Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | 0 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 1,110,973 | 324,880 | 900,196 | 1,720,891 | 1,294,578 | 5,351,518 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 1,340,768 | 1,385,995 | 1,215,919 | 551,439 | 752,090 | 5,246,211 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | 2,451,741 | 1,710,875 | 2,116,115 | 2,272,330 | 2,046,668 | 10,597,729 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | 10,597,729 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,451,741 | 1,710,875 | 2,116,115 | 2,272,330 | 2,046,668 | 10,597,729 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 47,063 | 104,067 | 180,145 | 15,099 | 65,061 | 411,435 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 47,063 | 104,067 | 180,145 | 15,099 | 65,061 | 411,435 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 2,498,804 | 1,814,942 | 2,296,260 | 2,287,429 | 2,111,729 | 11,009,164 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 15000260 |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| PART I, LINE 1 | PART I, LINE 1 - THE MISSION STATEMENT OF THE NATIONAL KIDNEY FOUNDATION OF HAWAII (NKFH) IS TO PREVENT KIDNEY AND URINARY TRACT DISEASES, IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND FAMILIES AFFECTED BY THESE DISEASES AND |
| PART I, LINE 1 CONTINUED | INCREASE THE AVAILABILITY OF ALL ORGANS FOR TRANSPLANTATION. SOME OF THE MOST SIGNIFICANT ACTIVITIES THIS YEAR INCLUDE: (1) WORLD KIDNEY DAY BEING RECOGNIZED IN A MAJOR AWARENESS CAMPAIGN COUPLED WITH A COMPREHENSIVE SCREENING PROGRAM ON |
| PART I, LINE 1 CONTINUED | OAHU. SIMILAR AWARENESS EVENTS WERE HELD IN MAUI (KIDNEY DA KINE DAY), HAWAII ISLAND, AND THROUGHOUT THE STATE. PUBLIC RELATIONS ACTIVITIES INCLUDED TELEVISION, RADIO AND PRINT |
| PART I, LINE 1 CONTINUED | INTERVIEWS AND APEARANCES. (2) LOCAL SCREENINGS WERE DELIVERED ACROSS THE ISLANDS. K-USA (KIDNEY URINE SCREENING & ANALYSIS) IS A SCREENING FOR PROTEIN (EARLY INDICATOR) AND |
| PART I, LINE 1 CONTINUED | KEDS (KIDNEY EARLY DETECTION SCREENING) IS A COMPREHENSIVE PROGRAM. (3) PROGRAM EVALUATION REPORTS CONTINUE TO BE SHOW- CASED AT PROFESSIONAL CONFERENCES AND FINDINGS ARE BEING |
| PART I, LINE 1 CONTINUED | PUBLISHED IN JOURNALS. (4) EARLY EDUCATION PROGRAMS WERE MADE WIDELY AVAILABLE TO PREVENT OR SLOW THE PROGRESSION OF KIDNEY DISEASE, LIKE KIWI (KIDNEY INTERACTIVE WORKSHOP & |
| PART I, LINE 1 CONTINUED | & INFORMATION), COOKING CLASSES & CKD SUPPORT GROUPS. WE HAVE ADDED NATIONAL EVIDENCE-BASED PROGRAMS THAT PROMOTE AND DEVELOP PATIENT ENGAGEMENT (CHRONIC DISEASE AND DIABETES SELF MANAGEMENT PROGRAMS). (5) KIDNEY PATIENTS HAVE |
| PART I, LINE 1 CONTINUED | CONTINUED ACCESS TO PEER MENTORING TO MATCH INDIVIDUALS FOR GUIDANCE AND SUPPORT; EMPOWERMENT THROUGH SUPPORT GROUPS; COOKING PROGRAMS AND VIRTUAL GROCERY STORE TOURS FOR DIETARY RESTRICTIONS; ASSISTANCE FUNDS; MEDICAL IDENTIFICATION |
| PART I, LINE 1 CONTINUED | JEWELRY; AND PATIENT HANDBOOKS. A SUCCESSFUL COMMUNITY HEALTH NAVIGATOR PROGRAM WAS DELIVERED THIS YEAR FOR 22 NAVIGATORS AND 60 PARTICIPANTS. (6) YOUTH OUTREACH CONTINUES IN SHIFT (SHAPING HEALTHY INDIVIDUALS FOR TOMORROW) PROGRAMS |
| PART I, LINE 1 CONTINUED | & COMMUNITY EVENTS. (7) PROFESSIONAL WORKSHOPS AND CONFERENCES ARE HELD EACH YEAR TO PROVIDE CURRENT KIDNEY INFORMATION AND MANAGEMENT SUPPORT TO HEALTHCARE PROVIDERS. (8) COUNCILS FORMED BY NKFH FOR TRANSPLANT RECIPIENTS, DONOR |
| PART I, LINE 1 CONTINUED | FAMILIES ,LIVING DONORS, A COALITION ON DONATION, AND TEAM HAWAII HELP TO RAISE AWARENESS ABOUT ORGAN DONATION ISSUES & OTHER COMMUNITY HEALTH MATTERS. (9) BEYOND DIRECT SERVICES, |
| PART I, LINE 1 CONTINUED | THE NKFH INNOVATION DIVISION CAPITALIZES ON HEALTHCARE TRENDS AND EXTENDS OUR EFFORT TO CREATE SUSTAINABLE SYSTEMIC IMPACT TO IMPROVE COMMUNITY HEALTH. INNOVATION PROJECTS |
| PART I, LINE 1 CONTINUED | MATERIALIZE CONCEPTS AND STRATEGIES TO IMPROVE HEALTH OUTCOMES, CONTROL COSTS, AND IMPACT QUALITY OF LIFE. CURRENT ACTIVITIES INCLUDE: (A) CONTRIBUTING TO STATE INITIATIVES (I.E. COMMUNITY CLINICAL LINKAGE); (B) TRANSFORMING |
| PART I, LINE 1 CONTINUED | PHYSICIAN OFFICES, COMMUNITY HEALTH CENTERS AND OTHER HEALTHCARE PROVIDERS INTO PATIENT-CENTERED MEDICAL HOMES; AND (C) CREATING A CKD REGISTRY FOR EARLY IDENTIFICATION AND MANAGEMENT OF KIDNEY DISEASE (AND EVENTUALLY OTHER CHRONIC |
| PART I, LINE 1 CONTINUED | DISEASE). THESE INNOVATIONS REINFORCE OUR ABILITY TO ACCOMPLISH OUR MISSION ACROSS THE DISEASE AND THROUGHOUT HAWAII, ESPECIALLY IN REMOTE AREAS WHERE DISPARATE AND DIS- ADVANTAGED POPULATIONS HAVE LIMITED ACCESS TO CARE. |
| PART I, LINE 1 CONTINUED | (10) WE HAVE ESTABLISHED A WIDE ARRAY OF DIETICIAN SERVICES FROM INDIVIDUAL COUNSELING TO GROUP PROGRAMS THAT HAVE SIGNIFICANTLY IMPROVED HEALTH OUTCOMES. (11) OUR VOLUNTEER PROGRAM CONTINUES TO EXPAND OUR REACH AND CONNECTIONS. |
| PART III, LINE 4D | PART III, LINE 4D - OTHER PROGRAMS INCLUDE SCIENTIFIC RESEARCH PROGRAMS COORDINATED BY OUR NATIONAL OFFICE AND OUR LOCAL NKFH PROGRAM EVALUATION AND RESEARCH SEARCH TEAM |
| PART III, LINE 4D CONTINUED | (SYSTEMIC EVALUATION AND RESEARCH FOR CHRONIC KIDNEY DISEASE COMPRISED OF UNIVERSITY PROFESSORS, GRADUATE STUDENTS AND COMMUNITY RESEARCHERS THAT DRIVE PROGRAM QUALITY AND OUTCOME |
| PART III, LINE 4D CONTINUED | ANALYSIS. |
| PART VI, SECTION B, LINE 11 | PART VI, SECTION B, LINE 11 - THE RESOURCE COMMITTEE REVIEW THE FORM 990 AND PRESENT IT TO THE BOARD FOR APPROVAL BEFORE IT IS SIGNED AND FILED. ALL MEMBERS OF THE BOARD RECEIVE A COPY OF THE FORM 990. |
| PART VI, SECTION B, LINE 12C | PART VI, SECTION B, LINE 12C - THE CONFLICT OF INTEREST POLICY IS MONITORED AND UPDATED ANNUALLY, REQUIRING ALL DIRECTORS & KEY EMPLOYEES TO REVIEW THE POLICY, IDENTIFY ANY CONFLICTS THAT MAY EXIST AND SIGN AN ACKNOWLEDGEMENT FORM. |
| PART VI, SECTION B, LINE 15B | PART VI, SECTION B, LINE 15B - THE ORGANIZATION DEVELOPED A TEMPLATE FOR ALL POSITIONS OUTLINING THE MINIMUM, MIDPOINT AND MAXIMUM COMPENSATION LEVELS FOR EACH POSITION BASED ON MARKET RESEARCH OF COMPETITIVE LEVELS OF COMPENSATION FOR |
| PART VI, SECTION B, LINE 15B CONTINUED | SIMILAR POSITIONS, CONDUCTED BY A TASK COMMITTEE FROM THE BOARD, WHICH IS UPDATED PERIODICALLY. COMPENSATION AMOUNTS ARE WITHIN THESE PARAMETERS AND ARE DOCUMENTED IN PERSONNEL |
| PART VI, SECTION B, LINE 15B CONTINUED | FILES AND APPROVED BY IMMEDIATE SUPERVISORS. CEO COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD AND IS DOCUMENTED IN PERSONNEL FILE AND MINUTES. |
| PART VI, SECTION C, LINE 19 | PART VI, SECTION C, LINE 19 - THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE VIA THE ANNUAL FORM 990 VIA THE INTERNET AT WWW.GUIDESTAR.ORG WEBSITE AND ON CHARITY |
| PART VI, SECTION C, LINE 19 CONTINUED | NAVIGATOR, AS WELL AS THE NKFH WEBSITE, AND UPON REQUEST. PART X1, LINE 9 - CHANGE IN FUND BALANCE IS DECREASE IN TEMPORARILY RESTRICTED NET ASSETS |
| SCHEDULE M | SCHEDULE M - NONCASH CONTRIBUTIONS CONSIST OF MEDICAL PROFESSIONALS VOLUNTEERING THEIR TIME TO ASSIST IN VARIOUS PROGRAMS SUCH AS HEALTH SCREENINGS, KEEP, SEARCH TEAMS, ETC. |
| PART I, LINE 1 | NKFH RECENTLY BROKE GROUND ON A MULTI-PURPOSE, MULTI-STORY BUILDING FOR ITS WEST OAHU OPERATIONS. PLANS CALL FOR "THE SENATOR DANIEL K. AKAKA COMMUNITY CENTER" TO OCCUPY THE GROUND FLOOR. IT WILL BE OPEN FOR COMMUNITY ORGANIZATIONS AT |
| PART I, LINE 1 CONTINUED | NO OR VERY LOW COST, AND WILL HAVE A CERTIFIED KITCHEN, CONFERENCE ROOM AND LIBRARY. THE REST OF THE BUILDING WILL BE THE NKFH RESOURCE CENTER, NAMED "THE KIDNEY RESOURCE |
| PART I, LINE 1 CONTINUED | CENTER", WHICH WILL HOUSE CLINICAL, RESEARCH AND OUTREACH STAFF. RESIDENTS WILL BE ABLE TO HAVE FREE KIDNEY SCREENINGS AND TESTING, LAB WORK, AND COUNSELING IN PRIVATE ROOMS, |
| PART I, LINE 1 | WHILE MEDICAL PRACTITIONERS WILL HAVE OFFICE SPACE. THERE WILL ALSO BE A WORK OUT FACILITY, A TEACHING KITCHEN, AND AUDITORIUM AT THE RESOURCE CENTER. THE FACILITY IS TARGETED FOR COMPLETION IN 2018. IT WAS CLEAR THAT KIDNEY DISEASE IS |
| PART I, LINE 1 CONTINUED | TARGETING NATIVE HAWAIIAN, ASIAN, FILIPINO, AND PACIFIC ISLANDERS, AND WE FOUND THAT THESE GROUPS ARE CONCENTRATED IN WEST OAHU. WE ALSO FOUND THAT MORE AND MORE OF OUR STAFF IS IN WEST OAHU. OUR DECISION TO 'GO WEST' WAS ALSO |
| PART I, LINE 1 CONTINUED | INFLUENCED BY KAPOLEI'S GROWTH. IT'S THE RIGHT PLACE FOR US TODAY, AND TOMORROW. |
| Software ID: | 15000260 |
| Software Version: |