b'L E A D I N G T H E WAYEarning Your Trust and Support ThroughCompliance and TransparencyThe COVID-19 public health crisis completely altered theLeading the Way in Compliance, Efficiency, Ethics,definition of normal. In 2020, one thing remained unchangedand Transparency the critical need for our services. Through the continuedThe way we define and manage our funds, develop and trust and support of our individual and corporate donors, weapply patient eligibility guidelines, maintain the anonymity were fortunate to have exceeded our 2019 revenue, with aof our donors and patients, and provide grant assistance record year of donations that, most importantly, allowed uscontinues to be a model for other CPAPs. By applying and to provide a record amount of financial assistance to a recordadhering to these standards, we are able to focus on what number of patients.is most important: helping patients access life-changing We are humbled to report that in 2020 we received donationsmedical treatments. of more than $545 million from our individual and corporateThe HealthWell Foundation, like other charitable patient donors. As a result of their continued generosity and trust,assistance programs (CPAPs), is structured, governed, and we awarded over $650 million in medication copayment andoperated in compliance with federal legal and regulatory insurance premium assistance grants to close to 170,000requirements and is subject to oversight by the U.S. underinsured Americans.Department of Health and Human Services, Office of We do not take this good fortune lightly. The trust and supportInspector General (OIG) whose mission is to protect the we receive from our dedicated donors is one of our greatestintegrity of federal health care programs. and most humbling achievements. Even during a public healthThe OIG has provided strict guidance for how CPAPs should crisis, we were touched by the outpouring of donations webe structured to avoid potential fraud and abuse. HealthWell received. It is only as a result of this generosity that we are ableis, like other CPAPs, funded in majority by donations from to carry out our mission to reduce financial barriers to care forthe pharmaceutical industry, and is required to operate patients with chronic or life-altering diseases and are able toindependently from our donors. We continue to follow that lead the way in assisting Americas underinsured. Thank youguidance to the letter and have focused on maintaining for trusting the HealthWell Foundation to fulfill a critical, unmetcompliance, independence, and transparency since our need for those who have nowhere else to turn. inception. Strict adherence to all regulatory guidelines is, and We are proud that, since awarding our first grant in 2004 throughwill continue to be, the cornerstone of our operations. the end of 2020, we have provided over $2.1 billion in financialWe have and will continue to operate within the parameters assistance to over 615,000 patients, 88 percent of whom areof our favorable OIG opinion and subsequent modifications to Medicare patients, who otherwise would have forgone criticalhelp ensure that patients follow their prescribing physicians medical treatments because they could not afford them. Weorders and access the best medical treatments for their are also pleased that we continued to maintain our operationalconditions, regardless of manufacturer or cost. efficiency by programming our grants with an overhead rate ofWe are proud to serve as an invaluable safety net for less than 2.5% foundation-wide, while never having utilized anyunderinsured Americans, helping to give patients the financial donor dollars to pay any administrative fees.ability to start or continue critical medical treatments. As long While we are thankful for the trust our donors have placed inas there is a need for our services, we will remain steadfast in us, we believe that it is also well-deserved. HealthWell hascarrying out our mission.always prioritized the importance of operating in complianceTo learn more about our OIG Opinions, financial reporting, with all guidance and requirements of federal regulations thatprogram audit summaries, and compliance documentation, govern charitable patient assistance programs (CPAPs). We workplease visit us at: https://www.healthwellfoundation.org/diligently to exceed these requirements in terms of compliance,about/financials/.efficiency, ethical behavior, and transparency in everything we do. These have always been, and will continue to be, the guiding principles under which we operate as an organization.PAGE 8|HEALTHWELL FOUNDATION 2020 ANNUAL REPORT'