2022-08-16T10:56:17-05:00 2021-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2021-01-01 363350532 BONE HEALTH AND OSTEOPOROSIS FOUNDATION BONE 7036473000 251 18TH STREET S 630 ARLINGTON VA 22202 CLAIRE GILL CHIEF EXECUTIVE OFFICER 7036473000 2022-08-16 1 CLAIRE GILL 999009999 ERIN CRANMER P01712644 2023319880 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X CLAIRE GILL 251 18TH STREET S 630 ARLINGTON VA 22202 4785992 0 X WWW.BONEHEALTHANDOSTEOPOROSIS.ORG X 1984 MO TO PREVENT OSTEOPOROSIS AND IMPROVE THE LIVES OF THOSE AFFECTED BY THE DISEASE. 12 12 6 20 0 0 2742849 3637158 49541 60668 154869 310529 401347 443219 3348606 4451574 2595 1845 0 0 833668 1021178 0 0 415942 2162775 2561522 2999038 3584545 349568 867029 6751089 8108231 1591581 1905772 5159508 6202459 X SEE SCHEDULE O. 0 0 406618 1845 PATIENT EDUCATION: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 1171344 43518 PROFESSIONAL EDUCATION: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 1119357 ADVOCACY: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 190464 22143 190464 22143 2887783 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 65 0 1 6 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 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 ROBERT F GAGEL MD CHAIRMAN 5.00 X X 0 0 0 KENNETH W LYLES MD PRESIDENT 5.00 X X 0 0 0 THOMAS F KOINIS MD VICE PRESIDENT 5.00 X X 0 0 0 JOAN M LAPPE PHD RN FAAN SECRETARY 5.00 X X 0 0 0 KATHLEEN SHOEMAKER PHARMD MBA CPHI TREASURER 5.00 X X 0 0 0 SALLY FULLMAN PHD TRUSTEE 5.00 X 0 0 0 BARBARA HANNAH GRUFFERMAN TRUSTEE 5.00 X 0 0 0 KAREN KEMMIS DPT TRUSTEE 5.00 X 0 0 0 CHARLES B LAWRENCE JR TRUSTEE 5.00 X 0 0 0 FREDERICK R SINGER MD TRUSTEE 5.00 X 0 0 0 JOSHUA WING MSN CRNS RNFA TRUSTEE 5.00 X 0 0 0 NICOLE WRIGHT PHD MPH TRUSTEE 5.00 X 0 0 0 CLAIRE GILL CHIEF EXECUTIVE OFFICER 37.50 X 290000 0 13023 DEBRA ERIKSON CHIEF ADMINISTRATIVE OFFIC 37.50 X 162957 0 20690 AMI PATEL DIRECTOR, PROFESSIONAL EDU 37.50 X 114015 0 11936 LISA TUMMINELLO SENIOR DIRECTOR, PATIENT EDUCATION 37.50 X 121690 0 19218 688662 0 64867 4 0 1 0 CONNECT 4 STRATEGIES LLC 6005 GLOSTER ROAD BETHESDA MD 20816 PROJECT SERVICES 215165 EXPONENTIAL CONSULTING LLC 18457 PARK MEADOW COURT LEESBURG VA 20175 STAFFING SERVICES 162176 BLACKBAUD PO BOX 844827 BOSTON MA 02284 CLOUD COMPUTING 141058 J&R GRAPHICS PO BOX 2671 FAIR LAWN NJ 07410 MAILHOUSE SERVICES 135691 REINECKE STRATEGIC SOLUTIONS INC 6107 RIDGE DRIVE BETHESDA MD 20816 PROJECT SERVICES 120000 6 74400 3562758 3637158 PUBLICATIONS & PROGRAM 900099 43518 43518 CONFERENCES & SEMINARS 900099 17150 17150 60668 218603 218603 438226 438226 421887 329961 91926 91926 91926 6377 4457 1920 1920 LIST RENTAL INCOME 900099 3073 3073 3073 4451574 65661 0 748755 X 1845 1845 486670 414893 29602 42175 426931 363964 25969 36998 14821 12636 901 1284 38418 32752 2337 3329 54338 46324 3305 4709 12268 9872 734 1662 36755 29575 2199 4981 23999 19311 1436 3252 25005 20121 1496 3388 1576760 1268755 94338 213667 12683 8208 1666 2809 177949 116370 28976 32603 221971 178611 13281 30079 182695 124037 46071 12587 3211 3131 61 19 49905 48664 944 297 2444 1667 608 169 42466 28831 10709 2926 HONORARIUM 72200 70405 1365 430 DUES & SUBSCRIPTIONS 42870 27744 5631 9495 BANK SERVICE FEES 17315 12572 3312 1431 PUBLICATIONS 14199 9189 1865 3145 46827 38306 4014 4507 3584545 2887783 280820 415942 X 102439 26061 19230 57148 126526 3741 2668026 3709625 129276 30497 82039 77583 68004 92117 108574 103423 6977 5151 3670241 4189517 6751089 8108231 302195 400263 1152832 1382114 136554 123395 1591581 1905772 X 3863141 4821021 1296367 1381438 5159508 6202459 6751089 8108231 X 867029 175920 2 X X 0 1 X 1 0 X 3772499 3416385 2864073 2742849 3637158 16432964 3772499 3416385 2864073 2742849 3637158 16432964 4707926 11725038 432120 572794 492863 519257 656829 2673863 23680 7152 4729 3073 38634 19145461 950500 0.61240 0.62500 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: LIST RENTAL INCOME - 2018 AMOUNT: $ 6,328. 2019 AMOUNT: $ 5,823. 2020 AMOUNT: $ 3,389. 2021 AMOUNT: $ 3,073. MISCELLANEOUS - 2018 AMOUNT: $ 17,352. 2019 AMOUNT: $ 1,329. 2020 AMOUNT: $ 1,340. 2021 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24000 24000 3976487 4000487 350024 87506 0 0 359656 329342 281899 350024 1320921 1981382 168000 66000 17619 24000 275619 89914 82336 70475 87506 330231 495347 66000 60000 17619 24000 167619 0 180012 88069 268081 180012 3160 3160 180012 180012 6137 6137 180012 180012 1247 1247 180012 180012 3991 3991 180012 1.00000 1 0 31956 26805 5151 76618 76618 0 5151 DEFERRED RENT 123395 123395 X 4620692 175920 13746 189666 4431026 25005 -4457 20548 4451574 3577743 13746 4457 18203 3559540 25005 25005 3584545 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, 2021, THE STATUTE OF LIMITATION FOR TAX YEARS 2018 THROUGH 2020 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 -4,457. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD INCLUDED ON PART VIII 4,457. REVERSAL OF GRANT EXPENSES PART V, LINE 4: THE SHOU MEI HU - CECILIA 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 THE RESTRICTED INCOME IS FOR MEDICAL RESEARCH REGARDING BONE HEALTH AND BONE RESEARCH GRANTS. 1 X X X 0 0 0 0 0 0 0 0 0 CLAIRE GILL CHIEF EXECUTIVE OFFICER 275000 0 15000 0 0 0 10577 0 2446 0 303023 0 0 0 DEBRA ERIKSON CHIEF ADMINISTRATIVE OFFIC 161957 0 1000 0 0 0 6800 0 13890 0 183647 0 0 0 FORM 990, PART III, LINE 1 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. FORM 990, PART III, LINE 4A PATIENT EDUCATION: BHOF PROVIDES PATIENTS AND CAREGIVERS WITH THE LATEST ON OSTEOPOROSIS PREVENTION, TREATMENT, AND DETECTION BY OFFERING MYRIAD RESOURCES. SUPPORT GROUPS WITH OUR BUILDING STRENGTH TOGETHER SUPPORT GROUP PROGRAM AS ONE OF BHOF'S MOST IMPORTANT ASSETS, IN 2021 WE CONTINUED OUR EFFORTS TO IDENTIFY HOW WE CAN BETTER ASSIST WITH PATIENT/CAREGIVER NEEDS. SINCE ALL SUPPORT GROUPS HAVE BEEN MEETING VIRTUALLY DUE TO COVID-19, WE DEVELOPED BI-MONTHLY, EDUCATIONAL CURRICULUMS OFFERING SUPPORT GROUP LEADERS TIMELY, SEASONAL INFORMATION ABOUT NUTRITION, EXERCISE, FALLS PREVENTION, AND OTHER LIFESTYLE PRACTICES THAT THEY CAN SHARE WITH THEIR MEMBERS. THESE DYNAMIC GROUPS HELD STEADY DURING 2021 WITH 24 ORGANIZATIONS NATIONWIDE. BHOF'S ONLINE COMMUNITY HOSTED BY INSPIRE BHOF'S ONLINE COMMUNITY CONTINUES TO BE A SAFE, VIRTUAL SPACE WHERE PATIENTS AND CAREGIVERS AFFECTED BY OSTEOPOROSIS COME TOGETHER TO SHARE HELPFUL ADVICE AND SUPPORT ONE ANOTHER. WE WERE PLEASED TO SEE COMMUNITY MEMBERSHIP GROW ON AN ANNUAL BASIS. IN 2021, THE ONLINE COMMUNITY INCREASED TO NEARLY 78,000. HEALTHY BONES, BUILD THEM FOR LIFE PATIENT REGISTRY A FIRST OF ITS KIND TOOL IN THE OSTEOPOROSIS FIELD, THE HEALTHY BONES, BUILD THEM FOR LIFE PATIENT REGISTRY SURVEYS PATIENTS AND CAREGIVERS ABOUT HOW OSTEOPOROSIS AND OSTEOPENIA IMPACT THEIR LIVES. THIS PATIENT-REPORTED INFORMATION IS COLLECTED ANONYMOUSLY, COMBINED, AND ANALYZED BY BHOF TO MAP THE PATIENT JOURNEY AND IDENTIFY WHAT PATIENTS NEED AND WANT MOST. PEOPLE LIVING WITH AND AFFECTED BY ALL STAGES OF OSTEOPOROSIS ARE INVITED TO PARTICIPATE IN THE HEALTHY BONES, BUILD THEM FOR LIFE PATIENT REGISTRY BY COMPLETING REGULAR, ONGOING SURVEYS. TO DATE, BHOF HAS RECEIVED MORE THAN 1,100 SURVEY RESPONSES AND HAS LEARNED MANY USEFUL INSIGHTS TO HELP US UNDERSTAND THE PATIENT JOURNEY. THE OVERWHELMING MAJORITY OF RESPONDENTS ARE PATIENTS (98%); CAREGIVERS MAKE UP THE REMAINING 2%. SEEKING FUNDING FOR ADDITIONAL SURVEYS IN 2022 WILL BE A KEY PRIORITY AS WE WORK TO CONTINUE COLLECTING INVALUABLE PATIENT INFORMATION AND FEEDBACK. NATIONAL OSTEOPOROSIS MONTH TO COMMEMORATE NATIONAL OSTEOPOROSIS MONTH, BHOF DEVELOPED A VARIETY OF MATERIALS SHOWCASING SIMPLE STEPS TO PROMOTE GOOD BONE HEALTH. A CORNERSTONE OF THE INITIATIVE WAS BHOF'S DIGITAL CALENDAR, WHICH FEATURED 31 DAYS OF USEFUL "TO-DOS" TO HELP KEEP BONES STRONG AND RAISE AWARENESS ABOUT OSTEOPOROSIS. ADDITIONAL RESOURCES INCLUDED A USER-FRIENDLY SOCIAL MEDIA TOOLKIT, THE OPPORTUNITY TO ATTEND AN EXERCISE-FOCUSED WEBINAR AND AN INSPIRING PODCAST. SOCIAL MEDIA OUTREACH AND WEBSITE DATA WAS ALSO STRONG. THE SOCIAL MEDIA POSTS SUPPORTING THE CALENDAR WERE THE MOST POPULAR, GARNERING SEVERAL THOUSAND VIEWS AND SHARES. OTHER SUPPORTING MATERIALS AND GRAPHICS WERE ALSO SHARED WIDELY. POSTS WITH THE HIGHEST ENGAGEMENT AND WITH A CONSISTENT REACH OF MORE THAN 1,000 INCLUDED THOSE THAT HIGHLIGHTED AN OSTEOPOROSIS FACT OR STATISTIC. THIS INFORMATION ALONG WITH IMAGES WERE INCLUDED IN THE TOOLKIT. IN ADDITION, DURING MAY, TRAFFIC TO THE WEBSITE RESULTED IN MORE THAN A 40% INCREASE IN USERS AND 59% INCREASE IN PAGEVIEWS IN COMPARISON TO FY2020. FORM 990, PART III, LINE 4B PROFESSIONAL EDUCATION: THROUGH BHOF'S PROFESSIONAL LEARNING CENTER, MORE THAN 1,600 CONTINUING EDUCATION CREDITS WERE AWARDED TO OVER 250 LEARNERS. WE CURRENTLY OFFER MORE THAN 45 ACTIVITIES THAT CAN BE CLAIMED FOR OVER 40 CONTINUING MEDICAL EDUCATION CREDITS. HEALTHY BONES: HEALTHY COMMUNITIES LAUNCHED IN 2019, THE HEALTHY BONES: HEALTHY COMMUNITIES TRAINING PROGRAM ENGAGES A NATIONAL MEDICAL COHORT FOCUSED ON OSTEOPOROSIS AND HEALTHY BONES, TARGETING THE EDUCATIONAL AND SUPPORT NEEDS OF FAMILY PHYSICIANS, INTERNISTS, AND ADVANCED PRACTICE PROVIDERS. THE CONTENT FOCUSES ON EVERYTHING FROM BASIC BONE BIOLOGY TO OSTEOPOROSIS EPIDEMIOLOGY, DIAGNOSIS, AND MANAGEMENT. THROUGH THE PROGRAM, WE ARE RE-TRAINING FAMILY PRACTICE, INTERNAL MEDICINE, AND OBSTETRICS/GYNECOLOGY PROVIDERS IN EACH COMMUNITY TO BECOME BONE HEALTH EXPERTS AND TO SERVE AS A RESOURCE FOR OTHER LOCAL CLINICIANS. IN 2021, WE HOSTED A SUCCESSFUL PROGRAM IN PITTSBURGH, PA, AND WILL RESUME IN 2022 WITH THREE MORE TRAINING SITES. IN ADDITION, PARTICIPANTS AT EACH PROGRAM SITE ARE WORKING ON AN ONGOING PROJECT TOGETHER TO RAISE AWARENESS ABOUT BONE HEALTH AND OSTEOPOROSIS AND IMPROVE PATIENT CARE. WOMEN'S BONE HEALTH COURSES FOR NURSE PRACTITIONERS BONE HEALTH & OSTEOPOROSIS FOUNDATION IN PARTNERSHIP WITH NURSE PRACTITIONERS IN WOMEN'S HEALTH (NPWH) HOSTED FOUR WEBINARS TARGETED TO NURSE PRACTITIONERS THAT OFFERS IN-DEPTH REVIEWS OF WOMEN'S BONE HEALTH ISSUES. IN ADDITION, NPWH IS ADDING A NEW BONE HEALTH SECTION TO ITS FREE, DOWNLOADABLE WELL WOMAN APP USED BY ITS MEMBERS. BHOF EXPERTS PROVIDED THE CONTENT FOR THIS NEW SECTION OF THE APP. INTERDISCIPLINARY SYMPOSIUM ON OSTEOPOROSIS (ISO2021) THE INTERDISCIPLINARY SYMPOSIUM ON OSTEOPOROSIS (ISO2021) WAS HELD VIRTUALLY FROM MAY 12-14, 2021. THE FLS BASIC AND ADVANCED TRAINING WORKSHOP WAS HOSTED ON MAY 15, 2021. ISO2021 OFFERED EDUCATIONAL SESSIONS TO BENEFIT THOSE IN THE MANY MEDICAL DISCIPLINES AND SPECIALTIES WHO WORK WITH PATIENTS WHO HAVE AND/OR ARE AT RISK FOR OSTEOPOROSIS AND FRACTURES. LED BY EXPERT FACULTY, THE INTERACTIVE SESSIONS FOCUSED ON ALL AREAS OF BONE HEALTH ASSESSMENT, OSTEOPOROSIS DIAGNOSIS AND PATIENT MANAGEMENT, EXERCISE, NUTRITION, AND POST-FRACTURE CARE AS WELL AS OTHER SPECIALTY TOPICS. FORM 990, PART III, LINE 4C ADVOCACY: BHOF STRIVES TO HIGHLIGHT THE OSTEOPOROSIS CRISIS IN EFFORTS TO RECEIVE PUBLIC POLICY ATTENTION THROUGH VARIOUS EFFORTS. FRACTURE PREVENTION COALITION UPDATE THROUGHOUT 2021, BHOF CONTINUED WORKING AS A MEMBER OF THE FRACTURE PREVENTION COALITION (FPC). BHOF AND HUNDREDS OF PHYSICIAN GROUPS, COMPANIES, AND ADVOCACY GROUPS ALL UNITE AS THE FRACTURE PREVENTION COALITION AND WORK TO PASS LEGISLATION TO IMPROVE ACCESS TO BONE DENSITY (DXA) TESTING. WE EXTEND SPECIAL THANKS TO HOLOGIC AND AMGEN FOR THEIR CONTINUED SPONSORSHIP OF OUR FPC ACTIVITIES, WHICH INCLUDED WEEKLY COALITION CALLS AND MAINTENANCE OF THE DATABASE OF ACTIVE, GRASSROOTS CONSTITUENTS WHO ARE COMMITTED TO IMPROVING ACCESS TO BONE DENSITY TESTING FOR ALL AMERICANS. IN ADDITION, THE FPC WAS VERY SUPPORTIVE OF NATIONAL OSTEOPOROSIS MONTH AND DISTRIBUTED OUR MATERIALS/RESOURCES TO HUNDREDS OF HILL STAFFERS THROUGHOUT MAY. 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 CAREGIVERS. THIS YEAR, OUR COALITION TO STRENGTHEN BONE HEALTH MEMBERSHIP GREW TO INCLUDE 17 LEADING NATIONAL ORGANIZATIONS, AND WE CONVENED TWO VIRTUAL MEETINGS OF THE COALITION. TOGETHER, WE ARE ADVOCATING TO CREATE POLICIES FOR HEALTHY, STRONG BONES AND HEALTHIER AGING. BHOF AND ASBMR CREATED A WHITE PAPER OUTLINING A POST-FRACTURE CARE REIMBURSEMENT MODEL BASED ON THE MODEL USED FOR OPIOID USAGE DISORDERS. THE PAPER WAS CIRCULATED TO RECEIVE ENDORSEMENTS FROM OTHER ORGANIZATIONS (13 RECEIVED) AND WAS SUBMITTED TO CMS FOR CONSIDERATION OF A NEW REIMBURSEMENT CODE FOR POST-FRACTURE CARE. BHOF AND OTHER STAKEHOLDERS MET WITH CMS STAFF MULTIPLE TIMES TO EXPLAIN THE RATIONALE AND FORMAT FOR THIS NEW REIMBURSEMENT MODEL. BHOF ALSO WORKED WITH THE INDEPENDENT ACTUARIAL FIRM MILLIMAN TO ANALYZE THE STATE-BY-STATE ECONOMIC AND CLINICAL IMPACT OF OSTEOPOROTIC FRACTURES SUFFERED BY AMERICANS INSURED BY MEDICARE. THE REPORTS WERE RELEASED IN MARCH 2021 AND PROVIDE THE FIRST OF ITS KIND DETAILED STATE-LEVEL REVIEW OF THE INCIDENCE OF OSTEOPOROTIC FRACTURES, THEIR HEALTH CARE IMPACT AND ASSOCIATED MEDICARE COSTS. THE REPORT, SUPPLEMENT, INFOGRAPHIC, RECORDING, KEY FINDINGS DOCUMENT, AND MAP TO INDIVIDUAL STATE REPORTS CAN BE FOUND ON THE NATIONAL BONE HEALTH POLICY INSTITUTE WEBSITE: HTTPS://WWW.BONEHEALTHPOLICYINSTITUTE.ORG/STATE-REPORTS-2021. THE AMBASSADORS LEADERSHIP COUNCIL A BHOF AMBASSADOR IS A WELL-INFORMED, PASSIONATE, AND OFTEN PERSUASIVE INDIVIDUAL WHO CARES DEEPLY ABOUT THOSE WHO SUFFER FROM OSTEOPOROSIS. OUR AMBASSADORS ARE ADEPT AT MAKING AN IMPACT AND SPARKING POSITIVE CHANGE IN THEIR FIELD, SECTOR, OR COMMUNITY. WE ADDED 15 AMBASSADORS IN 2021, BRINGING OUR CURRENT TOTAL TO 180 MEMBERS. IN ADDITION, WE CONTINUED TO UPDATE OUR ALC MEMBER RESOURCES/MATERIALS AND DRAFTED AND DISTRIBUTED BI-MONTHLY EMAIL UPDATES FOCUSED ON ADVOCACY, FUNDRAISING AND EDUCATION. ALC MEMBERS WERE ALSO TAPPED TO RESPOND TO SPECIFIC POLICY AND MEDIA REQUESTS, INCLUDING ACCESS TO PATIENT CARE VIA TELEMEDICINE DURING THE COVID-19 PANDEMIC. 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 IDEPENDENT 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 15 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 DECISION IS 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 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 1,068,104. MANAGEMENT AND GENERAL EXPENSES 79,419. FUNDRAISING EXPENSES 179,876. TOTAL EXPENSES 1,327,399. OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 200,651. MANAGEMENT AND GENERAL EXPENSES 14,919. FUNDRAISING EXPENSES 33,791. TOTAL EXPENSES 249,361. FORM 990, PART XI, LINE 9: ROUNDING 2. FORM 990, PART XII, LINE 2C THE FINANCE AND AUDIT COMMITTEE HAS RESPONSBILITY FOR THESE ITEMS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.