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Charity Math
The 990 read · EIN 54-1806317 · VA · Fiscal year FY ending Jun 2025

Patient Advocate Foundation

Patient Advocate Foundation: CEO salary, finances and where donations go

In its own words

“Patient Advocate Foundation (PAF) is a national 501 (c)(3) non-profit organization that provides professional case management and financial aid assistance to Americans with chronic, life threatening and debilitating illnesses.”

Data only Figures straight from the filing, screened by our rules. Not yet reviewed in depth by a CPA.

Methodology by Amir Arani, CPA, CA · Updated

Top pay
$474K Dr Alan J Balch Phd, 0.2% of spending
Revenue
$133.8M 87.8% from donations and grants
Spent
$205.8M 98.1% on programs, as reported
Net assets
$209.0M end of FY ending Jun 2025
Savings
12.2 months of spending, net assets ÷ spending
People
280 employees
Form 990 (FY ending Jun 2025), Parts I, VII, IX, X
01 · Red flags

1 thing to look at.

We screen every filing against twelve rules. A flag is a prompt for a closer look, not a finding of wrongdoing.

low

Business transactions with insiders or their companies

Part IV line 28b answered yes.

Form 990 Part IV, lines 28a–28c; Schedule L Part IV
02 · Where $1 goes · FY ending Jun 2025

Of each dollar it spent, 98.1¢ went to programs, as reported.

The split the charity filed.
98.1¢
Programs, $201.9M
0.8¢
Fundraising, $1.6M
1.2¢
Admin, $2.4M
Form 990 (FY ending Jun 2025), Part IX, line 25
Cost to raise $1
1¢
as reported

For each dollar donated, Patient Advocate Foundation spent 1¢ on fundraising.

Fundraising ÷ $117.5M contributions · Form 990 Parts VIII, IX
03 · What it does

What it told the IRS it spent on.

The charity's own description of its largest programs, with what each cost.

Program 1 · 4.3% of program spending $8.7M

Non-profit service agreementspaf currently operates transparent service administration agreements with three nonprofit organizations, one national and two regional charitable organizations. The first nppa program began operations in 2009, and two new partnership programs launched in 2024. Paf has been engaged to provide full service, transparent administration services to qualified patients that enter their co-pay assistance and/or patient financial aid programs. Paf provided this contractual service during 2025 and 2024. The foundation administered services to 67,891 and 70,982 patients in…

Program 2 · 4.1% of program spending · $107K in grants $8.2M

Case management servicesfor 29 years, the foundation has provided case management interventions for critically or chronically ill patients across the nation. Paf's mission is to help patients connect with and maintain access to prescribed healthcare services and medications, navigate insurance barriers, find resources to support cost-of-living expenses during treatment, evaluate, and sustain health insurance coverage, and manage or reduce out-of-pocket medical and living expenses.paf's professional case management services are offered at no cost to patients and their families. We collaborate…

Form 990 (FY ending Jun 2025), Part III
04 · The savings

Net assets: $46.1M to $209.0M in 11 years.

Net assets at each fiscal year end, 2014 to 2025.

Net assets at year end, $ millions
46
78
170
207
293
279
318
368
369
312
281
209
Form 990 history via ProPublicaForm 990 (FY ending Jun 2025)
05 · Who gets paid

The 8 highest-paid people.

Reportable pay in FY ending Jun 2025, from the charity and related organizations.

Dr Alan J Balch Phd
Chief Executive Officer
$474,031
Frances Castellow
President of Operations
$289,084
William J Nason
Chief Financial Officer
$272,303
Angela M Walker
Chief of Talent Management
$242,183
Sharon Hollenbeck
Chief Information Officer
$207,955
Christine Wilson
VP Advocacy Communications
$195,296
Alan Wood
EVP Business Development
$193,283
Shonta Chambers
EVP of Health Equity Initi
$193,226
Form 990 (FY ending Jun 2025), Part VII, Section A
Largest outside contractors
ContractorServicePaid
Tekclan Software Solutions Pvt LtdIt support$1,557,443
Crossconnect EngineeringIt support$581,050
Talkdesk IncSoftware support$428,349
Pharmacy Data Management GroupProcess pharmacy claims$391,490
Experian HealthIncome verification$220,893
Form 990 (FY ending Jun 2025), Part VII, Section B
06 · Questions

The questions people ask about the Patient Advocate Foundation.

Short, sourced answers. Each one stands on its own.

How much does the Patient Advocate Foundation CEO make?

Dr Alan J Balch Phd, Chief Executive Officer, received $474,031 in reportable compensation in FY ending Jun 2025, 0.2% of Patient Advocate Foundation's $205.8M in spending.

Form 990 (FY ending Jun 2025), Part VII

What percentage of Patient Advocate Foundation donations go to programs?

Patient Advocate Foundation reported 98.1% of FY ending Jun 2025 spending as programs, 0.8% as fundraising and 1.2% as management.

Form 990 (FY ending Jun 2025), Part IX

How much money does Patient Advocate Foundation have?

Net assets were $209.0M at the end of FY ending Jun 2025, about 12.2 months of spending.

Form 990 (FY ending Jun 2025), Part X

Does Patient Advocate Foundation have any red flags in its filing?

Its latest Form 990 triggered 1 of our twelve screening rules: business transactions with insiders or their companies. A flag is a prompt for a closer look, not a finding of wrongdoing.

Form 990 (FY ending Jun 2025)
07 · Sources and citing

Every number, traced.

  1. Patient Advocate Foundation Form 990, FY ending Jun 2025 (IRS e-file)
  2. Patient Advocate Foundation Form 990 history (ProPublica Nonprofit Explorer)
Cite this page

Amir Arani, “Patient Advocate Foundation: CEO salary, finances and where your dollar goes,” Charity Math, updated 2026-11-07. https://charitymath.com/charities/patient-advocate-foundation/