Acacia Medical Mission
Nonprofit profile at a glance
- EIN
- 900401594
- IRS 990 coverage
- 2020–2024
- Forms available
- Form 990 2024, Form 990-EZ 2018, Form 990-N 2014
- Location
- Bulverde, TX, USA
- Phone
- 8302284219
- Rating
- 69
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Health Treatment Facilities, Primarily Outpatient
Reported finances
- Revenue
- $443,218
- Expenses
- $474,823
- Assets
- $125,752
- Liabilities
- $0
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
5 people listed
Highest reported compensation
- MECHELLE SALMON (CHAIR): $80,005 total reported compensation
- ALISON MCCULLY (TREASURER): $79,077 total reported compensation
- RICHARD BRITZ (MEMBER): $55,729 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide free faith-based healthcare services and wellness education to those in need
What it reported doing in 2024
In 2024, acacia provided 1412 free medical and dental services to rural, underserved, uninsured, individuals, families, and children (ages 4 and above). The geographic footprint spans 216 square miles of western comal county including the rural communities of bulverde and spring branch. All patients served live at or below the 200% poverty level to include the homeless. Most patients are being treated for chronic medical conditions, such as heart disease, diabetes, hypertension, hyper-cholesterol and arthritis. At least 80% of patients are diagnosed with the most preventable cause of death and disease in the world called obesity gender: 76% female; 24% male. Ethnicity: although the county is only 23% hispanic, 61% of our patients are hispanic single mothers and the majority are spanish speaking only; 38% are non-hispanic; and 1% unknown age: 79% of patients are 19-59 years. Circumstance: 36% of people served are homeless, living on the streets of comal county or residing in a temporary shelter. Special populations: 2% of patients are children and 8% are senior citizens (65).
Operating model
- Revenue model
- Donor-supported. 98% of the money available for current operations came from contributions and gifts.
- 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 the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.
Rating breakdown
- Financial Efficiency: 90
- Transparency & Controls: 69
- Accountability: 42
- Sustainability: 26
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 91.4%; rating input score 91
- Program expense ratio: 85.3%; rating input score 85
- Fundraising efficiency: $2,434.02 raised per $1 spent on fundraising; rating input score 99; 99th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 64th 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: 25%; rating input score 25; 15th percentile among comparable filings
- Governance controls: 6 of 9 controls in place; rating input score 67
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Missing
- Independent financial-statement audit: Fail
Sustainability
- Operating margin: -7.1%; rating input score 26; 26th percentile among comparable filings
- Total-asset coverage ratio: 0.26; rating input score 14; 14th percentile among comparable filings
- Liabilities to assets ratio: 0; rating input score 80; 80th percentile among comparable filings
- Officer compensation ratio: Limited
Growth
- Program expense growth: -1.2% per year; rating input score 0; 26th percentile among comparable filings
- Revenue growth: 24.7% per year; rating input score 100; 91st percentile among comparable filings
- Asset growth: 8% per year; rating input score 100; 59th percentile among comparable filings
Details
- Where the money goes: 91.4% of revenue deployed · 85.3% of spending went to programs
- Governance: 1 of 4 board members independent · 6 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $405K in reported program spending
- Leadership: top reported pay $80K · 5 people listed · 0 of 6 pay-setting controls reported
- Consistency: 27 of 27 current checks pass
- Schedules: 7 filed schedules · includes major donors and executive pay
- Filing history: 4 filing years from 2020 to 2024
- Contacts: How to reach this organization
- Money network: 1 filed money-flow record
- 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- High — Accountability: Independent voting board scored 25/100.
- Review — Accountability: Governance controls: 2 of 8 not reported.
- High — Growth: Program expense growth scored 0/100.
- High — Sustainability: Operating margin scored 26/100.
- High — Sustainability: Total-asset coverage ratio scored 14/100.