Physicians Health Plan of Northern Indiana, Inc.

Legal name: Physicians Health Plan of Northern Indiana Inc

Nonprofit profile at a glance

EIN
311069321
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Fort Wayne, IN, US
Phone
260-432-6690
Rating
71
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$175,306,012
Expenses
$187,006,232
Assets
$78,033,043
Liabilities
$36,228,137

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

34 people listed

Executive titles in this filing

  • GARY D SHEARER (PRESIDENT & CEO)
  • DENISE M EWING (EXECUTIVE ASSISTANT TO CEO)

Highest reported compensation

  • PRAVEEN THADANI (CHAIR PY): $3,153,750 total reported compensation
  • KIMBERLY THOMAS (SECRETARY PY): $755,942 total reported compensation
  • GARY D SHEARER (PRESIDENT & CEO): $721,663 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide health insurance and employee benefit solutions that simplify healthcare for employers and members in northern Indiana.

What it reported doing in 2024

Physicians health plan of northern Indiana, inc. (phpni), now a part of priority health, an integrated not-for-profit health system serving communities throughout Michigan, offers fully-insured health products to group sponsors in 46 counties in northern Indiana and 6 counties in northwest Ohio. Phpni's program services focus on managing healthcare costs and investing in activities that improve the quality of care for our member population. Phpni has developed the "get php fit" program to promote wellness and healthy lifestyles for members. Php partners with health clubs to offer discounted rates and provides information on community health classes and events through its website. A monthly member newsletter offers wellness tips, healthy recipes, stress management strategies, and resources to support mental well-being. Our certified wellness and health coach coordinates engaging programs to promote employee well-being. Offerings include group presentations (15- to 60-minutes) on topics such as nutrition, exercise, stress management, and sleep; one-on-one wellness coaching; company-wide health challenges; exercise classes; and stress-reduction activities. Phpni also offers annual health screenings for groups, including lab testing and biometric measurements, with personalized coaching to help employees understand and improve their health results. Members also have 24/7 access to a nurse line for personal health concerns. Nurses provide recommendations ranging from self-care interventions to seeing a primary care physician the next business day. In the fort wayne area, members may also access premise health, phpni's primary care facility.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Member-benefit provider. The nonprofit used 93% of its reported program spending for member benefits.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and the filing reports few safeguards for money sent abroad.

Rating breakdown

  • Financial Efficiency: 86
  • Transparency & Controls: 69
  • Accountability: 60
  • Sustainability: 19
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 91.3%; rating input score 91
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 6 of 6 controls in place; rating input score 100
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 37%; rating input score 37; 8th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 40%; rating input score 40; 11th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -6.7%; rating input score 11; 11th percentile among comparable filings
  • Total-asset coverage ratio: 0.42; rating input score 15; 15th percentile among comparable filings
  • Liabilities to assets ratio: 0.46; rating input score 39; 39th percentile among comparable filings
  • Officer compensation ratio: 3%; rating input score 38; 38th percentile among comparable filings

Growth

  • Program expense growth: -0.4% per year; rating input score 0; 7th percentile among comparable filings
  • Revenue growth: 0.7% per year; rating input score 100; 7th percentile among comparable filings
  • Asset growth: 2.2% per year; rating input score 100; 15th percentile among comparable filings

Details

  • What they do: Mission, programs, and operating context captured from the official website.
  • Where the money goes: 100% of revenue deployed · 91.3% of spending went to programs
  • Governance: 4 of 10 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $170.7M in reported program spending
  • Leadership: top reported pay $3.2M · 34 people listed · 6 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $10.1M reported
  • Consistency: 45 of 46 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes foreign activity, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 32 filed money-flow records
  • Related organizations: 94 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Accountability: Independent voting board scored 40/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • Moderate — Transparency & Controls: Grant itemization coverage scored 37/100.
  • High — Sustainability: Operating margin scored 11/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 15/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Moderate — Sustainability: Liabilities to assets ratio scored 39/100.
  • Moderate — Sustainability: Officer compensation ratio scored 38/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.