Civic Intelligence

Peak Health Alliance

EIN 83-4270490 • 501(c)3 • Dillon, CO

Profile

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.

PO Box 3822Dillon, CO 80435

www.peakhealthalliance.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

78th percentile

0.08x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

81st percentile

0.07x

Higher debt load relative to revenue than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

43rd percentile

-0.8%

Higher net margin than 43% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

95th percentile

$57,000

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 16.7% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

33rd percentile

-18%

Faster asset growth than 33% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

95th percentile

190%

Faster revenue growth than 95% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Down

$303,000

Down $396,233 (-57%) from 2022

Liabilities

Down

$24,722

Down $10,988 (-31%) from 2022

Net Assets

Down

$278,278

Down $385,245 (-58%) from 2022

Revenue

Down

$341,570

Down $531,145 (-61%) from 2022

Expenses

Down

$344,362

Down $293,065 (-46%) from 2022

Net Income

Down

-$2,792

Down $238,080 (-101%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800K$600K$400K$200K$0Assets 2020: $176,324Liabilities 2020: $166,851Net Assets 2020: $9,4732020Assets 2021: $510,058Liabilities 2021: $81,823Net Assets 2021: $428,2352021Assets 2022: $699,233Liabilities 2022: $35,710Net Assets 2022: $663,5232022Assets 2024: $303,000Liabilities 2024: $24,722Net Assets 2024: $278,2782024

Highlighted filing

2024

Assets$303,000
Liabilities$24,722
Net Assets$278,278

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2020: $655,060Expenses 2020: $942,964Net Income 2020: -$287,9042020Revenue 2021: $1,138,376Expenses 2021: $719,614Net Income 2021: $418,7622021Revenue 2022: $872,715Expenses 2022: $637,427Net Income 2022: $235,2882022Revenue 2024: $341,570Expenses 2024: $344,362Net Income 2024: -$2,7922024

Highlighted filing

2024

Revenue$341,570
Expenses$344,362
Net Income-$2,792

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jul 31, 2025
Return Version
2024v5.0
Gross Receipts
$341,570
Mission and Program Overview

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.

Peak health alliance arranges robust, cost-effective health insurance for individuals, small businesses, and self-funded businesses located in rural colorado.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$328,389$270,562▼ $57,827
Accounts Receivable-$19,397-
Prepaid Expenses and Deferred Charges$41,936$13,041▼ $28,895
Total Assets$370,325$303,000▼ $67,325
Liabilities
Accounts Payable and Accrued Expenses$88,603$24,301▼ $64,302
Other Liabilities$652$421▼ $231
Total Liabilities$89,255$24,722▼ $64,533
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$281,070$278,278▼ $2,792
Total Net Assets Fund Balance$281,070$278,278▼ $2,792
Total Liabilities and Net Assets / Fund Balance$370,325$303,000▼ $67,325

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$3,320$3,320
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Richard CiminoExec Director begFT$57,000$57,000
Anne LaddCEO-end 3/15FT$36,936$36,936

Board Members and Trustees

NameTitle
Mark SpiersChair
Andy AtencioBoard Member
Bill WisonBoard Member
Curtis LangeBoard Member
Don DanknerBoard Member
Han SmithBoard Member
Merida OdiorneSecretary
Scott BinderTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$15,500
Program Service Revenue
$326,070
Investment Income
$0
Other Revenue
$0
All Other Contributions
$15,500
Change in Net Assets
$-2,792
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$250,186
Total Fundraising Expense$131,860
Salaries, Compensation, and Employee Benefits$94,176
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$48,432-$58,800$107,232
Current Officers, Directors, Trustees, and Key Employees$88,042$2,547$3,347$93,936
Advertising$30,815$365$58,495$89,675
Insurance-$19,495-$19,495
Conferences and Meetings$3,168$1,688$9,615$14,471
Fees for Services Accounting-$11,870-$11,870
Office Expenses$2,033$2,994$475$5,502
Information Technology$35$458-$493
Payroll Taxes-$240-$240
Other Expenses$10$10$1,128$20
Total Functional Expenses$172,535$39,967$131,860$344,362
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Credit Card Liability$421
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 4

Effective december 12, 2024, pha amended its bylaws. These are the significant changes: number: the number of directors was changed from a minimum of ten (10) to a minimum of five(5). The maximum of seventeen (17) remained unchanged. Term and election: director's term in office remained unchanged at two years. The election procedures were changed to the following: once the maximum number of terms has been reached, a director must remain off the board for one year, and then can be re-appointed to the board. Once a year the current slate of all directors is presented to the members for approval or disapproval. The elections for members will be conducted via an online ballot, with notice to all known members with known contact information via email, letter, or any other method permitted by applicable law. If accepted, that board will lead peak decisions for the next year. If rejected, a new election will be held within 6 months. A quorum of the most recent active board members will choose at least 10 candidates for the membership to choose from, this choice of volunteer board members will be presented to membership for consideration and vote, and the top 9 board candidates who get the most votes will be seated as the new peak board.

Form 990, Page 6, Part VI, Line 6

"member" shall mean (1) any public or private employer that has employees covered for health benefits through a corporation-sponsored health plan ("employer members"); (2) any individual who purchases coverage through a corporation-sponsored health plan ("individual members"), and (3) any employer or resident of a junsdiction where the corporation offers health benefits through a corporation-sponsored health plan who elects to become a member of the corporation, but has not elected to enroll in a corporation- sponsored health plan (or, in the case of employers, offer such benefit plans to their employees). Employer and individual members meeting the definitions in clauses (1) and (2) shall constitute a class of "voting members- and shall be given voting rights in elections conducted by the corporation in accordance with policies and procedures for elections established by the board of directors. Members who meet the definition in clause (3) shall constitute a class of "non-voting members" without voting rights in any elections conducted by the corporation.

Form 990, Page 6, Part VI, Line 7A

The voting members of peak elect the members of the governing body at the annual meeting.

Form 990, Page 6, Part VI, Line 11B

Draft copy of the 990 is emailed to all executive board members and approved by the full board before filing.

Form 990, Page 6, Part VI, Line 12C

Each director, principal officer and member of a committee with governing board delegated powers shall annually sign a statement which affirms such person: (i) has received a copy of the conflicts of interest policy; (ii) has read and understands the policy; (iii) has agreed to comply with the policy; and (iv) understands the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes.

Form 990, Page 6, Part VI, Line 15A

The board of directors annually reviews the executive director's salary and approves.

Form 990, Page 6, Part VI, Line 19

Peak's governing documents, conflict of interest policy, and financial statements are available upon request during regular business hours.

Filing and Contact Details

Filer

Filer Name
Peak Health Alliance
EIN
83-4270490
Phone
9704550381
Address
PO BOX 3822, DILLON, CO 80435

Signing Officer

Name
Richard Cimino
Title
Exec Director beg 3/15
Phone
9704550381
Signed
2025-07-31

Organization Details

Principal Officer
Richard Cimino
Formed
2019
Legal Domicile
Co
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Stuhr & Associates LLC
Address
PO BOX 573, FRISCO, CO 80443
Preparer
Jolene R Reddell
Phone
9706685516
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S 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.

Form 990, Page 2, Part III, Line 4A

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. 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. Pha has expanded its service area to include nearby grand, lake, and park counties. In southwest colorado, peak partners with the local first foundation to serve dolores, la plata, montezuma, and san juan counties. Archuleta county is new for 2024. In its brief existence, peak health alliance has saved members more than 18.9 million dollars across the communities it serves. These savings mean money that would have been spent on insurance premiums remained in the local economy.

Form 990, Part IX, Line 11G

Negotiation 20,004 0 0 data analysis 2,478 0 0 southwest colorado advocate 5,750 0 0 marketing 0 0 58,800 other contract services 20,200 0 0 total 48,432 0 58,800

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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0EXECUTIVE DIRECTOR TESTIFIES FROM TIME TO TIME ON SPECIFIC BILLS. PHA IS A HEALTH CARE COVERAGE COOPERATIVE LICENSED BY THE STATE OF COLORADO'S DIVISION OF INSURANCE UNDER SECTION 10-16-10 OF THE COLORADO REVISED STATUTE.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PEAK 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PEAK 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. 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. PHA HAS EXPANDED ITS SERVICE AREA TO INCLUDE NEARBY GRAND, LAKE, AND PARK COUNTIES. IN SOUTHWEST COLORADO, PEAK PARTNERS WITH THE LOCAL FIRST FOUNDATION TO SERVE DOLORES, LA PLATA, MONTEZUMA, AND SAN JUAN COUNTIES. ARCHULETA COUNTY IS NEW FOR 2024. IN ITS BRIEF EXISTENCE, PEAK HEALTH ALLIANCE HAS SAVED MEMBERS MORE THAN 18.9 MILLION DOLLARS ACROSS THE COMMUNITIES IT SERVES. THESE SAVINGS MEAN MONEY THAT WOULD HAVE BEEN SPENT ON INSURANCE PREMIUMS REMAINED IN THE LOCAL ECONOMY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EFFECTIVE DECEMBER 12, 2024, PHA AMENDED ITS BYLAWS. THESE ARE THE SIGNIFICANT CHANGES: NUMBER: THE NUMBER OF DIRECTORS WAS CHANGED FROM A MINIMUM OF TEN (10) TO A MINIMUM OF FIVE(5). THE MAXIMUM OF SEVENTEEN (17) REMAINED UNCHANGED. TERM AND ELECTION: DIRECTOR'S TERM IN OFFICE REMAINED UNCHANGED AT TWO YEARS. THE ELECTION PROCEDURES WERE CHANGED TO THE FOLLOWING: ONCE THE MAXIMUM NUMBER OF TERMS HAS BEEN REACHED, A DIRECTOR MUST REMAIN OFF THE BOARD FOR ONE YEAR, AND THEN CAN BE RE-APPOINTED TO THE BOARD. ONCE A YEAR THE CURRENT SLATE OF ALL DIRECTORS IS PRESENTED TO THE MEMBERS FOR APPROVAL OR DISAPPROVAL. THE ELECTIONS FOR MEMBERS WILL BE CONDUCTED VIA AN ONLINE BALLOT, WITH NOTICE TO ALL KNOWN MEMBERS WITH KNOWN CONTACT INFORMATION VIA EMAIL, LETTER, OR ANY OTHER METHOD PERMITTED BY APPLICABLE LAW. IF ACCEPTED, THAT BOARD WILL LEAD PEAK DECISIONS FOR THE NEXT YEAR. IF REJECTED, A NEW ELECTION WILL BE HELD WITHIN 6 MONTHS. A QUORUM OF THE MOST RECENT ACTIVE BOARD MEMBERS WILL CHOOSE AT LEAST 10 CANDIDATES FOR THE MEMBERSHIP TO CHOOSE FROM, THIS CHOICE OF VOLUNTEER BOARD MEMBERS WILL BE PRESENTED TO MEMBERSHIP FOR CONSIDERATION AND VOTE, AND THE TOP 9 BOARD CANDIDATES WHO GET THE MOST VOTES WILL BE SEATED AS THE NEW PEAK BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3"MEMBER" SHALL MEAN (1) ANY PUBLIC OR PRIVATE EMPLOYER THAT HAS EMPLOYEES COVERED FOR HEALTH BENEFITS THROUGH A CORPORATION-SPONSORED HEALTH PLAN ("EMPLOYER MEMBERS"); (2) ANY INDIVIDUAL WHO PURCHASES COVERAGE THROUGH A CORPORATION-SPONSORED HEALTH PLAN ("INDIVIDUAL MEMBERS"), AND (3) ANY EMPLOYER OR RESIDENT OF A JUNSDICTION WHERE THE CORPORATION OFFERS HEALTH BENEFITS THROUGH A CORPORATION-SPONSORED HEALTH PLAN WHO ELECTS TO BECOME A MEMBER OF THE CORPORATION, BUT HAS NOT ELECTED TO ENROLL IN A CORPORATION- SPONSORED HEALTH PLAN (OR, IN THE CASE OF EMPLOYERS, OFFER SUCH BENEFIT PLANS TO THEIR EMPLOYEES). EMPLOYER AND INDIVIDUAL MEMBERS MEETING THE DEFINITIONS IN CLAUSES (1) AND (2) SHALL CONSTITUTE A CLASS OF "VOTING MEMBERS- AND SHALL BE GIVEN VOTING RIGHTS IN ELECTIONS CONDUCTED BY THE CORPORATION IN ACCORDANCE WITH POLICIES AND PROCEDURES FOR ELECTIONS ESTABLISHED BY THE BOARD OF DIRECTORS. MEMBERS WHO MEET THE DEFINITION IN CLAUSE (3) SHALL CONSTITUTE A CLASS OF "NON-VOTING MEMBERS" WITHOUT VOTING RIGHTS IN ANY ELECTIONS CONDUCTED BY THE CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE VOTING MEMBERS OF PEAK ELECT THE MEMBERS OF THE GOVERNING BODY AT THE ANNUAL MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DRAFT COPY OF THE 990 IS EMAILED TO ALL EXECUTIVE BOARD MEMBERS AND APPROVED BY THE FULL BOARD BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: (I) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (II) HAS READ AND UNDERSTANDS THE POLICY; (III) HAS AGREED TO COMPLY WITH THE POLICY; AND (IV) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE EXECUTIVE DIRECTOR'S SALARY AND APPROVES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8PEAK'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING REGULAR BUSINESS HOURS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9NEGOTIATION 20,004 0 0 DATA ANALYSIS 2,478 0 0 SOUTHWEST COLORADO ADVOCATE 5,750 0 0 MARKETING 0 0 58,800 OTHER CONTRACT SERVICES 20,200 0 0 TOTAL 48,432 0 58,800
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
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