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 or IRC section (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 615,385 | 1,110,973 | 324,880 | 900,196 | 2,720,891 | 5,672,325 |
| 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...... | 1,541,975 | 1,340,768 | 1,385,995 | 1,215,919 | 551,439 | 6,036,096 |
| 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. | 2,157,360 | 2,451,741 | 1,710,875 | 2,116,115 | 3,272,330 | 11,708,421 |
| 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. | 950,000 | 950,000 | ||||
| c | Add lines 7a and 7b.. | 950,000 | 950,000 | ||||
| 8 | Public support (Subtract line 7c from line 6.) | 10,758,421 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,157,360 | 2,451,741 | 1,710,875 | 2,116,115 | 3,272,330 | 11,708,421 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 42,367 | 47,063 | 104,067 | 180,145 | 44,395 | 418,037 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 42,367 | 47,063 | 104,067 | 180,145 | 44,395 | 418,037 |
| 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.).. | 2,199,727 | 2,498,804 | 1,814,942 | 2,296,260 | 3,316,725 | 12,126,458 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| 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 2014 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-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Part III, Line 12 - Loss on Sale of Asset | Part III, Line 12 - NKFH sold two vehicles which were donated to the organization, resulting in a loss of $2,376 |
| Software ID: | 14000286 |
| 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 1, 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 1, 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 1, Line 1 - continued | interviews and appearances. (2) Local screenings were delivered across the islands. K-USA (Kidney Urine Screening & Analysis) is a screening for protein (early indicator) and |
| Part 1, Line 1 - continued | KEDS (Kidney Early Detection Screening) is a comprehensive program. (3) Program evaluation reports continue to be showcased at professional conferences. New findings are |
| Part 1, Line 1 - continued | being analyzed for journal publication. (4) Early education programs were made widely available to prevent or slow the progression of kidney disease, like KIWI (Kidney Interactive |
| Part 1, Line 1 - continued | Workshop & Information), cooking classes & CKD support groups. We have added national evidence-based programs that promote engagement and effectively develop self-management skills. (5) Kidney patients have continued access to peer |
| Part 1, Line 1 - continued | 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 jewelry; and |
| Part 1, Line 1 - continued | patient handbooks. (6) Youth outreach expanded in program content and has been presented in a majority of schools throughout the State. Our first kidney camp was successfully carried out in the summer. A youth initiative was initiated. |
| Part 1, Line 1 - continued | (7) Professional workshops and conferences are held each year to provide current kidney information and management support to healthcare providers. (8) Groups formed by NKFH such as the Hawaii Organ Transplant Support Group, Hawaii |
| Part 1, Line 1 - continued | Donor Family Council, Hawaii Living Donor Council, Hawaii Coalition on Donation and Transplant Associates of Hawaii help to raise awareness about organ donation. Advocacy is in |
| Part 1, Line 1 - continued | place for those affected by kidney disease, organ donation issues, and other community health matters. (9) Beyond direct services, NKFH created an innovation division that |
| Part 1, Line 1 - continued | that capitalizes on current healthcare trends. This endeavor is an extension of our effort to create sustainable systemic impact to improve the health of our community. The NKFH is taking on projects that materialize concepts and strategies |
| Part 1, Line 1 - continued | to improve health outcomes, control costs, and impact quality of life. Current activities include: (A) contributing to state models (Community Clinical Linkage Workgroup); (B) transforming physican offices, community |
| Part 1, Line 1 - continued | 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 diseases). These innovations |
| Part 1, Line 1 - continued | reinforce our ability to accomplish our mission across the disease and throughout Hawaii, especially in remote areas where disparate and disadvantaged populations have limited access to care. (10) The NKFH built up a robust volunteer |
| Part 1, Line 1 - continued | program for professionals and the general community to get involved with the Foundation and build collaboration. |
| Part III, Line 4D | Part III, Line 4D - Other programs include scientific research programs that are coordinated and funded by our national office. Partial support of this funding is provided |
| Part III, Line 4D - continued | by the affiliates, including the NKFH. The NKFH has a local program evaluation on and research group made up of University professors, graduate students, and community researchers called the SEARCH Team (Systemic Evaluation And |
| Part III, Line 4D - continued | Research for Chronic Kidney Disease) which has helped with program quality and outcome analysis. |
| Part VI, Section B, Line 11 | Part VI, Section B, Line 11 - The resource committee reviews the Form 990 and presents 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 and key employees to review the policy, identify any conflicts that may exist and sign an acknowledgement |
| Part VI, Section B, Line 12C - continued | 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 |
| Part VI, Section B, Line 15B - continued | market research of competitive levels of compensation for 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 and conflict of interest policy available to the public upon request. Financial statements are available via the annual Form 990 via the internet at |
| Part VI, Section C, Line 19 - continued | www.guidestar.org website as well as in the office. |
| Schedule L, Part IV | Shaun Pinard is the owner of Kolohe Motors, and is a family member of a key employee of NKFH, Diana Benningfield. Kolohe Motors is a contractor w/ Kidney Friends Hawaii, and |
| Schedle L, Part IV - continued | pays NKFH directly for cars sold at the auction, net of commissions. |
| Schedule M - Noncash Contributions - Line 25 | Schedule M - Noncash Contributions - Line 25 Noncash contributions consist of medical professionals volunteering their time to assist in various programs such as health screenings, KEEP, SEARCH Teams, etc... |
| Software ID: | 14000286 |
| Software Version: |