Blood: Water Mission 
The information on this page was last updated 3/19/2026. If you see errors or omissions, please email: [email protected]
Summary
Blood:Water is a Christian nonprofit organization that partners with African community-driven organizations to end health disparities exacerbated by the HIV/AIDS and Water, Sanitation and Hygiene (WASH) crises. Since 2004 we have been dedicated to supporting African-led and community-driven organizations that are on the frontline driving solutions to their communities needs.
Contact information
Mailing address:
Blood:Water Mission
P.O. Box 60381
Nashville, TN 37206
Website: bloodwater.org
Phone: (615) 550-4296
Email: [email protected]
Organization details
EIN: 562483082
CEO/President: Nadia Kist
Chairman: Hannah Umphress
Board size: 7
Founder: Jena Lee Nardella
Ruling year: 2005
Tax deductible: Yes
Fiscal year end: 12/31
Member of ECFA: Yes
Member of ECFA since: 2007
Purpose
To share in the joy of ending the water & HIV/AIDS crises - with our partners and in this lifetime.
Mission statement
Blood:Water is an international nonprofit that partners with African community-driven organizations to end water and HIV/AIDS health disparities through organizational strengthening and financial support.
Statement of faith
I believe in God, the Father Almighty,
the Maker of heaven and earth,
and in Jesus Christ, His only Son, our Lord:
Who was conceived by the Holy Ghost,
born of the virgin Mary,
suffered under Pontius Pilate,
was crucified, dead, and buried;
He descended into hell.
The third day He arose again from the dead;
He ascended into heaven,
and sitteth on the right hand of God the Father Almighty;
from thence he shall come to judge the quick and the dead.
I believe in the Holy Ghost;
the holy catholic church;
the communion of saints;
the forgiveness of sins;
the resurrection of the body;
and the life everlasting.
Amen.
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Donor confidence score
Show donor confidence score details
To understand our donor confidence score, click here.
Transparency grade
A
To understand our transparency grade, click here.
Financial efficiency ratings
Sector: Relief and Development
| Category | Rating | Overall rank | Sector rank |
| Overall efficiency rating | | 1199 of 1420 | 96 of 114 |
| Fund acquisition rating | | 1337 of 1420 | 106 of 114 |
| Resource allocation rating | | 1261 of 1420 | 102 of 114 |
| Asset utilization rating | | 435 of 1421 | 40 of 114 |
To understand our financial efficiency ratings, click here.
Financial ratios
| Funding ratios | Sector median | 2024 | 2023 | 2022 | 2021 | 2020 |
Return on fundraising efforts Return on fundraising efforts = Fundraising expense / Total contributions | 6% | 18% | 20% | 17% | 11% | 8% |
Fundraising cost ratio Fundraising cost ratio = Fundraising expense / Total revenue | 5% | 17% | 17% | 17% | 11% | 8% |
Contributions reliance Contributions reliance = Total contributions / Total revenue | 98% | 99% | 86% | 96% | 100% | 100% |
Fundraising expense ratio Fundraising expense ratio = Fundraising expense / Total expenses | 5% | 15% | 15% | 17% | 16% | 12% |
Other revenue reliance Other revenue reliance = Total other revenue / Total revenue | 2% | 1% | 14% | 4% | 0% | 0% |
| Operating ratios | Sector median | 2024 | 2023 | 2022 | 2021 | 2020 |
Program expense ratio Program expense ratio = Program services / Total expenses | 86% | 75% | 74% | 74% | 73% | 77% |
Spending ratio Spending ratio = Total expenses / Total revenue | 99% | 115% | 113% | 96% | 70% | 66% |
Program output ratio Program output ratio = Program services / Total revenue | 83% | 87% | 84% | 71% | 51% | 51% |
Savings ratio Savings ratio = Surplus (deficit) / Total revenue | 1% | -15% | -13% | 4% | 30% | 34% |
Reserve accumulation rate Reserve accumulation rate = Surplus (deficit) / Net assets | 6% | -32% | -20% | 6% | 46% | 92% |
General and admin ratio General and admin ratio = Management and general expense / Total expenses | 7% | 10% | 10% | 9% | 11% | 10% |
| Investing ratios | Sector median | 2024 | 2023 | 2022 | 2021 | 2020 |
Total asset turnover Total asset turnover = Total expenses / Total assets | 1.50 | 2.28 | 1.76 | 1.35 | 1.03 | 1.56 |
Degree of long-term investment Degree of long-term investment = Total assets / Total current assets | 1.16 | 1.01 | 1.01 | 1.01 | 1.02 | 1.03 |
Current asset turnover Current asset turnover = Total expenses / Total current assets | 2.06 | 2.31 | 1.77 | 1.36 | 1.05 | 1.61 |
| Liquidity ratios | Sector median | 2024 | 2023 | 2022 | 2021 | 2020 |
Current ratio Current ratio = Total current assets / Total current liabilities | 11.75 | 23.44 | 23.28 | 38.34 | 21.26 | 31.06 |
Current liabilities ratio Current liabilities ratio = Total current liabilities / Total current assets | 0.06 | 0.04 | 0.04 | 0.03 | 0.05 | 0.03 |
Liquid reserve level Liquid reserve level = (Total current assets - Total current liabilities) / (Total expenses / 12) | 4.90 | 4.98 | 6.48 | 8.62 | 10.89 | 7.23 |
| Solvency ratios | Sector median | 2024 | 2023 | 2022 | 2021 | 2020 |
Liabilities ratio Liabilities ratio = Total liabilities / Total assets | 8% | 4% | 4% | 3% | 5% | 15% |
Debt ratio Debt ratio = Debt / Total assets | 0% | 0% | 0% | 0% | 0% | 11% |
Reserve coverage ratio Reserve coverage ratio = Net assets / Total expenses | 54% | 42% | 55% | 72% | 92% | 55% |
Financials
| Balance sheet | |||||
| Assets | 2024 | 2023 | 2022 | 2021 | 2020 |
| Cash | $903,403 | $1,116,292 | $1,392,229 | $1,375,026 | $755,720 |
| Receivables, inventories, prepaids | $106,761 | $189,649 | $158,895 | $97,182 | $116,486 |
| Short-term investments | $0 | $0 | $0 | $0 | $0 |
| Other current assets | $0 | $0 | $0 | $0 | $0 |
| Total current assets | $1,010,164 | $1,305,941 | $1,551,124 | $1,472,208 | $872,206 |
| Long-term investments | $0 | $0 | $0 | $0 | $0 |
| Fixed assets | $7,454 | $9,790 | $6,888 | $18,638 | $21,845 |
| Other long-term assets | $3,000 | $3,000 | $3,000 | $5,480 | $5,480 |
| Total long-term assets | $10,454 | $12,790 | $9,888 | $24,118 | $27,325 |
| Total assets | $1,020,618 | $1,318,731 | $1,561,012 | $1,496,326 | $899,531 |
| Liabilities | 2024 | 2023 | 2022 | 2021 | 2020 |
| Payables and accrued expenses | $43,094 | $56,090 | $40,459 | $69,233 | $28,085 |
| Other current liabilities | $0 | $0 | $0 | $0 | $0 |
| Total current liabilities | $43,094 | $56,090 | $40,459 | $69,233 | $28,085 |
| Debt | $0 | $0 | $0 | $0 | $102,931 |
| Due to (from) affiliates | $0 | $0 | $0 | $0 | $0 |
| Other long-term liabilities | $0 | $0 | $1 | $0 | $0 |
| Total long-term liabilities | $0 | $0 | $1 | $0 | $102,931 |
| Total liabilities | $43,094 | $56,090 | $40,460 | $69,233 | $131,016 |
| Net assets | 2024 | 2023 | 2022 | 2021 | 2020 |
| Without donor restrictions | $827,524 | $1,262,641 | $1,315,552 | $1,327,093 | $461,265 |
| With donor restrictions | $150,000 | $0 | $205,000 | $100,000 | $307,250 |
| Net assets | $977,524 | $1,262,641 | $1,520,552 | $1,427,093 | $768,515 |
| Revenues and expenses | |||||
| Revenue | 2024 | 2023 | 2022 | 2021 | 2020 |
| Total contributions | $2,003,745 | $1,767,481 | $2,103,093 | $2,202,249 | $2,108,935 |
| Program service revenue | $0 | $0 | $0 | $0 | $0 |
| Membership dues | $0 | $0 | $0 | $0 | $0 |
| Investment income | $8,947 | $19,232 | $1,028 | $492 | $75 |
| Other revenue | $7,669 | $270,387 | $92,013 | $1,877 | $1,876 |
| Total other revenue | $16,616 | $289,619 | $93,041 | $2,369 | $1,951 |
| Total revenue | $2,020,361 | $2,057,100 | $2,196,134 | $2,204,618 | $2,110,886 |
| Expenses | 2024 | 2023 | 2022 | 2021 | 2020 |
| Program services | $1,749,280 | $1,723,295 | $1,555,943 | $1,130,639 | $1,081,084 |
| Management and general | $227,130 | $233,641 | $182,949 | $168,519 | $145,462 |
| Fundraising | $352,754 | $358,075 | $363,783 | $246,882 | $174,389 |
| Total expenses | $2,329,164 | $2,315,011 | $2,102,675 | $1,546,040 | $1,400,935 |
| Change in net assets | 2024 | 2023 | 2022 | 2021 | 2020 |
| Surplus (deficit) | ($308,803) | ($257,911) | $93,459 | $658,578 | $709,951 |
| Other changes in net assets | $0 | $0 | $0 | $0 | $0 |
| Total change in net assets | ($308,803) | ($257,911) | $93,459 | $658,578 | $709,951 |
Compensation
| Name | Title | Compensation |
| Jake Smith | Executive Dir. | $136,884 |
Compensation data as of: 12/31/2024
Response from ministry
No response has been provided by this ministry.
The information below was provided to MinistryWatch by the ministry itself. It was last updated 3/19/2026. To update the information below, please email: [email protected]
History
Founded in 2004 by the multi-platinum, GRAMMY® Award-winning band, Jars of Clay, and activist Jena Lee Nardella, Blood:Water began as a call to personalize the HIV/AIDS crisis in Africa. Since our launch, Blood:Water has raised more than $40 million through the creative, grassroots efforts of tens of thousands of individuals seeking to make a difference. We believe Africa holds the leadership, creativity, passion, and resolve necessary to address the HIV/AIDS and water crises. That's why we've worked alongside more than a twenty African organizations to bring clean water and HIV/AIDS support to communities in more than ten countries.
When Blood:Water launched, efforts were focused on AIDS response through expanding access to safe water as an intervention with dramatic impact on slowing disease progression for those living with the virus. But the HIV/AIDS and water sectors in Africa have dramatically changed even as the needs remain. Unprecedented investment in the HIV/AIDS sector has transformed the nature of the disease from a death sentence to a chronically manageable illness. Water has grown into a robust sector, integrating hygiene and sanitation, and is now one of many available interventions that impact the quality and length of life for a person living with HIV/AIDS. Blood:Water's model of investing in the programs and capacity building of local, African organizations help promote flexible and adaptable solutions in order to serve communities in the midst of a changing landscape.