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Bone Health and Osteoporosis Foundation

CharityWatch report issued
March 2019

CharityWatch Grade
Update in Progress
This charity's rating is currently being updated by our staff.

Contact Information

Bone Health and Osteoporosis Foundation
251 18th Street South
Suite 630
Arlington, VA 22202-3528

Other Names

National Osteoporosis Foundation–(formerly)

Tax Status


Stated Mission

Dedicated to preventing osteoporosis & broken bones, promoting strong bones for life, and reducing human suffering through programs of public & clinician awareness, education, advocacy, and research.

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Data based on Fiscal Year Ended 12/31/2017

Update in Progress

This charity's rating is currently being updated by our staff.

Governance & Transparency

CharityWatch evaluates certain criteria related to a charity's Governance and Transparency. Donors may want to consider a charity's willingness to be open and transparent with CharityWatch to be a good litmus test for determining its commitment to public accountability.
Bone Health and Osteoporosis Foundation
meets governance benchmarks.
Bone Health and Osteoporosis Foundation
does not meet transparency benchmarks.
Provides Financial Information
Audit Accessibility
Governance: Policies
Reports regularly & consistently monitoring & enforcing compliance with a written Conflict of Interest Policy
Reports required, annual disclosure by officers, directors, and key staff of interests that could give rise to conflicts
Reports having a written Whistleblower Policy
Reports having a written Document Retention and Destruction Policy
Governance: Financials
Reports providing copy of tax form to all board members prior to filing it with IRS
Reports that financial statements were audited by an independent accountant
Governance: Board of Directors
Reports at least 5 voting board members
51% or more of voting board members reported as independent
Reports documenting minutes of board and board committee meetings
Privacy Policy
Privacy Policy

  Name Title Compensation
1 Amy Porter Past CEO $336,769
2 Claire Gill Senior Director, Marketing $206,959
3 Debbie Zeldow Executive Director, NBHA $164,280
Name: Amy Porter
Title: Past CEO
Compensation: $336,769
Name: Claire Gill
Title: Senior Director, Marketing
Compensation: $206,959
Name: Debbie Zeldow
Title: Executive Director, NBHA
Compensation: $164,280

CharityWatch Analysts perform an in-depth analysis of charities' audited financial statements and IRS tax filings, and often review other documents such as state filings, annual reports, and fundraising contracts during their evaluations. Below are select notes that CharityWatch believes may be of interest to donors.

The National Osteoporosis Foundation changed its name to the Bone Health and Osteoporosis Foundation (BHOF), according to an October 20, 2021 press release by the organization.

The CEO of BHOF, Claire Gill, is quoted in the press release as saying: "The renaming of our organization is a direct reflection of our renewed emphasis on prevention and prioritization of bone health at all stages of life." More information is available in the press release.

CharityWatch is unable to provide a letter grade rating of National Osteoporosis Foundation (NOF) at this time. NOF has failed to respond to CharityWatch's inquiries about its fiscal 2017 reporting of program expenses that may include fundraising activities. For this reason, we have issued NOF a "?" rating for its fiscal year-ended 12/31/2017.

Due to similar questions about NOF's financial reporting in fiscal 2015, CharityWatch previously assigned NOF a "?" for that year. CharityWatch's most recent letter grade rating of NOF was for fiscal 2013, for which NOF earned a "D" rating for spending 57% of its budget on programs and $57 to raise each $100 of contributions.

CharityWatch sent an inquiry to NOF's CEO, Elizabeth Thompson, in November of 2018 asking her to explain certain variances in NOF's financial reporting for fiscal years 2013 to 2017. NOF's Finance Advisor, Jim Wilmans, responded to CharityWatch's inquiry the following month. CharityWatch was satisfied with NOF's responses to two of our three questions. NOF's response to one question, however, did not provide sufficient information that would allow CharityWatch to complete a meaningful evaluation of NOF's fiscal 2017 financial activities. CharityWatch sent another inquiry in December of 2018 to request this information a second time. In this inquiry, we asked the following:

"In order for CharityWatch to conduct a meaningful evaluation of NOF's financial activities, we need to gain a better understanding of the types and amounts of expenses included in the following line items on NOF's 2017 Form 990 Statement of Functional Expenses: line 11g (Other Fees for Services), line 24b (Caging Service), line 24c (Printing), and line 24e (All Other Expenses). More specifically:

"1. The $866,515 reported on line 11g, Other Fees for Services represents 20.5% of NOF's reported Total Expenses on line 25; the $655,725 portion allocated to Program Services is 19.5% of NOF's line 25 Total Program Expenses. The required listing of the line 11g expenses NOF reported on 990, Schedule O provides no further detail concerning these Other Fees for Services, instead breaking them into the vague categories of 'Consulting Expenses' and 'Other Contractual Services.'

"(a) Please provide CharityWatch with an itemization of the specific types of 'consulting' and 'contractual services' that account for the $866,515 reported on line 11g, Other Fees for Services, including the dollar amounts for each type of service provided, allocated by function (i.e., Program Services, M&G, and Fundraising).

"(b) Please also indicate what dollar amount portions detailed in #1(a), if any, are included in the Joint Costs reported on line 26 for each of the functional expense categories."

In this inquiry, CharityWatch also asked NOF similar questions about the charity's Form 990 Statement of Functional Expenses reporting of: $412,250 in "All Other Expenses" (line 24e); $159,356 in "Caging Service" (line 24b); and $93,304 in "Printing" (line 24c).

When CharityWatch did not receive a response from NOF in December of 2018, we sent a follow up inquiry in mid-January of 2019. As of March 4, 2019, NOF has not responded to CharityWatch's questions. If NOF responds to CharityWatch's questions at a future date, we can update NOF's rating at that time.
According to the National Osteoporosis Foundation audit of December 31, 2017 (Note 12, Commitments and Contingencies, Employment Commitment):

"The Foundation has entered into an employment agreement under which the terms of the contract, the Foundation could be required to pay severance of up to $300,000 if the Foundation were to terminate the individual's employment under certain circumstances."
According to the National Osteoporosis Foundation audit of December 31, 2017 (Note 11, Business Combination With Pagets Disease Foundation):

"... [O]n February 16, 2017 the Foundation combined with the Pagets Disease Foundation, a Virginia nonstock corporation. The fair value of the assets and liabilities received or assumed, respectively, at the combination date are as follows:" cash of $253,026, liabilities of $0, and net assets received of $253,026.
CharityWatch is unable to provide a letter grade rating of National Osteoporosis Foundation (NOF) at this time due to the charity's failure to respond to CharityWatch's inquiries about its reporting of fundraising expenses. For this reason, we have issued NOF a "?" rating for its fiscal year-ended 12/31/2015.

Based on CharityWatch's analysis of NOF's 12/31/2013 tax filing and audited financial statements, CharityWatch issued NOF a "D" rating for spending $57 to raise each $100 of cash contributions, and for spending 57% of its cash budget on programs.

CharityWatch sent inquiries to NOF's Director of Finance via email on 12/1/2016, and again via U.S. mail on 1/12/2017, and has not received a response as of the date of this update on 2/24/17. If NOF responds to CharityWatch's questions at a future date, we will update NOF's rating at that time.

CharityWatch inquired with NOF about its reporting of special events contributions and expenses, if any. For example, we asked whether or not the $98,126 of "Catering and Facility" expenses it reported in its 2015 tax filing were related to special events, and if so, why they were not reported on lines 8a through 8c of the Statement of Revenue as they had been in prior years.

NOF's fundraising efficiency in 2015 and 2014 improved significantly compared to 2013, based on the face value of its tax form reporting. Prior to updating our rating of NOF for 2015, CharityWatch must make a judgment as to whether NOF's improved fundraising efficiency is due to an actual improvement in fundraising efficiency, or rather simply a change in how NOF chooses to report its expenses. To this end, we asked NOF to respond to the following questions:

1. Please provide a brief explanation for NOF's improved fundraising efficiency ratio in 2015 (and 2014) compared to 2013.

2. Please indicate whether any of the following line items in NOF's 2015 Form 990 Statement of Functional Expenses include Printing, Mailing, Processing, Caging, Consulting, or Other Expenses related to soliciting contributions: (line 11g (Other Fees for Services); line 24a (Printing); line 24d (Caging Service); or line 24e (All Other Expenses).

a. If any of the listed line items from #2 above do include expenses related to soliciting contributions, for each line item please provide an expense breakout by dollar amount, function (i.e., program services, M&G and fundraising), and natural classification.

b. For each of the line item expense breakouts provided for #2a above, please also indicate which line items specifically are included in the dollar amounts reported on line 26 as an allocation of Joint Costs for each of the three functions.

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