2024-10-31T13:17:15-04:00 2023-12-31 873779369 Dawn F Bone CPA PLLC 30430 Beck Rd BULVERDE TX 78163 990 2023-01-01 900401594 ACACIA MEDICAL MISSION ACAC 1781 E AMMANN RD BULVERDE TX 78163 MECHELLE SALMON CHAIR 8302284219 2024-10-31 true true Dawn F Bone P01394618 2816364474 2024-10-31 2023 2024-10-15 13:58:12Z 1500008 false X WWW.ACACIAMEDICALMISSION.ORG X 2006 TX TO PROVIDE FREE FAITH-BASED HEALTHCARE SERVICES AND WELLNESS EDUCATION TO THOSE IN NEED 6 6 2 36 0 0 989521 1490526 11115 9482 0 -1894 0 998742 1500008 0 0 32898 35505 0 41 956561 1395834 989459 1431339 9283 68669 90267 159999 1579 2642 88688 157357 TO PROVIDE FREE FAITH-BASED HEALTHCARE SERVICES AND WELLNESS EDUCATION TO THOSE IN NEED false false 1395317 9482 IN 2023, ACACIA PROVIDED 1443 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 OBESITYGENDER: 58% FEMALE; 42% MALE.ETHNICITY: ALTHOUGH THE COUNTY IS ONLY 23% HISPANIC, 51% OF OUR PATIENTS ARE HISPANIC SINGLE MOTHERS AND THE MAJORITY ARE SPANISH SPEAKING ONLY; 40% ARE NON-HISPANIC; 1% BLACK/AFRICAN AMERICAN AND 8% UNKNOWNAGE: 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: 6% OF PATIENTS ARE CHILDREN AND 15% ARE SENIOR CITIZENS (65+). 1395317 true true false false false false false false false false true false false false true false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false true 12 0 2 true false false false false false false false false false false false false X 6 6 true false true false false false false true true false false true true true true true true true false false false X ALISON MCCULLY 8302284219 1781 E AMMANN RD BULVERDE TX 78163 X MIKE JOHNSON MEMBER 0.00 0.00 X 0 0 0 RICHARD BRITZ MEMBER 0.00 0.00 X 0 0 0 DR LARRY MILLER MEMBER 0.00 0.00 X 0 0 0 MECHELLE SALMON CHAIR 0.00 0.00 X 0 0 0 CAROLINE OSBORN SECRETARY 0.00 0.00 X 0 0 0 ALISON MCCULLY TREASURER 0.00 0.00 X 0 0 0 0 0 0 0 false false false 1490526 1199346 1490526 SERVICE FEES 621500 9482 9482 9482 1500008 9482 0 0 32530 32530 2975 2975 14164 14164 2755 2755 1125 1125 85546 85546 487 61 426 3373 1093 2239 41 8225 6380 1845 14753 8554 6199 1283 1283 4373 4373 8193 6295 1898 IN-KIND SUPPLIES 1199346 1199346 LAB FEES 15383 15383 DIAGNOSTICS 14319 14319 CLINIC SUPPLIES 9638 9638 12871 7541 5330 1431339 1395317 35981 41 73362 140674 11 6804 33945 21424 16894 12521 90267 159999 1579 2642 1579 2642 X 76188 82357 12500 75000 88688 157357 90267 159999 68669 0 X X false true X false false X 56604 754234 814573 978487 1490526 4094424 7282 7180 9215 11115 9482 44274 63886 761414 823788 989602 1500008 4138698 4138698 63886 761414 823788 989602 1500008 4138698 1.00000 1.00000 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12140 5849 6291 21805 15575 6230 12521 PAYROLL LIABILITIES 2642 2642 X 1 1199346 FMV false false false Officer directors etc family relationship Part VI line 2 CHERY JOHNSON - CLINIC DIRECTOR & MIKE JOHNSON - BOARD MEMBER Organizational document changes Part VI line 4 IN 2023, ACACIA MEDICAL MISSION UNDERWENT SEVERAL SIGNIFICANT ORGANIZATIONAL CHANGES TO ENSURE THE ORGANIZATIONS FLEXIBILITY TO GROW AND IMPROVE ITS OPERATIONAL STRUCTURE. DURING A REVIEW OF THE ORGANIZATIONS FORMATION AND GOVERNANCE DOCUMENTS, THE FOLLOWING CHANGES WERE DISCUSSED, CONSIDERED, AND APPROVED:UPDATED REGISTERED AGENT: THE REGISTERED AGENT FOR ACACIA MEDICAL MISSION WAS UPDATED TO REFLECT CURRENT REPRESENTATION BY ATTORNEY OF RECORD, DUSTIN WHITTENBURG.NAME CHANGE: THE ORGANIZATION FORMALLY ADOPTED A REVISED NAME REMOVING THE PHRASE A MINISTRY OF THE RIVERSIDE COMMUNITY.CERTIFICATE OF FORMATION: THE CERTIFICATE OF FORMATION WAS REVISED, WITH THE CHANGES SUPPORTED BY THE MAY 8, 2023, AGENDA AND MINUTES. REVISED BYLAWS: THE ORGANIZATIONS BYLAWS WERE REVIEWED AND UPDATED TO REFLECT ITS CURRENT OPERATIONAL NEEDS. THE FOLLOWING ITEMS WERE MODIFIED AND/OR REMOVED:1.THE PRINCIPAL OFFICE WAS CHANGED FROM FOUNDERS HOME.2.THE REGISTERED AGENT STATEMENT WAS ADDED.3.ORGANIZATIONAL PURPOSED WAS MODIFIED TO PROVIDE HIGH-QUALITY PRIMARY MEDICAL CARE, DENTAL CARE, AND MEDICAL EDUCATION SERVICES TO THOSE IN NEED AT LOW OR NO COST.4.GEOGRAPHICAL RESTRICTIONS WERE REMOVED.5.ALL OTHER ITEMS WERE UPDATED TO COMPLY WITH CURRENT STATE LAWS AND BEST PRACTICES. LATER IN THE YEAR, ACACIA MEDICAL MISSION ENTERED INTO A PRACTICE MANAGEMENT AGREEMENT WITH THE H.I.S. CENTRE. THE AGREEMENT, WHICH OUTLINES THE SCOPE OF WORK FOR PRACTICE MANAGEMENT SERVICES, WAS APPROVED IN THE AUGUST 24, 2023 MEETING OF THE H.I.S. CENTRE AND SUBSEQUENTLY RATIFIED BY ACACIA MEDICAL MISSION ON SEPTEMBER 11, 2023.THESE UPDATES ENSURE THAT THE ORGANIZATION IS WELL-ALIGNED WITH LEGAL AND OPERATIONAL REQUIREMENTS WHILE ENHANCING ITS CAPACITY FOR GROWTH AND SERVICE DELIVERY. Form 990 governing body review Part VI line 11 REVIEW PROCESS - THE DRAFT FORM 990 WILL BE DISTRIBUTED TO THE COMPLETE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. THE FORM 990 WILL BE APPROVED AT A FORMAL BOARD MEETING PRIOR TO FILING. Conflict of interest policy compliance Part VI line 12c THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY ALONG WITH THE BY-LAWS. WE PROACTIVELY DOCUMENT ANY CONFLICTS OF INTEREST BY COMPILING AND MAINTAINING POTENTIALLY CONFLICTED ENTITIES AND INDIVIDUALS. SHOULD A CONFLICT OF INTEREST BE PRESENT THE BOD PROHIBITS INTERESTED BOARD MEMBERS FROM VOTING ON ANY MATTERS IN WHICH THERE MAY BE A CONFLICT. CEO executive director top management comp Part VI line 15a ONE ON ONE MEETINGS THROUGHOUT THE YEAR FOR THE CLINIC DIRECTOR AND AN ANNUAL REVIEW. Governing documents etc available to public Part VI line 19 UPON REQUEST Audited by an independent accountant Part XII line 2b AUDIT IN PROCESS OF BEING FINALIZED. BOARD CONTACTED 10 CPA FIRMS AND ONLY FOUND 2 THAT WERE WILLING TO TAKE ON A NEW CLIENT AND COMPLETE THE WORK WITHIN THE NECESSARY TIMELINE. HISC IN MANAGEMENT ROLE IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT. ADJUSTMENT TO ACCUMULATED DEPRECIATION AS A RESULT OF AUDIT. INCREASED PRIOR YEAR DEPRECIATION BY $3,898, WHICH INCREASED ACCUMULATED DEPRECIATION AND UNRESTRICTED NET ASSETS BY THE SAME.