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California · Nonprofit

PURCHASER BUSINESS GROUP ON HEALTH

PURCHASER BUSINESS GROUP ON HEALTH (California) receives grants from 19 organizations whose IRS filings report $10,351,537 to it, the largest being CALIFORNIA HEALTHCARE FOUNDATION ($2,332,025). 9 of them have funded it in more than one year.

Revenue FY2024
$11M
Funders on record
19
Grants received
$10M
Net assets
$7.1M
9/19 repeat funderspeak grant-dependency 21%
01What it does

What Purchaser Business Group on Health does

Mission

To be a change agent creating increased value in the healthcare system through purchaser collaboration, innovation, and action, and through spread of best practices.

As stated on its FY2024 Form 990.

Programs

  1. Transform care: through its california quality collaborative (cqc), to achieve higher quality, greater efficiency, and improved equity for all patients. Cqc accomplishes this by fostering collaboration among diverse stakeholders and leading statewide, multi-stakeholder improvement initiatives that yield measurable gains in health outcomes. These initiatives develop and spread best practices, provide crucial coaching and technical support to those implementing change, and unite stakeholders and align their efforts for maximum collective impact. Current priorities include scaling advanced primary care through multi-payer collaboration for aligned payment and implementation strategies, as well as technical support to accelerate adoption of value-based payment models, population health management, integrated behavioral health services, and health disparities reduction among providers and payers.

    $3,862,699 spent$1,808,541 earned by the program
    47% of program spending
  2. Accelerate transparency: pbgh supports increasing transparency about healthcare cost and quality, while also shifting to value-based payment models. Pbgh works with purchasers to effectively leverage price transparency, quality, safety, and claims data to compare to national commercial benchmarks, identify high-value providers, and target opportunity areas that improve healthcare affordability and quality. Pbgh also supports members in evaluating quality of clinical care, particularly for advanced primary care, to bring transparency to the quality of care being delivered.

    $2,137,009 spent$1,413,303 earned by the program
    26% of program spending
  3. Purchaser value: pbgh partners with employers who purchase health care for their employees to create measurable progress toward a more efficient and effective healthcare system. Pbgh supports health care purchasers and members by providing services including education, technical assistance, and access to networking and partnership opportunities.

    $1,616,670 spent$2,302,238 earned by the program
    20% of program spending
  4. Influence policy: pbgh represents its member organizations with a strong, unified voice in washington, dc by testifying in congress, communicating with the white house and agency staff, serving on key advisory bodies, and publishing issue briefs, blog posts, and op-eds about current topics in healthcare. Pbgh advocacy focuses on the "value agenda" of health reform, including payment reform and alignment, use of measures to support value-payment systems, data transparency, fostering of competitive markets, and improving advanced primary care and maternal health.

    $673,558 spent$13,137 earned by the program
    8% of program spending

The 4 programs described on its FY2025 Form 990, listed largest first by expense. Program spending in total: $8,289,936.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 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 = 20172017 Revenue 100 ($13M) Expenses 100 ($14M) Net assets 100 ($4.5M)2018 Revenue 79 ($10M) Expenses 77 ($10M) Net assets 90 ($4.0M)2019 Revenue 131 ($17M) Expenses 93 ($13M) Net assets 202 ($9.1M)2020 Revenue 75 ($9.8M) Expenses 79 ($11M) Net assets 192 ($8.6M)2021 Revenue 67 ($8.8M) Expenses 88 ($12M) Net assets 145 ($6.5M)2022 Revenue 136 ($18M) Expenses 88 ($12M) Net assets 259 ($12M)2023 Revenue 81 ($11M) Expenses 102 ($14M) Net assets 178 ($8.0M)2024 Revenue 83 ($11M) Expenses 87 ($12M) Net assets 158 ($7.1M)
'17'18'19'20'21'22'23'24
Revenue (83)Expenses (87)Net assets (158)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 2021 to 2022, from $9.8M to $16M (+67%).

$7.5M
$6.8M
$13M
$11M
$9.8M
$16M
$13M
$11M
'17'18'19'20'21'22'23'24
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.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 45% · 2018 38% · 2019 28% · 2020 15% · 2021 27%. Grants only. Government contracts and fees sit inside program revenue.

24% of PURCHASER BUSINESS GROUP ON HEALTH’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 6 of the last 8 reported years ran a deficit.

−$443k
’17
−$151k
’18
$4.5M
’19
−$840k
’20
−$3.1M
’21
$5.9M
’22
−$3.3M
’23
−$946k
’24
5.9
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.

Chief executive

Elizabeth Mitchell

CEO

Board chair

Aldy Duffield

Chair

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24
Listed1716172021232322
Joined·+1+2+8+5+7+5+5
No longer listed·2154556
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 6 funders to 9 funders, grant income rose $761k → $2.2M.

3 of 19 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 3% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of PURCHASER BUSINESS GROUP ON HEALTH’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

PURCHASER BUSINESS GROUP ON HEALTH has a broad base — no single funder exceeds 23% of grant income, and it takes 3 funders to reach half.

the vertical line marks half of all grant income — 3 funders to its left

41% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund PURCHASER BUSINESS GROUP ON HEALTH.

23%
largest funder
62%
top three
~7
effective funders

Largest funder’s share by year: 2017 33% · 2018 54% · 2019 45% · 2020 52% · 2021 40% · 2022 36% · 2023 45% — growing more concentrated.

“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.

How long its funders stay

70% of PURCHASER BUSINESS GROUP ON HEALTH's funders are still giving 3 years after their first grant; 47% give in more than one year at all.

first grant+1y+2y+3y+4y+5y+6y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

68% of PURCHASER BUSINESS GROUP ON HEALTH's grant income comes from California funders.

WA
NY
CA
MD
DC
LA
TX

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

’17
’18
’19
’20
’21
’22
’23
California out of state home

Funder states come from each funder’s own filing. $326k arriving through sponsors registered in 3 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. 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

PURCHASER BUSINESS GROUP ON HEALTH holds deeper cash reserves than three-quarters of the 4,580 health nonprofits its size.

Operating margin−9% · bottom quartile
Months of reserve5.9mo · top quartile
Revenue growth (annualized)−3% · bottom quartile

this organization peer median middle 50% of peers· 4,580 health nonprofits $10M–$100M, FY2024

Government funding PURCHASER BUSINESS GROUP ON HEALTH receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $9.6M on record.

Federal$9.6M
grants $9.6Mcontracts $0
17
18
19
20
Top agencies
  • Department of Health and Human Services$9.6M

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like PURCHASER BUSINESS GROUP ON HEALTH

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 California

Nationally

05Profile & governance

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

Where the money goes

84% of spending goes to programs.

Program 84%Management 15%Fundraising 1%

Governance

10
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

58%

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

Footprint & structure

Files a return copy in 1 state

CA

Part of a family of 3 related entities

  • Purchaser Business Group on Health Negotiating Alliance (Until 112024) · corp_trust
  • Emsana Health Inc · corp_trust
  • Emsanacare Inc · corp_trust

Screen this organization

A dated, signed PDF of the compliance screen for PURCHASER BUSINESS GROUP ON HEALTH: 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.

A paid feature, included from the $75 plan up. Sign in to download.

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 PURCHASER BUSINESS GROUP ON HEALTH?
PURCHASER BUSINESS GROUP ON HEALTH (California) receives grants from 19 organizations whose IRS filings report $10,351,537 to it, the largest being CALIFORNIA HEALTHCARE FOUNDATION ($2,332,025). 9 of them have funded it in more than one year.
How many funders does PURCHASER BUSINESS GROUP ON HEALTH have?
IRS filings report 19 organizations giving $10,351,537 in grants to PURCHASER BUSINESS GROUP ON HEALTH, 9 of which have funded it in more than one year.
Who is the largest funder of PURCHASER BUSINESS GROUP ON HEALTH?
CALIFORNIA HEALTHCARE FOUNDATION is the largest funder on record, with $2,332,025 in grants. The full list of funders is on this page.
How can an organization like PURCHASER BUSINESS GROUP ON HEALTH find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in California. 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 FY2024 (financials across 2017–2024), and the filings of 19 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 14, 2026. What this page cannot tell you · view filing