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CHARITY REVIEW
Issued: August 2026 Expires: August 2028

Bone Health and Osteoporosis Foundation

Standards Not Met
Standards Not Met
6 7 14
(800) 231-4222
251 18th Street South, Suite 630
Arlington, VA, 22202
https://www.bonehealthandosteoporosis.org/
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Standards For Charity Accountability

Governance

  1. Board Oversight
  2. Board Size
  3. Board Meetings
  4. Board Compensation
  5. Conflict of Interest

Measuring Effectiveness

  1. Effectiveness Policy
  2. Effectiveness Report

Finances

  1. Program Expenses
  2. Fundraising Expenses
  3. Accumulating Funds
  4. Audit Report
  5. Detailed Expense Breakdown
  6. Accurate Expense Reporting
  7. Budget Plan

Fundraising & Info

  1. Truthful Materials
  2. Annual Report
  3. Website Disclosures
  4. Donor Privacy
  5. Cause Marketing Disclosures
  6. Complaints

Bone Health and Osteoporosis Foundation does not meet the following 3 Standards for Charity Accountability:

Standard 6 (Board Policy on Effectiveness)
Have a board policy of assessing, no less than every two years, the organization's performance and effectiveness and of determining future actions required to achieve its mission.

BHOF does not meet this Standard because:

  • Its effectiveness assessment policy does not specify that this assessment will take place at least once Every 2 Years.

Standard 7 (Board Approval of Written Report on Effectiveness)
Submit to the organization's governing body, for its approval, a written report that outlines the results of the aforementioned performance and effectiveness assessment and recommendations for future actions.

BHOF does not meet this Standard because:

  • Although it has produced a written effectiveness assessment report based on its December 2024 effectiveness assessment, the report did not include recommendations for future actions.

Standard 14 (Budget)
Have a board-approved annual budget for its current fiscal year, outlining projected expenses for major program activities, fund raising, and administration.

BHOF does not meet this Standard because, when the organization provided 2026 budget information, it indicated that the budget:

  • Did not identify total projected fundraising expenses.
  • Did not identify total projected administrative expenses.
  • Did not break down program expenses by each major program (professional education, patient education, advocacy, communiations, research, membership, and Pagel's).

Bone Health and Osteoporosis Foundation meets the remaining 17 Standards for Charity Accountability.

Stated Purpose:
"to promote strong bones for life, prevent and treat osteoporosis and fractures, and optimize mobility and lifespan following fractures through programs of public and clinician awareness, education, advocacy, and research."

Year, State Incorporated:
1984, MO

Bone Health and Osteoporosis Foundation (BHOF) is committed to ongoing research and a myriad of collaborations with other health organizations with the goal of making a difference for patients, care partners, and families affected by osteoporosis. The organization reports that it helps protect Americans from the effects of bone loss and fractures through information, platforms, advocacy, and resources, while promoting lifestyle habits that will ensure strong bones for life.

For the year ended December 31, 2025, Bone Health and Osteoporosis Foundation's program expenses were:

Professional education $923,829
Advocacy $838,634
Patient education $767,436
Communications $166,792
Membership $99,219
Research $45,768
Paget's $17,250
Total Program Expenses $2,858,928

Chief Executive
Claire Gill, Chief Executive Officer

Compensation*
$340,050

Chair of the Board
Kathleen Shoemaker

Chair's Profession / Business Affiliation
Retired, Senior Director Strategic Alliances, Premier Inc.

Board Size
16

Paid Staff Size
8

*2024 compensation includes annual salary and, if applicable, benefit plans, expense accounts, and other allowances.

Method(s) Used:
Direct mail appeals, Invitations to fund raising events, Grant proposals, Internet, Planned giving arrangements, Membership appeals

BHOF incurred joint costs of $67,667 for informational materials and activities that included fund raising materials. Of those costs $38,491 was allocated to fundraising, $19,055 was allocated to administrative expenses, and $10,121 was allocated to program expenses.

Fundraising costs were 29% of related contributions. (Related contributions, which totaled $3,108,645, are donations received as a result of fundraising activities.)

This organization is tax-exempt under section 501(c)(3) of the Internal Revenue Code. It is eligible to receive contributions deductible as charitable donations for federal income tax purposes.

The following information is based on Bone Health and Osteoporosis Foundation's audited financial statements for the year ended December 31, 2025.

Source of Funds
Grants and contributions $2,509,336
Legacies and bequests $592,762
Investment income, net $484,297
Royalties and consulting income $257,191
Other income $145,630
Membership dues $82,725
Publication sales $61,928
Subscriptions income $15,000
In-kind contributions $6,547
Total Income $4,155,416

Programs: 69% Fundraising: 22% Administrative: 9%

Total Income $4,155,416
Total expenses: $4,134,020
  Program expenses $2,858,928
  Fundraising expenses $891,983
  Administrative expenses $383,109
  Other expenses $0
Income in Excess of Expenses $21,396
Beginning Net Assets $5,543,249
Other Changes In Net Assets $7,923
Ending Net Assets $5,572,568
Total Liabilities $1,536,140
Total Assets $7,108,708

Note 1: For the year ended December 31, 2025, BHOF reported in-kind service donations totaling $6,547. 

Note 2: In the above finanical section, "other changes in net assets" represents American Bone Health education assets.

An organization may change its practices at any time without notice. A copy of this report has been shared with the organization prior to publication. It is not intended to recommend or deprecate, and is furnished solely to assist you in exercising your own judgment. If the report is about a charity and states the charity meets or does not meet the Standards for Charity Accountability, it reflects the results of an evaluation of information and materials provided voluntarily by the charity. The name Better Business Bureau is a registered service mark of the International Association of Better Business Bureaus.

This report is not to be used for fundraising or promotional purposes.

RELATED CONTENT

Report completed by:
BBB Wise Giving Alliance