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A LEG TO STAND ON INC
NEW YORK, NY · EIN 020594709 · Form 990 · FY2024 · NTEE O50 · Youth Development · Medium ($1M-$10M) · altso.org
revenue
$1.2M
expenses
$1.0M
net assets
$971K
employees
5
volunteers
125
program ratio
65%
mission · from form 990

THE ORGANIZATION'S MISSION IS TO PROVIDE FREE, HIGH-QUALITY PROSTHETIC LIMBS, ORTHOTIC DEVICES, AND APPROPRIATELY FITTED WHEELCHAIRS TO CHILDREN WITH LIMB DISABILITIES IN THE DEVELOPING WORLD.

profile · synthesized from sources

A Leg To Stand On provides free, high-quality prosthetic limbs, orthotic braces, and appropriately fitted wheelchairs to children with limb disabilities in low- and middle-income countries. The organization focuses on pediatric patients from infancy through age 25, delivering mobility solutions that support access to education, independence, and long-term development. It operates through a network of locally based clinical partners across Southeast Asia, Africa, South Asia, and Latin America.

irs program accomplishments · form 990 part iii · fy2024

What they reported doing

  1. #1 primary $297K
    More than 106 million children live with untreated disabilities in emerging countries. 95% of these children cannot afford even rudimentary care, let alone the follow up care that is needed as they grow. Without access to mobility care, less than 10% of these children attend school. In 2024, A Leg To Stand On served 645 patients in Southeast Asia, aged infant through 25 years, with high-quality prosthetic limbs, orthotic braces, and appropriately fitted wheelchairs. Orthopedic care included ongoing care for recurring patients and the registration and treatment of new patients. In 2024, 71% of school aged children treated under A Leg To Stand On's programs were attending school or had already graduated, as of their most recent treatment. Mobility helps provide independence, access to education, and improves quality of life for patients served and their families.
  2. #2 $27K
    More than 106 million children live with untreated disabilities in emerging countries. 95% of these children cannot afford even rudimentary care, let alone the follow up care that is needed as they grow. Without access to mobility care, less than 10% of these children attend school. In 2024, A Leg To Stand On served 59 patients in Africa, aged infant through 25 years, with high-quality prosthetic limbs, orthotic braces, and appropriately fitted wheelchairs. Orthopedic care included ongoing care for recurring patients and the registration and treatment of new patients. In 2024, 71% of school aged children treated under A Leg To Stand On's programs were attending school or had already graduated, as of their most recent treatment. Mobility helps provide independence, access to education, and improves quality of life for patients served and their families.
named programs · 5 · from sources

What they call their work

Appropriately Fitted Wheelchairs
Supplies custom-fitted, high-quality wheelchairs in partnership with CLASP and Participant Assistive Products to prevent secondary health complications
CoolKid Portrait Series
Photography and storytelling initiative that builds self-esteem and raises awareness about children served by celebrating their individuality
Orthotic Braces Program
Provides customized orthotic braces using polypropylene sheets tailored to individual children's needs, including clubfoot braces
The CoolKids Club
Monthly donor program that supports ongoing care for children who require follow-up treatment every six months as they grow
The Joshi
Lightweight aluminum modular prosthetic lower limb system designed for children in low- and middle-income countries, named after pioneer prosthetist Dhiren Joshi
activities · 4 groups

What they do

  • Adaptive Equipment Provision 3 activities
    • Long-term mobility care and follow-up support for children
      Provides ongoing, consistent care to child beneficiaries, including multiple prosthetic limb replacements over time to accommodate growth and changing needs, enabling long-term independence, education, and career development. Examples include 11 to 15 years of continuous care for individual beneficiaries.
    • Manufacturing and procurement of pediatric mobility devices
      Manufactures and procures high-quality prosthetic components, orthotic materials, and wheelchairs specifically designed for children in low- and middle-income countries to support mobility and community participation.
    • Provision of prosthetic limbs, orthotic braces, and wheelchairs to children
      Provides prosthetic limbs, orthotic braces, and appropriately fitted wheelchairs to children with disabilities from birth through age 25 in emerging countries, including Southeast Asia, Africa, Cambodia, Laos, Indonesia, Somaliland, and Uganda. Since 2003, the organization has served over 26,000 children through direct interventions and partner clinics.
  • Pediatric Medical Care and Research Support 1 activity
    • Funding mobility care programs for children
      Funds the provision of prosthetic limbs, orthotic devices, and wheelchairs for over 300 children in Asia and Africa, including multi-year support for Joshi modular prosthetic limbs and emergency funding during the pandemic through the COVID Emergency Fund.
  • Program Monitoring & Evaluation 1 activity
    • Monitoring, evaluation, and program impact reporting
      Collects data through a custom-built management system and conducts annual site visits to monitor and report on treatment efficacy, program quality, and management at partner clinics. Tracks outcomes such as school enrollment and graduation among school-aged beneficiaries.
  • Benefit Events for Arts and Culture 1 activity
    • Volunteer engagement and fundraising events
      Organizes annual music and movement events, including Rocktoberfest in New York City and Chicago and a global campaign during Mobility Awareness Month, featuring live performances and participation from finance industry leaders to raise funds and awareness for children's mobility programs.
financials · form 990 · fy2024
revenue
Total revenue$1.17M
Contributions & grants$1.12M96%
Program service revenue$00%
Investment income$47K4%
Other revenue$4K
expenses
Total expenses$1.02M
Program expenses65%
Admin / overhead17%
Fundraising18%
Salaries & benefits$505K
Grants paid out$201K
Largest expense lineCompensation
balance sheet
Total assets$984K
Cash$764K
Investments$96K
Liabilities$13K
Net assets$971K
Liquid reserves10.2 mo
5 years on record · 2020–2024 · YoY revenue +6.7%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 4
NameTitleHours/wkCompensation
GABRIELLA MUELLER EVRARD Executive Dir. 40 $165K
AJ WARCO Program Dir. 40 $114K
Beth Ann Hemming Dir. Operations 40 $90K
Hannah Schumacher Dir. Marketing 40 $77K
board members · 5
  • C Mead Welles — Chairman
  • CATHERINE CARROLL — Treasurer
  • EDWIN W LAFFEY — Director
  • HAROLD VAN BOSSE — Director
  • Raymond McKenzie — Director
relationships · 41

Who they work with

  • A.J. Warco Partner — Director of Programs who conducts site visits and creates the CoolKid portrait series.
  • ADMIS Partner — Exclusive Guest Experience Sponsor for Rocktoberfest Chicago 2026
  • Alpine Capital Advisors Partner — Event sponsor of Rocktoberfest NYC.
  • Arthur B Schultz's Foundation Partner — Supports ALTSO's programs across Asia and Africa since 2013, funding prosthetics and mobility devices for over 300 children.
  • Bitstamp Partner — Employee engagement partner since 2021, supporting mobility awareness through fitness challenges during EU Mobility Week.
  • CLASP Partner — Partner organization collaborating with ALTSO to pre-order appropriately fitted wheelchairs for children.
  • CoolKids Partner — Collaborates with CoolKids to support children's mobility and education.
  • Cooperative Orthotic & Prosthetic Enterprise (COPE) Partner — ALTSO program partner delivering orthotic and prosthetic services in multiple locations across Laos including Vientiane, Luang Prabang, and Savannakhet since 2019.
  • Diversity Action Network (DAN) Partner — ALTSO program partner delivering orthopedic services in multiple cities in Somaliland including Hargeisa, Berbera, and Borama since 2013.
  • El Comite Partner — ALTSO program partner providing orthopedic care in Medellin, Colombia since 2025.
  • Exceed Worldwide Partner — ALTSO program partner operating multiple clinics in Cambodia including Phnom Penh, Kampong Chhnang, Kampong Som, and others since 2011.
  • Fundacion Uno x Uno Partner — ALTSO program partner providing orthopedic care to children in Argentina through clinics in Pacheco, Bariloche, Posadas, and Pergamino since 2025.
  • GetBak Partner — ALTSO program partner operating clinics in Ahmedabad, Mehsana, and Rajkot, India since 2019.
  • Hard Rock Cafe Partner — Host venue for the Rocktoberfest event in New York City on October 15, 2026.
  • Hentsu Partner — Hosts networking events in New York City and London with proceeds benefiting ALTSO's CoolKids.
  • Hope Disability Centre (HDC) Partner — ALTSO program partner providing orthopedic care in Gulmi, Nepal since 2009.
  • House of Blues Partner — Host venue for the Rocktoberfest event in Chicago on October 22, 2026.
  • Impact Foundation Bangladesh (IFB) Partner — ALTSO program partner delivering orthopedic services to children in Chuadanga and Meherpur, Bangladesh since 2008.
  • Johnson & Johnson Partner — Supported ALTSO through Donate A Photo campaign (donated over $21,500 in 2018–2019) and R&D engineering support for prosthetic covers.
  • Jordan Thomas Foundation Partner — Provides multi-year funding for Joshi modular prosthetic limbs, serving over 100 CoolKids.
  • Leaders in Finance Partner — Finance industry professionals who participate as performers in fundraising music events.
  • MAC Georgia Partner — ALTSO program partner delivering services across multiple regions in Georgia including Tbilisi, Imereti, Kakheti, and others since 2025.
  • Mobility+Designed Partner — Partnered since 2020 to supply innovative forearm crutches at reduced cost ($60 per pair) for ALTSO beneficiaries.
  • Motivation Romania Partner — ALTSO program partner operating multiple clinics across Romania including Bucharest, Cluj, Iasi, and Timis since 2023.
  • Motovation Romania Partner — ALTSO program partner providing orthopedic care in Ruse, Bulgaria since 2026.
  • OCC Partner — Legacy Sponsor of Rocktoberfest Chicago
  • One By One Partner — ALTSO program partner operating a clinic in Rio De Janeiro, Brazil since 2025.
  • Pakistan Society for Rehabilitation of Differently Abled (PSRD) Partner — ALTSO program partner operating a clinic in Lahore, Pakistan since 2011.
  • Participant Assistive Products Partner — Partner organization working with ALTSO to provide appropriately fitted wheelchairs to children in need.
  • Portfolios with Purpose Partner — Enables supporters to select ALTSO as charity of choice in fantasy stock-picking contests, with 100% of proceeds donated.
+ 11 more
strategies · 4

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Design Innovation for Affordability and Dignity
    methodology: design_for_access
    By using modular prosthetic systems (e.g., Joshi) and customizable materials like polypropylene, the organization increases access to high-quality, climate-resilient, and skin-tone-matched devices, improving both physical fit and psychosocial dignity—because appropriate design directly enhances adoption, comfort, and self-esteem in low-resource settings.
  • Locally-Led, Culturally Competent Care Delivery
    methodology: local-partner_clinics
    By partnering with vetted local clinics and employing in-country prosthetic and orthotic professionals, the organization ensures that care is culturally appropriate, sustainable, and more effectively adopted because trust and local expertise are central to long-term engagement and clinical success.
  • Long-Term Mobility Care as a Pathway Out of Poverty
    methodology: long-term_pediatric_care
    By providing long-term pediatric prosthetic and orthotic care, including durable and customizable devices, the organization enables children with limb disabilities to achieve mobility, which in turn supports sustained participation in education and employment—breaking cycles of poverty because mobility is foundational to independence and opportunity.
  • Storytelling and Awareness to Empower and Mobilize
    methodology: storytelling_for_dignity
    By using portrait storytelling and global awareness campaigns (e.g., Mobility Awareness Month), the organization humanizes the experiences of children with disabilities, builds self-esteem in recipients, and drives public engagement—because visibility and narrative dignity are catalysts for both individual empowerment and collective action.