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Colorado · Nonprofit

PEAK HEALTH ALLIANCE

PEAK HEALTH ALLIANCE (Colorado) receives grants from 3 organizations whose IRS filings report $801,400 to it, the largest being LAURA AND JOHN ARNOLD FOUNDATION ($450,000). 3 of them have funded it in more than one year.

Revenue FY2025
$374k
Funders on record
3
Grants received
$801k
Net assets
$208k
3/3 repeat funderspeak grant-dependency 43%
01What it does

What Peak Health Alliance does

Mission

Peak Health Alliance is organized for the purpose of arranging for more cost-effective health insurance and health insurance administrative services for employers with a physical presence in rural colorado and their employees and individuals who reside within communities who have joined Peak Health Alliance.

As stated on its FY2025 Form 990.

Program

  1. Peak Health Alliance uses the purchasing power of the communities we represent to negotiate lower health insurance premiums. We offer health insurance plans through an insurance carrier selected based on their ability to offer the most competitive rates and comprehensive plans. We also offer our provider network to self-insured organizations in order to lower the cost of their health plans. While our ability to operate and offer plans is granted under colorado law and enforced by the division of insurance, we are not a state agency. The key to our success is a collaborative approach that includes local leaders and providers in developing innovative healthcare solutions. Peak Health Alliance's service area includes the colorado counties of summit, grand, lake, and park in western central colorado, and in southwest colorado, the counties of dolores, la plata, montezuma, san juan, and archuleta. In its brief existence, Peak Health Alliance has saved members more than 20 million dollars across the communities it serves. These savings mean money that would have been spent on insurance premiums or on self-insured health plans remained in the local economy.

    $293,170 spent$340,539 earned by the program
    100% of program spending

The program described on its FY2025 Form 990. Program spending in total: $293,170.

02The organization over time

The organization over time

Each line starts at 100 in 2020, so what you read is the shape rather than the size: 150 means half as much again as 2020, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20202020 Revenue 100 ($655k) Expenses 100 ($943k) Net assets 100 ($9k)2021 Revenue 174 ($1.1M) Expenses 76 ($720k) Net assets 4521 ($428k)2022 Revenue 133 ($873k) Expenses 68 ($637k) Net assets 7004 ($664k)2023 Revenue 18 ($118k) Expenses 53 ($500k) Net assets 2967 ($281k)2024 Revenue 52 ($342k) Expenses 37 ($344k) Net assets 2938 ($278k)2025 Revenue 57 ($374k) Expenses 47 ($444k) Net assets 2192 ($208k)
202020212022202320242025
Revenue (57)Expenses (47)Net assets (2192)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2020 to 2021, from $176k to $510k (+189%).

$176k
$510k
$699k
$370k
$303k
$235k
202020212022202320242025
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2021 13%. Grants only. Government contracts and fees sit inside program revenue.

8% of PEAK HEALTH ALLIANCE’s revenue is contributions — more earned-revenue than three-quarters of its peers (83% for the typical peer).

This organization
Typical peer · 14,932 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 6 reported years ran a deficit.

−$288k
’20
$419k
’21
$235k
’22
−$382k
’23
−$3k
’24
−$71k
’25
5.6
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Board chair

Mark Spiers

Chair

As listed on its FY2025 Form 990.

202020212022202320242025
Listed15141491010
Joined·+4+3+2+2+4
No longer listed·53714
03Who funds it

Who funds it, year by year

2019 → 2023: the base held at 1 funder, grant income rose $5k → $25k.

Funder
'19
'20
'21
'22
'23
'24*
'25*
total
funders
1
1
3
3
1
1
1

Left out of every figure on this page: $20k from one payer (the payer shares this organization's board, largest The Summit Foundation). These are real filings, and they are not money PEAK HEALTH ALLIANCE raised.

From the IRS filings of PEAK HEALTH ALLIANCE’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

PEAK HEALTH ALLIANCE leans on a few funders — its largest provides 56% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

56%
largest funder
100%
top three
~2
effective funders

Largest funder’s share by year: 2019 100% · 2020 100% · 2021 51% · 2022 50% · 2023 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

PEAK HEALTH ALLIANCE draws 56% of its grant income from funders outside Colorado, across 2 states in all.

CO
TX

In-state vs out-of-state, by year

’19
’20
’21
’22
’23
Colorado out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

PEAK HEALTH ALLIANCE's funding has concentrated — grant income rose while the number of funders held roughly flat.

Operating margin−19% · bottom quartile
Months of reserve5.6mo · below the median
Revenue growth (annualized)−11% · bottom quartile

this organization peer median middle 50% of peers· 8,464 health nonprofits $100k–$1M, FY2025

Organizations like PEAK HEALTH ALLIANCE

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Colorado

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

66% of spending goes to programs.

Program 66%Management 9%Fundraising 25%

Governance

9
board members
100%
independent
✓Conflict-of-interest policy–Whistleblower policy–Document retention✓Board reviewed the 990–Audited financials

Public support

81%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Screen this organization

A dated, signed PDF of the compliance screen for PEAK HEALTH ALLIANCE: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds PEAK HEALTH ALLIANCE?
PEAK HEALTH ALLIANCE (Colorado) receives grants from 3 organizations whose IRS filings report $801,400 to it, the largest being LAURA AND JOHN ARNOLD FOUNDATION ($450,000). 3 of them have funded it in more than one year.
How many funders does PEAK HEALTH ALLIANCE have?
IRS filings report 3 organizations giving $801,400 in grants to PEAK HEALTH ALLIANCE, 3 of which have funded it in more than one year.
Who is the largest funder of PEAK HEALTH ALLIANCE?
LAURA AND JOHN ARNOLD FOUNDATION is the largest funder on record, with $450,000 in grants. The full list of funders is on this page.
How can an organization like PEAK HEALTH ALLIANCE find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Colorado. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2020–2025), and the filings of 3 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 22, 2026. What this page cannot tell you · view filing