2026-06-19T09:16:40-05:00 2025-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2025-01-01 363350532 BONE HEALTH AND OSTEOPOROSIS FOUNDATION NATI 7036473000 251 18TH STREET S 630 ARLINGTON VA 22202 CLAIRE GILL CHIEF EXECUTIVE OFFICER 7036473000 2026-06-19 1 ERIN CRANMER P01712644 2023319880 2025 2025-03-06 01:10:19Z CLAIRE GILL 251 18TH STREET S 630 ARLINGTON VA 22202 4438976 0 X WWW.BONEHEALTHANDOSTEOPOROSIS.ORG X 1984 MO THE BONE HEALTH & OSTEOPOROSIS FOUNDATION (BHOF) IS THE LEADING HEALTH ORGANIZATION DEDICATED TO PREVENTING OSTEOPOROSIS AND BROKEN BONES, PROMOTING STRONG BONES FOR LIFE, AND REDUCING HUMAN SUFFERING THROUGH PROGRAMS OF PUBLIC AND CLINICIAN AWARENESS, EDUCATION, ADVOCACY, AND RESEARCH. ESTABLISHED IN 1984, BHOF IS THE NATION'S LARGEST HEALTH ORGANIZATION SOLELY DEDICATED TO OSTEOPOROSIS AND BONE HEALTH. OSTEOPOROSIS IS A MAJOR PUBLIC HEALTH THREAT FOR AN ESTIMATED 54 MILLION AMERICANS. STUDIES SHOW THAT ONE IN TWO WOMEN AND UP TO ONE IN FOUR MEN OVER AGE 50 WILL BREAK A BONE DUE TO OSTEOPOROSIS IN THEIR LIFETIME. BHOF WORKS TO IMPROVE PATIENT CARE AND SUPPORT FOR THOSE WHO HAVE BROKEN BONES DUE TO OSTEOPOROSIS AND TO EDUCATE THE PUBLIC TO PREVENT OSTEOPOROSIS AND BROKEN BONES AND PROMOTE STRONG BONES FOR LIFE. TO ACCOMPLISH ITS MISSION, BHOF ACCEPTS SUPPORT FROM A WIDE BREADTH OF DIVERSIFIED SOURCES, INCLUDING INDIVIDUALS, FOUNDATIONS, GOVERNMENT SOURCES, AND CORPORATIONS. 13 13 8 20 0 0 3581911 3016137 193712 227460 414232 302411 415523 416002 4605378 3962010 15000 0 0 0 1394014 1372726 0 0 891628 2718622 2774232 4127636 4146958 477742 -184948 6983049 7108708 1439800 1536140 5543249 5572568 X THE BONE HEALTH & OSTEOPOROSIS FOUNDATION (BHOF) IS THE LEADING HEALTH ORGANIZATION DEDICATED TO PREVENTING OSTEOPOROSIS AND BROKEN BONES, PROMOTING STRONG BONES FOR LIFE, AND REDUCING HUMAN SUFFERING THROUGH PROGRAMS OF PUBLIC AND CLINICIAN AWARENESS, EDUCATION, ADVOCACY, AND RESEARCH. ESTABLISHED IN 1984, BHOF IS THE NATION'S LARGEST HEALTH ORGANIZATION SOLELY DEDICATED TO OSTEOPOROSIS AND BONE HEALTH. OSTEOPOROSIS IS A MAJOR PUBLIC HEALTH THREAT FOR AN ESTIMATED 54 MILLION AMERICANS. STUDIES SHOW THAT ONE IN TWO WOMEN AND UP TO ONE IN FOUR MEN OVER AGE 50 WILL BREAK A BONE DUE TO OSTEOPOROSIS IN THEIR LIFETIME. BHOF WORKS TO IMPROVE PATIENT CARE AND SUPPORT FOR THOSE WHO HAVE BROKEN BONES DUE TO OSTEOPOROSIS AND TO EDUCATE THE PUBLIC TO PREVENT OSTEOPOROSIS AND BROKEN BONES AND PROMOTE STRONG BONES FOR LIFE. TO ACCOMPLISH ITS MISSION, BHOF ACCEPTS SUPPORT FROM A WIDE BREADTH OF DIVERSIFIED SOURCES, INCLUDING INDIVIDUALS, FOUNDATIONS, GOVERNMENT SOURCES, AND CORPORATIONS. 0 0 767436 58774 PATIENT EDUCATION: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 923829 168686 PROFESSIONAL EDUCATION: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 838634 ADVOCACY: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 382251 17204 OTHER PROGRAM SERVICES 382251 17204 2912150 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 36 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AL AK AR AZ CA CO CT FL GA HI IL KS KY ME MD MA MI MN MS MO NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI X X DEBRA ERIKSON 7036473000 251 18TH STREET S 630 ARLINGTON VA 22202 KATHLEEN SHOEMAKER CHAIRMAN 5.00 X X 0 0 0 KENNETH W LYLES IMMEDIATE PAST PRESIDENT 5.00 X X 0 0 0 THOMAS F KOINIS PRESIDENT 5.00 X X 0 0 0 ANN VU SECRETARY-TREASURER 5.00 X X 0 0 0 SALLY FULLMAN TRUSTEE 5.00 X 0 0 0 KAREN KEMMIS TRUSTEE 5.00 X 0 0 0 LAILA TABATABAI VICE PRESIDENT 5.00 X X 0 0 0 JOSHUA WING TRUSTEE 5.00 X 0 0 0 NICOLE WRIGHT TRUSTEE 5.00 X 0 0 0 JENNY RAPPOLE TRUSTEE 5.00 X 0 0 0 ROBERT F GAGEL TRUSTEE 5.00 X 0 0 0 IRENE B BUENO TRUSTEE 5.00 X 0 0 0 SABRINA E NOEL TRUSTEE (EFF. 11/21/25) 5.00 X 0 0 0 FREDERICK R SINGER TRUSTEE (UNTIL 4/23/25) 5.00 X 0 0 0 CHARLES B LAWRENCE JR TREASURER (UNTIL 11/21/25) 5.00 X X 0 0 0 CLAIRE B GILL CHIEF EXECUTIVE OFFICER 37.50 X 352294 0 15050 DEBRA ANN ERIKSON CAO 37.50 X 200223 0 28681 AMI PATEL VICE PRESIDENT SCIENCE AND 37.50 X 148272 0 16104 NAN YOUNG DIRECTOR OF DEVELOPMENT 37.50 X 130031 0 14443 ANDREA MEDEIROS VICE PRESIDENT OF PUBLIC HEALTH & POLICY 37.50 X 115856 0 6922 946676 0 81200 5 0 1 0 ANDREA SINGER 3800 RESERVOIR RD NW WASHINGTON DC 20007 CONSULTING SERVICES 210000 THE CAPITAL HILTON 1001 16TH STREET NW WASHINGTON DC 20036 EVENTS SERVICES 192514 AVENUE LIVE LLC 1301 VIRGINIA DRIVE FORT WASHINGTON PA 19034 VIDEO PRODUCTION 189944 EXPONENTIAL CONSULTING LLC PO BOX 1818 LEESBURG VA 20177 CONSULTING SERVICES 173558 BLACBAUD PO BOX 844827 BOSTON MA 02284 IT SYSTEMS 142918 8 82725 2933412 3016137 CONFERENCES & SEMINARS 900099 168686 168686 PUBLICATION & PROGRAMS 900099 58774 58774 227460 269631 269631 257191 257191 143426 0 143426 143426 143426 504773 471993 32780 32780 32780 3154 4973 -1819 -1819 SUBSCRIPTION INCOME 900099 15000 15000 LIST RENTAL INCOME 900099 872 872 1332 1332 17204 3962010 242845 0 703028 X 596248 359283 59083 177882 633240 381573 62749 188918 22061 13293 2186 6582 45431 27376 4502 13553 75746 45642 7506 22598 22971 17714 822 4435 48905 37714 1749 9442 24000 18508 858 4634 24454 18858 875 4721 1141915 880607 40843 220465 5981 5160 156 665 262184 171356 43461 47367 560813 432481 20058 108274 182935 85330 55332 42273 137437 122368 7346 7723 280613 249845 14999 15769 5196 2429 1564 1203 54799 25561 16575 12663 HONORARIUM 15050 13400 804 846 PUBLICATION EXPENSES 1000 863 26 111 TAXES 521 243 147 131 5458 2546 1539 1373 4146958 2912150 343180 891628 X 120157 42061 10837 67259 2327 4365 1841403 2054123 399675 419812 338 989 60816 55843 89015 226676 51671 43968 8531 7703 4266774 4195226 314170 143971 6983049 7108708 346842 315020 708210 1037551 384748 183569 1439800 1536140 X 4115288 3746121 1427961 1826447 5543249 5572568 6983049 7108708 X -184948 206340 7927 X X 0 1 X 1 0 X 3637158 2976058 2010770 3581911 3016137 15222034 3637158 2976058 2010770 3581911 3016137 15222034 5263137 9958897 656829 549801 704271 629828 670248 3210977 3073 2821 21370 17204 44468 18477479 562210 0.53900 0.49130 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: LIST RENTAL INCOME - 2021 AMOUNT: $ 3,073. 2023 AMOUNT: $ 1,721. 2024 AMOUNT: $ 370. 2025 AMOUNT: $ 872. MISCELLANEOUS - 2023 AMOUNT: $ 1,100. 2024 AMOUNT: $ 3,000. 2025 AMOUNT: $ 1,332. SUBSCRIPTION INCOME - 2024 AMOUNT: $ 18,000. 2025 AMOUNT: $ 15,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 355029 354937 397634 397634 1505234 2257851 24000 24000 24000 24000 96000 88757 88734 99409 99409 376309 564464 24000 24000 24000 24000 96000 0 268081 5278 5278 268081 268081 5277 5277 268081 268081 5068 5068 268081 268081 3667 3667 268081 180012 88069 1402 1402 268081 1.00000 1 0 31225 18464 12761 20446 25504 -5058 7703 REFUNDABLE DEPOSITS 10598 OPERATING LEASE LIABILITY 172971 183569 X 4155416 206340 6547 212887 3942529 24454 -4973 19481 3962010 4134020 6547 4973 11520 4122500 24454 4 24458 4146958 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FOUNDATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE VARIOUS JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. THE FOUNDATION FILES THE FEDERAL FORM 990 TAX RETURN IN THE U.S. FEDERAL JURISDICTION AND VARIOUS STATES. AS OF DECEMBER 31, 2025, THE STATUTE OF LIMITATION FOR TAX YEARS 2021 THROUGH 2024 REMAINS OPEN WITH THE U.S. FEDERAL JURISDICTION AND VARIOUS STATES. IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ACCOUNTING STANDARDS REQUIRE AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. MANAGEMENT EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD INCLUDED ON PART VIII -4,973. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD INCLUDED ON PART VIII 4,973. PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 4. PART V, LINE 4: AS OF DECEMBER 31, 2025, THE FOUNDATION'S ENDOWMENT TOTALED $268,081. THE INCOME EARNED ON THESE NET ASSETS IS RESTRICTED BY THE DONOR. THE SHOU MEI HU CECELIA WU KOJIMA FUND TOTALED $80,012 AND THE RESTRICTED INCOME IS FOR MEDICAL AND SCIENTIFIC RESEARCH RELATED TO THE PREVENTION, CURE, AND/OR TREATMENT OF OSTEOPOROSIS. THE DR. BURTON SPILLER FUND FOR BONE HEALTH RESEARCH TOTALED $188,069 AND RESTRICTED INCOME FOR MEDICAL RESEARCH REGARDING BONE HEALTH AND BONE RESEARCH GRANTS. 1 X X X 1 0 0 0 0 0 0 0 0 CLAIRE B GILL CHIEF EXECUTIVE OFFICER 322769 0 29525 0 0 0 13000 0 2050 0 367344 0 0 0 DEBRA ANN ERIKSON CAO 200223 0 0 0 0 0 8254 0 20427 0 228904 0 0 0 AMI PATEL VICE PRESIDENT SCIENCE AND 148272 0 0 0 0 0 5982 0 10122 0 164376 0 0 0 FORM 990, PART III, LINE 4A. PATIENT EDUCATION BHOF PROVIDES PATIENTS AND CARE PARTNERS WITH THE LATEST INFORMATION ON OSTEOPOROSIS PREVENTION, DETECTION, AND TREATMENT TO PREVENT BONE LOSS AND FRACTURES BY OFFERING A WIDE VARIETY OF PROGRAMS AND RESOURCES. SIGNATURE PATIENT EDUCATION PROGRAMS THROUGHOUT 2025, BHOF CONTINUED DELIVERING ITS PORTFOLIO OF SIGNATURE PATIENT EDUCATION PROGRAMS THROUGH FREE VIRTUAL WEBINARS AND IN-PERSON EVENTS LED BY TRAINED PEER EDUCATORS. THESE PROGRAMS FORM THE BACKBONE OF BHOF'S PATIENT OUTREACH AND RAN CONSISTENTLY EACH MONTH, COLLECTIVELY REACHING THOUSANDS OF PARTICIPANTS. SIGNATURE WEBINAR PROGRAMS INCLUDED: HEALTHY BONES FOR LIFE AN INTRODUCTION TO BONE HEALTH COVERING BONE DEVELOPMENT, OSTEOPOROSIS BASICS, FRACTURE PREVENTION, EXERCISE, AND NUTRITION; EATING FOR HEALTHY BONES A PROGRAM EMPOWERING PARTICIPANTS WITH BONE-HEALTHY NUTRITION KNOWLEDGE; BE BONE STRONG: STEPPING OUT STRONG A FALL PREVENTION PROGRAM FEATURING BALANCE EXERCISES AND PRACTICAL TIPS; POSTURE POWER COVERING POSTURE, BODY MECHANICS, AND SAFE MOVEMENT TO REDUCE FRACTURE RISK; FREEDOM FROM FRACTURES FOCUSED ON UNDERSTANDING AND REDUCING PERSONAL FRACTURE RISK; BEYOND THE BREAK HELPING THOSE WHO HAVE EXPERIENCED A FRACTURE MANAGE RISK AND PREVENT FURTHER BREAKS; AND WHY HEALTHY BONES MATTER SERIES SPECIALIZED PROGRAMS FOR TARGETED POPULATIONS INCLUDING: WHY HEALTHY BONES MATTER FOR THE BLACK COMMUNITY, WHY HEALTHY BONES MATTER FOR PEOPLE LIVING WITH BREAST CANCER . PEER EDUCATORS DELIVERED IN-PERSON AND VIRTUAL PROGRAMS ACROSS SEVERAL STATES THROUGHOUT THE YEAR, INCLUDING MULTIPLE HEALTHY BONES FOR LIFE PRESENTATIONS ACROSS RURAL GEORGETOWN COUNTY, SC LIBRARY AND SENIOR SERVICES LOCATIONS; PROGRAMS AT A SENIOR CENTER IN ALLENTOWN, NJ; A COMMUNITY EVENT AT JASPER PUBLIC LIBRARY IN INDIANA; AND PRESENTATIONS AT UPPER MERION SENIOR SERVICES CENTER IN KING OF PRUSSIA, PA. IN ADDITION TO SIGNATURE PROGRAMS, BHOF HOSTED SPECIAL TOPIC CONSUMER WEBINARS THROUGHOUT 2025 FEATURING EXPERT SPEAKERS ON TIMELY SUBJECTS: HOW MEN CAN TAKE ACTION TO PREVENT FRACTURES WITH JOSHUA WING, APRN, SPONSORED BY RADIUS; UNDERSTANDING OSTEOPOROSIS AS A CHRONIC CONDITION WITH E. MICHAEL LEWIECKI, MD, FACP, FACE, CCD, AND OSTEOPOROSIS MEDICATIONS: COMPARING TREATMENT OPTIONS AND INTRODUCING BIOSIMILARS WITH KRISTI TOUGH DESAPRI, MD,BOTH SPONSORED BY RADIUS AND SANDOZ; LATEST DEVELOPMENTS IN OSTEOPOROSIS TREATMENTS WITH ANDREA J. SINGER, MD, FACP, SPONSORED BY RADIUS AND SANDOZ. SUPPORT GROUPS BHOF STRIVES TO ASSIST THE MILLIONS OF PEOPLE AFFECTED BY OSTEOPOROSIS THROUGH A UNIFIED, NATIONAL NETWORK OF SUPPORT GROUPS THAT ARE COMMITTED TO PROVIDING PEOPLE WITH THE OPPORTUNITY TO OBTAIN ACCURATE, TIMELY INFORMATION IN AN ENVIRONMENT WHICH PROMOTES CONNECTEDNESS, AND CAMARADERIE. SUPPORT GROUPS PROVIDE A SAFE SPACE FOR INDIVIDUALS OF ALL AGES AND BACKGROUNDS TO SHARE INFORMATION AND EXPERIENCES AND ENCOURAGE EACH OTHER, LEADING TO A MORE ACTIVE ROLE IN MANAGING THEIR OSTEOPOROSIS AND PREVENTING ASSOCIATED FRACTURES. WHEN DIAGNOSED WITH A CHRONIC CONDITION LIKE OSTEOPOROSIS, WHICH CAN BE OVERWHELMING AND LIFE-CHANGING FOR MANY, ENGAGING AND EMPOWERING PEOPLE TO TAKE A MORE ACTIVE ROLE IN THEIR OWN CARE BECOMES CRUCIAL. INDIVIDUALS LEARN TO SELF-MANAGE AND INCORPORATE THEIR HEALTH CONDITION INTO THEIR DAILY LIVES. SUPPORT GROUPS MEET IN PERSON AND VIRTUALLY ACROSS 14 STATES SERVING 1,000+ MEMBERS, PROVIDING RESOURCES TO LEARN ABOUT OSTEOPOROSIS AND SHARING FIRST-HAND ADVICE FROM INDIVIDUALS EXPERIENCING A SIMILAR SITUATION. IN 2025, BHOF FACILITATED QUARTERLY BHOF SUPPORT GROUP LEADER'S MEETINGS IN FEBRUARY, JUNE, SEPTEMBER, AND DECEMBER WHERE GROUP LEADERS PROVIDED UPDATES AND BHOF SHARED PATIENT EDUCATION INITIATIVES. COMMUNITY OUTREACH & HEALTH FAIRS BHOF MAINTAINED A STRONG PRESENCE AT COMMUNITY HEALTH EVENTS IN 2025. VOLUNTEER PEER EDUCATORS REPRESENTED THE FOUNDATION AT THE B'MORE HEALTHY EXPO IN BALTIMORE, THE MORRISTOWN SENIOR HEALTH FAIR IN NEW PROVIDENCE, NJ, THE 21ST ANNUAL WOMEN'S HEALTH ANNUAL VISIT IN NEW YORK CITY, THE U.S. CONFERENCE ON HIV/AIDS IN WASHINGTON, DC, AND WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE SHARE THE HEALTH FAIR (NOVEMBER). BHOF'S ONLINE COMMUNITY HOSTED BY INSPIRE BHOF WORKS TO ENSURE THAT EVERYONE AFFECTED BY OSTEOPOROSIS HAS A PLACE TO TURN FOR SUPPORT. AS A RESULT, BHOF AND INSPIRE HAVE PARTNERED TO CREATE A SAFE AND SECURE ONLINE OSTEOPOROSIS SUPPORT COMMUNITY. THE BHOF SUPPORT COMMUNITY OFFERS A PLACE FOR PATIENTS AND CAREGIVERS TO MEET OTHERS, ASK QUESTIONS, AND SHARE INFORMATION ABOUT OSTEOPOROSIS AND BONE HEALTH ONLINE. VOLUNTEER GROUP LEADERS, BHOF STAFF, AND INSPIRE STAFF ALL PLAY A KEY ROLE IN MONITORING THE BONE HEALTH AND OSTEOPOROSIS SUPPORT COMMUNITY. THE COMMUNITY HAS OVER 98,000 MEMBERS SUPPORTED BY BHOF VOLUNTEER MODERATORS. MANY MEMBERS IN THE COMMUNITY ARE ALSO PART OF OTHER COMMUNITIES SUCH AS ARTHRITIS, PSORIASIS, AND AUTOIMMUNE DISEASES GROUPS. OSTEOPOROSIS AWARENESS AND PREVENTION MONTH AND WORLD OSTEOPOROSIS DAY MAY 2025 WAS OSTEOPOROSIS AWARENESS AND PREVENTION MONTH, CENTERED ON THE WALK A MILE A DAY IN MAY INITIATIVE. THIS NATIONAL STEP CHALLENGE ENCOURAGED PEOPLE OF ALL AGES TO WALK ONE MILE DAILY. AS PART OF THE INITIATIVE, BHOF LAUNCHED THE BE BONE STRONG WALKING CLUB PROGRAM, WITH THE FIRST CLUB LED BY BE BONE STRONG TEAM CAPTAIN BARBARA HANNAH GRUFFERMAN, NOW ACTIVE IN VIRGINIA BEACH. BARBARA HELD A WEBINAR EXPLORING THE MOMENTUM BEHIND THE BE BONE STRONG TEAM. BHOF ALSO SHARED PERSONALIZED CAMEO VIDEOS FROM ACTRESSES JENNIFER GARNER AND JUDY GREER AND OLYMPIC LEGEND JACKIE JOYNER-KERSEE TO AMPLIFY AWARENESS ACROSS SOCIAL MEDIA. THE COMMUNITY HELD AN ASK THE EXPERT SESSION ABOUT SAFE EXERCISE, LED BY TWO OF BHOF'S PEER EDUCATORS. A SOCIAL MEDIA TOOLKIT WAS PROVIDED, AND BHOF ALSO HELD LIVE DEMOS ON THE NEW BE BONE STRONG FUNDRAISING PLATFORM IN JUNE. WE ALSO OFFERED A VARIETY OF RESOURCES TO HELP INDIVIDUALS LEARN MORE ABOUT OSTEOPOROSIS AND HOW TO MAINTAIN STRONG AND HEALTHY BONES. THIS INCLUDED INFORMATION ON BONE-HEALTHY FOODS, EXERCISE, BONE DENSITY TESTING, MEDICATIONS FOR TREATMENT OF OSTEOPOROSIS, TIPS FOR PREVENTING FALLS, AND MUCH MORE. THROUGHOUT THE MONTH OF MAY, BHOF HOSTED AND SHARED A VARIETY OF EVENTS TO PROMOTE BONE HEALTH AWARENESS. THESE EVENTS INCLUDED EDUCATIONAL WEBINARS, INTERACTIVE PRESENTATIONS, NEW PODCAST EPISODES, AND FITNESS CLASSES. WORLD OSTEOPOROSIS DAY WAS OBSERVED ON OCTOBER 20TH WITH THE THEME "IT'S UNACCEPTABLE: STOP THE NEGLECT OF BONE HEALTH!" BHOF PROVIDED ENGAGEMENT OPPORTUNITIES THROUGHOUT OCTOBER INCLUDING FREE WEBINARS, EXERCISE SESSIONS, EVENTS, AND A SOCIAL MEDIA TOOLKIT. BUILDING OSTEOPOROSIS NETWORKS AND ENGAGEMENT USING PARTNERSHIPS (BONEUP) WORK CONTINUED ON THE CDC-FUNDED BONEUP PROJECT THROUGHOUT 2025. THE PROJECT PRODUCED SIGNIFICANT OUTPUTS: A PUBLIC HEALTH PROFESSIONALS PAGE WAS RELEASED, ALONG WITH MULTIPLE SPANISH-LANGUAGE RESOURCES INCLUDING MEDICINAS QUE PUEDEN CAUSAR PRDIDA SEA Y CONTRIBUIR A LA OSTEOPOROSIS, TOMANDO EL CONTROL DE LA SALUD DE SUS HUESOS: CARGA OSTEOGENICA, OSTEOPOROSIS LE PUEDE PASAR, AND ADDITIONAL TAKE CHARGE OF YOUR BONE HEALTH AND QUESTIONS TO ASK YOUR HEALTHCARE PROVIDER FACT SHEETS IN SPANISH. THE BONE HEALTH AWARENESS WORKING GROUP MET REGULARLY TO REVIEW GRANT ACTIVITIES AND PLAN UPCOMING DELIVERABLES. BHOF PRESENTED A POSTER ON THE BONEUP MULTI-STAKEHOLDER APPROACH AT THE NATIONAL HEALTH COUNCIL'S SCIENCE OF PATIENT ENGAGEMENT SYMPOSIUM IN MAY AND GAVE AN ORAL PRESENTATION AT THE AMERICAN PUBLIC HEALTH ASSOCIATION'S CONFERENCE IN NOVEMBER. FORM 990, PART III, LINE 4B. PROFESSIONAL EDUCATION IN 2025, BHOF'S LEARNING MANAGEMENT SYSTEM HAD OVER 100 COURSES/SESSIONS WITH MORE THAN 3,000 USERS/LEARNERS. BHOF IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS AND IS ACCREDITED AS A PROVIDER OF CONTINUING NURSING EDUCATION BY THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) COMMISSION ON ACCREDITATION. INTERDISCIPLINARY SYMPOSIUM ON OSTEOPOROSIS (ISO) HOSTED BY BHOF, THE INTERDISCIPLINARY SYMPOSIUM ON OSTEOPOROSIS WAS HELD FROM APRIL 2426, 2025, AT THE CAPITAL HILTON IN WASHINGTON, DC. THE SYMPOSIUM BROUGHT TOGETHER 316 ATTENDEES AND FEATURED 18 EXHIBITS SHOWCASING THE LATEST IN OSTEOPOROSIS RESEARCH, CLINICAL CARE, AND TECHNOLOGY. THE SYMPOSIUM INCLUDED EXPERT FACULTY MEMBERS PRESENTING ON KEY TOPICS RELEVANT TO HEALTHCARE PROFESSIONALS. PRE-CONFERENCE WORKSHOPS FOR FRACTURE LIAISON SERVICE ALSO TOOK PLACE. FLS BONE HEALTH ECHO BHOF'S FRACTURE LIAISON SERVICE (FLS) BONE HEALTH ECHO TELEMENTORING PROGRAM HELD SESSIONS THROUGHOUT 2025 COVERING A RANGE OF CLINICAL TOPICS, INCLUDING OSTEONECROSIS OF THE JAW: 2025 UPDATED CHALLENGES WITH THOMAS OLENGINSKI, MD, FACP; OSTEOPOROSIS CENTER OF DELAWARE COUNTY WITH JACQUELINE KERNAGHAN, MS, PA-C, DFAAPA; BEACON HEALTH SYSTEM'S BONE HEALTH PROGRAM WITH CAITLIN VLAEMINCK, PHD, RN, FNP-BC; AN ISO2025 RECAP WITH AMI PATEL; EXERCISE ESSENTIALS FOR OSTEOPOROSIS WITH DEBORAH POWERS; BATON ROUGE GENERAL'S BONE HEALTH CLINIC WITH ANGELA ROY, PA-C; AND A SESSION ON NUTRITION WITH ELIZABETH QUINN, CNS, LDN, CNGS, FMCHC. BHOF'S PAPER ON "THE ROLE AND OUTCOMES OF THE BONE HEALTH AND OSTEOPOROSIS FOUNDATION FRACTURE LIAISON SERVICE TELEECHO PROGRAM: A REVIEW" WAS ACCEPTED FOR PUBLICATION IN ARCHIVES OF OSTEOPOROSIS AND IS NOW AVAILABLE ON OPEN ACCESS. THERE HAVE BEEN OVER 1,600 ACCESSES TO THE ARTICLE THROUGH SPRINGER. HEALTHY BONES/HEALTHY COMMUNITIES (CITIES) ECHO THE BHOF CITIES ECHO SERIES CONTINUED TO HOST IMPACTFUL SESSIONS IN 2025 FEATURING CASE STUDIES AND EXPERT GUIDANCE FOR PRIMARY CARE PROVIDERS. THIS TELEMENTORING PROGRAM DEDICATED TO OSTEOPOROSIS AND BONE HEALTH PROVIDED CITIES PROGRAM PARTICIPANTS WITH A COLLABORATIVE PLATFORM FOR DISCUSSING REAL-WORLD CASES, SHARING INSIGHTS, AND DEEPENING KNOWLEDGE. SESSIONS WERE HELD IN JANUARY, FEBRUARY, AND MARCH. PROFESSIONAL EDUCATION PROGRAMS IN JANUARY, BHOF LAUNCHED A NEW PROGRAM ON REACHMD: MENOPAUSE AND BONE HEALTH: MODERN APPROACHES FOR HEALTHCARE PROVIDERS, AN EXPERT-LED DISCUSSION EXPLORING EVIDENCE-BASED STRATEGIES FOR ASSESSING FRACTURE RISK, OPTIMIZING TREATMENT, AND GUIDING PATIENTS THROUGH MENOPAUSE WITH A FOCUS ON OSTEOPOROSIS PREVENTION AND CARE. BHOF AND THE NATIONAL MENOPAUSE FOUNDATION HELD A SPONSORED SESSION ON "BONE HEALTH THROUGH THE MENOPAUSE TRANSITION" AT THE 25TH ANNUAL SANTA FE BONE SYMPOSIUM IN AUGUST 2025. AT THE ASBMR 2025 ANNUAL MEETING IN SEPTEMBER, BHOF CEO CLAIRE GILL PARTICIPATED IN THE SESSION "MISSION POSSIBLE EMPOWERING YOU TO IMPROVE MUSCULOSKELETAL HEALTH WITH PUBLIC AND POLITICAL PARTNERSHIP," SPOTLIGHTING BHOF'S LEADERSHIP IN DRIVING COALITION EFFORTS AND AMPLIFYING THE POLICY AGENDA FOR MUSCULOSKELETAL HEALTH. BONEFIT USA TRAINING PROGRAM BONEFIT, BHOF'S EVIDENCE-INFORMED EXERCISE TRAINING WORKSHOP FOR HEALTHCARE PROFESSIONALS AND EXERCISE SPECIALISTS, WAS OFFERED SEVERAL TIMES IN 2025. A VIRTUAL TRAINING WAS HELD IN JANUARY, AN IN-PERSON TRAINING IN APRIL, AND A TRAINING IN SEPTEMBER. BONEFIT WORKSHOPS INCLUDE ONLINE PRE-COURSE MODULES VIA BHOF'S LEARNING MANAGEMENT SYSTEM, ATTENDANCE AT THE VIRTUAL OR IN-PERSON COURSE, AND COMPLETION OF A FINAL QUIZ. BHOF PARTNERS WITH OSTEOPOROSIS CANADA AND THE FOUNDERS OF BONEFIT TO OFFER THIS TRAINING PROGRAM IN THE U.S. BIOSIMILARS EDUCATION BHOF ADVANCED HEALTHCARE PROFESSIONAL EDUCATION ON BIOSIMILARS IN OSTEOPOROSIS CARE DURING 2025. AT THE ASBMR 2025 ANNUAL MEETING IN SEPTEMBER, A SESSION SPONSORED BY ORGANON BIOSIMILARS FEATURED PRESENTATIONS ON EMERGING CLINICAL EVIDENCE, REAL-WORLD PRACTICE INTEGRATION MODELS, AND PATIENT EXPERIENCES WITH BIOSIMILARS, WITH BHOF CEO CLAIRE GILL SERVING AS A PANELIST. IN DECEMBER, BHOF HOSTED AN EDUCATIONAL WEBINAR, OPTIMIZING THE USE OF BIOSIMILARS IN OSTEOPOROSIS CARE, SPONSORED BY ORGANON, FEATURING SPEAKERS NANCY E. LANE, MD AND ANDREA J. SINGER, MD, FACP, CCD. FORM 990, PART III, LINE 4C. ADVOCACY WE ADVOCATE IN SUPPORT OF OSTEOPOROSIS AWARENESS, RESEARCH, PATIENTS, AND PROFESSIONALS. NATIONAL BONE HEALTH POLICY INSTITUTE BHOF'S BONE HEALTH POLICY INSTITUTE WAS LAUNCHED IN 2019 TO RAISE AWARENESS AND DRIVE POLICY THAT SUPPORTS PATIENTS WITH OSTEOPOROSIS AND THEIR CARE PARTNERS. IN 2025, OUR COALITION TO STRENGTHEN BONE HEALTH MEMBERSHIP GREW TO INCLUDE 29 LEADING NATIONAL ORGANIZATIONS, AND WE CONVENED THREE VIRTUAL MEETINGS OF THE COALITION. WE CONTINUE TO SEEK NEW MEMBERS WHO CAN HELP ADVANCE OUR BONE HEALTH POLICY AGENDA WITH THEIR MEMBERSHIP AND WITH CONGRESS. TOGETHER, WE ARE ADVOCATING TO CREATE POLICIES FOR HEALTHY, STRONG BONES AND HEALTHIER AGING. TWENTY-FIVE STATES TOOK STEPS THROUGH LEGISLATION AND EXECUTIVE ACTION TO TACKLE THE COSTLY AND GROWING PROBLEM OF OSTEOPOROSIS! THIS IS A RECORD NUMBER OF STATES PARTICIPATING IN THE ANNUAL CAMPAIGN. THE STATES PASSED, INTRODUCED LEGISLATION, OR MADE GUBERNATORIAL PROCLAMATIONS CALLING FOR ACTION TO RAISE AWARENESS AND DECLARE MAY 2025 AS OSTEOPOROSIS AWARENESS AND PREVENTION MONTH. BHOF TOGETHER WITH 21 OTHER LEADING PATIENT ADVOCACY AND PROFESSIONAL SOCIETIES, SUBMITTED FORMAL COMMENTS AND RECOMMENDATIONS TO CENTERS FOR MEDICARE & MEDICAID SERVICES FOR CONSIDERATION IN THE FINAL CALENDAR YEAR 2026 MEDICARE PHYSICIAN FEE SCHEDULE PROPOSED RULE. INCORPORATING THE RECOMMENDED CODES WOULD REPRESENT THE MOST SIGNIFICANT ADVANCEMENT IN BONE HEALTH POLICY IN DECADES, LEADING TO IMPROVED CARE, BETTER OUTCOMES, AND REDUCED COSTS FOR THE NEARLY TWO MILLION MEDICARE BENEFICIARIES AFFECTED. BHOF COLLABORATED WITH WOMEN IN GOVERNMENT TO PRESENT STRONG BONES HEALTH STATES: REDUCING MEDICAID COSTS THROUGH FRACTURE PREVENTION TO HOST A WEBINAR. THIS WEBINAR PROVIDED EXPERT INFORMATION ABOUT HOW STRENGTHENING BONE HEALTH SCREENING AND PRIORITIZING FRACTURE PREVENTION CAN REDUCE HOSPITALIZATIONS AND LONG-TERM CARE NEEDS, LOWER STATE MEDICAID COSTS AND DELIVER BETTER HEALTH OUTCOMES. STRONG VOICES FOR STRONG BONES - BHOF'S AMBASSADOR LEADERSHIP COUNCIL A BHOF AMBASSADOR IS A WELL-INFORMED, PASSIONATE, AND OFTEN PERSUASIVE INDIVIDUAL WHO CARES DEEPLY ABOUT THOSE WHO SUFFER FROM OSTEOPOROSIS. AMBASSADORS ARE ADEPT AT MAKING AN IMPACT AND SPARKING POSITIVE CHANGE IN THEIR FIELD, SECTOR, OR COMMUNITY. THE ROLE OF AN AMBASSADOR IS TO ADVISE BHOF LEADERSHIP, AND TO HELP MAKE INROADS IN THE MEDICAL, BUSINESS, AND PHILANTHROPIC SECTORS WITHIN THEIR COMMUNITIES. INVOLVEMENT IS TAILORED TO EACH AMBASSADOR'S AREA OF INTEREST, TIME CONSTRAINTS, AND EXPERTISE. WE CURRENTLY HAVE 185 MEMBERS WHO ASSIST US IN ADVOCACY, SERVE AS GUEST SPEAKERS ON WEBINARS FOR CONSUMERS, AND PROVIDE EXPERTISE IN PROGRAM DEVELOPMENT. IN ADDITION, WE CONTINUED TO UPDATE OUR MEMBERS THROUGH ACTIVITIES AND COMMUNICATIONS FOCUSED ON ADVOCACY, FUNDRAISING, AND EDUCATION. BHOF HELD ITS INAUGURAL AMBASSADOR LEADERSHIP COUNCIL ACADEMY, A NEW INITIATIVE TO ELEVATE THE POLICY AND MEDIA ENGAGEMENT OF KEY AMBASSADORS, IN WASHINGTON, DC. THIS INCLUDED ADVOCACY TRAINING WITH 10 ADVOCATES FROM CALIFORNIA, COLORADO, MARYLAND, MASSACHUSETTS, MISSOURI, AND NEW JERSEY. WE HELD 12 SENATE MEETINGS AND 6 CONGRESSIONAL REPRESENTATIVE MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF ADMINISTRATIVE OFFICER AND FINANCE CONSULTANT, AS WELL AS THE CHIEF EXECUTIVE OFFICER, REVIEW THE FEDERAL FORM 990 AS PREPARED BY THE INDEPENDENT AUDITORS TO DETERMINE IF THE INFORMATION PRESENTED IN THE FEDERAL FORM 990 IS IN AGREEMENT WITH INFORMATION ORIGINALLY PROVIDED TO THE INDEPENDENT AUDITORS. THE FOUNDATION AND AUDITORS DISCUSS ISSUES, IF ANY, BEFORE THE FEDERAL FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE. BOARD MEMBERS RECEIVE A COPY OF THE COMPLETED FORM 990 FOR REVIEW AND COMMENT BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD ANNUALLY REVIEWS THE CONFLICT OF INTEREST POLICY AND DISCLOSES ANY POTENTIAL CONFLICT OF INTEREST. ALL EMPLOYEES ARE ASKED TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE SIGNED DOCUMENTS ARE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND KEPT BY THE CHIEF ADMINISTRATIVE OFFICER. THE CONFLICT OF INTEREST POLICY IS ALWAYS TAKEN INTO CONSIDERATION WHEN THERE IS THE POTENTIAL FOR CONFLICT, PARTICULARLY WHEN SIGNING NEW CONTRACTS OR BEGINNING NEW RELATIONSHIPS. ANY POSSIBLE APPEARANCE OF CONFLICT OF INTEREST THAT ARISES IN THE COURSE OF BUSINESS IS RESEARCHED TO DETERMINE THE EXISTENCE OF A CONFLICT. IF A CONTRACT IS TO BE MADE WITH A RELATED PARTY, IT IS DISCLOSED TO THE BOARD AND A VOTE IS TAKEN IF THE FOUNDATION'S STAFF MEMBERS IDENTIFY A CONFLICT OF INTEREST. THE FOUNDATION'S CHIEF EXECUTIVE OFFICER AND ITS CHIEF ADMINISTRATIVE OFFICER SHARE THIS INFORMATION WITH THE EXECUTIVE COMMITTEE OF THE BOARD FOR ITS ACTION. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION SURVEYS FOR EMPLOYEES IN SIMILAR POSITIONS WITH SIMILAR RESPONSIBILITIES IN THE NOT-FOR-PROFIT INDUSTRY ARE USED AS BENCHMARKS FOR DETERMINING COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS DECIDED BY THE BOARD PRIVATELY. EACH YEAR, PRIOR TO THE MEETING WHEN THE COMPENSATION DECISIONS ARE MADE, THE CHAIRMAN OF THE BOARD REVIEWS COMPARABLE SALARIES IN THE NOT-FOR-PROFIT INDUSTRY AND SENDS OUT A PERFORMANCE REVIEW TO EACH BOARD MEMBER TO USE IN EVALUATING THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS ARE NOT MADE PUBLIC AS THE FOUNDATION BELIEVES THESE ARE PROPRIETARY IN NATURE. THE FOUNDATION'S AUDITED FINANCIAL STATEMENTS, FEDERAL FORM 990, WHISTLEBLOWER POLICY, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC ON THE FOUNDATION'S WEBSITE. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 564,842. MANAGEMENT AND GENERAL EXPENSES 26,198. FUNDRAISING EXPENSES 141,411. TOTAL EXPENSES 732,451. OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 304,582. MANAGEMENT AND GENERAL EXPENSES 14,126. FUNDRAISING EXPENSES 76,254. TOTAL EXPENSES 394,962. CAGING SERVICES: PROGRAM SERVICE EXPENSES 11,183. MANAGEMENT AND GENERAL EXPENSES 519. FUNDRAISING EXPENSES 2,800. TOTAL EXPENSES 14,502. FORM 990, PART XI, LINE 9: AMERICAN BONE HEALTH EDUCATION ASSETS 7,927. FORM 990, PART XII, LINE 2C: THE FINANCE AND AUDIT COMMITTEE HAS RESPONSIBILITY FOR THESE ITEMS. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.