2024-04-22T12:41:13-07:00 2023-12-31 990 2023-01-01 351791786 ECHO COMMUNITY HEALTH CARE INC ECHO 8124217489 315 Mulberry St Evansville IN 47713 Sandee Strader-McMillen CEO 8124217489 2024-04-22 Sandee Strader-McMillen 999009999 1 1 11 1 AAL2 X 2023 2023-04-26 12:10:37Z Sandee Strader-McMillen 315 Mulberry St Evansville IN 47713 15496335 0 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. 12 12 203 3 0 0 6329485 5566184 9943222 9573769 81265 89543 88269 266839 16442241 15496335 0 0 0 0 12604965 12407806 0 0 46179 3150054 3838077 15755019 16245883 687222 -749548 11250214 10686406 1335286 1400229 9914928 9286177 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. 0 0 5421318 0 4152741 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 patent advocacy services. 2741963 0 2758926 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 3 pediatricians, 2 nurse practitioners, 1 OBGYN and 1 certified nurse midwife. 2819232 0 3224900 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, 2 nurse practioners and 1 psychiatrist. 1327876 0 1141183 ECHC provides dental 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 4 dentists and 2 dental hygienists. 1327876 0 1141183 12310389 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 203 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X Echo Community Health Care 8124217489 315 Mulberry St Evansville IN 47713 Sandee Strader-McMillen Chief Executive Officer 40 0 X 368193 0 17242 David Lippman Physician 32 0 X 325574 0 25715 Cindy Shea Chief Finanical Officer 40 0 X 308387 0 28787 Thomas Stratton Physician 40 0 X 270860 0 29896 Carol Collier-Smith Chief Operational Officer 40 0 X 223765 0 16398 Alan Swartz Nurse Practioner 40 0 X 164704 0 18616 Robert Fawcett Physician 24 0 X 150172 0 20290 Patricia Tharp Physician 20 0 X 167202 0 64 Paul Taraska Psychiatrist 12 0 X 157530 0 4726 Stephany Stanton CCO 40 0 X X 136843 0 6563 Leigh Ann Gamble board member 1 1 X 0 0 0 Jason Emmerson President 2 0 X X 0 0 0 Kendra Vanzo Vice President 2 0 X X 0 0 0 Mike Camerson Sec/Treasurer 2 0 X X 0 0 0 Aleise Barron Board Member 1 0 X 0 0 0 Gerald Arnold Board Member 1 0 X 0 0 0 Lula Porter Board Member 1 0 X 0 0 0 Zach Ward Board Member 1 0 X 0 0 0 Manuel Ramirez Board Member 1 0 X 0 0 0 Myers Hyman Board Member 1 0 X 0 0 0 Jennifer Arnold board member 1 0 X 0 0 0 Bob Royer Board Member 1 0 X 0 0 0 2273230 0 168297 25 1 1 0 0 2093 0 0 0 5464711 99380 0 5566184 Patient fees 621110 800700 800700 0 0 Medicare/Medicaid 621110 5190706 5190706 0 0 Dental fees 621110 477223 477223 0 0 340b Cost Savings 621110 3105140 3105140 0 0 0 0 0 0 9573769 89543 0 0 89543 0 0 0 0 0 0 0 0 0 0 0 0 0 Quality Indicator Payment 621110 266839 266839 0 0 0 0 0 0 266839 15496335 9840608 0 89543 0 0 0 0 0 0 0 0 926146 0 884126 42020 0 0 0 0 9145273 7506614 1638659 0 194060 133962 59154 944 1425854 1153030 272824 0 716473 526913 186345 3215 0 0 0 0 15961 0 15961 0 54851 0 54851 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346717 0 346717 0 171378 130852 40526 0 0 0 0 0 0 0 0 0 222274 168859 53415 0 37914 20712 17202 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 385821 342944 42877 0 47619 28380 19239 0 Contractual expenses 800427 667100 133327 0 Supplies 492083 466568 25515 0 Equipment 88319 48553 39766 0 340b Cost of goods sold 1069442 1069442 0 0 105271 46460 58811 0 16245883 12310389 3889315 46179 881191 352410 2320643 2777945 699778 116422 241268 354953 0 0 0 0 0 0 0 0 120239 155112 9804782 2875218 6987095 6929564 11250214 10686406 1302967 1389365 0 0 32319 10864 0 0 0 0 0 0 0 0 0 0 1335286 1400229 X 9914928 9286177 0 0 9914928 9286177 11250214 10686406 -749548 120797 0 0 0 0 X 0 1 1 1 1 X 4032509 5872196 6153143 6329484 5566183 27953515 4032509 5872196 6153143 6329484 5566183 27953515 27953515 135538 64221 120626 81265 89453 491103 0 59451 41682 88269 266839 456241 28900859 46048475 0.96722 0.96639 X Schedule A, Part II, Line 10 Quality Indicator Pmt RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 900374 900374 0 7100768 1649585 5451183 0 224726 224726 0 0 1578914 1000907 578007 0 0 0 0 6929564 16345229 120795 728099 0 0 848894 15496335 0 0 0 15496335 16973982 728099 0 0 0 728099 16245883 0 0 0 16245883 0 0 0 0 0 0 0 0 0 Sandee Strader-McMillen Chief Executive Officer 267692 0 71002 0 29500 0 8231 0 9010 0 385435 0 0 0 Cindy Shea Chief Finanical Officer 226526 0 54985 0 26875 0 7048 0 21739 0 337173 0 0 0 Carol Collier-Smith Chief Operational Officer 152639 0 41127 0 30000 0 2720 0 13679 0 240165 0 0 0 David Lippman Physician 291655 0 33919 0 30000 0 8724 0 16991 0 381289 0 0 0 Thomas Stratton Physician 229254 0 12606 0 29000 0 8403 0 21493 0 300756 0 0 0 Stephany Stanton CCO 98316 0 23027 0 15500 0 2354 0 4209 0 143406 0 0 0 Alan Swartz Nurse Practioner 152184 0 7447 0 24272 0 5183 0 13433 0 202519 0 0 0 Robert Fawcett Physician 114138 0 7035 0 29000 0 4717 0 15573 0 170463 0 0 0 Patricia Tharp Physician 159311 0 7891 0 0 0 0 0 64 0 167266 0 0 0 Paul Taraska Psychiatrist 126808 0 12606 0 29000 0 4726 0 0 0 173140 0 0 0 Form 990, Part I, Line 4 Board Member, Leigh Ann Gamble, works at Deaconess Health Systems. Echo purchases their EMR through Deaconess. Also, Echo receives gift in kind services and donations from Deaconess. Board Member, Kendra Vanzo, works at Old National Bank, Echo has a checking account at ONB. Board Member, Jason Emmerson, is the Executive Director of UCS. UCS does send/refer people to ECHC and collaborates with ECHC on local funding endeavors, training, client services, etc. The Board of Directors of Echo Community Health Care are aware that some board members are consumers of Echo Community Health Care. As a Federally Qualified Health Center we are required to have over half of our members be consumers. The board understands this fact and accepts the independence of these members. The 2023 consumer board members were Lula Porter, Bob Royer, Jason Emmerson, Manual Ramirez, Jennifer Arnold, Aleise Brown and Myers Hyman. Form 990, Part VI, Section B, Line 11b 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, Section B, Line 12c 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. It 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 o 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, Section B, Line 15 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. This was last done in 2023. 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, Section C, Line 19 The organization does not make the governing documents, conflict of interest policy, and financial statements available to the public.