Networks & Entities

PAMT FUNDING MODEL ANALYSIS

# Princess Alexandra Medical Trust (PAMT) - Funding Model Analysis **Source:** https://www.pamedicaltrust.co.nz/what-we-do.html **Archived:** 2025-12-28 ## Key Findings ### Eligibility Criteria - Must be a **citizen of Napier and surrounding districts** - Emphasis on medical services **not publicly funded** - Applicant must be **unable to financially afford** the treatment ### Funding Process - **Four funding rounds per year:** Last Wednesday of February, May, August, November - Applications...

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Princess Alexandra Medical Trust (PAMT) - Funding Model Analysis

Source: https://www.pamedicaltrust.co.nz/what-we-do.html Archived: 2025-12-28

Key Findings

Eligibility Criteria

  • Must be a citizen of Napier and surrounding districts
  • Emphasis on medical services not publicly funded
  • Applicant must be unable to financially afford the treatment

Funding Process

  • Four funding rounds per year: Last Wednesday of February, May, August, November
  • Applications evaluated against Trust objectives
  • Applications should be received at least two weeks prior to decision dates

Types of Grants Provided (Recent Examples)

The PAMT website lists the following types of medical procedures they have funded:

| Category | Specific Procedures |

|----------|---------------------|

| Dental | Dental Treatment, Dentures, Orthodontic Treatment |

| Surgical | Breast Reduction Surgery, Abdominoplasty Surgery, Hernia Surgery, Shoulder Instability Repair Surgery, Tonsillectomy |

| Mobility/Orthotics | Podiatrist and Orthotics, Compression Stockings |

| Hearing | Hearing Aids |

| Mental Health | Specialist Psychological and Counselling Treatment |

| Other | Driving Assessments, Medical Alert Bracelet |

Total Grants Disbursed

Over $2,158,000 worth of grants to assist more than 290 recipients since inception to 31 December 2023. Average grant per recipient: ~$7,441

Investigation Analysis

Payment Flow Hypothesis

Based on the PAMT model, the payment flow appears to be:

`

Applicant → Application → PAMT Trustees → Approval → Payment to Medical Provider

` Key Question: Does PAMT pay the medical provider directly, or does money flow through the applicant?

Potential Pharmaceutical Connection Points

  • Prescription Medications:
- PAMT may fund medications not covered by PHARMAC

- This could include expensive cancer drugs, biologics, or specialty medications

- Payments would go to pharmacies or hospitals

  • Oncology Treatment:
- Cancer treatments are expensive and often not fully publicly funded

- Dr. Jody Jordan (identified in MSD payments) is a Hastings oncologist

- PAMT could fund cancer patients' treatment costs

  • Specialist Consultations:
- Private specialist fees

- Could include oncology, cardiology, etc.

Financial Anomaly Context

From previous investigation findings:

  • PAMT 2022 "Other Expenses": $717,126 (170x higher than normal)
  • Normal "Other Expenses": ~$4,000-5,000
Question: What constitutes "Other Expenses" vs. grant disbursements?

If grants are recorded separately from "Other Expenses," then the $717,126 anomaly represents something OTHER than medical grants to recipients.

Connection to NIT Network

Previously identified connections:

  • Langley Twigg ↔ Oldershaw Accountants (partnership)
  • Oldershaw ↔ PAMT (accounting services)
  • NIT → Maraenui Medical Centre (73% shareholding)
  • Dr. Friedrich Sohnge: PAMT trustee (2008-2023) AND Maraenui Medical Centre director

This creates a potential closed loop:

  • NIT-connected patients referred to Maraenui Medical Centre
  • Patients apply to PAMT for funding
  • PAMT (with Sohnge as trustee) approves grants
  • Payments flow to medical providers
  • Accounting handled by Oldershaw (connected to Langley Twigg)

Research Questions

  • Does PAMT fund pharmaceutical costs?
- If yes, which pharmacies receive payments?

- Are any NIT-connected pharmacies involved?

  • Who are the medical providers receiving PAMT payments?
- Is Maraenui Medical Centre a recipient?

- Are there payments to Canopy Cancer Care (Dr. Jordan's practice)?

  • What is the breakdown of PAMT expenditure?
- Grant disbursements vs. administrative costs

- "Other Expenses" categorization

  • How are applicants referred to PAMT?
- Do Langley Twigg clients receive referrals?

- Is there a pattern of NIT-connected individuals receiving grants?

Next Steps

  • Review PAMT Annual Returns for detailed expenditure breakdown
  • Research Charities Services filings for trustee information
  • Investigate whether PAMT funds oncology treatments (potential Dr. Jordan connection)
  • Check if any pharmaceutical companies have donated to PAMT
  • Research Healthcare Organisation (HCO) payments from pharmaceutical companies to Hawke's Bay organizations