Civic Intelligence

Diversity in Nurse Anesthesia Mentorship Program

990 • Fiscal year 2020 • EIN 26-2992301

Jan 01, 2020 to Dec 31, 2020 • Filed on Sep 29, 2022

39 W Wolfert Station RdMickelton, NJ 08056

(571) 245-8686

Siviq Scores

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

Liabilities / Assets

1st percentile

-0.02x

Higher debt load relative to assets than 1% of similar nonprofits.

2020 filings • NTEE E • <$500k nonprofits • Source year 2020

Liabilities / Revenue

1st percentile

-0.01x

Higher debt load relative to revenue than 1% of similar nonprofits.

2020 filings • NTEE E • <$500k nonprofits • Source year 2020

Net Margin

19th percentile

-38%

Higher net margin than 19% of similar nonprofits.

2020 filings • NTEE E • <$500k nonprofits • Source year 2020

Top Officer Pay

95th percentile

$125,000

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 63.5% of source-year revenue.

2020 filings • NTEE E • <$500k nonprofits • Source year 2020

Asset Growth

12th percentile

-34%

Faster asset growth than 12% of similar nonprofits.

2020 filings • NTEE E • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

26th percentile

-49%

Faster revenue growth than 26% of similar nonprofits.

2020 filings • NTEE E • <$500k nonprofits • Annualized from 2019 to 2020

Assets

Down

$158,267

Down $81,297 (-34%) from 2019

Net Assets

Down

$160,942

Down $75,774 (-32%) from 2019

Liabilities

Down

-$2,675

Down $5,523 (-194%) from 2019

Revenue

Down

$196,992

Down $186,777 (-49%) from 2019

Expenses

Down

$272,766

Down $66,365 (-20%) from 2019

Net Income

Down

-$75,774

Down $120,412 (-270%) from 2019

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

2020

Assets$158,267
Liabilities-$2,675
Net Assets$160,942

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

2020

Revenue$196,992
Expenses$272,766
Net Income-$75,774
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Sep 29, 2022
Return Version
2020v4.0
Gross Receipts
$196,992
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 poplulations with information to prepare for a successful career in nurse anesthesia.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$239,564$158,267▼ $81,297
Total Assets$239,564$158,267▼ $81,297
Liabilities
Accounts Payable and Accrued Expenses$2,848$-2,675▼ $5,523
Total Liabilities$2,848$-2,675▼ $5,523
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$225,716$160,942▼ $64,774
Net Assets With Donor Restrictions$11,000--
Total Net Assets Fund Balance$236,716$160,942▼ $75,774
Total Liabilities and Net Assets / Fund Balance$239,564$158,267▼ $81,297
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Wallena GouldCEO, FounderFT$125,000$125,000

Board Members and Trustees

NameTitle
Mark GilesBoard Presid
Revenue and Support

Revenue Composition

Contributions and Grants
$157,202
Program Service Revenue
$39,790
Investment Income
$0
Other Revenue
$0
All Other Contributions
$64,252
Change in Net Assets
$-75,774
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$168,632
Other Expenses$104,134
Total Fundraising Expense$16,996
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$50,000$65,000$10,000$125,000
Office Expenses$18,025$16,564-$34,589
Other Salaries and Wages-$30,946-$30,946
Fees for Services Other$2,411$12,500$5,310$20,221
Fees for Services Accounting$7,963$7,963-$15,926
Advertising$15,796--$15,796
Travel$14,958--$14,958
Payroll Taxes$6,000$5,000$1,686$12,686
Fees for Services Legal$1,975--$1,975
Conferences and Meetings$669--$669
Total Functional Expenses$117,797$137,973$16,996$272,766
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
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
Yes
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

Wallena gould, ceo, founder mark giles, president

Form 990, Page 6, Part VI, Line 11B

No review was or will be conducted.

Form 990, Page 6, Part VI, Line 15A

Compensation approved by board members and reviewed annually.

Form 990, Page 6, Part VI, Line 15B

Compensation approved by board members.

Form 990, Page 6, Part VI, Line 19

UPON REQUEST.

Filing and Contact Details

Filer

Filer Name
Diversity in Nurse Anesthesia
EIN
26-2992301
Phone
5712458686
Address
39 W WOLFERT STATION RD, MICKELTON, NJ 08056

Signing Officer

Name
Wallena Gould
Title
CEO, Founder
Phone
8565998853
Signed
2022-09-29

Organization Details

Principal Officer
Wallena Gould
Formed
2008
Legal Domicile
Nj
Voting Board Members
15
Independent Board Members
15
Employees
2

Preparer

Firm
Business Accounting Systems Pc
Address
943 KINGS HWY STE 204, WEST DEPTFORD, NJ 08066
Preparer
Leon a Elwell Pa Ea
Phone
8568535422
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

Educational programs and information events are held to promote diverse participation in nurse anesthesia. Incidental logo apparel and merchandise are sold to support and promote the program mission.

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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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1WALLENA GOULD, CEO, FOUNDER MARK GILES, PRESIDENT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COMPENSATION APPROVED BY BOARD MEMBERS AND REVIEWED ANNUALLY.
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ReturnHeader/PreparerPersonGrp/PreparationDt02022-09-29
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LEON A ELWELL PA EA
ReturnHeader/ReturnTs02022-09-29T10:04:28-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0WALLENA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0GOULD
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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