIVED FORM 990'S (OLDER THAN 5 YEARS) AND AUDITED FINANCIAL STATEMENTS (OLDER THAN 5 YEARS) UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
THE REPORTABLE COMPENSATION FROM THE ORGANIZATION PAID TO NANCY DAVENPORT-ENNIS, CEO, IN 2010 WAS INCLUSIVE OF A $280,000 RETIREMENT CATCH UP CONTRIBUTION ASSOCIATED WITH HER SERVICES AS FOUNDER AND CEO OVER THE PAST 14 YEARS. THE RETIREMENT CATCH UP CONTRIBUTION LEVEL WAS DEFINED AS APPROPRIATE THROUGH AN INDEPENDENT EXECUTIVE COMPENSATION AND RETIREMENT STUDY THAT WAS COMPLETED BY AN INDEPENDENT COMPENSATION AND BENEFIT FIRM SELECTED BY THE BOARD OF DIRECTORS OF PAF AND NPAF. THE STUDY WAS COMPLETED IN 2010 AND PRESENTED TO THE BOARD OF DIRECTORS BY THE INDEPENDENT PREPARERS FOR THEIR CONSIDERATION AND APPROVAL. THE BOARD OF DIRECTORS DEFINED AND APPROVED THE RETIREMENT CATCH UP CONTRIBUTION IN SEPTEMBER 2010 FOR PAYMENT BEGINNING IN DECEMBER 2010 AND CONTINUING FOR A 3 YEAR PERIOD ENDING IN DECEMBER 2012.FORM 990 - PART VII - SECTION A - COLUMN D / FORM 990 - SCHEDULE J - PART I
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -15,771.FORM 990, PART XI, LINE 5:
OVERSIGHT / SELECTION PROCESSNO CHANGES WERE MADE TO THE ORGANIZATION'S OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NATIONAL PATIENT ADVOCATE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionType
Amount Involved820000AmountInvolved

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.