Civic Intelligence

Acacia Medical Mission

EIN 90-0401594 • 501(c)3 • Bulverde, TX

Profile

To provide free faith-based healthcare services and wellness education to those in need

1781 E Ammann RdBulverde, TX 78163

www.acaciamedicalmission.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

60th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

33rd percentile

-7.1%

Higher net margin than 33% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

97th percentile

$80,005

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 18.1% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

31st percentile

-21%

Faster asset growth than 31% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

12th percentile

-70%

Faster revenue growth than 12% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Down

$125,752

Down $34,247 (-21%) from 2023

Liabilities

Down

$0

Down $2,642 (-100%) from 2023

Net Assets

Down

$125,752

Down $31,605 (-20%) from 2023

Revenue

Down

$443,218

Down $1,056,790 (-70%) from 2023

Expenses

Down

$474,823

Down $956,516 (-67%) from 2023

Net Income

Down

-$31,605

Down $100,274 (-146%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200K$150K$100K$50K$0Assets 2015: $58,268Liabilities 2015: $0Net Assets 2015: $58,2682015Assets 2016: $76,405Liabilities 2016: $898Net Assets 2016: $75,5072016Assets 2017: $94,291Liabilities 2017: $2,342Net Assets 2017: $91,9492017Assets 2018: $76,199Liabilities 2018: $2,494Net Assets 2018: $73,7052018Assets 2019: $85,732Liabilities 2019: $02019Assets 2020: $126,213Liabilities 2020: $4,807Net Assets 2020: $121,4062020Assets 2021: $80,806Liabilities 2021: $1,331Net Assets 2021: $79,4752021Assets 2022: $94,165Liabilities 2022: $1,579Net Assets 2022: $92,5862022Assets 2023: $159,999Liabilities 2023: $2,642Net Assets 2023: $157,3572023Assets 2024: $125,752Liabilities 2024: $0Net Assets 2024: $125,7522024

Highlighted filing

2024

Assets$125,752
Liabilities$0
Net Assets$125,752

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0M$1.5M$1.0M$500K$0-$500KRevenue 2015: $33,357Expenses 2015: $14,123Net Income 2015: $19,2342015Revenue 2016: $88,245Expenses 2016: $60,529Net Income 2016: $27,7162016Revenue 2017: $107,536Expenses 2017: $91,094Net Income 2017: $16,4422017Revenue 2018: $54,497Expenses 2018: $72,741Net Income 2018: -$18,2442018Revenue 2019: $289,879Expenses 2019: $277,842Net Income 2019: $12,0372019Revenue 2020: $756,245Expenses 2020: $720,571Net Income 2020: $35,6742020Revenue 2021: $821,675Expenses 2021: $863,606Net Income 2021: -$41,9312021Revenue 2022: $998,742Expenses 2022: $985,631Net Income 2022: $13,1112022Revenue 2023: $1,500,008Expenses 2023: $1,431,339Net Income 2023: $68,6692023Revenue 2024: $443,218Expenses 2024: $474,823Net Income 2024: -$31,6052024

Highlighted filing

2024

Revenue$443,218
Expenses$474,823
Net Income-$31,605

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$443,218
Mission and Program Overview

Mission

To provide high quality, low-cost, primary medical care to the low income of Comal County

To provide free faith-based healthcare services and wellness education to those in need

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$140,674$117,604▼ $23,070
Land, Buildings, and Equipment, Net$12,521$8,148▼ $4,373
Prepaid Expenses and Deferred Charges$6,804--
Total Assets$159,999$125,752▼ $34,247
Liabilities
Other Liabilities$2,642--
Total Liabilities$2,642$0▼ $2,642
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$82,357$125,752▲ $43,395
Net Assets With Donor Restrictions$75,000--
Total Net Assets Fund Balance$157,357$125,752▼ $31,605
Total Liabilities and Net Assets / Fund Balance$159,999$125,752▼ $34,247

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$3,115$18,690$21,805
Equipment$5,033$7,107$12,140
Compensation and Service Providers

Employees

NameTitleOtherTotal
Mechelle SalmonChair$80,005$80,005
Alison MccullyTreasurer$79,077$79,077
Richard BritzMember$55,729$55,729

Board Members and Trustees

NameTitle
Dr Larry MillerMember
Caroline OsbornSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$435,690
Program Service Revenue
$7,528
Investment Income
$0
Other Revenue
$0
All Other Contributions
$435,690
Change in Net Assets
$-31,605

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies1$244,583Fair Market Value (FMV)
Total Noncash Contributions1$244,583-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$390,635
Salaries, Compensation, and Employee Benefits$84,188
Total Fundraising Expense$179
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$84,667--$84,667
Insurance$6,804$16,948-$23,752
Occupancy$1,201$14,260-$15,461
Fees for Services Management$15,000--$15,000
Other Expenses$13,994$15,415-$13,994
Fees for Services Accounting-$13,150-$13,150
All Other Expenses$6,276$2,052$179$8,507
Office Expenses$443$7,315-$7,758
Depreciation Depletion$4,373--$4,373
Conferences and Meetings$3,390$225-$3,615
Travel$1,174--$1,174
Information Technology$820$-2-$818
Advertising-$263-$263
Interest-$28-$28
Payroll Taxes$-479--$-479
Total Functional Expenses$404,990$69,654$179$474,823
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Management duties delegation Part VI line 3

H.i.s. Centre took over performing operational management for the purpose of reducing operational costs for acacia medical mission. The project objectives are to ensure professional management of amm at a cost that allows a larger percentage of dunds to be uded for direct patient care. H.i.s. Centre was hired to provide assistance in governance, administratiin & programs.

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

Filing and Contact Details

Filer

Filer Name
Acacia Medical Mission
EIN
90-0401594
In Care Of
% MECHELLE SALMON
Phone
8302284219
Address
1781 E AMMANN RD, BULVERDE, TX 78163

Signing Officer

Name
Mechelle Salmon
Title
Chair
Phone
8302284219
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2006
Legal Domicile
TX
Voting Board Members
4
Independent Board Members
1
Employees
0
Volunteers
28

Preparer

Firm
Dawn F Bone CPA PLLC
Address
30430 Beck Rd, BULVERDE, TX 78163
Preparer
Dawn F Bone
Phone
2816364474
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0823788
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0761414
IRS990ScheduleA/Total509Grp/TotalAmt04518030
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0989602
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0823788
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0761414
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt04518030
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
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IRS990ScheduleD/EquipmentGrp/DepreciationAmt07107
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt012140
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IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt018690
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0CAROLINE OSBORN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0SECRETARY
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0H.I.S. CENTRE TOOK OVER PERFORMING OPERATIONAL MANAGEMENT FOR THE PURPOSE OF REDUCING OPERATIONAL COSTS FOR ACACIA MEDICAL MISSION. THE PROJECT OBJECTIVES ARE TO ENSURE PROFESSIONAL MANAGEMENT OF AMM AT A COST THAT ALLOWS A LARGER PERCENTAGE OF DUNDS TO BE UDED FOR DIRECT PATIENT CARE. H.I.S. CENTRE WAS HIRED TO PROVIDE ASSISTANCE IN GOVERNANCE, ADMINISTRATIIN & PROGRAMS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1REVIEW 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ONE ON ONE MEETINGS THROUGHOUT THE YEAR FOR THE CLINIC DIRECTOR AND AN ANNUAL REVIEW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Management duties delegation Part VI line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt05013C
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0TX
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0MEDICAL EDUCATION & RESEARCH OPPORTUNITIES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt010
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt032304 SHORT HILL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0BULVERDE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0TX
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IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0BANK REGISTER
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IRS990/TotalContributionsAmt0435690
IRS990/TotalEmployeeCnt00
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt069654
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0404990
IRS990/TotalFunctionalExpensesGrp/TotalAmt0474823
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt02642
IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0404990
IRS990/TotalProgramServiceRevenueAmt07528
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt07528
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0443218
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt028
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IRS990/TotReportableCompRltdOrgAmt0243611
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/ProgramServicesAmt01174
IRS990/TravelGrp/TotalAmt01174
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
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IRS990/UponRequestInd0X
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IRS990/WebsiteAddressTxt0WWW.ACACIAMEDICALMISSION.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0MECHELLE SALMON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIR
ReturnHeader/BusinessOfficerGrp/PhoneNum08302284219

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