2019-05-17T14:29:48-05:00 2018-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2018-01-01 363350532 NATIONAL OSTEOPOROSIS FOUNDATION NATI 7036473000 251 18TH STREET S NO 630 ARLINGTON VA 22202 ELIZABETH THOMPSON CHIEF EXECUTIVE OFFICER 7036473000 2019-05-17 1 SCOTT E HALLBERG CPA P01081188 2023319880 38.100.43.98 2019-05-17 15:29:29 ED P 099BB351ED5C43DB8E4A0DD96B056B1430213725 2D5B0BD3402E39B7C704900C7FC251DEED649B44 2018 2019-02-21 02:37:17Z ELIZABETH THOMPSON 251 18TH STREET S NO 630 ARLINGTON VA 22202 4732328 0 X WWW.NOF.ORG X 1984 MO TO PREVENT OSTEOPOROSIS AND IMPROVE THE LIVES OF THOSE AFFECTED BY THE DISEASE. 21 20 12 25 0 2031 3772499 3416385 352183 509760 44666 182604 519393 437944 4688741 4546693 0 0 0 0 1494697 1503215 5908 2583 788488 2728980 2643603 4229585 4149401 459156 397292 5493997 6956355 427495 1905073 5066502 5051282 X SEE SCHEDULE O. 0 0 1050055 427523 PROFESSIONAL EDUCATION: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 620419 PATIENT EDUCATION: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 496886 82879 ADVOCACY: SEE SCHEDULE O FOR FULL STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 802616 23680 802616 23680 2969976 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 39 0 1 12 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 20 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 X DEBRA ERIKSON 7036473000 251 18TH STREET S 630 ARLINGTON VA 22202 JUDY A BLACK CHAIRMAN 5.00 X X 0 0 0 SUSAN GREENSPAN MD PRESIDENT 5.00 X X 0 0 0 E MICHAEL LEWIECKI MD FACP FACE VICE PRESIDENT 5.00 X X 0 0 0 BARBARA HANNAH GRUFFERMAN SECRETARY, INTERIM TREASURER 5.00 X X 0 0 0 C BERDON LAWRENCE TRUSTEE 5.00 X 0 0 0 ROBERT F GAGEL MD TRUSTEE 5.00 X 0 0 0 ANDREA SINGER MD CHIEF MEDICAL OFFICER 5.00 X X 0 0 0 SUSAN BUKATA MD TRUSTEE 5.00 X 0 0 0 BLAIR CHILDS TRUSTEE 5.00 X 0 0 0 MICHAEL COOK JD TRUSTEE 5.00 X 0 0 0 KARL INSOGNA MD TRUSTEE 5.00 X 0 0 0 DAVID L KIM TRUSTEE 5.00 X 0 0 0 THOMAS F KOINIS MD TRUSTEE 5.00 X 0 0 0 JOAN M LAPPE PHD RN FAAN TRUSTEE 5.00 X 0 0 0 MERYL S LEBOFF MD TRUSTEE 5.00 X 0 0 0 KENNETH W LYLES MD TRUSTEE 5.00 X 0 0 0 MARY OATES MD TRUSTEE 5.00 X 0 0 0 FREDERICK R SINGER MD TRUSTEE 5.00 X 0 0 0 ETHEL S SIRIS MD TRUSTEE 5.00 X 0 0 0 FELICIA COSMAN MD EDITOR-IN-CHIEF, OSTEOPOROSIS INTERNATIONAL 5.00 X 0 0 0 ELIZABETH THOMPSON CHIEF EXECUTIVE OFFICER 37.50 X X 290513 0 21389 CLAIRE GILL CHIEF MISSION OFFICER 37.50 X 196084 0 17236 DEBBIE ZELDOW EXECUTIVE DIRECTOR, NBHA 37.50 X 167938 0 6194 DEBRA ERIKSON CHIEF ADMINISTRATIVE OFFICER 37.50 X 141872 0 17900 CHRISTINE DOCKTER CHIEF DEVELOPMENT OFFICER 30.00 X 115236 0 14643 911643 0 77362 5 0 1 0 SUNTRUST BANK PO BOX 791250 BALTIMORE MD 21279 CREDIT CARD SERVICES 207718 NEW ORLEANS MARRIOTT 555 CANAL STREET NEW ORLEANS LA 70130 EVENT SERVICES 171684 EXPONENTIAL CONSULTING LLC 18457 PARK MEADOW COURT LEESBURG VA 20175 STAFFING SERVICES 158829 MAILING SERVICES OF VIRGINIA PO BOX 7664 CHARLOTTESVILLE VA 22906 PRODUCT/INVENTORY SERVICES 129710 WILMINGTON TRUST COMPANY 1100 N MARKET STREET WILMINGTON DE 19890 INVESTMENT SERVICES 116292 5 103296 3313089 3416385 CONFERENCES & SEMINARS 900099 427523 427523 PUBLICATIONS & PROGRAM 900099 82237 82237 509760 159172 159172 413622 413622 199078 175646 23432 23432 23432 10631 9989 642 642 LIST RENTAL INCOME 900099 6328 6328 17352 17352 23680 4546693 534082 0 596226 X 520222 345346 45467 129409 829990 550983 72540 206467 15520 10303 1356 3861 68715 45616 6006 17093 68768 45651 6010 17107 16065 12273 938 2854 36251 27695 2118 6438 2583 2583 19705 15054 1151 3500 1170833 894466 68419 207948 15042 13220 1291 531 259405 181141 36906 41358 184886 113476 40669 30741 174928 93696 47123 34109 218964 186534 11973 20457 313679 267222 17151 29306 7931 4232 2115 1584 34435 18445 9276 6714 DUES & SUBSCRIPTIONS 37934 33339 3257 1338 PUBLICATIONS 37108 32614 3185 1309 BANK SERVICE FEES 30915 23617 1807 5491 LIST RENTAL 18621 14226 1088 3307 66901 40827 11091 14983 4149401 2969976 390937 788488 X 169178 52496 21929 94753 207491 676634 1372322 2106493 227666 729651 33655 24893 8097 79215 113561 86248 661295 650936 15584 10359 3515621 3242862 5493997 6956355 185186 316826 92999 1438845 149310 149402 427495 1905073 X 3842302 3863930 1044188 1007340 180012 180012 5066502 5051282 5493997 6956355 397292 -412512 0 X X 0 1 X 1 0 X 2818690 3131435 2447822 3772499 3416385 15586831 2818690 3131435 2447822 3772499 3416385 15586831 2085308 13501523 373438 457065 472093 432120 572794 2307510 3563 1382 23680 28625 17922966 520391 0.75330 0.65120 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: LIST RENTAL INCOME - 2018 AMOUNT: $ 6,328. MISCELLANEOUS - 2015 AMOUNT: $ 3,563. 2016 AMOUNT: $ 1,382. 2018 AMOUNT: $ 17,352. 66000 102000 168000 4025111 4193111 359656 89914 0 0 344115 332592 361479 359656 1397842 2096763 168000 168000 87882 86029 83148 89914 346973 520460 66000 66000 180012 1247 1247 180012 180012 3991 3991 180012 180012 4077 4077 180012 180012 401 401 180012 180012 514 514 180012 1.00000 1 0 74501 67916 6585 586794 583020 3774 10359 DEFERRED RENT 149402 149402 X 4130953 -412512 6488 -406024 4536977 19705 -9989 9716 4546693 4146173 6488 9989 16477 4129696 19705 19705 4149401 PART X, LINE 2: 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 -9,989. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD INCLUDED ON PART VIII 9,989. 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 $100,000 AND THE RESTRICTED INCOME IS FOR MEDICAL RESEARCH REGARDING BONE HEALTH AND BONE RESEARCH GRANTS. 1 X X X X 0 0 0 0 0 0 0 1 0 ELIZABETH THOMPSON CHIEF EXECUTIVE OFFICER 290513 0 0 0 0 0 9231 0 12158 0 311902 0 0 0 CLAIRE GILL CHIEF MISSION OFFICER 191084 0 5000 0 0 0 7723 0 9513 0 213320 0 0 0 DEBBIE ZELDOW EXECUTIVE DIRECTOR, NBHA 167938 0 0 0 0 0 4929 0 1265 0 174132 0 0 0 DEBRA ERIKSON CHIEF ADMINISTRATIVE OFFICER 136872 0 5000 0 0 0 5760 0 12140 0 159772 0 0 0 PART I, LINE 7 DURING 2018, PERFORMANCE-BASED BONUSES WERE AWARDED TO CLAIRE GILL AND DEBRA ERIKSON. THESE PAYMENTS WERE APPROVED BY ELIZABETH THOMPSON, CHIEF EXECUTIVE OFFICER. PART III, LINE 1: DESCRIPTION OF ORGANIZATION'S MISSION THE NATIONAL OSTEOPOROSIS FOUNDATION (NOF) 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, NOF IS THE NATION'S ONLY 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. NOF 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, NOF ACCEPTS SUPPORT FROM A WIDE BREADTH OF DIVERSIFIED SOURCES, INCLUDING INDIVIDUALS, FOUNDATIONS, GOVERNMENT SOURCES AND CORPORATIONS. THE STRENGTH OF OUR MISSION IS THE KEY TO MEETING THE NEEDS OF OUR VARIOUS CONSTITUENCIES, HEALTHCARE PROFESSIONALS AND PATIENTS, AND TO CREATING THE TRULY PROGRESSIVE FUTURE WE ENVISION FOR BONE HEALTH. IN 2018, NOF UNDERWENT A SIGNIFICANT ORGANIZATIONAL RESTRUCTURE, THE CENTERPIECE OF WHICH WAS CREATING A NEW, MORE DYNAMIC FOCUS ON OUR MISSION VIA OUR STAFF STRUCTURE AND PROGRAMMING. PART III, LINE 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PROFESSIONAL EDUCATION: THE FOUNDATION'S EDUCATION DEPARTMENT PROVIDES EVIDENCE-BASED INFORMATION, EDUCATION, SERVICES AND INITIATIVES TO HEALTHCARE PROFESSIONALS THROUGH VARIOUS ACTIVITIES AND CHANNELS. THESE EFFORTS ARE DESIGNED TO HELP HEALTHCARE PROFESSIONALS MAKE INFORMED DECISIONS ABOUT THE PREVENTION, DIAGNOSIS AND TREATMENT OF OSTEOPOROSIS. IN 2018, THE FOUNDATION PLANNED AND IMPLEMENTED THE INTERDISCIPLINARY SYMPOSIUM ON OSTEOPOROSIS (ISO) IN NEW ORLEANS, LA, MAY 17-19, 2018. THIS SYMPOSIUM PROVIDED THE MOST CURRENT, CLINICALLY RELEVANT AND EVIDENCE-BASED INFORMATION ON THE PREVENTION, DIAGNOSIS, AND TREATMENT OF OSTEOPOROSIS. ISO IS UNIQUE IN THAT IT IS THE ONLY PROFESSIONAL MEETING THAT ENCOMPASSES ALL MEDICAL DISCIPLINES AND SPECIALTIES INVOLVED IN THE DIAGNOSIS AND TREATMENT OF PATIENTS WITH, OR AT RISK FOR, OSTEOPOROSIS AND RELATED FRACTURES. MORE THAN 350 PROFESSIONALS PARTICIPATED IN THE CONFERENCE. IN CONJUNCTION WITH THE CONFERENCE, A PRE-CONFERENCE WORKSHOP WAS HELD TO TRAIN ATTENDEES IN THE FRACTURE LIAISON SERVICE (FLS) MODEL OF CARE. ISO18 CONTINUED NOF'S EFFORTS TO TRAIN PROFESSIONALS IN FLS, OFFERING PROFESSIONAL EDUCATION OPPORTUNITIES LIVE AND ON-DEMAND. THE FOUNDATION ALSO PRODUCED SIX ISSUES OF ITS PROFESSIONAL NEWSLETTER BONE SOURCE, RELEASED VIA THE JOURNAL AND NEWSLETTER OSTEOPOROSIS: CLINICAL UPDATES, PROVIDING CONTINUING EDUCATION CREDIT FOR HEALTH CARE PROFESSIONALS ON TOPICS RELEVANT TO CLINICAL PRACTICE. THE NOF PROFESSIONAL LEARNING CENTER PROVIDES ONLINE CONTINUING MEDICAL EDUCATION FOR HEALTHCARE PROFESSIONALS. DESIGNED TO DELIVER ON-DEMAND AND AUTOMATED DELIVERY CONTINUING MEDICAL EDUCATION, THE LEARNING MANAGEMENT SYSTEM SERVES AS THE PORTAL TO ACCESS ALL OF NOF'S PROFESSIONAL EDUCATION ACTIVITIES. ADDITIONALLY, THE PROFESSIONAL LEARNING CENTER INCLUDES A COMPILATION OF HELPFUL CLINICAL RESOURCES AND LINKS FOR OSTEOPOROSIS PATIENT MANAGEMENT ALL IN ONE PLACE. THE PROFESSIONAL LEARNING CENTER CAN BE ACCESSED AT WWW.CME.NOF.ORG. NOF IS ALSO ADVOCATING FOR THE WIDESPREAD IMPLEMENTATION OF THE FRACTURE LIAISON SERVICE (FLS) MODEL OF SECONDARY FRACTURE PREVENTION IN SEVERAL HEALTH CARE SETTINGS AND HAS A NUMBER OF COMPLEMENTARY EFFORTS TO SUPPORT THIS GOAL. FLS PROGRAMS COORDINATE POST-FRACTURE CARE THROUGH AN FLS COORDINATOR (A NURSE, NURSE PRACTITIONER, PHYSICIAN ASSISTANT OR OTHER HEALTHCARE PROFESSIONAL) WHO ENSURES THAT INDIVIDUALS WHO SUFFER A FRACTURE RECEIVE APPROPRIATE DIAGNOSIS, TREATMENT AND SUPPORT. TO HELP SPREAD THE IMPLEMENTATION OF FLS PROGRAMS, NOF MAINTAINS THE WEBSITE FRACTURE PREVENTION CENTRAL (WWW.FRACTUREPREVENTIONCENTRAL.ORG),WHICH PROVIDES TOOLS TO HEALTHCARE PROFESSIONALS, HEALTH INSURERS, ACCOUNTABLE CARE ORGANIZATIONS, HOSPITALS AND OTHER SITES INTERESTED IN IMPLEMENTING THIS MODEL OF CARE. BY THE END OF 2018, OVER 5,000 INDIVIDUALS HAD REGISTERED TO ACCESS THESE MATERIALS. INCLUDED IN THE RESOURCES ARE CASE STUDIES, BEST PRACTICES AND BUSINESS PLANS AND OVER 15 WEBINARS AVAILABLE FOR ON DEMAND VIEWING. NOF ALSO COORDINATED ONE-ON-ONE CONSULTS PROVIDING SUPPORT TO INDIVIDUAL SITES ON ASPECTS OF THEIR FLS PROGRAM FROM LEADING FLS EXPERTS. NOF ALSO HOSTS FLS BONE HEALTH TELE ECHO CLINICS MONTHLY TO ENHANCE THE CLINICAL SKILLS OF FLS COORDINATORS THROUGH BRIEF DIDACTIC PRESENTATIONS AND DISCUSSION OF CASE PRESENTATIONS. OPERATIONAL ISSUES OF DEVELOPING AND MAINTAINING FLS PROGRAMS ARE ALSO DISCUSSED. THIS IS FOR ANY FLS COORDINATOR WHO WANTS TO OPTIMIZE BEST PRACTICE CARE FOR FRACTURE PREVENTION AND FOR ANYONE CONSIDERING STARTING AN FLS PROGRAM. NEW FOR 2018, NOF HOSTED TWO "FLS BOOT CAMPS," EACH PROVIDING A SMALL GROUP OF ATTENDEES WITH AN INTENSIVE LEARNING SESSION ON CREATING AND SUPPORTING AN FLS PROGRAM. AS PART OF AN EFFORT TO ADDRESS THE SHORTCOMINGS IN USING BIOCHEMICAL MARKERS AS TOOLS IN CLINICAL PRACTICE, NOF IS ALSO WORKING ON A SERIES OF RELATED PROJECTS TO ADDRESS THE CHALLENGES TO WIDESPREAD USE OF BONE TURNOVER MARKERS AND DESCRIBED IN THE BONE TURNOVER STANDARDIZATION PROJECT, WHICH AIMS TO GIVE CLINICIANS CONFIDENCE IN THEIR USE OF BONE TURNOVER MARKERS TO HELP MONITOR OSTEOPOROSIS TREATMENT AND ASSESS FUTURE FRACTURE RISK FOR THEIR PATIENTS. THESE EFFORTS INCLUDE THE ESTABLISHMENT OF A U.S. REFERENCE RANGE FOR THESE BONE TURNOVER MARKERS AND A DRUG HOLIDAY STUDY. THESE ACTIVITIES WILL ALLOW CLINICIANS TO HAVE CONFIDENCE IN THEIR USE OF BONE TURNOVER MARKERS TO HELP MONITOR OSTEOPOROSIS TREATMENT AND ASSESS FUTURE FRACTURE RISK. PART III, LINE 4B: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PATIENT EDUCATION: NOF PROVIDES PATIENTS AND CAREGIVERS WITH THE LATEST INFORMATION ON OSTEOPOROSIS PREVENTION, TREATMENT AND DETECTION BY PROVIDING UPDATED INFORMATION ON THE NOF.ORG WEBSITE. ADDITIONALLY, NOF SPONSORS PATIENT SUPPORT GROUPS ACROSS THE COUNTRY AND PROVIDES EDUCATIONAL INFORMATION AND RESOURCES FOR DISTRIBUTION AT CONSUMER EVENTS. NOF'S ONLINE PATIENT SUPPORT COMMUNITY HAS GROWN DRAMATICALLY OVER THE PAST YEAR AND REACHED A MILESTONE OF MORE THAN 48,000 PARTICIPATING MEMBERS OFFERING PEER-TO-PEER SUPPORT AND ADVICE TO ONE ANOTHER. NOF HAS APPOINTED ONE OF ITS VOLUNTEER SUPPORT GROUP LEADERS TO SERVE AS THE FOUNDATION'S NATIONAL SUPPORT GROUP LEADER. THIS IMPORTANT VOLUNTEER POSITION IS RESPONSIBLE FOR INITIATING CONTACT WITH PROSPECTIVE SUPPORT GROUP LEADERS AND PROVIDING INFORMATION AND PEER-TO-PEER SUPPORT AS THE NEW GROUP GETS ESTABLISHED. NEW SUPPORT GROUPS ARE NOW REQUIRED TO HAVE A MEDICAL ADVISOR AND AT LEAST FIVE FOUNDING MEMBERS TO AFFILIATE WITH THE FOUNDATION TO IMPROVE THE QUALITY OF INFORMATION DISSEMINATED THROUGH THE SUPPORT GROUPS AND GIVE NEW GROUPS A BETTER CHANCE AT SUCCEEDING. IN 2018, NOF UPDATED ITS SUPPORT GROUP LEADER MANUAL AND PROVIDED COPIES TO EACH GROUP. THIS TOOL WILL ALSO BE USED TO HELP ORIENT NEW SUPPORT GROUP LEADERS. NOF CURRENTLY REACHES OVER 145,000 UNIQUE MONTHLY VISITORS ON ITS WEBSITE - WWW.NOF.ORG - AND THOUSANDS MORE HAVE CONNECTED WITH THE ORGANIZATION VIA ITS SOCIAL MEDIA PLATFORMS ON FACEBOOK, TWITTER AND LINKEDIN. THE FOUNDATION'S WEBSITE IS ITS MOST VALUABLE CHANNEL FOR COMMUNICATING DIRECTLY WITH THE OSTEOPOROSIS PATIENTS, CAREGIVERS AND THE PUBLIC. SEVERAL NEW RESOURCES WERE ADDED TO THE NOF WEBSITE IN 2018, INCLUDING A DIGITAL GUIDE TO A BONE HEALTHY DIET, CREATING AN INTERACTIVE VERSION OF NOF'S POPULAR PRINT PUBLICATION. IN ADDITION, TWO DIGITAL WHITE BOARDS WERE CREATED TO SHARE DETAILS ABOUT THE IMPORTANCE OF CALCIUM AND VITAMIN D TO BONE HEALTH. THESE TOOLS WERE SPECIFICALLY DESIGNED TO PROMOTE SOCIAL SHARING AND TO HELP NOF SPREAD THE WORD ABOUT THE IMPORTANCE CONNECTION BETWEEN NUTRITION AND BONE HEALTH. ANOTHER NEW TOOL ADDED IN 2018 WAS A RISK EQUATION VIDEO, WHICH HIGHLIGHTS A PERSON'S RISK OF FRACTURE IN THEIR LIFETIME VERSUS THE RISK OF A RARE SIDE EFFECT FROM TREATMENT. UNFORTUNATELY, THE FEAR OF HAVING A RARE SIDE EFFECT OFTEN PREVENTS EVEN THOSE AT HIGHEST RISK OF ON AN OSTEOPOROTIC FRACTURE FROM SEEKING MEDICAL TREATMENT. THE VIDEO'S AIM WAS TO PROVIDE HEALTHCARE PROVIDERS AND PATIENTS WITH A TOOL THEY CAN USE TO DISCUSS THE RISK EQUATION IN OSTEOPOROSIS. IN NOVEMBER 2018, NOF LAUNCHED ITS FIRST EVER BE BONE STRONG MARATHON TEAM IN THE TCS NEW YORK CITY MARATHON. SEVEN WOMEN OVER THE AGE OF 50 HELPED TO RAISE MONEY AND AWARENESS ABOUT OSTEOPOROSIS AND THE IMPORTANCE OF IMPACT/WEIGHT-BEARING EXERCISE ON BUILDING AND MAINTAINING BONE STRENGTH. NOF ALSO CONTINUES TO HOST AND UPDATE ITS HISPANIC WEBSITE - WWW.HUESOSANOS.ORG, TO REACH THIS IMPORTANT DEMOGRAPHIC WITH NEWS AND INFORMATION ABOUT OSTEOPOROSIS IN SPANISH. THE WEBSITE ALSO INCLUDES VIDEOS FROM SPANISH-SPEAKING OSTEOPOROSIS EXPERTS. PART III, LINE 4C: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ADVOCACY: STRONG VOICES FOR STRONG BONES: THE NATIONAL OSTEOPOROSIS FOUNDATION IS THE VOICE FOR ISSUES DEALING WITH OSTEOPOROSIS AND BONE HEALTH. FOR OVER 30 YEARS, NOF HAS BEEN COMMITTED TO PREVENTING BROKEN BONES AND OSTEOPOROSIS THROUGH EDUCATION, ADVOCACY AND RESEARCH. WE ADVOCATE FOR AWARENESS, RESEARCH, PATIENTS, AND PROFESSIONALS. IN 2018, ADVOCACY ACTIVITIES INCLUDED: THE AMBASSADORS LEADERSHIP COUNCIL NOF AMBASSADORS ARE WELL-INFORMED, PASSIONATE, AND CARE 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 NOF LEADERSHIP, AND TO HELP MAKE INROADS IN THE MEDICAL, BUSINESS AND PHILANTHROPIC SECTORS WITHIN THEIR COMMUNITIES. INVOLVEMENT IS TAILORED TO EACH AMBASSADOR'S AREAS OF INTEREST, TIME CONSTRAINTS AND EXPERTISE. THE AMBASSADOR CHOOSES WHEN, HOW AND ON WHAT ISSUES SHE OR HE WOULD LIKE TO BE INVOLVED. NOF HAS OVER 135 AMBASSADORS IN THE U.S. MEDICARE PART D MEDICARE PART D IS A VITALLY IMPORTANT PROGRAM THAT HELPS OVER 42 MILLION SENIORS AND INDIVIDUALS WITH DISABILITIES GAIN ACCESS TO A BROAD RANGE OF LIFE-SAVING MEDICATIONS. THE PROGRAM'S COMPETITIVE STRUCTURE WORKS TO KEEP COSTS LOW FOR BOTH BENEFICIARIES AND TAXPAYERS. HOWEVER, PROPOSED CHANGES RISK DECREASING ACCESS TO MEDICATIONS, WHICH COULD LEAD TO DISRUPTED TREATMENT PLANS, WORSENED HEALTH OUTCOMES AND ULTIMATELY, HIGHER OVERALL MEDICARE COSTS. NOF ADVOCATES FOR ALL PATIENTS TO PROTECT THEIR ACCESS TO AFFORDABLE PRESCRIPTION DRUGS THROUGH MEDICARE PART D, SPECIFICALLY ITS NON-INTERFERENCE CLAUSE. FRACTURE PREVENTION COALITION FRACTURES RELATED TO OSTEOPOROSIS THREATEN THE HEALTH AND INDEPENDENCE OF OLDER AMERICANS. AND FRACTURES ARE COMMON: MORE THAN 2 MILLION FRACTURES HAPPEN EACH YEAR DUE TO OSTEOPOROSIS. THE STATISTICS ARE STAGGERING AND UNNECESSARY. A DXA (DUAL-ENERGY X-RAY ABSORPTIOMETRY) BONE DENSITY TEST IS A NON-INVASIVE, SIMPLE, YET TOP-QUALITY TEST FOR SCREENING AND DIAGNOSING PATIENTS THAT MAY NEED TO BE TREATED FOR OSTEOPOROSIS. DXA IS MORE POWERFUL IN PREDICTING FRACTURES THAN CHOLESTEROL IS IN PREDICTING A HEART ATTACK OR BLOOD PRESSURE IS IN PREDICTING A STROKE. UNFORTUNATELY, SINCE 2007, MEDICARE HAS SIGNIFICANTLY CUT THE FUNDING FOR DXA TESTING IN PHYSICIAN'S OFFICES LEADING TO A SHARP DECLINE IN THE NUMBER OF PEOPLE TESTED, DIAGNOSED AND TREATED, AND THE NUMBER OF PHYSICIANS OFFERING THIS SERVICE, RESULTING IN AN INCREASE IN HIP FRACTURES. NOF AND COLLEAGUES AT THE INTERNATIONAL SOCIETY FOR CLINICAL DENSITOMETRY SUPPORTED LEGISLATION IN CONGRESS. THIS LEGISLATION WOULD HELP ENSURE THAT PATIENTS HAVE ACCESS TO DXA TESTING BY RESTORING MEDICARE FUNDING FOR DXA. OSTEOPOROSIS AND BONE HEALTH TOWN HALL WEBINAR TEN MILLION AMERICANS OVER THE AGE OF 50 SUFFER FROM OSTEOPOROSIS AND MILLIONS MORE ARE AT INCREASED RISK OF HAVING A DEBILITATING OR EVEN DEADLY FRACTURE. TWO MILLION BROKEN BONES ARE CAUSED EACH YEAR BY OSTEOPOROSIS. IN DECEMBER 2018, NOF OFFERED A WIDELY-ATTENDED WEBINAR TO MEMBERS OF CONGRESS, CONGRESSIONAL STAFF, INDUSTRY AND OTHERS ON WHAT YOU NEED TO KNOW ABOUT OSTEOPOROSIS AND BONE HEALTH - ITS IMPACT ON YOUR CONSTITUENTS, THE HEALTHCARE SYSTEM AND THE ECONOMY. THE WEBINAR WAS RECORDED AND MADE AVAILABLE ON NOF'S WEBSITE TO REACH A BROADER AUDIENCE. BONE HEALTH POLICY INSTITUTE TO CONTINUE THE COLLABORATIVE WORK OF NOF'S FORMER NATIONAL BONE HEALTH ALLIANCE PROGRAM AND TO IDENTIFY AND ACT ON ISSUES RELATED TO OSTEOPOROSIS DIAGNOSIS AND TREATMENT, NOF LAUNCHED THE BONE HEALTH POLICY INSTITUTE. THE BONE HEALTH POLICY INSTITUTE WILL ADDRESS SEVERAL KEY AREAS FOR ADVANCING THE FIELD, INCLUDING: COMMISSIONING AND RELEASING AN IN-DEPTH REPORT ON THE ECONOMIC BURDEN OF OSTEOPOROSIS; CONDUCTING A GAP ANALYSIS; AND WORKING ON DEVELOPING OUTCOME MEASURES. 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 INTERNATIONAL REVENUE SERVICE. BOARD MEMBERS ARE NOTIFIED THAT THE COMPLETED FEDERAL FORM 990 IS AVAILABLE FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD ANNUALLY REVIEWS THE CONFLICT OF INTEREST POLICY AND DISCLOSES ANY POTENTIAL CONFLICT OF INTEREST. SENIOR STAFF, OFFICERS, AND HIGHLY COMPENSATED 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 AND CONFLICT OF INTEREST POLICY ARE NOT MADE PUBLIC AS THE FOUNDATION BELIEVES THESE ARE PROPRIETARY IN NATURE. THE FOUNDATION'S FINANCIAL STATEMENTS AND FEDERAL FORM 990 ARE MADE AVAILABLE TO THE PUBLIC ON THE FOUNDATION'S WEBSITE. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 720,514. MANAGEMENT AND GENERAL EXPENSES 55,113. FUNDRAISING EXPENSES 167,507. TOTAL EXPENSES 943,134. OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 160,583. MANAGEMENT AND GENERAL EXPENSES 12,283. FUNDRAISING EXPENSES 37,333. TOTAL EXPENSES 210,199. CONTRACTOR EXPENSE: PROGRAM SERVICE EXPENSES 13,369. MANAGEMENT AND GENERAL EXPENSES 1,023. FUNDRAISING EXPENSES 3,108. TOTAL EXPENSES 17,500. FORM 990, PART XII, LINE 2C: THE FINANCE AND AUDIT COMMITTEE HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.