Civic Intelligence

Diversity in Nurse Anesthesia Mentorship Program

990 • Fiscal year 2023 • EIN 26-2992301

Jan 01, 2023 to Dec 31, 2023 • Filed on May 21, 2024

Organization ProfileDIVERSITYCRNA.ORG
39 W Wolfert Station RdMickelton, NJ 08056

(571) 245-8686

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$0

Down $105,977 (-100%) from 2022

Net Assets

Down

$0

Down $84,383 (-100%) from 2022

Liabilities

Down

$0

Down $21,594 (-100%) from 2022

Revenue And Expenses

Revenue

Down

$0

Down $346,534 (-100%) from 2022

Expenses

Down

$0

Down $468,336 (-100%) from 2022

Net Income

Up

$0

Up $121,802 (+100%) from 2022

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 2023: $0Liabilities 2023: $0Net Assets 2023: $02023Assets 2024: $41,977Liabilities 2024: $5,654Net Assets 2024: $36,3232024

Highlighted filing

2023

Assets$0
Liabilities$0
Net Assets$0
Open 2023 Filing

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 2023: $0Expenses 2023: $0Net Income 2023: $02023Revenue 2024: $549,904Expenses 2024: $559,709Net Income 2024: -$9,8052024

Highlighted filing

2023

Revenue$0
Expenses$0
Net Income$0
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
May 21, 2024
Return Version
2023v5.0
Gross Receipts
$0
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$105,977--
Total Assets$105,977$0▼ $105,977
Liabilities
Accounts Payable and Accrued Expenses$21,594--
Total Liabilities$21,594$0▼ $21,594
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$84,383--
Total Net Assets Fund Balance$84,383$0▼ $84,383
Total Liabilities and Net Assets / Fund Balance$105,977$0▼ $105,977
Compensation and Service Providers

Board Members and Trustees

NameTitle
Mark GilesBoard Presid
Wallena GouldCEO, Founder
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
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
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
2024-05-21

Organization Details

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

Preparer

Firm
Bas Inc
Address
943 KINGS HWY STE 204, WEST DEPTFORD, NJ 08066
Preparer
L Scott Elwell Mst 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4COMPENSATION APPROVED BY BOARD MEMBERS.
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ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/PersonNm0WALLENA GOULD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO, FOUNDER
ReturnHeader/BusinessOfficerGrp/PhoneNum08565998853
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-05-21
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DIVERSITY IN NURSE ANESTHESIA
ReturnHeader/Filer/BusinessNameControlTxt0DIVE
ReturnHeader/Filer/EIN0262992301
ReturnHeader/Filer/PhoneNum05712458686
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0943 KINGS HWY STE 204
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WEST DEPTFORD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NJ
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ReturnHeader/PreparerPersonGrp/PhoneNum08568535422
ReturnHeader/PreparerPersonGrp/PreparationDt02024-05-21
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0L SCOTT ELWELL MST EA
ReturnHeader/ReturnTs02024-05-21T15:48:18-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0WALLENA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0GOULD
ReturnHeader/TaxPeriodBeginDt02023-01-01
ReturnHeader/TaxPeriodEndDt02023-12-31
ReturnHeader/TaxYr02023

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$0
Net income
$0
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
2023Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
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