AccessHealth

What it reported doing in 2024

Access health is a private, not-for-profit community health center. Accesshealth primarily targets the medically undeserved of fort bend and waller counties, but opens its doors to all who wish to receive care, without regard to income or circumstance. During fye 06/30/25, accesshealth provided 51,493 medical encounters, 6,670 dental encounters, 8,146 behavioral health encounters, 757 nutrition encounters, and 707 optometry encounters. Accesshealth is a private, not-for-profit organization focusing on providing primary health care services for the low-income population of fort bend and waller counties, but opens its doors to all who wish to receive care without regard to income or circumstance. Accesshealth was incorporated on december 8, 1975. Funding to establish the wic program was obtained in july 1976. In january 1977, accesshealth became a funded agency of the united way of greater houston. The community pediatric clinic was established in 1980, a comprehensive maternity program was established in july 1984, and an adult clinic was opened in august 1989. Accesshealth began providing medical services in a new clinic site in stafford, Texas, in september 1994. A forty-foot mobile clinic became operational in summer 2001. Accesshealth expanded service delivery to waller county through the mobile clinic in march2002, and then further expanded into a larger building in july 2016. In 2018, construction began on an even larger building at our brookshire location for further expansion of services. Behavioral health services are provided by clinical social workers, and licensed professionalcounselors. A full-service dental clinic opened in accesshealth's stafford center location in february 2005. A family practice medical clinic was opened in Missouri city, fort bend county, Texas in july 2011. Accesshealth began offering pediatric services at the Missouri city location in july 2018. A second Missouri city family practice medical clinic opened in september 2018. This clinic operates out of our 2001 mobile clinic and serves the east side of fort bend county. In april 2019, accesshealth received a new mobile clinic through grant funding. It is equipped to serve medical and dental patients and will act as a new truly mobile delivery site. Medical services include comprehensive primary health care, preventive health services, translation, laboratory, radiology, pharmacy, and medical case management for persons who are HIV-positive. The dental clinic provides preventive, restorative and emergency services. Behavioral health services are integrated with primary health services and include psychotherapy and care coordination. The main office of accesshealth is located in richmond, fort bend county, Texas. The services include primary health care for all age groups with an emphasis on prevention, immunizations, wellness visits, family planning, prenatal care, acute care, chronic disease management, cancer screening, nutrition education, laboratory, pharmacy, behavioral health services, medical case management, and referral. The second delivery site is located in the united way service center in stafford, fort bend county, Texas. The services include a pediatric clinic, the dental clinic and the wic program. The third delivery site is in waller county. We moved our operation from a mobile clinic to a modular building in brookshire, Texas, in september 2015. The services include primary health care for all age groups with an emphasis on prevention, immunizations, wellness visits, family planning, prenatal care, acute care, chronic disease management, cancer screening, laboratory, pharmacy, and referral. The fourth delivery site is in Missouri city, fort bend county, Texas, co-located in a county precinct building. The services include primary health care for all age groups with an emphasis on prevention, wellness visits, family planning, acute care, chronic disease management, cancer screening, laboratory, pharmacy and referral, and HIV se

Financial Efficiency

• Mission deployment rate: 96.8%; rating input score 97
• Program expense ratio: 80.5%; rating input score 81
• Fundraising efficiency: $443.19 raised per $1 spent on fundraising; rating input score 94; 94th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• 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; 66th 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: -20.1%; rating input score 5; 5th percentile among comparable filings
• Total-asset coverage ratio: 0.64; rating input score 22; 22nd percentile among comparable filings
• Liabilities to assets ratio: 0.25; rating input score 51; 51st percentile among comparable filings
• Officer compensation ratio: 20.3%; rating input score 4; 4th percentile among comparable filings

Growth

• Program expense growth: 6.9% per year; rating input score 100; 55th percentile among comparable filings
• Revenue growth: 6.5% per year; rating input score 100; 56th percentile among comparable filings
• Asset growth: 10.1% per year; rating input score 100; 65th percentile among comparable filings