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      <Desc>PEAK'S AGGRESSIVE, DATA-DRIVEN NEGOTIATION WITH PROVIDERS AND CARRIERS RESULTED IN 24%-38% PREMIUM SAVINGS. WE ESTIMATE THESE PREMIUM REDUCTIONS WILL RESULT IN OVER 7 MILLION IN SAVINGS ACROSS OUR SEVEN COUNTIES. THIS IS MONEY THAT GOES BACK TO THE COMMUNITY RATHER THAN TO AN OUT OF STATE INSURANCE COMPANY OR CORPORATE HEALTH SYSTEM. PLANS NEGOTIATED BY PEAK HAVE SIGNIFICANT ENHANCEMENTS IN PLAN DESIGN THAT RESPOND TO COMMUNITY NEEDS. MENTAL HEALTH VISITS ARE COVERED WITH 0 COPAY ON ALL PLANS EXCEPT CATASTROPHIC AND HSA-COMPATIBLE PLANS. THERE ARE ALSO COPAYS NOT SUBJECT TO DEDUCTIBLE ON OTHER KEY SERVICES, SUCH AS PRIMARY CARE VISITS AND IMAGING, THAT MAKE IT EASIER FOR PARTICIPANTS TO USE THEIR BENEFITS. PEAK IS ALSO THE ONLY ENTITY IN THE STATE THAT OFFERS A ZERO DEDUCTIBLE BRONZE AND SILVER TIER PLAN. ANOTHER SUCCESS HAS BEEN PEAK'S NETWORK EXPANSION IN MENTAL HEALTH SERVICES. WITH OVER 50 INDEPENDENT MENTAL HEALTH PROVIDERS NOW CONTRACTED IN-NETWORK, PEAK'S STRATEGY OF INCREASING REIMBURSEMENT RATES AND DOING DIRECT OUTREACH TO PROVIDERS HAS PROVEN EFFECTIVE. THE MARKET HAS RESPONDED TO THE WAYS PEAK HAS ADDRESSED AFFORDABILITY. PEAK'S AVERAGE INDIVIDUAL MARKET SHARE IN OUR SEVEN COUNTIES IS BETWEEN 65% - 70%.</Desc>
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        <FundraisingAmt>234</FundraisingAmt>
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      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc9">
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      <First5Years509Ind>X</First5Years509Ind>
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    <IRS990ScheduleB documentId="RetDoc1">
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        <ContributorNum>RESTRICTED</ContributorNum>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>3750</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>3750</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT SERVICES TO NOTIFY PEAK HEALTH ALLIANCE WHEN BILLS THAT ALIGN WITH PEAK'S MISSION ARE INTRODUCED AND TRACK THESE BILLS TO LET PEAK KNOW WHEN THE BILLS ARE UP IN COMMITTEE HEARINGS. CEO TESTIFIES FROM TIME TO TIME ON SPECIFIC BILLS. PEAK HEALTH ALLIANCE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <BookValueAmt>396</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>396</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CREDIT CARD LIABILITY</Desc>
        <Amt>1245</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1245</TotalLiabilityAmt>
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    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOCAL FIRST FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2058</AddressLine1Txt>
          <CityNm>DURANGO</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81302</ZIPCd>
        </USAddress>
        <RecipientEIN>320600640</RecipientEIN>
        <IRCSectionDesc>(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7700</CashGrantAmt>
        <PurposeOfGrantTxt>COLLABORATION SW CO</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PEAK WORKS CLOSELY WITH THE STAFF OF LOCAL FIRST FOUNDATION IN REACHING OUT TO THE COMMUNITIES OF SOUTHWEST COLORADO TO PROVIDE HEALTHCARE COST SAVINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleL documentId="RetDoc7">
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>BRAD BROCKBANK SEGUE CONSULTING</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF ED</RelationshipDescriptionTxt>
        <TransactionAmt>6219</TransactionAmt>
        <TransactionDesc>CONSULTING</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>SEGUE CONSULTING PROVIDED VALUABLE CONSULTING SERVICES, APPROVED BY THE BOARD OF DIRECTORS, NOT TO EXCEED 15,000 FOR 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PEAK'S AGGRESSIVE, DATA-DRIVEN NEGOTIATION WITH PROVIDERS AND CARRIERS RESULTED IN 24%-38% PREMIUM SAVINGS. WE ESTIMATE THESE PREMIUM REDUCTIONS WILL RESULT IN OVER 7 MILLION IN SAVINGS ACROSS OUR SEVEN COUNTIES. THIS IS MONEY THAT GOES BACK TO THE COMMUNITY RATHER THAN TO AN OUT OF STATE INSURANCE COMPANY OR CORPORATE HEALTH SYSTEM. PLANS NEGOTIATED BY PEAK HAVE SIGNIFICANT ENHANCEMENTS IN PLAN DESIGN THAT RESPOND TO COMMUNITY NEEDS. MENTAL HEALTH VISITS ARE COVERED WITH 0 COPAY ON ALL PLANS EXCEPT CATASTROPHIC AND HSA-COMPATIBLE PLANS. THERE ARE ALSO COPAYS NOT SUBJECT TO DEDUCTIBLE ON OTHER KEY SERVICES, SUCH AS PRIMARY CARE VISITS AND IMAGING, THAT MAKE IT EASIER FOR PARTICIPANTS TO USE THEIR BENEFITS. PEAK IS ALSO THE ONLY ENTITY IN THE STATE THAT OFFERS A ZERO DEDUCTIBLE BRONZE AND SILVER TIER PLAN. ANOTHER SUCCESS HAS BEEN PEAK'S NETWORK EXPANSION IN MENTAL HEALTH SERVICES. WITH OVER 50 INDEPENDENT MENTAL HEALTH PROVIDERS NOW CONTRACTED IN-NETWORK, PEAK'S STRATEGY OF INCREASING REIMBURSEMENT RATES AND DOING DIRECT OUTREACH TO PROVIDERS HAS PROVEN EFFECTIVE. THE MARKET HAS RESPONDED TO THE WAYS PEAK HAS ADDRESSED AFFORDABILITY. PEAK'S AVERAGE INDIVIDUAL MARKET SHARE IN OUR SEVEN COUNTIES IS BETWEEN 65% - 70%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PEAK IS ORGANIZED WITH ONE CLASS OF MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF PEAK ELECT THE MEMBERS OF THE GOVERNING BODY AT THE ANNUAL MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DRAFT COPY OF THE 990 IS EMAILED TO ALL EXECUTIVE BOARD MEMBERS AND APPROVED BY THE FULL BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE CHIEF EXECUTIVE OFFICER'S SALARY AND APPROVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PEAK'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING REGULAR BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>NEGOTIATION 15,818 0 15,968 DATA ANALYSIS 22,917 0 0 GOVERNMENT AFFAIRS 16,500 0 0 EXPANSION ANALYSIS AND GRANTS 33,094 0 0 MEMBER OUTREACH 14,422 0 4,807 SOUTHWEST COLORADO ADVOCATE 20,000 0 0 MARKETING 0 0 8,000 CONSULTING 0 6,956 0 DATA AND REPORTS 8,160 0 0 TOTAL 130,911 6,956 28,775</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
