2023-11-10T09:10:41-06:00 2023-06-30 540504608 BROWN EDWARDS & COMPANY LLP 701 TOWN CENTER DRIVE SUITE 700 NEWPORT NEWS VA 23606 990 2022-07-01 541839226 NATIONAL PATIENT ADVOCATE FOUNDATION NATI 7579521369 421 BUTLER FARM ROAD HAMPTON VA 23666 ALAN BALCH CHIEF EXECUTIVE OFFICER 7578736668 2023-10-30 1 ALAN BALCH XXX-XX-XXXX 0 HUGH BARLOW P00422004 7578731033 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ALAN BALCH 421 BUTLER FARM ROAD HAMPTON VA 23666 1504035 0 X WWW.NPAF.ORG X 1996 VA NATIONAL PATIENT ADVOCATE FOUNDATION (NPAF) IS A NON-PROFIT ORGANIZATION THAT BRINGS PATIENT AND CAREGIVER VOICES TO HEALTH SYSTEM DELIVERY REFORM. NPAF DEVELOPS AND DRIVES INITIATIVES PROMOTING EQUITABLE ACCESS TO AFFORDABLE QUALITY HEALTH CARE THROUGH POLICY ACTION AND PUBLIC AND PRIVATE PARTNERSHIPS. OUR PRIMARY OBJECTIVE IS TO PRIORITIZE THE PATIENT VOICE IN HEALTH SYSTEM DELIVERY REFORM TO ACHIEVE PERSON-CENTERED CARE. 14 14 8 279 0 0 1161298 1068104 475000 412500 -14451 23431 0 0 1621847 1504035 0 0 0 0 1225066 1133991 0 0 102272 344023 369922 1569089 1503913 52758 122 1546103 1606464 427829 488068 1118274 1118396 X THE NATIONAL PATIENT ADVOCATE FOUNDATION, THE ADVOCACY AFFILIATE OF THE PATIENT ADVOCATE FOUNDATION, REPRESENTS THE PATIENT VOICE, BOTH THE POWERFUL STORIES OF INDIVIDUALS AND THE COLLECTIVE NEEDS OF THE COMMUNITY. OUR PROGRAMS ARE DEVELOPED TO REFLECT THE EXPERIENCES AND OVERCOME THE BARRIERS THAT PAF PATIENTS WHO ARE LIVING WITH CHRONIC, DEBILITATING OR LIFE-THREATENING ILLNESS AND THEIR CAREGIVERS ENCOUNTER IN ACCESSING AFFORDABLE, QUALITY HEALTH CARE. NPAF IS A THOUGHT LEADER IN DEVELOPING POLICIES THAT PROTECT PATIENTS AND CAREGIVERS FROM LACK OF TRANSPARENCY, MEDICAL DEBT AND EQUITABLE ACCESS TO CARE AND SERVICES AT KEY POINTS DURING THEIR ILLNESS. 0 0 531616 75000 NPAF'S POLICY AND FIELD ADVOCACY PROGRAM HAS CURATED A STRONG AND COMMITTED NETWORK OF SKILLED PATIENT ADVOCATES AS GRASSROOTS VOLUNTEERS. OUR VOLUNTEER PROGRAM CREATES ENGAGEMENT OPPORTUNITIES ON KEY PERSON-CENTERED PATIENT AND CAREGIVER PRIORITIES THROUGH ISSUES BRIEFINGS, SKILLS AND RESOURCES DEVELOPMENT AND INNOVATIVE CAMPAIGNS. NPAF INVESTED CONSIDERABLE STAFF EFFORT AND ORGANIZATIONAL RESOURCES IN BUILDING NEW VIRTUAL ASPECTS OF THIS PROGRAM TO ENHANCE AND EXPAND THE ACTIVITIES OF OUR VOLUNTEERS NATIONWIDE WHILE FOSTERING DEEPER RELATIONSHIPS AND CONNECTIONS AMONG THEM.PATIENT ACTION LEAGUE (PAL) IS A CENTRAL ELEMENT OF NPAF'S VOLUNTEER PROGRAM, DESIGNED TO BOOST GRASSROOTS TRAINING AND MOBILIZATION THAT BROADENS THE REACH OF NPAF'S PERSON-CENTERED CARE AGENDA. THROUGHOUT THE YEAR, PAL OFFERS A SERIES OF COMMUNITY-BASED CAMPAIGNS, COMMUNICATIONS, AND OTHER ACTION OPPORTUNITIES FOR ADDRESSING PATIENT AND CAREGIVER PRIORITIES IN HEALTH CARE REFORM. CURRENT ISSUES INCLUDE INSURANCE COVERAGE ENROLLMENT (GETCOVERED), CARE PLANNING (BE A HERO. MAKE A PLAN), MEETING CAREGIVER NEEDS (CAREGIVERS COUNT), AND REINFORCING THE IMPORTANCE OF FINANCIAL AND SOCIAL NEEDS NAVIGATION SERVICES (HEALTH NEEDS NAVIGATION). PAL ALSO PROVIDES "CAN WE TALK" FORUMS AND RESOURCES FOR SOCIALIZING THE CONCEPT OF PERSON-CENTERED CARE AMONG VARIOUS AUDIENCES. PAL PROGRAMS HELP EXPAND THE REACH OF VARIOUS COMMUNITY AND NATIONAL ALLIANCES AND COALITIONS DEDICATED TO PERSON-CENTERED CARE. 545271 337500 THE POLICY CONSORTIUM BRINGS TOGETHER A DIVERSE GROUP OF ADVOCATES, EXPERTS AND GRASSROOTS ACTIVISTS TO DISCUSS THE MOST PRESSING ISSUES OF THE DAY, ALONG WITH PATIENT ADVOCATE FOUNDATION CASE MANAGERS AND PATIENTS THEY'VE SERVED. NPAF CONVENES PEOPLE FROM AROUND THE COUNTRY, FROM DIVERSE BACKGROUNDS AND SOCIOECONOMIC CIRCUMSTANCES, WHO HAVE BEEN DIRECTLY IMPACTED BY THE FEATURED ISSUE. THE POLICY CONSORTIUM IS ANCHORED BY DATA. IT FEATURES REAL, DE-IDENTIFIED PATIENT DATA FROM THE PATIENT ADVOCATE FOUNDATION, HIGHLIGHTING LIVED PATIENT EXPERIENCES AND TRENDS OVER TIME. PAST POLICY CONSORTIUMS HAVE LED TO DIRECT ACTION ON ISSUES AS DIVERSE AS WELLNESS COVERAGE, TRANSPORTATION ACCESS AND SHARED DECISION-MAKING. THERE ARE TWO MEETINGS PER YEAR AS WELL AS ONGOING COMMUNICATIONS AND MATERIALS RELATED TO THE PARTICULAR MEETING TOPICS, SUCH AS NEWSLETTERS, VIDEO CONTENT, ISSUE BRIEFS, AND PEER-REVIEWED PUBLICATIONS. 1076887 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 16 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X CORPORATE OFFICE 7579520592 421 BUTLER FARM ROAD HAMPTON VA 23666 AL BENSON III MD FACP PAST BOARD PRESIDENT 1.00 1.00 X 0 0 0 JOHN L MURPHY FINANCE COMMITTEE CHAIR 1.00 1.00 X X 0 0 0 OTIS MAYNARD ESQ BOARD VICE PRESIDENT 1.00 1.00 X X 0 0 0 EDITH MITCHELL MD BOARD PRESIDENT 1.00 1.00 X X 0 0 0 MAUREEN CULBERTSON BOARD MEMBER 1.00 1.00 X 0 0 0 NORMAN HUBBARD MBA BOARD MEMBER 1.00 1.00 X 0 0 0 LARRI SHORT BOARD SECRETARY 1.00 1.00 X X 0 0 0 BRYAN LOY MD MBA BOARD MEMBER 1.00 X 0 0 0 ANAEZE C OFFODILE II MD BOARD MEMBER 1.00 1.00 X 0 0 0 DANIEL PRESS PHD BOARD MEMBER 1.00 1.00 X 0 0 0 REGINALD TUCKER-SEELEY MA SCM SCD BOARD MEMBER 1.00 1.00 X 0 0 0 GABRIELLE ROCQUE MD BOARD MEMBER 1.00 1.00 X 0 0 0 DAVID WHITE BOARD MEMBER 1.00 1.00 X 0 0 0 MARIA VELISSARIS BOARD MEMBER 1.00 X 0 0 0 ALAN J BALCH PHD CHIEF EXECUTIVE OFFICER 20.00 20.00 X 125000 306099 12993 GWEN DARIEN EVP, PATIENT ADVOCACY 40.00 X 219417 0 24686 REBECCA KIRCH EVP, POLICY & PROGRAMS 40.00 X 203667 0 22008 NICOLE BRACCIO POLICY DIRECTOR 40.00 X 110808 0 5340 CAITLIN DONOVAN SENIOR DIRECTOR PR 40.00 X 119996 0 5572 778888 306099 70599 4 0 1 0 0 980000 88104 1068104 MEMBERSHIP DUES - PROG 541900 412500 412500 412500 23431 23431 1504035 412500 0 23431 125000 89577 24900 10523 824377 590758 164213 69406 38962 29611 6624 2727 68763 52258 11691 4814 76889 58436 13071 5382 422 422 29395 29395 73830 73830 21776 8710 13066 70077 26498 41243 2336 65511 49788 11137 4586 2924 2924 69995 69995 31492 23934 5354 2204 4200 3192 714 294 PROGRAM BASED GRANT 300 300 1503913 1076887 324754 102272 200 200 1390605 1297198 30000 22575 36052 32151 130824 83296 79020 47528 10226 206812 1546103 1606464 120060 95024 302500 184950 5269 208094 427829 488068 X 1118274 1118396 1118274 1118396 1546103 1606464 122 0 X X 0 1 X 1 0 X X 1 PATIENT ADVOCATE FOUNDATION 541806317 7 1 0 780000 1 0 780000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE A, PART I, QUESTION 12 EFFECTIVE 7/1/22, NATIONAL PATIENT ADVOCATE FOUNDATION IS A 501(C)(3) ORGANIZATION. AN IRS DETERMINATION LETTER DATED 4/18/23, NOTED THE ORGANIZATION WAS TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE 501(C)(3). FURTHER, THE ORGANIZATION WAS DETERMINED TO BE A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3). PREVIOUSLY, THE ORGANIZATION WAS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE 501(C)(4). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3067 3067 0 127757 80229 47528 47528 DUE FROM PAF 1695 ROU ASSET 205117 206812 DUE TO PAF 4717 LEASE LIABILITY 203377 208094 X 1678211 174176 174176 1504035 0 1504035 1678089 174176 174176 1503913 0 1503913 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. X X X X X 0 0 0 0 0 0 0 0 0 ALAN J BALCH PHD CHIEF EXECUTIVE OFFICER 125000 299925 0 6174 0 0 0 11600 0 1393 125000 319092 0 0 GWEN DARIEN EVP, PATIENT ADVOCACY 218161 0 1256 0 0 0 8382 0 16304 0 244103 0 0 0 REBECCA KIRCH EVP, POLICY & PROGRAMS 202565 0 1102 0 0 0 5737 0 16271 0 225675 0 0 0 ALAN J BALCH CHIEF EXECUTIVE OFFICER 1552221 INTERCOMPANY ACTIVITY OCCURS BETWEEN PATIENT ADVOCATE FOUNDATION (PAF) AND NATIONAL PATIENT ADVOCATE FOUNDATION (NPAF). ALSO, PAF AND NPAF SHARE THE SAME CHIEF EXECUTIVE OFFICER. NPAF HAS A CONSULTING AGREEMENT IN WHICH PAF PAYS NPAF FEES TO REPRESENT THE POLICY INTERESTS OF PAF. THE CONSULTING FEES FOR FY 2022/2023 WERE $780,000. PAF ALSO GRANTED NPAF $200,000 TO SUPPORT THE NEEDS NAVIGATION GRANT IN FY 2022/2023. NPAF REIMBURSED PAF FOR SALARIES OF $246,311 FOR SHARED SERVICES, OF WHICH $125,000 WAS FOR ALAN BALCH'S SALARY. PAF REIMBURSED TO NPAF $207,925 IN SALARIES FOR SHARED SERVICES. NPAF ALSO REIMBURSED PAF FOR $12,182 OF OTHER EXPENSES, AND PAF REIMBURSED NPAF FOR $23,450 OF OTHER EXPENSES IN FY 2022/2023. LASTLY, THERE WAS A TRANSFER OF $82,353 FROM PAF TO NPAF DURING FY 2022/2023 FOR GRANT DONATIONS RECEIVED BY PAF BUT INTENDED FOR NPAF. 0 FORM 990 - PAGE 1 - BOX I EFFECTIVE 7/1/22, NATIONAL PATIENT ADVOCATE FOUNDATION IS A 501(C)(3) ORGANIZATION. AN IRS DETERMINATION LETTER DATED 4/18/23, NOTED THE ORGANIZATION WAS TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE 501(C)(3). FURTHER, THE ORGANIZATION WAS DETERMINED TO BE A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3). PREVIOUSLY, THE ORGANIZATION WAS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE 501(C)(4). FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS RECEIVES A DRAFT COPY OF THE FORM 990 THEN SUBSEQUENTLY REVIEWS IT FOR ACCURACY AND COMPLIANCE. ONCE IT IS APPROVED BY THE FINANCE COMMITTEE, ALL MEMBERS OF THE EXECUTIVE BOARD OF DIRECTORS RECEIVE THE FINAL COPY OF THE FORM 990 FOR REVIEW AND APPROVAL AND IS SO NOTED IN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 12C UNDER THE DIRECTION OF THE GOVERNANCE COMMITTEE, MEMBERS OF THE NPAF BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY UPON ESTABLISHING MEMBERSHIP ON THE BOARD AND AGAIN ANNUALLY. THIS INCLUDES COMPLETING AN UPDATED CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE IN WHICH 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 GOVERNANCE COMMITTEE AND A DETERMINATION ON THE EXISTENCE OF A MATERIAL CONFLICT WILL BE ISSUED. THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH ENFORCEMENT OF THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS COMMITTEE SHALL CONSIST OF AT LEAST THREE DIRECTORS APPOINTED BY THE COMMITTEE CHAIR AND SUBJECT TO AN AFFIRMATIVE MAJORITY VOTE WITH THE NECESSARY QUORUM OF DULY ELECTED DIRECTORS PRESENT. MEMBERS OF THE COMPENSATION AND BENEFIT COMMITTEE MUST BE INDEPENDENT AND COMPLETE A SIGNED ATTESTATION TO THAT EFFECT. THE COMMITTEE WILL BE CHAIRED BY THE PRESIDENT. EXPERTS IN COMPENSATION AND BENEFITS NOT CURRENTLY DIRECTORS MAY SERVE AS VOTING COMMITTEE MEMBERS. THE COMPENSATION AND BENEFITS COMMITTEE IS RESPONSIBLE FOR THE ANNUAL PERFORMANCE REVIEW OF THE CHIEF EXECUTIVE OFFICER. THE COMPENSATION COMMITTEE IS ALSO RESPONSIBLE FOR EVALUATING AND DETERMINING THE TOTAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IN ADDITION TO REVIEWING THE COMPENSATION LEVELS FOR ALL OFFICERS AND KEY EMPLOYEES. THIS REVIEW SHALL BE CONDUCTED ANNUALLY. THE COMPENSATION COMMITTEE SHALL BASE ITS EVALUATION AND RECOMMENDATIONS IN PART ON A BI-ANNUAL BENCHMARKING STUDY CONDUCTED BY A RELIABLE THIRD PARTY THAT UTILIZES NATIONAL COMPARABILITY DATA ON SALARY AND BENEFITS OF ORGANIZATIONS SIMILAR IN MISSION, SIZE, AND REVENUE. THE COMPENSATION AND BENEFITS COMMITTEE IS ALSO RESPONSIBLE FOR ENSURING CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING OF ITS ACTIONS AND DECISIONS AND MUST SUBMIT A WRITTEN MEMORANDUM TO THE FOUNDATION'S TALENT MANAGEMENT DEPARTMENT AFFIRMING THE COMMITTEE'S DETERMINATION OF REASONABLENESS OF COMPENSATION FOR ALL THE OFFICERS AND KEY EMPLOYEES. FINALLY, THE COMPENSATION AND BENEFITS COMMITTEE IS RESPONSIBLE FOR REVIEWING THE BENEFITS OFFERED ALL EMPLOYEES OF THE CORPORATION AND MAKING RECOMMENDATIONS ABOUT THEIR SUITABILITY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 NATIONAL PATIENT ADVOCATE FOUNDATION MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990 - PART XII - LINE 2C THE FINANCE COMMITTEE REVIEWS AND APPROVES THE DRAFT OF THE AUDITED FINANCIAL STATEMENTS FOR ACCURACY AND COMPLIANCE. THE BOARD OF DIRECTORS RECEIVES THE FINAL COPY OF THE AUDITED FINANCIAL STATEMENTS WHEN IT IS COMPLETE AND APPROVED BY THE FINANCE COMMITTEE, SO NOTED IN THE MINUTES AND APPROVED BY THE BOARD. WHEN SELECTING A NEW AUDIT FIRM, NATIONAL PATIENT ADVOCATE FOUNDATION IDENTIFIES THREE RECOMMENDED REGIONAL FIRMS AND REQUESTS PROPOSALS FROM THEM. THE INFORMATION IS REVIEWED AND THE FINAL SELECTION IS APPROVED BY THE FINANCE COMMITTEE. PATIENT ADVOCATE FOUNDATION 421 BUTLER FARM ROAD HAMPTON VA 23666 541806317 ASSIST PATIENTS WITH GAINING FINANCIAL STABILITY AND ACCESS TO MEDICAL CARE. VA 501(C)(3) LINE 7 PAF IS THE SISTER ORGANIZATION TO NPAF MRBALCH IS CEO OF AND PAID BY BOTH 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1 PATIENT ADVOCATE FOUNDATION C 200000 PATIENT ADVOCATE FOUNDATION L 780000 PATIENT ADVOCATE FOUNDATION O 454236 PATIENT ADVOCATE FOUNDATION P 12182 PATIENT ADVOCATE FOUNDATION Q 23450 PATIENT ADVOCATE FOUNDATION S 82353