Civic Intelligence

Echo Community Health Care Inc

EIN 35-1791786 • 501(c)3 • Evansville, IN

Profile

The mission of Echo Community Health Care 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.

315 Mulberry StEvansville, IN 47713

www.echochc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

42nd percentile

0.11x

Higher debt load relative to assets than 42% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

25th percentile

0.07x

Higher debt load relative to revenue than 25% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

24th percentile

-5.2%

Higher net margin than 24% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

81st percentile

$336,144

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 2.4% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

11th percentile

-10%

Faster asset growth than 11% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

25th percentile

-5.0%

Faster revenue growth than 25% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Assets

Down

$9,809,129

Down $877,277 (-8.2%) from 2023

Liabilities

Down

$1,247,116

Down $153,113 (-11%) from 2023

Net Assets

Down

$8,562,013

Down $724,164 (-7.8%) from 2023

Revenue

Down

$14,915,403

Down $580,932 (-3.7%) from 2023

Expenses

Down

$15,634,870

Down $611,013 (-3.8%) from 2023

Net Income

Up

-$719,467

Up $30,081 (+4.0%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2012: $6,753,025Liabilities 2012: $424,603Net Assets 2012: $6,328,4222012Assets 2013: $7,395,659Liabilities 2013: $464,627Net Assets 2013: $6,931,0322013Assets 2014: $8,855,433Liabilities 2014: $1,587,024Net Assets 2014: $7,268,4092014Assets 2015: $8,106,593Liabilities 2015: $525,577Net Assets 2015: $7,581,0162015Assets 2016: $8,503,317Liabilities 2016: $655,504Net Assets 2016: $7,847,8132016Assets 2017: $8,941,831Liabilities 2017: $910,500Net Assets 2017: $8,031,3312017Assets 2018: $9,039,460Liabilities 2018: $1,126,863Net Assets 2018: $7,912,5972018Assets 2019: $9,417,446Liabilities 2019: $1,045,267Net Assets 2019: $8,372,1792019Assets 2020: $10,200,564Liabilities 2020: $1,216,671Net Assets 2020: $8,983,8932020Assets 2021: $11,505,915Liabilities 2021: $1,933,695Net Assets 2021: $9,572,2202021Assets 2022: $11,250,214Liabilities 2022: $1,335,286Net Assets 2022: $9,914,9282022Assets 2023: $10,686,406Liabilities 2023: $1,400,229Net Assets 2023: $9,286,1772023Assets 2024: $9,809,129Liabilities 2024: $1,247,116Net Assets 2024: $8,562,0132024

Highlighted filing

2024

Assets$9,809,129
Liabilities$1,247,116
Net Assets$8,562,013

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MExpenses 2012: $5,976,3422012Revenue 2013: $6,880,456Expenses 2013: $6,348,062Net Income 2013: $532,3942013Revenue 2014: $7,141,749Expenses 2014: $6,843,634Net Income 2014: $298,1152014Revenue 2015: $8,021,119Expenses 2015: $7,523,243Net Income 2015: $497,8762015Revenue 2016: $8,590,374Expenses 2016: $8,410,625Net Income 2016: $179,7492016Revenue 2017: $10,715,902Expenses 2017: $10,655,718Net Income 2017: $60,1842017Revenue 2018: $12,178,503Expenses 2018: $12,053,465Net Income 2018: $125,0382018Revenue 2019: $13,058,020Expenses 2019: $12,732,671Net Income 2019: $325,3492019Revenue 2020: $14,871,508Expenses 2020: $14,325,125Net Income 2020: $546,3832020Revenue 2021: $15,721,363Expenses 2021: $15,172,978Net Income 2021: $548,3852021Revenue 2022: $16,442,241Expenses 2022: $15,755,019Net Income 2022: $687,2222022Revenue 2023: $15,496,335Expenses 2023: $16,245,883Net Income 2023: -$749,5482023Revenue 2024: $14,915,403Expenses 2024: $15,634,870Net Income 2024: -$719,4672024

Highlighted filing

2024

Revenue$14,915,403
Expenses$15,634,870
Net Income-$719,467

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Apr 24, 2025
Return Version
2024v5.1
Gross Receipts
$14,915,403
Mission and Program Overview

Mission

We provide quality healthcare to all members of our community, including the uninsured, underinsured and homeless. Our comprehensive services are Affordable, Accessible and Appropriate. Our team of professionals is here to care for you and to advocate on your behalf.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$6,929,564$6,716,710▼ $212,854
Savings and Temporary Cash Investments$2,777,945$2,194,113▼ $583,832
Accounts Receivable$354,953$346,959▼ $7,994
Cash and Non-Interest-Bearing Accounts$352,410$295,027▼ $57,383
Prepaid Expenses and Deferred Charges$155,112$192,751▲ $37,639
Pledges and Grants Receivable$116,422$63,569▼ $52,853
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$10,686,406$9,809,129▼ $877,277
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$1,389,365$1,236,228▼ $153,137
Deferred Revenue$10,864$10,888▲ $24
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,400,229$1,247,116▼ $153,113
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$9,286,177$8,562,013▼ $724,164
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$9,286,177$8,562,013▼ $724,164
Total Liabilities and Net Assets / Fund Balance$10,686,406$9,809,129▼ $877,277

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,190,423$1,917,525$7,107,948
Equipment$495,937$1,097,546$1,593,483
Land$900,374-$900,374
Leasehold Improvements$0$224,726$224,726
Other Land Buildings$129,976$0$129,976
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sandee Strader-mcmillenCEOFT$340,449$69,266$409,715
Cindy SheaCFOFT$277,343$82,897$360,240
David LippmanCMOPT$272,572$52,458$325,030
Thomas StrattonPhysicianFT$257,627$43,486$301,113
Carol Collier-smithCOO (until Sept)FT$193,173$60,395$253,568
Rebecca HopperPhysicianPT$178,593$35,471$214,064
Alan SwartzCOO (starting in Sept)FT$173,132$37,247$210,379
Digvijaysinh ParmarDentistFT$168,266$2,472$170,738
Robert FawcettPhysicianPT$130,441$30,014$160,455
Valerie TopperMidwifePT$148,753$4,543$153,296
Tonya SchaberCCOFT$134,903$3,818$138,721

Board Members and Trustees

NameTitle
Jason EmmersonChair
Jennifer ArnoldVice Chair
Aleise BarronBoard Member
Andrew SchenkBoard Member
Bob RoyerBoard Member
Dr Zachary WardBoard Member
Kendra VanzoBoard Member
Lula PorterBoard Member
Manuel RamirezBoard Member
Rev Gerald ArnoldBoard Member
Rev Myers HymanBoard Member
Brad GantBOARD MEMBER Starting 5.23.24
Mike CameronTreasurer/secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Midwest ContractingRemodel Of Pharmacy6724 E MORGAN AVE SUITE C, Evansville, IN 47715$131,775
Revenue and Support

Revenue Composition

Contributions and Grants
$5,198,569
Program Service Revenue
$9,425,733
Investment Income
$186,380
Other Revenue
$104,721
All Other Contributions
$793,630
Change in Net Assets
$-719,467

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies7,786$656,023Market value
Total Noncash Contributions7,786$656,023-

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,915,403
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$127,372
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$15,042,775
Total Revenue per Form 990
$14,915,403
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$11,045,068
Other Expenses$4,589,802
Total Fundraising Expense$45,492
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,943,460$955,760$0$7,899,220
Current Officers, Directors, Trustees, and Key Employees-$1,501,385$45,492$1,546,877
Other Employee Benefits$701,238$85,235$0$786,473
Payroll Taxes$492,303$167,211$0$659,514
Depreciation Depletion$343,195$34,318$0$377,513
Occupancy$153,628$46,070$0$199,698
Office Expenses$136,118$30,441$0$166,559
Pension Plan Contributions$133,473$19,511$0$152,984
All Other Expenses$30,830$69,266$0$100,096
Fees for Services Accounting$0$62,768$0$62,768
Insurance$32,519$20,970$0$53,489
Fees for Services Legal$0$48,380$0$48,380
Other Expenses$26,955$20,933$0$47,888
Advertising$0$46,066$0$46,066
Travel$25,041$9,318$0$34,359
Total Functional Expenses$12,221,202$3,368,176$45,492$15,634,870

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$15,766,939
Expenses per Audited Statements$15,634,870
Total Expenses per Form 990$15,634,870
Expenses Not Reported on Form 990$132,069
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Echo Community Health Care Inc
EIN
35-1791786
Phone
8124217489
Address
315 Mulberry St, Evansville, IN 47713

Signing Officer

Name
Sandee Strader-mcmillen
Title
CEO
Signed
2025-04-24
Discuss with paid preparer
Yes

Organization Details

Formed
1989
Legal Domicile
In
Voting Board Members
13
Independent Board Members
13
Employees
173
Volunteers
4

Preparer

Firm
Crowe Llp
Address
4801 Olympia Park Plaza Suite 4000, Louisville, KY 40241-2098
Preparer
Kim Scifres
Phone
5023263996
Supplemental Narrative

Additional Explanations

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.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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