KATHYS HOUSE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KATHYS HOUSE INC (EIN 39-2022115)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-03-01
IRS object ID
201320609349300332
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-03-01T14:23:49-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN391999235EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Bruce Michael Redlin CPA LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12323 South 109th StreetAddressLine1
CityWest AllisCity
StateWIState
ZIP Code53227ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN392022115EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Kathys House IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKATHNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 North 103rd StreetAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code53226ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePatricia MetropulosName
TitleExec DirectorTitle
Phone4144538290Phone
Date Signed2013-03-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBruce RedlinName
PTINP00247254PTIN
Phone4145431550Phone
Date Prepared2013-03-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRichard P VogelNameOfPrincipalOfficerPerson
Gross Receipts448805GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitekathys-house.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionLodging for individuals and families during extended hospital stay or outpatient care in MIlwaukee area hospitals.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees8TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year315499ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year49170InvestmentIncomeCurrentYear
Other Revenue Current Year58692OtherRevenueCurrentYear
Total Revenue Current Year423361TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year190029SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year38575TotalFundrsngExpCurrentYear
Other Expenses Current Year236245OtherExpensesCurrentYear
Total Expenses Current Year426274TotalExpensesCurrentYear
Revenues Less Expenses CY-2913RevenuesLessExpensesCY
Total Assets BOY511937TotalAssetsBOY
Total Assets EOY504925TotalAssetsEOY
Total Liabilities BOY10890TotalLiabilitiesBOY
Total Liabilities EOY6791TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY501047NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY498134NetAssetsOrFundBalancesEOY
Mission DescriptionLodging for individuals and families during extended hospital stay or outpatient care in MIlwaukee area hospitals.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense337554Expense
Revenue423361Revenue
DescriptionProvided lodging for individuals and families during extended hospital stays.Description
Total Program Service Expense337554TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees8NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPatricia MetropulosNamePerson
Telephone Number4144538290TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 North 103rd StreetAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code53226ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Patricia Metropulos
Exec Director40.00XX1333300
Herbert Ayres
Director of Operations40.004181200X
Richard P Vogel
President40.006926900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org124414TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions315499AllOtherContributions
Total Contributions315499TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column49170TotalRevenueColumn
Related Or Exempt Function Income49170RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events84136GrossIncomeFundraisingEvents
Fundraising Direct Expenses25444FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column58692TotalRevenueColumn
Exclusion$58,692ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column423361TotalRevenueColumn
Related Or Exempt Function Income49170RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$58,692ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total111080Total
Program Services67272ProgramServices
Management And General12193ManagementAndGeneral
Fundraising31615Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total63106Total
Program Services63106ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15843Total
Program Services11858ProgramServices
Management And General1109ManagementAndGeneral
Fundraising2876Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2587Total
Management And General2587ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total22500Total
Program Services16841ProgramServices
Management And General1575ManagementAndGeneral
Fundraising4084Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total12615Total
Program Services10319ProgramServices
Management And General2296ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9815Total
Management And General9815ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total143084Total
Program Services143084ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2928Total
Program Services2928ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1547Total
Management And General1547ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6781Total
Program Services6781ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total8418Total
Management And General8418ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone345817291729
Supplies1447956038876
Printing80338033

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total426274Total
Program Services337554ProgramServices
Management And General50145ManagementAndGeneral
Fundraising38575Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY74354BOY
EOY53348EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7000BOY
EOY7000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis89928LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39914LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY56797BOY
EOY50014EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY373786BOY
EOY394563EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY511937BOY
EOY504925EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10890BOY
EOY6791EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10890BOY
EOY6791EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY501047BOY
EOY498134EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY501047BOY
EOY498134EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY511937BOY
EOY504925EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2913ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years268154CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years301569CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years211937CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year305332CurrentTaxYearMinus1Year
Current Tax Year315499CurrentTaxYear
Total1402491Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93832CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91738CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73989CurrentTaxYearMinus1Year
Current Tax Year58692CurrentTaxYear
Total397490Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years361986CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years393307CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years291176CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year379321CurrentTaxYearMinus1Year
Current Tax Year374191CurrentTaxYear
Total1799981Total
FieldValueIRS element (for citing)
Public Support Total5091799981PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-154792CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years63923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-19276CurrentTaxYearMinus1Year
Current Tax Year39170CurrentTaxYear
Total22264Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-154792CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years63923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-19276CurrentTaxYearMinus1Year
Current Tax Year39170CurrentTaxYear
Total22264Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years207194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years486546CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years355099CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year360045CurrentTaxYearMinus1Year
Current Tax Year413361CurrentTaxYear
Total1822245Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98780PublicSupportPercentage509
Prior Year Support Percentage0.99410PriorYearSupportPercentage
Investment Income Percentage0.01220InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00590PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis72268InvestmentCostOrOtherBasis
Depreciation24090Depreciation
Book Value48178BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis17660InvestmentCostOrOtherBasis
Depreciation15824Depreciation
Book Value1836BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings50014TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt423361TotRevenueEtcAuditedFinclStmt
Revenue Subtotal423361RevenueSubtotal
Total Revenue Per Form990423361TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt426274TotExpensesEtcAuditedFinclStmt
Expenses Subtotal426274ExpensesSubtotal
Total Expenses Per Form990426274TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DinnerAuctiNameOfEvent1
Gross Receipts Event184136GrossReceiptsEvent1
Gross Revenue Event184136GrossRevenueEvent1
Food And Beverage Event19641FoodAndBeverageEvent1
Other Direct Expenses Event115803OtherDirectExpensesEvent1
Gross Receipts Total84136GrossReceiptsTotal
Gross Revenue Total Events84136GrossRevenueTotalEvents
Food And Beverage Total Events9641FoodAndBeverageTotalEvents
Other Direct Expenses Total Events15803OtherDirectExpensesTotalEvents
Direct Expense Summary Events25444DirectExpenseSummaryEvents
Net Income Summary58692NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Form 990 governing body review Part VI line 11Completed Tax Forms are submitted to the executive director for final review.
O02Conflict of interest policy compliance Part VI line 12cThere is an Annual review of policy compliance.
O03CEO executive director top management comp Part VI line 15aThe Board meets annually to determine and set compensation.
O04Other officer or key employee compensation Part VI line 15bThe Board meets annually to determine and set compensation.
O05Governing documents etc available to public Part VI line 19Upon request, copies of these documents are made available and sent to the requesting party.

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