Form5 Prosthetics INC FY2022 filing

Tax-deductible

New Albany, OH501(c)(3)Health CareEIN 82-3555210Revenue $274K in FY2022

On file with the IRSform5prostheticsinc.org6560 New Albany Condit Rd, 43054-9734 · New Albany, OHTax-exempt since Feb 2018Publicly supported charity — 170(b)(1)(A)(vi)

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Empowering people to successfully interact with their world and their future.

501(c)(3) charity; gifts are tax-deductible.
56¢ of each $1 spent went to programs.
$36K paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2022 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
2 of 3
filings with a surplus
Average surplus $61K a year · 21% of revenue · last 3 filings
Fine: a surplus in 2 of the last 3 filings.
Pt I · Ln 19 · 3 filings
Spent on programs
56%
of spending
Worth a look: 56% of spending went to programs; under 65%.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$36K
to officers and key staff · 27% of spending
Worth a look: pay to officers and key staff is 27% of spending; over 20%.
Pt VII · Sec A
Cash reserves
14 mo
of spending, in cash
Looks good: 13.5 months of spending in cash; 3 or more.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $20K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$0
0% of total assets
Looks good: liabilities are 0% of assets; 50% or less.
Pt X · Ln 26
Independent board members
12
of 12 voting members
Looks good: 12 of 12 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$274K
+226% vs prior year
Spent
$133K
To programs
56%
Net assets
$248K
By yearFY2020–FY2024
Revenue
$274K
FY2022▲ +226%
Tap a bar for its year
Revenue by fiscal year
FY2020$84K
FY2022$274K
FY2023$301K
FY2024$314K
Expenses
$133K
FY2022
Tap a bar for its year
Expenses by fiscal year
FY2020Not on file
FY2022$133K
FY2023$207K
FY2024$367K
Net assets
$248K
FY2022▲ +408%
Tap a bar for its year
Net assets by fiscal year
FY2020$49K
FY2022$248K
FY2023$342K
FY2024$289K

From the FY2022 Form 990 · see the original

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You’re viewing the FY2022 filing — not the latest on file. See the latest (FY2024) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Feb 2018.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

56 cents of each dollar spent went to programs.

Program services 56% · $75K Management & general 36% · $48K Fundraising 8% · $11K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

12 people listed on the 990; $36K paid to officers and key staff.

Part VII, Section A · reportable compensation
Founder/ CEO
$36,285Pt VII · Sec A
$0Pt VII · Sec A
Board Member
$0Pt VII · Sec A
$0Pt VII · Sec A
Board Member
$0Pt VII · Sec A
Board Member
$0Pt VII · Sec A
Board Member
$0Pt VII · Sec A
Board Chair
$0Pt VII · Sec A

Aaron Westbrook’s $55K as Founder/ CEO is at the 39th percentile of top reported officer pay among 1980 $100K–1M health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 1 named individual · Part VII

NameFY2024FY2023FY2022
Aaron Westbrook$55,000$49,577$36,285

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Form5 Prosthetics INC executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Helps people connect with their world and build a better future.

Questions for Form5 Prosthetics INC

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Provided by the organization

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3 programs · $75K · in their own filed words · FY2022
01

Prosthetics

Providing eco-friendly devices to the limb different community at low or no cost.

$35Kprogram expense
02

Research and development. FORM5 builds interdisciplinary teams of specialists that research & develop medical and recreational devices. FORM5 has a patent pending for its bike arm adapter as of 12/31/2022.

$22Kprogram expense
03

Educatiion programs. Events that pairs recipients to engineers, students, and other volunteers to co-create custom application prosthetics.

$18Kprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · funders on record
Grants received · FY2025
Total grants receivedfrom 1 funder$20K

By the numbers

The FY2022 990, line by line.

1The main four
Money inPt VIII
$274K
Ln 12
Gifts and grantsLn 1h$273K
Investment incomeLn 3$1K
Money outPt IX
$133K
Ln 25
Programscol B$75K
Managementcol C$48K
Fundraisingcol D$11K
Owns and owesPt X
$248K
net assets · Ln 32
Cash and savingsLn 1–2$149K
Total assetsLn 16$248K
LiabilitiesLn 26$0
PeoplePt VI, VII
12
listed · VII A
PaidVII A1
Voting boardVI 1a12
IndependentVI 1b12
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$273K
Government grantsLn 1e$3K
Investment incomeLn 3$1K
Total revenueLn 12$274K
Assets in detailPt X, end of year
CashLn 1$149K
Cash and savings togetherLn 1–2$149K
Land, buildings, equipmentLn 10c$99K
Total assetsLn 16$248K
LiabilitiesLn 26$0
Net assetsLn 32$248K
OperationsPt I, VI
EmployeesI 54
VolunteersI 675
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aNo
Whistleblower policyVI 13No
Records policyVI 14No
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY22End FY22
Cash and savingsLn 1–2$39K$149K
Land, buildings, equipmentLn 10c$18K$99K
Total assetsLn 16$107K$248K
LiabilitiesLn 26$0$0
Net assetsLn 32$107K$248K
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Pay of current officers, directors and key staffLn 5$36K$9K$18K$9K
Other salaries and wagesLn 7$14K$14K
Payroll taxesLn 10$4K$2K$1K$656
Legal feesLn 11b$14K$14K
Office expensesLn 13$14K$5K$9K
OccupancyLn 16$17K$17K
TravelLn 17$39$39
Depreciation, depletion and amortizationLn 22$11K$11K
InsuranceLn 23$1K$1K
Other expenses (24a–d)Ln 24$20K$20K
All other expensesLn 24e$3K$450$1K$835
Total functional expensesLn 25$133K$75K$48K$11K

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 Latest $314K$367K−$53K$289K 990 PDF
FY2023 $301K$207K$94K$342K 990 PDF
FY2022 Viewing $274K$133K$141K$248K 990 PDF
FY2021 Not on file
FY2020 $84K$49K 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2022 990 (6 parts)
Part I · Summary $273,934 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $107,508$272,751
I-9 Program service revenuePrior year $0$0
I-10 Investment incomePrior year $0$1,183
I-11 Other revenuePrior year $52$0
I-12 Total revenuePrior year $107,560$273,934
I-13 Grants and similar amounts paidPrior year $0$0
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $12,620$53,982
I-16a Professional fundraising feesPrior year $3,999$0
I-17 Other expensesPrior year $22,003$78,792
I-18 Total expensesPrior year $38,622$132,774
I-19 Revenue less expensesPrior year $68,938$141,160
Part VI · Governance 12 of 12 board members independent, 4 to look at
VI-1a Voting members of the governing body12
VI-1b Independent voting members12
VI-12a Written conflict of interest policyNo
VI-13 Written whistleblower policyNo
VI-14 Document retention and destruction policyNo
VI-15a Process for setting top official's payNo
VI-2 Family or business relationship among officers or directorsNo
Part VIII · Statement of revenue $273,934 across 5 lines filed
VIII-1e Government grants$3,286
VIII-1f All other contributions, gifts and grants$269,465
VIII-1h Total contributions, gifts and grants$272,751
VIII-3 Investment incomeExcluded from tax $1,183$1,183
VIII-12 Total revenueRelated to mission $0 · Unrelated business $0 · Excluded from tax $1,183$273,934
Part IX · Statement of functional expenses $132,774 across 11 lines filed
IX-5 Pay of current officers, directors and key staffPrograms $9,071 · Management $18,142 · Fundraising $9,071$36,284
IX-7 Other salaries and wagesPrograms $14,057$14,057
IX-10 Payroll taxesPrograms $1,673 · Management $1,312 · Fundraising $656$3,641
IX-11b Legal feesPrograms $13,526$13,526
IX-13 Office expensesPrograms $5,112 · Management $8,704$13,816
IX-16 OccupancyManagement $16,954$16,954
IX-17 TravelManagement $39$39
IX-22 Depreciation, depletion and amortizationPrograms $10,691$10,691
IX-23 InsuranceManagement $1,213$1,213
IX-24 Other expenses (24a–d)Programs $20,035$20,035
IX-24e All other expensesPrograms $450 · Management $1,233 · Fundraising $835$2,518
IX-25 Total functional expensesPrograms $74,615 · Management $47,597 · Fundraising $10,562$132,774
Part X · Balance sheet $247,791 assets, 8 lines filed
X-1 Cash, non-interest-bearingStart of year $38,780$149,149
X-3 Pledges and grants receivableStart of year $50,000$0
X-10c Land, buildings and equipment, netStart of year $17,851$98,642
X-16 Total assetsStart of year $106,631$247,791
X-26 Total liabilitiesStart of year $0$0
X-27 Net assets without donor restrictionsStart of year $106,631$247,791
X-32 Total net assets or fund balancesStart of year $106,631$247,791
X-33 Total liabilities and net assetsStart of year $106,631$247,791
Part XI · Reconciliation of net assets $247,791 net assets at year end
XI-1 Total revenue$273,934
XI-2 Total expenses$132,774
XI-3 Revenue less expenses$141,160
XI-4 Net assets at start of year$106,631
XI-9 Other changes in net assets$0
XI-10 Net assets at end of year$247,791

Form 990 e-file (XML) FY2022 from the IRS · Classification, formation year and address from the IRS Business Master File

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