Doula Access Initiative
Nonprofit profile at a glance
- EIN
- 854237708
- IRS 990-EZ coverage
- 2022–2025
- Forms available
- Form 990-EZ 2025, Form 990-N 2021
- Location
- Ithaca, NY, USA
- Rating
- 89
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Fund Raising and Fund Distribution
Reported finances
- Revenue
- $18,361
- Expenses
- $37,184
- Assets
- $29,899
Source: IRS Form 990-EZ. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
3 people listed
Executive titles in this filing
- Nicole Smith (President)
People named in this filing
- Nicole Smith (President)
- Elizabeth Thompson (Treasurer)
- Darcie Black (Secretary)
Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.
Source: IRS Form 990-EZ. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
The Doula Access Initiative supports and expands access to positive experiences of birth the postpartum period and other family transitions through free doula care and support services. In establishing a funding source to offset the cost of the full spectrum of doula care we increase doula access to all families with priority given to Black Indigenous People of Color Hispanic Latino Immigrant Refugee birth givers. We provide a link between families and doulas in a way that trusts in the familys wisdom and promotes autonomy. In alignment with Birth and Reproductive Justice movements we work to remove barriers and reduce health disparities.
What it reported doing in 2025
Doula assisted birth services
Operating model
- Revenue model
- Donor-supported. 100% of the money available for current operations came from contributions and gifts.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and revenue has declined or grown slowly.
Rating breakdown
- Financial Efficiency: 90
- Transparency & Controls: 100
- Sustainability: 22
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 72.1%; rating input score 72
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 51st percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
Sustainability
- Operating margin: -102.5%; rating input score 7; 7th percentile among comparable filings
- Total-asset coverage ratio: 0.8; rating input score 42; 42nd percentile among comparable filings
- Liabilities to assets ratio: Limited
- Officer compensation ratio: 0%; rating input score 56; 56th percentile among comparable filings
Growth
- Program expense growth: 8.2% per year; rating input score 100; 68th percentile among comparable filings
- Revenue growth: -22.8% per year; rating input score 0; 14th percentile among comparable filings
- Asset growth: 2.3% per year; rating input score 100; 47th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 72.1% of spending went to programs
- Governance: Filed governance answers
- Accomplishments: 1 filed program accomplishment · $27K in reported program spending
- Leadership: top reported pay $0 · 3 people listed
- Consistency: 6 of 6 current checks pass
- Schedules: 3 filed schedules
- Filing history: 4 filing years from 2022 to 2025
- Contacts: How to reach this organization
- Money network: Resolved incoming and outgoing counterparties from filed money flows.
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Operating margin scored 7/100.
- High — Growth: Revenue growth scored 0/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 42/100.
- Review — Sustainability: Officer compensation ratio scored 56/100.