2025-04-24T17:08:25+00:00 2024-12-31 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-01-01 351791786 Echo Community Health Care Inc ECHO 8124217489 315 Mulberry St Evansville IN 47713 SANDEE STRADER-MCMILLEN CEO 2025-04-24 true Kim Scifres P01316095 5023263996 2025-04-24 2024 2025-03-06 01:10:19Z SANDEE STRADER-MCMILLEN 315 Mulberry St Evansville IN 47713 14915403 false X WWW.ECHOCHC.ORG X 1989 IN THE MISSION OF ECHO COMMUNITY HEALTH CARE, INC. IS TO PROVIDE QUALITY COMPREHENSIVE PRIMARY HEALTH CARE TO ALL INDIVIDUALS INCLUDING THE UNINSURED, UNDER INSURED, AND THE HOMELESS. 13 13 173 4 0 5566184 5198569 9573769 9425733 89543 186380 266839 104721 15496335 14915403 0 0 12407806 11045068 0 45492 3838077 4589802 16245883 15634870 -749548 -719467 10686406 9809129 1400229 1247116 9286177 8562013 X THE MISSION OF ECHO COMMUNITY HEALTH CASE IS TO PROVIDE AFFORDABLE, ACCESSIBLE, AND APPROPRIATE COMPREHENSIVE HEALTHCARE TO THE UNINSURED, UNDER INSURED AND THE HOMELESS. QUALITY SERVICES ARE PROVIDED BY OUR TEAM OF CARING, RESPECTFUL PROFESSIONALS WHO ADVOCATE FOR THE PATIENT. CARE IS PROVIDED TO INDIVIDUALS WITHOUT INSURANCE ON A "SLIDING FEE SCALE," BASED ON THE INDIVIDUAL'S INCOME AND FAMILY SIZE. CARE IS PROVIDED TO THE HOMELESS FREE OF CHARGE. THE ORGANIZATION PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS MEETING CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. CHARITY CARE IS NOT REPORTED AS REVENUE. false false 5157782 3799760 ECHC PROVIDES PRIMARY AND PREVENTIVE HEALTHCARE TO THE GENERAL POPULATION OF THE EVANSVILLE, INDIANA AREA. SERVICES ARE OFFERED TO ALL PAYOR AND NON-PAYOR SOURCES SERVICES ARE OFFERED ON A "SLIDING FEE SCALE" FOR PATIENTS WITHOUT INSURANCE. ANY PATIENT WHO IS DEEMED "HOMELESS" IS OFFERED CARE AT NO CHARGE PER VISIT. CARE IS PROVIDED BY DEDICATED AND QUALIFIED CLINICIANS, FOCUSING ON SELF CARE AND HEALTH MANAGEMENT. ECHC'S PROVIDER STAFF INCLUDE 2 PHYSICIANS AND 5 NURSE PRACTITIONERS. IN ADDITION TO PRIMARY AND PREVENTATIVE SERVICES, ECHC COORDINATES CARE FOR THE PATIENTS WITH AREA PROVIDERS INCLUDING RADIOLOGY & LABORATORY, OFFERS PRESCRIPTION ASSISTANCE PROGRAM AND SOCIAL WORK AND PATIENT ADVOCACY SERVICES. 3234243 2359277 ECHC PROVIDES PRIMARY PEDIATRIC, OBSTETRICAL, AND GYNECOLOGICAL HEALTH CARE TO THE RESIDENTS OF EVANSVILLE, INDIANA AREA. SERVICES ARE OFFERED TO ALL PAYOR AND NON-PAYOR SOURCES. SERVICES ARE OFFERED ON A SLIDING FEE SCALE FOR PATIENTS WITHOUT INSURANCE. ANY PATIENT, WHO IS DEEMED HOMELESS IS OFFERED CARE AT NO CHARGE PER VISIT. CARE IS PROVIDED BY DEDICATED AND QUALIFIED CLINICIANS, FOCUSING ON SELF CARE AND HEALTH MANAGEMENT. ECHC'S PROVIDER STAFF INCLUDES 2 PEDIATRICIANS, 2 NURSE PRACTITIONERS, 1 OBGYN AND 1 CERTIFIED NURSE MIDWIFE. 2709334 2214617 * ECHC PROVIDES PRIMARY AND PREVENTIVE HEALTH CARE TO THE HOMELESS RESIDENTS OF THE EVANSVILLE, INDIANA AREA. SERVICES ARE OFFERED TO ALL PAYOR AND NON-PAYOR SOURCES. ANY PATIENT WHO IS DEEMED HOMELESS IS OFFERED CARE AT NO CHARGE PER VISIT. CARE IS PROVIDED BY DEDICATED AND QUALIFIED CLINICIANS, FOCUSING ON SELF CARE AND HEALTH MANAGEMENT. ECHC'S PROVIDER STAFF INCLUDES 1 PHYSICIAN, AND 2 NURSE PRACTITIONERS . 1119843 1156800 ECHC PROVIDES DENTAL HEALTHCARE TO THE GENERAL POPULATION OF THE EVANSVILLE, INDIANA AREA. SERVICES ARE OFFERED TO ALL PAYER AND NON-PAYER SOURCES. SERVICES ARE OFFERED ON A "SLIDING FEE SCALE" FOR PATIENTS WITHOUT INSURANCE. ANY PATIENT WHO IS DEEMED "HOMELESS" IS OFFERED CARE AT NO CHARGE PER VISIT. CARE IS PROVIDED BY DEDICATED AND QUALIFIED CLINICIANS, FOCUSING ON SELF CARE AND HEALTH MANAGEMENT. ECHC'S PROVIDER STAFF INCLUDE 4 DENTISTS AND 2 DENTAL HYGIENISTS. 1119843 1156800 12221202 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false true false false false true false false false false false true 11 0 true 173 true false false false false false false false false X 13 13 false false true false false false false true true false false false true true true true true true true true false false IN X ECHO COMMUNITY HEALTH CARE 8124217489 315 MULBERRY ST EVANSVILLE IN 47713 JASON EMMERSON CHAIR 2.0 0.0 X X 0 0 0 JENNIFER ARNOLD VICE CHAIR 2.0 0.0 X X 0 0 0 MIKE CAMERON TREASURER/SECRETARY 2.0 0.0 X X 0 0 0 ALEISE BARRON BOARD MEMBER 1.0 0.0 X 0 0 0 ANDREW SCHENK BOARD MEMBER 1.0 0.0 X 0 0 0 BOB ROYER BOARD MEMBER 1.0 0.0 X 0 0 0 BRAD GANT BOARD MEMBER Starting 5.23.24 1.0 0.0 X 0 0 0 DR ZACHARY WARD BOARD MEMBER 1.0 0.0 X 0 0 0 KENDRA VANZO BOARD MEMBER 1.0 0.0 X 0 0 0 LULA PORTER BOARD MEMBER 1.0 0.0 X 0 0 0 MANUEL RAMIREZ BOARD MEMBER 1.0 0.0 X 0 0 0 REV GERALD ARNOLD BOARD MEMBER 1.0 0.0 X 0 0 0 REV MYERS HYMAN BOARD MEMBER 1.0 0.0 X 0 0 0 ALAN SWARTZ COO (STARTING IN SEPT) 40.0 0.0 X 179612 0 30767 CAROL COLLIER-SMITH COO (UNTIL SEPT) 40.0 0.0 X 227134 0 26434 CINDY SHEA CFO 40.0 0.0 X 316911 0 43329 DAVID LIPPMAN CMO 32.0 0.0 X 285061 0 39969 SANDEE STRADER-MCMILLEN CEO 40.0 0.0 X 400166 0 9549 TONYA SCHABER CCO 40.0 0.0 X 134903 0 3818 DIGVIJAYSINH PARMAR DENTIST 38.0 0.0 X 168275 0 2463 REBECCA HOPPER PHYSICIAN 32.0 0.0 X 178610 0 35454 ROBERT FAWCETT PHYSICIAN 21.0 0.0 X 130441 0 30014 THOMAS STRATTON PHYSICIAN 40.0 0.0 X 257704 0 43409 VALERIE TOPPER MIDWIFE 32.0 0.0 X 148769 0 4527 2427586 0 269733 11 false true false MIDWEST CONTRACTING 6724 E MORGAN AVE SUITE C EVANSVILLE IN 47715 REMODEL OF PHARMACY 131775 1 0 0 0 0 4404939 793630 656023 5198569 PATIENT FEES 621110 1336497 1336497 MEDICARE/MEDICAID 621110 4358270 4358270 DENTAL FEES 621110 432353 432353 340B COST SAVINGS 621110 3298613 3298613 0 0 0 0 9425733 186380 186380 0 0 0 0 0 QUALITY INDICATOR PAYMENT 621110 104721 104721 0 0 0 0 0 0 104721 14915403 9530454 0 186380 0 0 0 0 0 0 0 0 1546877 1501385 45492 0 0 0 0 7899220 6943460 955760 0 152984 133473 19511 0 786473 701238 85235 0 659514 492303 167211 0 0 0 0 0 48380 0 48380 0 62768 0 62768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46066 0 46066 0 166559 136118 30441 0 0 0 0 0 0 0 0 0 199698 153628 46070 0 34359 25041 9318 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 377513 343195 34318 0 53489 32519 20970 0 SUPPLIES 2614928 2588553 26375 0 CONTRACTUAL EXPENSES 838058 613889 224169 0 EQUIPMENT 47888 26955 20933 0 100096 30830 69266 0 15634870 12221202 3368176 45492 352410 295027 2777945 2194113 116422 63569 354953 346959 0 0 0 0 0 0 0 0 155112 192751 9956507 3239797 6929564 6716710 0 0 0 0 0 0 0 0 10686406 9809129 1389365 1236228 0 0 10864 10888 0 0 0 0 0 0 0 0 0 0 0 0 1400229 1247116 X 9286177 8562013 0 0 0 0 0 0 0 0 9286177 8562013 10686406 9809129 -719467 -4697 0 0 0 X false true true true true X 5872196 6153143 6329484 5566183 4542546 28463552 0 0 5872196 6153143 6329484 5566183 4542546 28463552 0 28463552 64221 120626 81265 89453 186380 541945 0 59451 41682 88269 266839 104721 560962 29566459 46584235 0.96270 0.9672 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - QUALITY INDICATOR PMT, COLUMN A - 59451.0, COLUMN B - 41682.0, COLUMN C - 88269.0, COLUMN D - 266839.0, COLUMN E - 104721.0, COLUMN F - 560962.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 900374 900374 0 7107948 1917525 5190423 0 224726 224726 0 0 1593483 1097546 495937 0 129976 0 129976 6716710 15042775 -4697 132069 0 127372 14915403 0 0 14915403 15766939 132069 0 132069 15634870 0 0 15634870 false false false false false false false false false SANDEE STRADER-MCMILLEN CEO 340449 0 58350 0 1367 0 9239 0 310 0 409715 0 0 0 CINDY SHEA CFO 277343 0 37469 0 2099 0 7777 0 35552 0 360240 0 0 0 CAROL COLLIER-SMITH COO (UNTIL SEPT) 193173 0 31010 0 2951 0 2690 0 23744 0 253568 0 0 0 ALAN SWARTZ COO (STARTING IN SEPT) 173132 0 6105 0 375 0 5683 0 25084 0 210379 0 0 0 DAVID LIPPMAN CMO 272572 0 12412 0 77 0 8171 0 31798 0 325030 0 0 0 THOMAS STRATTON PHYSICIAN 257627 0 0 0 77 0 8103 0 35306 0 301113 0 0 0 ROBERT FAWCETT PHYSICIAN 130441 0 0 0 0 0 4196 0 25818 0 160455 0 0 0 DIGVIJAYSINH PARMAR DENTIST 168266 0 0 0 9 0 2456 0 7 0 170738 0 0 0 REBECCA HOPPER PHYSICIAN 178593 0 0 0 17 0 2859 0 32595 0 214064 0 0 0 VALERIE TOPPER MIDWIFE 148753 0 0 0 16 0 4463 0 64 0 153296 0 0 0 7786 656023 Market value false true false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - Number of Contributions Form 990, Part III, Line 4d Description of other program services (Expenses $ 1,119,843 including grants of $)(Revenue $ 1,156,800) ECHC PROVIDES DENTAL HEALTHCARE TO THE GENERAL POPULATION OF THE EVANSVILLE, INDIANA AREA. SERVICES ARE OFFERED TO ALL PAYER AND NON-PAYER SOURCES. SERVICES ARE OFFERED ON A "SLIDING FEE SCALE" FOR PATIENTS WITHOUT INSURANCE. ANY PATIENT WHO IS DEEMED "HOMELESS" IS OFFERED CARE AT NO CHARGE PER VISIT. CARE IS PROVIDED BY DEDICATED AND QUALIFIED CLINICIANS, FOCUSING ON SELF CARE AND HEALTH MANAGEMENT. ECHC'S PROVIDER STAFF INCLUDE 4 DENTISTS AND 2 DENTAL HYGIENISTS. Form 990, Part VI, Line 4 Significant changes to organizational documents The by-laws were amended to allow a president to serve a third term. Form 990, Part VI, Line 11b Review of form 990 by governing body BEFORE FILING THE AUDIT COMMITTEE REVIEWS THE 990 IN DETAIL. THE COMMITTEE PRESIDENT AND THE CFO REVIEW THE 990 IN DETAIL AND ANY QUESTIONS ARE DISCUSSED. A COPY OF THE ORGANIZATION'S FINAL FORM 990 AND REQUIRED SCHEDULES ARE MADE AVAILABLE TO EACH VOTING MEMBER OF THE BOARD PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OF ACTIVITIES OF AN INDIVIDUAL OR BEHALF OF THE ORGANIZATION ALSO INVOLVE THE OBTAINING OF AN IMPROPER GAIN OR ADVANTAGE, OR AN ADVERSE EFFECT OF THE ORGANIZATIONS' INTEREST. CONFLICTS OF INTEREST CAN ALSO ARISE IN OTHERS INSTANCES. ANY DECISION THAT COULD RESULT IN AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST MUST BE AVOIDED. THOSE POSSIBLY AFFECTED BY THE POLICY SHOULD REVIEW IT ANNUALLY AND COMPLETED THE CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR. LT IS IMPOSSIBLE TO LIST EVERY CIRCUMSTANCE GIVING RISE TO A POSSIBLE CONFLICT OF INTEREST. ALTHOUGH MANY SUCH POTENTIAL CONFLICTS ARE AND WILL BE DEEMED INCONSEQUENTIAL, EVERY INDIVIDUAL OF THE ECHC HAS AN ONGOING RESPONSIBILITY TO DISCLOSE SITUATIONS THAT INVOLVE PERSONAL, FAMILIAR, OR BUSINESS RELATIONS THAT COULD BE PERCEIVED AS A CONFLICT OF INTEREST. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE AND THE ABSTENTION FROM VOTING. ANY CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF AN INDIVIDUAL SHOULD BE DISCLOSED TO THE BOARD AND MADE A MATTER OF RECORD, EITHER THROUGH THE ANNUAL QUESTIONNAIRE PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. IN THE CASE OF THE CLINICAL AND ADMINISTRATIVE STAFF, ANNUAL CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND SIGNED STATING THAT THEY UNDERSTAND THAT THEY ARE REQUIRED TO DISCLOSE ACTIONS, ACTIVITIES OR OTHER EMPLOYMENTS THAT COULD BE PERCEIVED BY OTHERS AS IMPROPER GAIN OR AN ADVERSE EFFECT ON THE ORGANIZATION'S MISSION, CLIENT CONFIDENTIALITY OR FINANCIAL STABILITY: ECHC'S COMPLIANCE POLICY AND WORK PLAN IS WRITTEN TO ADVISE EMPLOYEES, CONTRACTORS, AND VOLUNTEERS WHEN AND HOW TO REPORT WRONG DOING AND OF THEIR PROTECTION AGAINST REPRISAL OR RETALIATION FOR REPORTING. ANY PERSON WHO HAS KNOWLEDGE OF OR, IN GOOD FAITH, SUSPECTS ANY WRONGDOING IN THE DOCUMENTING. CODING, OR BILLING FOR SERVICES, EQUIPMENT, OR SUPPLIES, IN THE ECHC FINANCIAL PRACTICES, OR VIOLATION OF THE STANDARDS OR CONDUCT SHOULD REPORT IT INTERNALLY SO THAT AN INVESTIGATION CAN BE CONDUCTED AND APPROPRIATE ACTION TAKEN. RETALIATION OR REPRISAL AGAINST ANYONE FOR SUCH A REPORT IS STRICTLY PROHIBITED. THE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, VOLUNTEERS, VENDORS, AND BOARD MEMBERS. Form 990, Part VI, Line 15a Process to establish compensation of top management official EVERY TWO YEARS ECHC DOES A STUDY OF THE WAGES IN OUR REGION, IN OUR STATE, AND NATIONAL. THE SALARY SCALE IS THEN CRESTED TO REFLECT THE AVERAGE WAGES FOR EACH JOB DESCRIPTION. EACH EMPLOYEE IS ELIGIBLE FOR AN ANNUAL WAGE INCREASE BASED ON AN ACROSS THE BOARD PERCENTAGE. THIS IS DONE AT EACH EMPLOYEE'S ANNIVERSARY DATE. IN SETTING THE CEO'S COMPENSATION, ECHO'S BOARD RELIES ON RECENT COMPENSATION STUDIES THAT PROVIDE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE CEO'S COMPENSATION ARRANGEMENT IS SUBJECT TO THE INDEPENDENT BOARDS REVIEW AND APPROVAL. THE BOARD ADEQUATELY DOCUMENTS ITS COMPENSATION DETERMINATIONS AND DELIBERATIONS REGARDING COMPENSATION IN THE BOARD MINUTES ON A TIMELY BASIS. THE LAST COMPENSATION STUDY WAS DONE IN 2023. THE LAST REVIEW OF SANDEE STRADER-MCMILLEN'S, CEO, COMPENSATION BY THE BOARD PRESIDENT WAS IN 2024. FOR ALL OTHER OFFICERS AND KEY EMPLOYEE'S COMPENSATION, THE CEO RELIES ON RECENT COMPENSATION STUDIES THAT PROVIDE DATE FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT THE DECISION-MAKING PROCESS. THE LAST COMPENSATION STUDY WAS DONE IN 2023. THE LAST COMPENSATION REVIEW BY THE CEO FOR DAVID LIPPMAN WAS IN JANUARY OF 2024; FOR CAROL COLLIER-SMITH AND CINDY SHEA IN MARCH OF 2024. Form 990, Part VI, Line 15b Process to establish compensation of other employees All staff salaries are determined using Salary.com Comp Analyst. The last benchmark was performed in 2024. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENT AVAILABLE UPON REQUEST. ECHO Pharmacy LLC 315 MULBERRY ST EVANSVILLE IN 47713 994577012 PHARMACY IN 312881 157478 ECHO Community Healthcare Inc