PHI

What it reported doing in 2024

See schedule o: drawing on more than three decades of experience, phi promotes the interventions needed to ensure that direct care work is quality work such as improved training, family-sustaining wages, and meaningful career paths. Through policy development, advocacy, research and evaluation, and workforce innovations, we drive systemic change to strengthen the direct care workforce and the long-term care sector as a whole. Direct care workers provide skilled, hands-on support to older adults and people with disabilities in home, community-based, and residential settings. They ensure clients' well-being, provide social and emotional support, and assist with daily tasks essential to independent living. However, these workers often struggle with poor job quality; consequently, long-term care providers find it difficult to recruit and retain enough professionals to meet the growing demand for these services.phi offers providers, payers, and policymakers the tools to transform the long-term care system. Our policy work is informed by our on-the-ground training initiatives and vice versa, enabling us to advance effective solutions that comprehensively improve the quality of direct care jobs. To achieve broad geographic impact, phi maintains a national headquarters in New York city and deploys staff from across the country.universal direct care workforce initiativephi's strategic initiatives team (1.5 fte) works to design and lead phi's major strategic initiatives. Working collaboratively with leadership and staff across the organization, the team's initial priority is to design, advance, and inform the evaluation of phi's universal direct care workforce initiative and to center this project, as well as other key initiatives, in support of phi's mission.the universal direct care worker initiative publicly launched on july 10, 2025, a transformative step in phi's commitment to improving the quality of direct care jobs. The initiative seeks to create a future in which all direct care workers have access to standardized training, portable credentials, and clear career pathways, enabling them to move seamlessly between roles, settings, and even states within this sector.this effort directly responds to critical staffing shortages and systemic inequities plaguing the long-term care sector. Through pilot demonstration projects in New York and wisconsinand policy advocacy and systems change work in these and other statesphi is building a comprehensive approach intended for nationwide adoption. As the long-term care sector faces sustained threats, the universal direct care worker initiative provides an aspirational solution that states can implement to strengthen the direct care workforceand improve the quality, efficiency, and continuity of care.training and workforce development programphi co-manages a training and workforce development program in New York city with cooperative home care associates (chca), a licensed home care agency and the country's largest worker-owned cooperative. Phi and chca provide a free home health aide training program, distinguished by its comprehensive, adult learner-centered curriculum; guaranteed job placement; and extensive wraparound retention supports for participantsprimarily women of color who face multiple barriers to employment. The program is offered in both english and spanish and exceeds the combined 75 hours of training required by federal and state regulations. These elements lead to strong program outcomes; in fiscal year 2025, participants achieved a 92% graduation rate, a 78% job placement rate, and an 82% six-month retention rate. We have trained more than 14,000 new yorkers to date.phi builds from a multi-decade history of partnership with chca to bring best practices in recruitment, training, and workforce development to long-term care employers, educators, and health care systems across the country, and in turn, we bring expertise and experience from our efforts in New York and nationwid

Financial Efficiency

• Mission deployment rate: 55.9%; rating input score 56
• Program expense ratio: 70.1%; rating input score 70
• Fundraising efficiency: $25.68 raised per $1 spent on fundraising; rating input score 66; 66th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 72.7%; rating input score 73; 12th percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 28%; rating input score 83; 83rd percentile among comparable filings
• Total-asset coverage ratio: 3.22; rating input score 75; 75th percentile among comparable filings
• Liabilities to assets ratio: 0.01; rating input score 85; 85th percentile among comparable filings
• Officer compensation ratio: 22.7%; rating input score 10; 10th percentile among comparable filings

Growth

• Program expense growth: -1.3% per year; rating input score 0; 10th percentile among comparable filings
• Revenue growth: -1.1% per year; rating input score 0; 8th percentile among comparable filings
• Asset growth: 13.5% per year; rating input score 100; 70th percentile among comparable filings