Echo Community Health Care Inc

Nonprofit profile at a glance

EIN
351791786
IRS 990 coverage
2012–2025
Forms available
Form 990 2025
Location
Evansville, IN, USA
Phone
8124217489
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$14,165,561
Expenses
$14,906,477
Assets
$8,797,963
Liabilities
$976,866

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

19 people listed

Executive titles in this filing

  • Sandee McMillen (CEO)

Highest reported compensation

  • Sandee McMillen (CEO): $336,144 total reported compensation
  • Cindy Shea (CFO): $320,321 total reported compensation
  • Thomas Stratton (Physician): $313,059 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2025

Chc 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 6 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.

Operating model

Revenue model
Other-operating. 65% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 81
  • Transparency & Controls: 61
  • Accountability: 100
  • Sustainability: 18
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 82.5%; rating input score 82
  • Program expense ratio: 78.1%; rating input score 78
  • Fundraising efficiency: $130.01 raised per $1 spent on fundraising; rating input score 87; 87th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 13th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -5.2%; rating input score 10; 10th percentile among comparable filings
  • Total-asset coverage ratio: 0.59; rating input score 15; 15th percentile among comparable filings
  • Liabilities to assets ratio: 0.11; rating input score 65; 65th percentile among comparable filings
  • Officer compensation ratio: 16.6%; rating input score 9; 9th percentile among comparable filings

Growth

  • Program expense growth: 7.2% per year; rating input score 100; 54th percentile among comparable filings
  • Revenue growth: 7% per year; rating input score 100; 57th percentile among comparable filings
  • Asset growth: 2.6% per year; rating input score 100; 17th percentile among comparable filings

Details

  • Where the money goes: 82.5% of revenue deployed · 78.1% of spending went to programs
  • Governance: 9 of 9 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $11.6M in reported program spending
  • Leadership: top reported pay $336K · 19 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 34 of 35 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2012 to 2025
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • 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.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

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

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Operating margin scored 10/100.
  • High — Sustainability: Total-asset coverage ratio scored 15/100.
  • High — Sustainability: Officer compensation ratio scored 9/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.