PHI

What PHI does

PHI is a national nonprofit organization founded in 1994 and headquartered in the Bronx, New York, focused on strengthening the direct care workforce — a segment of approximately 4.5 million home care aides, nursing assistants, and personal care assistants who deliver the majority of paid long-term care in the United States. The organization operates with a staff of 11–50 employees and delivers its mission through three integrated functions: workforce development (training curricula and employer support), policy advocacy (engagement with federal and state regulators across all 50 states), and applied research (flagship annual data products such as the Key Facts series and the National Direct Care Workforce Resource Center). Its core products include the Universal Direct Care Workforce Initiative, the Equity Institute, the Workforce State Index Tool, the Workforce Data Center, and certified training programs used by home care employers nationwide. PHI also publishes proprietary longitudinal data on a worker population that is largely absent from mainstream labor statistics, making it a primary reference source for policymakers, providers, and researchers.

The business model is a hybrid nonprofit revenue structure rather than a commercial transaction model. Revenue is generated through foundation grants (a disclosed $4.25M award from the CD&R Foundation in 2023 is the single largest identifiable funding event), donations, professional services and consulting delivered to home care agencies, fees from training and certification programs, and likely federal/state contracts for workforce research. Go-to-market is not sales-driven but stakeholder-driven: PHI reaches end users through advocacy campaigns (e.g., #60CaregiverIssues), direct employer relationships, policy convenings, and publicly available data products. Customer segments span federal and state agencies, home care provider organizations, labor unions, academic researchers, and direct care workers themselves — a diversified stakeholder base with low commercial concentration risk. Underlying technology is content-and-data-platform based (an online library, resource center, and interactive workforce tools) rather than a proprietary software product, with no described AI/ML components in the available input.

Name

PHI

Legal name

Paraprofessional Healthcare Institute, Inc.

Website

https://phinational.org

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

11–50 employees

Short description

PHI is a national nonprofit that strengthens the direct care workforce of approximately 4.5 million home care and nursing assistants through workforce development, policy advocacy, and applied research, serving federal and state policymakers, home care agencies, and workers across the United States.

Ownership category

akta.pro rank

Product category

Direct Care Workforce Policy and Research

NAICS

Technical and Trade Schools (6115), Educational Support Services (611710), Educational Services (611)

SIC

Services-Educational Services (8200), Services-Engineering, Accounting, Research, Management (8700)

akta.pro primary industry

Nursing Assistant (CNA) & Patient Care Technician (PCT) (EDAOAJAB)

akta.pro secondary industries

Recruiting & Talent Acquisition Training (EDABAIAA), Equity, Inclusion & Civil Rights Reporting (Disparities, Access, Outcomes) (EDADAIAH)

Keywords

• Direct care workforce
• Workforce policy research
• Caregiver training programs
• Organizational development services
• Home care advocacy

Headquarters

HQ city

Bronx

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Donations and Contributions: PHI accepts tax-deductible charitable donations from individuals and organizations to support its mission of improving direct care jobs and quality care for older adults and people with disabilities.
2. Policy Research and Consulting Services: PHI provides workforce research, strategy services, curriculum design, and organizational development services to healthcare employers and government agencies.
3. Grants and Funded Programs: PHI receives grant funding from government agencies (e.g., New York State Department of Health funded the Care Connections project) to develop and implement workforce innovation programs.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

PHI is a nonprofit policy, research, and workforce development organization that provides training curricula, organizational and leadership development, recruitment and retention consulting, policy research, and advocacy services to home care agencies, long-term care providers, and government agencies. The organization also operates the National Direct Care Workforce Resource Center, the Workforce Data Center, and the Workforce State Index Tool as research and data resources.

Product overview

PHI (Paraprofessional Healthcare Institute) operates as a nonprofit policy, research, and workforce advocacy organization rather than a technology product company. Its core offerings include the National Direct Care Workforce Resource Center (a comprehensive online library), the Workforce Data Center (interactive statistics platform), and the Workforce State Index Tool. These are complemented by professional services for employers including the PHI Coaching Approach, Recruitment & Retention Services, Training Services, Advanced Roles development, and Curriculum Design. PHI also publishes annual reports (Key Facts series) and policy briefs. The organization connects through its Universal Direct Care Workforce Initiative (UDCWI) platform and supports partner technologies like the Carina matching registry.

Differentiator

Problem solved

Functional benefit

Brands

• National Direct Care Workforce Resource Center: The country's premier online library of information on the direct care workforce, hosted and updated by PHI.
• Universal Direct Care Workforce Initiative
• National Clearinghouse on the Direct Care Worker
• PHI Coaching Approach

Products and services

• National Direct Care Workforce Resource Center A premier online library offering hundreds of reports, briefs, fact sheets, multimedia resources, and journal articles on the direct care workforce published since 2010, with search tools by issue area, topic, publication type, date, and region.
• Workforce Data Center An interactive data platform providing comprehensive workforce statistics including wages, employment projections, demographics, job quality indicators, and employment trends for direct care workers across all 50 states.
• Workforce State Index Tool A state-by-state comparison tool analyzing direct care workforce policies, compensation, training requirements, and regulatory frameworks across all 50 states.
• Universal Direct Care Workforce Initiative (UDCWI) An initiative connecting states, providers, and career pathways for direct care workers through shared standards and sustainable financing to address recruitment, training, credentialing, and retention challenges across all 50 states.
• PHI Coaching Approach A proprietary coaching methodology designed to support organizational and leadership development for direct care workforce employers and supervisors.
• Recruitment and Retention Services Consulting services helping home care agencies and long-term care providers develop effective strategies for recruiting and retaining quality direct care workers.
• Training Services Comprehensive training programs designed to prepare direct care workers for quality care delivery and create advancement opportunities within the field.
• Advanced Roles Service Development of advanced job categories such as Care Integration Senior Aide (CISA) and Advanced Home Health Aide that create career advancement opportunities and improve retention.
• Curriculum Design Services Custom curriculum development for direct care worker training programs aligned with state regulations and industry best practices.
• Workforce Research and Strategy Services Workforce research, strategy services, and policy consulting provided to healthcare employers and government agencies to inform workforce development and policy decisions.
• Public Education and Messaging Services Communications and public education services to raise awareness about the direct care workforce, including campaigns such as #60CaregiverIssues.

Quantifiable outcome

• Care Connections project reduced preventable hospitalizations, ER visits, and improved medication adherence among 1,400+ participants in first 18 months
• +3 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

15 partnerships are on record, tiered featured and core.

• American Society on AgingfeaturedStrategic or Co-development PartnerPHI partners with American Society on Aging, an organization focused on aging services and education, to advance mutual goals in long-term care workforce development and aging policy.
• Aspen InstitutefeaturedStrategic or Co-development PartnerPHI collaborates with the Aspen Institute on policy research and thought leadership initiatives addressing direct care workforce challenges and quality care issues.
• Caring Across GenerationsfeaturedStrategic or Co-development PartnerNational campaign focused on transforming long-term care in America; PHI partners on advocacy and policy initiatives to improve care jobs and access to care.
• Eldercare Workforce AlliancefeaturedStrategic or Co-development PartnerCoalition addressing the eldercare workforce crisis; PHI contributes policy expertise and research to support alliance advocacy efforts.
• Home Care AssociatesfeaturedStrategic or Co-development PartnerPHI partners with Home Care Associates, a Philadelphia-based home care agency and worker-owned cooperative model, on workforce quality initiatives.
• JobsFirstNYCfeaturedStrategic or Co-development PartnerNew York-focused workforce development organization; PHI collaborates on employment strategies and career pathway programs for direct care workers.
• Leadership Council of Aging OrganizationsfeaturedStrategic or Co-development PartnerCoalition of aging-focused organizations; PHI participates in advocacy and policy coordination on long-term care and workforce issues affecting older adults.
• National Domestic Workers AlliancefeaturedStrategic or Co-development PartnerAlliance advocating for domestic and home care workers; PHI collaborates on policy efforts to improve wages, training, and job quality.
• National Employment Law ProjectfeaturedStrategic or Co-development PartnerResearch and advocacy organization focused on employment policy; PHI partners on wage, benefits, and worker protection issues for direct care workers.
• Neighborhood Trust Financial PartnersfeaturedStrategic or Co-development PartnerFinancial services organization serving low-income workers; partnership addresses financial stability issues affecting direct care workers.
• New York Caring MajorityfeaturedStrategic or Co-development PartnerNew York advocacy coalition focused on home care issues; PHI collaborates on state-level policy initiatives and workforce development.
• WorkingNationfeaturedStrategic or Co-development PartnerPHI partnered with WorkingNation to produce a mini-documentary on the Care Connections Project and distribute it through the #60CaregiverIssues campaign to highlight innovative training and job quality improvements.
• 1199SEIU & 1199SEIU Training & Education FundcoreStrategic or Co-development PartnerPHI has partnered with 1199SEIU and its Training and Education Fund for years, working on joint advocacy to improve wages and training for New York's direct care workforce, including successful legislation creating the Advanced Home Health Aide job category. TEF is the largest healthcare industry partnership in the US with 400,000+ members across multiple states.
• Independence Care SystemcoreStrategic or Co-development PartnerParticipating managed long-term care plan in PHI's Care Connections project, which deployed Care Connections Senior Aides to improve care transitions and reduce hospitalizations among 1,400+ members.
• Wisconsin Home Care AgenciescoreStrategic or Co-development PartnerPartner agencies implementing the Care Integration Senior Aide (CISA) program, with evaluation showing promising outcomes for care coordination and workforce stability.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Others

• Paraprofessional Healthcare Institute (the entity itself is PHI): N/A — anchor company.

Broad incumbents

• AARP Foundation: Charitable affiliate of AARP focused on low-income older adults, including direct care workforce and family caregiving issues. Comparable because both conduct policy research and advocacy on long-term care workforce issues, though AARP Foundation has a far larger communications and policy budget and a broader aging-services mandate.
• LeadingAge: National association of nonprofit aging services providers representing 5,000+ member organizations including home care, hospice, and senior housing. Comparable to PHI because both serve as national authorities on aging services workforce policy and partner with home care agencies, though LeadingAge represents provider interests rather than focusing exclusively on direct care workers.

Direct peers

• National Association for Home Care & Hospice (NAHC): Trade association representing the home care and hospice industry, including thousands of home care agencies and home health providers. Directly comparable to PHI because both conduct advocacy, workforce research, and policy engagement on home care workforce issues, though NAHC is a membership association of providers rather than a nonprofit research intermediary.
• Eldercare Workforce Alliance: Coalition of 35+ national organizations addressing the eldercare workforce crisis through federal policy advocacy. Closely comparable to PHI because both organize federal advocacy campaigns, produce workforce research, and PHI is itself a featured partner; overlap is high but EAW is a coalition model rather than a single operating nonprofit.
• 1199SEIU Training & Education Fund: Labor-management training fund of 1199SEIU providing workforce training to 400,000+ healthcare workers across multiple states. Closely comparable to PHI because both deliver direct care worker training, curriculum design, and career pathway programs — and are long-standing partners; 1199TEF is union-side and employer-side funded, PHI is a third-party nonprofit.
• Caring Across Generations: National campaign working to transform long-term care by building power among care workers, families, and consumers. Directly comparable as a featured PHI partner with overlapping advocacy on home care job quality, Medicaid funding, and immigration status of care workers; Caring Across is more campaign-oriented and PHI more research/policy-focused.
• National Domestic Workers Alliance: National advocacy organization of 70+ affiliate organizations representing nannies, housecleaners, and home care workers. Comparable to PHI because both lobby for direct care worker wages, training standards, and FLSA protections; NDWA is more union-adjacent and advocacy-focused whereas PHI is policy/research/training-focused.
• American Society on Aging: Membership organization of practitioners in aging serving 5,000+ professionals across healthcare, social services, and policy. Comparable to PHI because both produce aging workforce research, deliver conferences and educational content, and partner on direct care workforce programming — but ASA is broader in scope across all aging professionals, not direct-care specific.

Emerging players

• Institute for Healthcare Improvement (IHI): Independent nonprofit focused on improving healthcare quality and safety globally through improvement science, training, and convening. Comparable to PHI as a training, curriculum, and quality-improvement intermediary serving healthcare employers — but IHI operates across the full clinical continuum rather than the direct care workforce specifically.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xtwitter.com/phinational
• Facebookfacebook.com/PHInational
• LinkedInlinkedin.com/company/phinational

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds1 record

Investors1 record

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M&A

Investments

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Frequently asked questions about PHI