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        <Desc>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.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND TSAI</PersonNm>
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        <TitleTxt>VP CARE TRANSFORMATION</TitleTxt>
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        <PersonNm>PETER ROBERTSON</PersonNm>
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      <TotReportableCompRltdOrgAmt>60000</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>537076</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>DC</StateAbbreviationCd>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COLLABORATIVE FAMILY HEALTHCARE ASSOCIAT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>CHAPEL HILL</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
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        </ContractorAddress>
        <ServicesDesc>SUBJECT MATTER EXPERTISE</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ERNST &amp; YOUNG US LLP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
        <ServicesDesc>SUBJECT MATTER EXPERTISE</ServicesDesc>
        <CompensationAmt>180000</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEGAL BENZ</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>180 HOWARD STREET</AddressLine1Txt>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>2649345</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>541610</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2438173</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>HEALTH PLAN FEES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>2209047</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SPONSORSHIP REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>2012498</RelatedOrExemptFuncIncomeAmt>
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        <Desc>MEMBERSHIP DUES</Desc>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-196300</ExclusionAmt>
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      <TotalRevenueGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <OtherExpensesGrp>
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        <FundraisingAmt>146</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1746</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>89209</EOYAmt>
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        <ContributorUSAddress>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2024. THE ORGANIZATION'S RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
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        <PersonNm>CRYSTAL EUBANKS</PersonNm>
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        <PersonNm>RAYMOND TSAI</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER ROBERTSON</PersonNm>
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        <PersonNm>RACHEL BRODIE</PersonNm>
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        <PersonNm>LISA STEINHART-ZAMOSKY</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDED UP TO $40.00 PER MONTH PER EMPLOYEE FOR REIMBURSEMENT OF HEALTH CLUB COSTS. THE REIMBURSEMENT OF HEALTH CLUB COSTS HAS BEEN INCLUDED IN THE EMPLOYEES' TAXABLE WAGES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS OF OF $42,099 AND $22,339 WERE MADE TO EMMA HOO AND LISA KAREN STEINHART-ZAMOSKY, RESPECTIVELY, IN 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POTENTIAL AND CRITERIA FOR COMPENSATION CHANGES AND BONUSES FOR OFFICERS ARE PRE-DETERMINED PERCENT AMOUNTS BASED UPON PERFORMANCE ON 8 ORGANIZATION-WIDE OBJECTIVE, 5-7 INDIVIDUAL OBJECTIVES, AND COMPENTENCY ASSESSMENTS. THE PRESIDENT &amp; CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE AND INCLUDES COMPARABILITY DATA FROM OTHER ORGANIZATIONS. COMPENSATION/BONUS IS NOT A PERCENTAGE OF NET INCOME OR REVENUE, BUT ARE DETERMINED THROUGH A PERIODIC COMPENSATION REVIEW OF PRESIDENT &amp; CEO COMPENSATION BY AN EXTERNAL FIRM AND PERIODIC REVIEW OF EXTERNAL BENCHMARKING DATA. COMPENSATION DETERMINATIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN WRITING. PBGH DIRECTORS ARE NOT COMPENSATED.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS INITIALLY REVIEWED BY THE CEO &amp; CFO. IT IS SUBSEQUENTLY REVIEWED BY THE AUDIT COMMITTEE, ACTING ON BEHALF OF THE BOARD. FOLLOWING THESE REVIEWS AND PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE, COPIES OF THE FORM 990 WILL BE EMAILED TO ALL BOARD MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY COVERS BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES WHO ARE REQUIRED TO ANNUALLY DISCLOSE ANY POTENTIAL CONFLICTS. DISCLOSURES ARE COLLECTED AND REVIEWED BY THE COO FOR ANY POTENTIAL CONFLICTS. THE BOARD OF DIRECTORS DECIDES IF ANY ADDITIONAL ACTION IS NECESSARY SUCH AS RECUSAL OR REMOVAL OF THE CONFLICTED INDIVIDUAL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT &amp; CEO'S STARTING SALARY IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS UTILIZING INDUSTRY-SPECIFIC BENCHMARK STUDIES THAT INCLUDE COMPARABILITY DATA FROM OTHER ORGANIZATIONS. COMPENSATION INCREASES AND INCENTIVE PAYMENTS FOR THE PRESIDENT &amp; CEO DETERMINATIONS ARE BASED UPON THE ANNUAL PERFORMANCE REVIEW CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE BASIS FOR THE DETERMINATIONS IS THE PRESIDENT &amp; CEO'S PERFORMANCE IN CONJUNCTION WITH PERIODIC INDUSTRY-SPECIFIC BENCHMARK STUDIES THAT INCLUDE COMPARABILITY DATA FROM OTHER ORGANIZATIONS. COMPENSATION DETERMINATIONS FOR THE PRESIDENT &amp; CEO ARE CONTEMPORANEOUSLY DOCUMENTED IN WRITING. THE STARTING SALARY OF OFFICERS AND KEY EMPLOYEES IS BASED UPON INDUSTRY-SPECIFIC BENCHMARK STUDIES THAT INCLUDE COMPARABILITY DATA FROM OTHER ORGANIZATIONS. INCREASES AND INCENTIVE PAYMENTS ARE BASED UPON ANNUAL PERFORMANCE REVIEWS OR AS THE RESULT OF AN INDUSTRY-SPECIFIC BENCHMARK STUDY REVIEW. COMPENSATION DETERMINATIONS FOR OFFICERS AND KEY EMPLOYEES ARE CONTEMPORANEOUSLY DOCUMENTED IN WRITING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 39,589. MANAGEMENT AND GENERAL EXPENSES 16,279. FUNDRAISING EXPENSES 707. TOTAL EXPENSES 56,575. CONSULTANTS/ADMINSTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 2,743,482. MANAGEMENT AND GENERAL EXPENSES 89,619. FUNDRAISING EXPENSES 300. TOTAL EXPENSES 2,833,401.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF PBGHNA NET ASSETS 87,547. IMPAIRMENT -194,256.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>PURCHASER BUSINESS GROUP ON HEALTH NEGOTIATING ALLIANCE (UNTIL 112024)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>2041 EAST ST STE 1128</AddressLine1Txt>
          <CityNm>CONCORD</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>945202126</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTHCARE IMPROVEMENTS &amp; NEGOTIATE LOWER HEALTHCARE COSTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>PBGH</BusinessNameLine1Txt>
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          <AddressLine1Txt>2041 EAST ST STE 1128</AddressLine1Txt>
          <CityNm>CONCORD</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>945202126</ZIPCd>
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        <EIN>861602754</EIN>
        <PrimaryActivitiesTxt>PURCHASING SERVICES FOR HEALTHCARE AND PHARMACY PRODUCTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PBGH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <AddressLine1Txt>222 W MERCHANDISE MART PLAZA SUITE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60654</ZIPCd>
        </USAddress>
        <EIN>862544683</EIN>
        <PrimaryActivitiesTxt>GUIDING EMPLOYEES AND THEIR FAMILIES TO PREMIUM PRIMARY AND SPECIALTY CARE.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PBGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1875846</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>863657</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.55000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PURCHASER BUSINESS GROUP ON HEALTH NEGOTIATING ALLIANCE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>87547</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>