Civic Intelligence

Diversity in Nurse Anesthesia Mentorship Program

990 • Fiscal year 2021 • EIN 26-2992301

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 10, 2022

Organization ProfileDIVERSITYCRNA.ORG
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

51st percentile

0.00x

Higher debt load relative to assets than 51% of similar nonprofits.

2021 filings • NTEE E • <$500k nonprofits • Source year 2021

Liabilities / Revenue

50th percentile

0.00x

Higher debt load relative to revenue than 50% of similar nonprofits.

2021 filings • NTEE E • <$500k nonprofits • Source year 2021

Net Margin

53rd percentile

10%

Higher net margin than 53% of similar nonprofits.

2021 filings • NTEE E • <$500k nonprofits • Source year 2021

Top Officer Pay

96th percentile

$120,000

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 38.2% of source-year revenue.

2021 filings • NTEE E • <$500k nonprofits • Source year 2021

Asset Growth

79th percentile

31%

Faster asset growth than 79% of similar nonprofits.

2021 filings • NTEE E • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

79th percentile

59%

Faster revenue growth than 79% of similar nonprofits.

2021 filings • NTEE E • <$500k nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets51st percentile

Assets

Up

$206,542

Up $48,275 (+31%) from 2020

Net Assets

Up

$206,185

Up $45,243 (+28%) from 2020

Liabilities

Up

$357

Up $3,032 (+113%) from 2020

Revenue And Expenses
Liabilities / Revenue50th percentileNet Margin53rd percentile

Revenue

Up

$314,099

Up $117,107 (+59%) from 2020

Expenses

Up

$281,212

Up $8,446 (+3.1%) from 2020

Net Income

Up

$32,887

Up $108,661 (+143%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth79th percentile

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

2021

Assets$206,542
Liabilities$357
Net Assets$206,185
Open 2021 Filing

Operations Trend

Revenue Growth79th percentile

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

2021

Revenue$314,099
Expenses$281,212
Net Income$32,887
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 10, 2022
Return Version
2021v4.0
Gross Receipts
$314,099
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$158,267$206,542▲ $48,275
Total Assets$158,267$206,542▲ $48,275
Liabilities
Accounts Payable and Accrued Expenses$-2,675$357▲ $3,032
Total Liabilities$-2,675$357▲ $3,032
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$160,942$206,185▲ $45,243
Total Net Assets Fund Balance$160,942$206,185▲ $45,243
Total Liabilities and Net Assets / Fund Balance$158,267$206,542▲ $48,275
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Wallena GouldCEO, FounderFT$120,000$120,000

Board Members and Trustees

NameTitle
Mark GilesBoard Presid
Revenue and Support

Revenue Composition

Contributions and Grants
$196,918
Program Service Revenue
$82,325
Investment Income
$0
Other Revenue
$34,856
All Other Contributions
$81,968
Change in Net Assets
$32,887
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$167,071
Other Expenses$114,141
Total Fundraising Expense$11,357
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$48,000$62,400$9,600$120,000
Other Salaries and Wages-$33,554-$33,554
Office Expenses$25,437--$25,437
Fees for Services Other$21,584--$21,584
Travel$14,713--$14,713
Payroll Taxes$6,488$5,272$1,757$13,517
Fees for Services Accounting$5,412$5,413-$10,825
Advertising$3,722$3,722-$7,444
Conferences and Meetings$6,282--$6,282
Other Expenses$3,000$12,356-$3,000
Total Functional Expenses$147,138$122,717$11,357$281,212
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
2022-11-10

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.”

Form 990, Part XI, Line 9

“990 T ITEMS 12,356”

Raw XML Appendix318 raw XML fields

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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4COMPENSATION APPROVED BY BOARD MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6990 T ITEMS 12,356
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IRS990/USAddress/ZIPCd008056
IRS990/VotingMembersGoverningBodyCnt015
IRS990/VotingMembersIndependentCnt015
IRS990/WebsiteAddressTxt0DIVERSITYCRNA.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0WALLENA GOULD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO, FOUNDER
ReturnHeader/BusinessOfficerGrp/PhoneNum08565998853
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DIVERSITY IN NURSE ANESTHESIA
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0MENTORSHIP PROGRAM
ReturnHeader/Filer/BusinessNameControlTxt0DIVE
ReturnHeader/Filer/EIN0262992301
ReturnHeader/Filer/PhoneNum05712458686
ReturnHeader/Filer/USAddress/AddressLine1Txt039 W WOLFERT STATION RD
ReturnHeader/Filer/USAddress/CityNm0MICKELTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NJ
ReturnHeader/Filer/USAddress/ZIPCd008056
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0222002088
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BUSINESS ACCOUNTING SYSTEMS PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0943 KINGS HWY STE 204
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WEST DEPTFORD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NJ
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd008066
ReturnHeader/PreparerPersonGrp/PhoneNum08568535422
ReturnHeader/PreparerPersonGrp/PreparationDt02022-11-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LEON A ELWELL PA EA
ReturnHeader/ReturnTs02022-11-10T17:31:32-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0WALLENA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0GOULD
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$206,542
Liabilities
$357
Net assets
$206,185
Revenue
$314,099
Expenses
$281,212
Net income
$32,887
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.42$0.06$0.36$5.50$5.60$0.10
2023Detailed filing. Detailed filing data is available for this year.$0.67$0.20$0.47$4.38$4.75$0.37
2022Detailed filing. Detailed filing data is available for this year.$1.06$0.22$0.84$3.47$4.68$1.22
2021Detailed filing. Detailed filing data is available for this year.$2.07$0.00$2.06$3.14$2.81$0.33
2020Detailed filing. Detailed filing data is available for this year.$1.58$0.03$1.61$1.97$2.73$0.76
2019Detailed filing. Detailed filing data is available for this year.$2.40$0.03$2.37$3.84$3.39$0.45
2018Detailed filing. Detailed filing data is available for this year.$1.92$0.00$1.92$2.58$2.41$0.17
2017Detailed filing. Detailed filing data is available for this year.$1.75$0.00$1.75$2.66$1.30$1.36
2016Detailed filing. Detailed filing data is available for this year.$0.40$0.00$0.45$1.10$0.84$0.25