Patient Advocate Foundation Inc.

Filing Period

Jul 1, 2012 to Jun 30, 2013

Signed

Oct 29, 2013

Return Version

2012v2.1

Gross Receipts

$48,417,031

Mission

Major Activities

Activity 2

Launched in 2004, the patient advocate foundation 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.the foundations co-pay relief program currently assists patients who are being treated for breast cancer, chemotherapy induced neutropenia, castrate resistant prostate cancer, colon cancer, cutaneous t-cell lymphoma, electrolyte imbalance, hepatitis c, hormone suppression therapy, multiple myeloma, myelodysplastic syndrome, non-muscle invasive bladder cancer, non-small cell lung cancer (nsclc), osteoporosis, pain, prostate cancer, renal cell carcinoma, rheumatoid arthritis and sarcoma.currently the foundations co-pay relief program offers two dedicated, secured websites for medical providers and pharmacy representatives to enroll electronically for the co-pay relief program on behalf of the patients they are working with. As well, cpr offers a dedicated, secure web based application for patients and/or their family members to enroll electronically for the co-pay relief program directly from the co-pay relief program website.in fy2012/2013, the foundation provided co-payment assistance to 18,437 qualified patients through the co-pay relief program. Since its inception in 2004, the foundation has provided co-payment assistance to over 100,000 individuals allocating more than $195 million dollars in co-payment awards.

Activity 3

In fy2008/2009, the foundation entered into a transparent service administration contract with a national nonprofit organization. The foundation has been contracted to provide full service, transparent administration services to qualified patients that enter their co-pay assistance program. The foundation continued to provide this contractual service during fy2012/2013 and was paid administration fees on a monthly basis through this service contract. The foundation administered services to 20,508 patients in fy2012/2013 through this contract.

Filer

EIN

54-1806317