Civic Intelligence

Diversity in Nurse Anesthesia Mentorship Program

990 • Fiscal year 2017 • EIN 26-2992301

Jan 01, 2017 to Dec 31, 2017 • Filed on Mar 16, 2018

39 West Wolfert Station RoadMickleton, NJ 08056

(609) 417-6958

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

47th percentile

0.00x

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

2017 filings • NTEE E • <$500k nonprofits • Source year 2017

Liabilities / Revenue

47th percentile

0.00x

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

2017 filings • NTEE E • <$500k nonprofits • Source year 2017

Net Margin

90th percentile

51%

Higher net margin than 90% of similar nonprofits.

2017 filings • NTEE E • <$500k nonprofits • Source year 2017

Top Officer Pay

72nd percentile

$0

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • NTEE E • <$500k nonprofits • Source year 2017

Asset Growth

97th percentile

342%

Faster asset growth than 97% of similar nonprofits.

2017 filings • NTEE E • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

94th percentile

142%

Faster revenue growth than 94% of similar nonprofits.

2017 filings • NTEE E • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Up

$175,129

Up $135,506 (+342%) from 2016

Net Assets

Up

$175,129

Up $130,507 (+292%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue

Up

$265,632

Up $155,814 (+142%) from 2016

Expenses

Up

$130,126

Up $45,641 (+54%) from 2016

Net Income

Up

$135,506

Up $110,173 (+435%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300K$200K$100K$0-$100KAssets 2016: $39,623Liabilities 2016: $0Net Assets 2016: $44,6222016Assets 2017: $175,129Liabilities 2017: $0Net Assets 2017: $175,1292017Assets 2018: $192,078Liabilities 2018: $0Net Assets 2018: $192,0782018Assets 2019: $239,564Liabilities 2019: $2,848Net Assets 2019: $236,7162019Assets 2020: $158,267Liabilities 2020: -$2,675Net Assets 2020: $160,9422020Assets 2021: $206,542Liabilities 2021: $357Net Assets 2021: $206,1852021Assets 2022: $105,977Liabilities 2022: $21,594Net Assets 2022: $84,3832022Assets 2023: $67,118Liabilities 2023: $20,224Net Assets 2023: $46,8942023Assets 2024: $41,977Liabilities 2024: $5,654Net Assets 2024: $36,3232024

Highlighted filing

2017

Assets$175,129
Liabilities$0
Net Assets$175,129

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600K$400K$200K$0-$200KRevenue 2016: $109,818Expenses 2016: $84,485Net Income 2016: $25,3332016Revenue 2017: $265,632Expenses 2017: $130,126Net Income 2017: $135,5062017Revenue 2018: $257,666Expenses 2018: $240,718Net Income 2018: $16,9482018Revenue 2019: $383,769Expenses 2019: $339,131Net Income 2019: $44,6382019Revenue 2020: $196,992Expenses 2020: $272,766Net Income 2020: -$75,7742020Revenue 2021: $314,099Expenses 2021: $281,212Net Income 2021: $32,8872021Revenue 2022: $346,534Expenses 2022: $468,336Net Income 2022: -$121,8022022Revenue 2023: $437,983Expenses 2023: $475,472Net Income 2023: -$37,4892023Revenue 2024: $549,904Expenses 2024: $559,709Net Income 2024: -$9,8052024

Highlighted filing

2017

Revenue$265,632
Expenses$130,126
Net Income$135,506
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Mar 16, 2018
Return Version
2017v2.2
Gross Receipts
$265,632
Mission and Program Overview

Mission

This organization's mission is to inform, empower, and mentor underserved diverse poplulations with information to prepare for a successful career in nurse anesthesia.

To inform empower and mentor underserved diverse populations with information to prepare for a successful career in Nurse Anesth

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$39,623$175,129▲ $135,506
Total Assets$39,623$175,129▲ $135,506
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$39,623$175,129▲ $135,506
Total Net Assets Fund Balance$39,623$175,129▲ $135,506
Total Liabilities and Net Assets / Fund Balance$39,623$175,129▲ $135,506
Compensation and Service Providers

Board Members and Trustees

NameTitle
John BingPresident
Wallena GouldCEO Founder
Revenue and Support

Revenue Composition

Contributions and Grants
$76,380
Program Service Revenue
$189,252
Investment Income
$0
Other Revenue
$0
All Other Contributions
$76,380
Change in Net Assets
$135,506
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$130,126
Total Fundraising Expense$1,726
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Conferences and Meetings$73,220--$73,220
Travel$35,444--$35,444
Office Expenses$6,113$6,888$1,726$14,727
Fees for Services Other$3,195--$3,195
Advertising$1,331--$1,331
Information Technology$916--$916
Insurance-$743-$743
Fees for Services Accounting-$550-$550
Total Functional Expenses$120,219$8,181$1,726$130,126
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
In-house lobbying only
No
Subject to proxy tax
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Audit committee
No
Backup withholding compliance
Yes
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI Line 6

Members are Nursing students, CRNA and other medical professionals

Part VI Line 6

CRNA & RN $100, SRNA $50, Nursing Student $25,Corporate Sponsor $250-5000

Part VI Line 11B

Form 990 will be emailed and discussed at the next board meeting

Part VI Line 19

All documents are available to members or person of interest upon request

Filing and Contact Details

Filer

Filer Name
Diversity in Nurse Anesthesia Mentorship Program
EIN
26-2992301
In Care Of
% Wallena Gould
Phone
6094176958
Address
39 West Wolfert Station Road, Mickleton, NJ 08056

Signing Officer

Name
Wallena Gould
Title
Founder
Phone
6094176958
Signed
2018-03-16

Organization Details

Principal Officer
Wallena Gould
Formed
2009
Legal Domicile
Nj
Voting Board Members
6
Independent Board Members
4
Employees
0
Volunteers
20
Supplemental Narrative

Additional Explanations

Part IX Line 11G

Website Total expenses - $2295.00 Program service expenses - $2295.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00

Part IX Line 11G

Strategic Planning Total expenses - $900.00 Program service expenses - $900.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00

Part XII Line 2C

DNAMP utilizes an independent accountant to prepare and provide financial

Part XII Line 2C

statements to the board along with taxes

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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