FORM5 PROSTHETICS INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2017

Legal Domicile

Principal Officer

AARON WESTBROOK

Phone

6142261141

Tax Period

2023-01-01 to 2023-12-31

FORM5 PROSTHETICS INC, founded in 2017, is a small nonprofit in the Health Care sector that reported $301K in total revenue in fiscal year 2023. Revenue grew 10% year-over-year, indicating healthy expansion. The organization ran a surplus of $94K, a strong 31% operating margin.

Mission

EMPOWERING PEOPLE TO SUCCESSFULLY INTERACT WITH THEIR WORLD AND THEIR FUTURE

Program Service Accomplishments

Program 1

Expenses: $52,559 Revenue: $4,386

CONTRACT MANUFACTURING - UTILIZING A PERCENTAGE OF FORM5'S DESIGN AND MANUFACTURING CAPACITY TO TAKE ON CONTRACTS THAT GENERATE REVENUE TO SUPPORT CHARITABLE ACTIVITIES

Program 2

Expenses: $35,547

EDUCATION PROGRAMS. EVENTS THAT PAIRS RECIPIENTS TO ENGINEERS, STUDENTS, AND OTHER VOLUNTEERS TO CO-CREATE CUSTOM APPLICATION DEVICES.

Program 3

Expenses: $62,727

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...

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 12/31/2023.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $294,081

Program Service Revenue $4,386

Investment Income $2,688

Other Revenue $0

TOTAL REVENUE $301,155

Expense Breakdown

Grants Paid $0

Salaries & Benefits $70,217

Fundraising Expenses $12,286

Program Expenses $150,833

Other Expenses $136,775

TOTAL EXPENSES $206,992

Year-over-Year Comparison

	2023	2022	Change
Revenue	$301,155	$273,934	+0.1%
Expenses	$206,992	$132,774	+0.6%
Net Income	$94,163	$141,160	-0.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

100

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$49,577

Total Directors