Bone Health and Osteoporosis Foundation

Nonprofit profile at a glance

EIN
363350532
IRS 990 coverage
2011–2025
Forms available
Form 990 2025
Location
Arlington, VA, USA
Phone
7036473000
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Nerve, Muscle and Bone Diseases

Official website

Reported finances

Revenue
$3,962,010
Expenses
$4,146,958
Assets
$7,108,708
Liabilities
$1,536,140

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

20 people listed

Executive titles in this filing

  • KENNETH W LYLES (IMMEDIATE PAST PRESIDENT)
  • THOMAS F KOINIS (PRESIDENT)
  • LAILA TABATABAI (VICE PRESIDENT)
  • CLAIRE B GILL (CHIEF EXECUTIVE OFFICER)
  • AMI PATEL (VICE PRESIDENT SCIENCE AND)
  • ANDREA MEDEIROS (VICE PRESIDENT OF PUBLIC HEALTH & POLICY)

Highest reported compensation

  • CLAIRE B GILL (CHIEF EXECUTIVE OFFICER): $367,344 total reported compensation
  • DEBRA ANN ERIKSON (CAO): $228,904 total reported compensation
  • AMI PATEL (VICE PRESIDENT SCIENCE AND): $164,376 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

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.

What it reported doing in 2025

Professional education: see schedule o for full statement of program service accomplishments.

Operating model

Revenue model
Donor-supported. 75% of the money available for current operations came from contributions and gifts.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 67
  • Transparency & Controls: 79
  • Accountability: 95
  • Sustainability: 28
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 75.9%; rating input score 76
  • Program expense ratio: 70.2%; rating input score 70
  • Fundraising efficiency: $3.38 raised per $1 spent on fundraising; rating input score 9; 9th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -4.7%; rating input score 16; 16th percentile among comparable filings
  • Total-asset coverage ratio: 1.71; rating input score 52; 52nd percentile among comparable filings
  • Liabilities to assets ratio: 0.22; rating input score 33; 33rd percentile among comparable filings
  • Officer compensation ratio: 24.8%; rating input score 11; 11th percentile among comparable filings

Growth

  • Program expense growth: -0% per year; rating input score 0; 12th percentile among comparable filings
  • Revenue growth: -0.8% per year; rating input score 0; 7th percentile among comparable filings
  • Asset growth: 2.4% per year; rating input score 100; 19th percentile among comparable filings

Details

  • Where the money goes: 75.9% of revenue deployed · 70.2% of spending went to programs
  • Governance: 13 of 13 board members independent · 8 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $2.9M in reported program spending
  • Leadership: top reported pay $367K · 20 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $909K reported
  • Consistency: 35 of 35 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 15 filing years from 2011 to 2025
  • Contacts: How to reach this organization
  • Money network: 5 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Fundraising efficiency scored 9/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Operating margin scored 16/100.
  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 52/100.
  • High — Sustainability: Officer compensation ratio scored 11/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 33/100.