A Multi-disciplinary Team
AACM Team members have expertise in many areas. They have had work/educational experience in gerontology, home care, facility administration, nursing, home health, hospice, financial counseling and accounting, social work, government programs, mediation and education. Although we work as a team, we provide a single point of contact for the care providers, client, and family.

Our Care Managers are highly trained, skilled, and committed specialists with comprehensive knowledge of geriatric professionals and resources in the community. The company strives to keep all employees as well-trained and well-informed on new skills, methods, policies, and procedures by offering each employee continual employee development classes and forums for the roles they do at Accountable Aging.


Mary Koffend, President
Mary brings to her leadership of the company many years of management experience, problem solving, and dealing with situations where there seems no simple solution. Mary also brings her life experiences as a daughter of a mom with Alzheimer's and an aunt with schizophrenia. She has great empathy for what these diseases do to family dynamics. Mary was responsible for Houston's largest and most complex SSA client service operation before managing the Medicaid provider services programs for the State of Texas. Having served elder and disabled clients for many years with the Social Security Administration throughout Texas, Mary is in a unique position to now help AACM clients deal with two of the biggest challenges related to aging: understanding healthcare options and dealing with the many bureaucracies and systems. Mary is trained at family facilitation and mediation. She loves thinking outside of the box to explore creative options. She enjoys sharing her knowledge about government programs and aging in presentations. She is a good listener and is often the first person that you reach when inquiring about how Accountable Aging can assist your family.

Mary served on the Board of Directors of Adult Protective Services (APS) and on the Board of Directors of AGE of Central Texas. She serves on a leadership position at her church and is a regular volunteer at her church's food pantry. She is a member of a great book club and loves reading, especially mysteries. Her favorite pastime is being with her daughters and six grandchildren.
Mick Koffend, MBA, CPA*, RFG, Director of Services
Mick joined the Navy in 1970 after graduating with a BS in Chemistry from the Illinois Institute of Technology. As a Naval Flight Officer, he earned his daily bread for about five years by being shot off an aircraft carrier. After the Navy, he went to Harvard Business School, got an MBA and started a career in Big Oil, mostly in the petrochemical divisions of large, integrated oil companies since, as a chemistry major, he knew how to spell "ethylene." In 1985, he started a system integration business that set the template for the better part of the next 15 years of his career. Mick has followed a path where he has been a Controller or Chief Financial Officer of several small companies, many of them start-ups and all of them in the technology sector. One of the startups for which Mick was a co-founder was a Houston-based software company that went public in 1999 (Mission Critical Software). In the early 1990s, Mick became a CPA* as part of his mid-life crisis.

Mick is committed to a world without multiple sclerosis (MS) and to this end, he has been trained as a MS Ambassador, is a member of the cycling Team No MaS whose members raise funds for services, programs and research for those living with MS, and serves on several committees of the National MS Society. He serves on the Board for the Estate Planning Council of North Texas and is a member of the Financial Planning Association and the Society of Financial Service Professionals. Mick also completed the American Institute of Financial Gerontology's (AIFG) Registered Financial Gerontologist™ program. Lastly, Mick is a Sunday School class leader and volunteers for his church's food pantry.

*Accountable Aging Care Management is not a CPA firm.

Spencer Brown, MSG, LNFA, CMC, Care Manager
Spencer has devoted his entire career to the field of aging, directly as a result of helping his family work through the declining health and death of his grandfather during his college years. He holds a Master of Science in Gerontology and a Bachelor of Arts in Sociology from Baylor University. Spencer has held executive positions in a variety of settings - nursing facilities, assisted living facilities, independent living communities, and non-medical in-home provider services. He has managed all facets of operations, including customer service, employee supervision, and fiscal responsibility. A large part of his duties included solving problems and guiding seniors and their families through the complex aging process.

As a licensed nursing facility administrator (LNFA), Spencer is uniquely qualified to help clients and families determine the best senior-living options and to ensure that service providers are fulfilling their obligations. He is an active volunteer for the Alzheimer's Association's as part of their Speaker's Bureau, helping educate the San Antonio community about dementia. Spencer furthers his professional commitment as a member of the South Central Committee's Board of Directors of the Aging Life Care Association™. As member of the Aging Life Care Association™, Spencer is an Advanced Aging Life Care Manager™. He is also a musician, playing the piano from an early age and later studying the pipe organ. Additionally, he serves as a deacon at his local church. Spencer and his wife, Stephanie who is a Baylor Law School graduate, have three children.
Stephanie Cashion, LMSW, Care Manager
Stephanie received her Master of Social Work with a specialization in healthcare from the University of Houston in 1991 and began her career working in the area of geriatric mental health. She has a variety of other clinical experiences, including hospice, home health and hospital social work. She also had the unique opportunity to develop a geriatric assessment clinic with a multi-disciplinary team approach at Presbyterian Hospital in Dallas, Texas. This clinic primarily diagnosed, educated and assisted patients and their families who were suffering from various types of dementia. She and her husband Trey have been married for 26 years and have 6 children, including a set of triplets. Stephanie combines her love of geriatrics, her social work experience and her many years of motherhood to help guide families who are involved in the care of aging or disabled loved ones.

Stephanie enjoys photography, scrapbooking, church activities, friends and just being with her family. Her biggest joy continues to be watching her children participate in their various sports, dance and school-related activities. Trey and Stephanie together enjoy speaking on marriage and particularly on parenting and faith. They currently host a weekly live call-in radio show called Mystery of Parenthood that airs on Wednesdays from 1-2 PM on 88.5FM KEDC radio in the Bryan/College Station area.
Mary Cooper, RN, BSN, Care Manager
Mary has clinical experience in a variety of settings, including acute and intensive care as well as hospice and home health. Mary received a Bachelor's of Science in Nursing from Pennsylvania State University and is licensed by the Texas Board of Nurse Examiners. She was employed as an RN in the intensive care unit of the only state certified burn treatment facility in New Jersey and one of the largest in North America. She then worked as a nurse in an oncology unit, pediatrics, home health care and in-home hospice. Mary's experience provides her with an understanding of the need for independence in the elderly and disabled as well as an understanding of their families' concerns. This experience, combined with her passion for serving the elderly and disabled, provides an opportunity to use her nursing skills to assist clients in making healthy and safe choices for the future. Mary has lived in Austin, Texas for the past 20 years and enjoys spending time with her family.
Elizabeth Edenfield, RN, BSN, CMC, Care Manager
Elizabeth has extensive clinical nursing experience through a career that has spanned more than two decades. She is passionate about utilizing her experience, skills and abilities to serve others and to enhance their quality of life. Elizabeth was most recently responsible for collaborating with medical, behavioral, and social support staff in conducting screening and risk assessment interventions. Prior to this position, she spent more than fifteen years as a clinical nurse working in a number of diverse settings including hospital, school and nursing home. Elizabeth also worked in the pharmaceutical industry as a sales specialist. Elizabeth has a Bachelor of Science in Nursing from Liberty University in Lynchburg, Virginia. As member of the Aging Life Care Association™, Elizabeth is an Advanced Aging Life Care Professional™. She is active in her church, and in her spare time she enjoys running and spending time with her husband and daughter.
Lessa Ennis, BA, Office Manager/Bookkeeper
Lessa performs a variety of tasks at AACM and is often the caring voice on the other end of the line when a senior or a family member contacts us. She also handles bookkeeping duties and supports the activities of all team members. As a volunteer with Meals on Wheels twice a week for 3 years, she has developed a new insight into the challenges and concerns seniors encounter. Lessa holds a BA from Indiana University and has over 15 years of administrative support experience. She is excited to use her skills and experience for a company that provides such a valuable service.

In her spare time, Lessa also volunteers with Donate Life, where she educates the public regarding organ donation. Acknowledging that transportation is an issue for all seniors but the very wealthiest who can afford a chauffeur, Lessa volunteers for Drive a Senior.
Shannon Gray, BS, Finance Coordinator
Shannon handles billing, Visa Buxx pre-paid debit cards and financial reporting for Accounting Aging Care Management. She supports the Care Managers in their efforts to protect clients financially by managing the Buxx program and ensuring their assets are protected. Additionally she works closely with Mick and Mary to prepare the AACM monthly billing for each market and produce comprehensive financial reports. Though all of Shannon's work is done behind the scenes to support the team, her heart is ultimately focused on the end result of what is best for the clients of AACM. With a Bachelor of Science from the University of North Texas and a background in project management, contingent staffing and training/development, Shannon brings diverse experiences to the team. When she isn't working or volunteering, she's spending time with her hubby, three young children and extended family.

Shannon actively participates in ministries of her church which include Women of Grace and Grace Kids as well as volunteers at her children's schools.
Patty Hamilton, BA, Benefits Specialist
Patty works with clients across all AACM markets to help access, coordinate and manage public benefits that may be available to them. She recently retired from a career of thirty-five years with the Social Security Administration, where she was a Supplemental Security Income (SSI) technical specialist. She is readily available to use her knowledge to assist clients with issues related to Supplemental Security Income, Social Security, Medicare and Medicaid benefits. In addition, she is able to assist in providing referrals for other benefits for which clients may be eligible. Patty's relationship as liaison with other local, state and federal agencies during her career enables her to serve as a valuable resource to our clients as well as to other members of the Accountable Aging Care Management team.


Lindsey Hazlewood, MA, Administrative Assistant
Lindsey works part-time at AACM. She has a master's degree in education and helps to support operations when office staff are working off-site or visiting clients. She also helps to organize and adjust filing systems and office routines to keep things running smoothly. In the summers, Lindsey works on special projects, such as updating the resource database, client files, and the policy and procedures manual. Lindsey also assists with the Accountable Partners® Program by updating the files which provide our clients with the most-up-to-date information. When Lindsey is not working at AACM, she works as a Kindergarten teacher in the Austin Independent School District. Her job as an educator strengthens her ties to the community and requires her to multi-task, to problem solve, and to wear many different hats. She brings these same skills and community-focused values to the team at AACM.
Nicole Kulas, MS, Care Manager
Nicole has her Master's degree from the University of North Texas in Long-term care, Senior- housing and Aging. Assisting her grandparents with navigating through chronic conditions and Alzheimer's, she recognized the need for advocates for the elderly and thus encouraged her to receive her Master's. She has been a resident advocate as a volunteer Ombudsman through the Department of Aging and Disability and also volunteered her time with Meals-on-Wheels. Additionally, Nicole is a Certified Dementia Practitioner. She and her husband of twenty-one years have three sons and enjoy spending time doing activities together as a family. Her husband's military career provided them opportunities to live abroad and travel extensively and also has provided Nicole with immense desire to advocate for the veterans in our community.
Juli Morrison, MA, Client Coordinator
Juli maintains our internal database of client information and essential documents. Her chief role is to manage the flow of information, to ensure that our team has access to the most accurate and up-to-date client data. She assists our speakers preparing for CEU presentations in the community, and with our client bill-paying service.

Having been a primary caregiver to three family members of her own, she appreciates the service and attention our care managers provide to their clients, and enjoys supporting those efforts. Her only regret is that she didn't know about our company sooner, or she would have become a customer herself!

A former exchange student to Germany, Juli graduated from Sam Houston State University, and has a M.A. from the University of Denver, in Denver, Colorado. She has previously worked with the Colorado Office of the Attorney General supporting the Medicaid Fraud Unit, as a volunteer counselor for numerous organizations, and as Client Services Director for a local non-profit agency. Presently, she is a member of the City of Cedar Park CERT Team, is active in the Boy Scouts of America, and enjoys improv and discovering Austin's famous food trucks.
Heidi Shanklin-Spock, LMSW, C-ASWCM, Care Manager
Heidi works with clients and field professionals to determine and coordinate the resources that will best match the clients' needs and ensure that clients can maintain the highest quality of life possible for as long as possible. Heidi has a background in social work, case management and elder care. After receiving her master's degree from the University of Texas in 2004, she worked as a social worker and bereavement coordinator at a local hospice, providing psychosocial services, coordinating community resources, providing grief support services and referrals and advocating for specific needs. Heidi has a passion for working with home-bound seniors and assisting clients with Multiple Sclerosis. In 2009, Heidi obtained her certification as an Advanced Social Work Case Manager through the National Association of Social Workers and then obtained her certification as a Advance Professional through the Aging Life Care Association™, of which she is an active member.

In her spare time, Heidi is enjoying her darling toddler granddaughter and is expecting darling grandson in early October 2016. She also enjoys playing bridge, bird-watching and film noir.
Mary Pat Smith, MSN, RN, GCNS, CMC, Care Manager
Mary Pat brings a clinical nursing perspective and extensive healthcare knowledge to the AACM team. As an RN for more than forty years, Mary Pat is very familiar with acute, outpatient and long-term care, having provided nursing care and functioned in management and educational roles. As an Advanced Practice Nurse: Clunical Nurse Specialist in Gerontology, she assessed the well-being of residents in assisted living, memory care and skilled nursing facilities, utilizing prescriptive authority as part of resident care plans.

Mary Pat has considerable knowledge about dementia, having taught classes and cared for persons with dementia, incorporating Naomi Feil's "Validation Therapy". Using these experiences, she evaluates the needs of AACM clients and their families in a holistic, compassionate and expert manner while taking into consideration the unique perspective of the care recipient and caregiver(s). She earned her MS in Nursing from the University of Texas at Austin, is licensed by the Texas Board of Nurse Examiners as a Registered Nurse (RN): Advanced Practice Nurse: Clinical Nurse Specialist in Gerontology (APRN: CNS-Gero) and is Board Certified by the American Nurses Credentialing Center. Mary Pat gained her BS in Nursing from D'Youville College in Buffalo, NY. She is one of the AACM representatives for the ALCA: Aging Life Care Association™.

Additionally, Mary Pat serves in various community organizations to improve the lives of older adults Texans: is a member of the Texas Silver-Haired Legislature as a representative for the ten County Capital Area; Is a founding and current Board member of Drive a Senior-SW;and served for 14 years as an Advisory Council member of Coming of Age/RSVP of Austin-Travis County. Finally, Mary Pat has knowledge and personal experience with Blindness and Low Vision. She travels around Travis County with her beloved black lab Guide Dog, Clara.