Skip to content
Nonprofiteer
← CAPITOL LAKES INC

Form 990 for tax year 2022

Filed by CAPITOL LAKES INC.

Totals

Total revenue
$21,802,691
Total expenses
$24,508,647
Contributions and grants received
$325,088
Grants paid
$0
Program services expenses (Part IX)
$19,477,170
Management and general expenses
$5,031,477
Fundraising expenses
$0
Program service expenses (Part III)
$19,477,170

Program services were 79.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TIM CONROY

    EXECUTIVE DIRECTOR

    Total calculated
    $330,799
    From this org
    $279,824
    From related orgs
    $0
    Other
    $50,975
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $249,337
    Bonus
    $30,487
    Other
    $0
    Deferred
    $20,500
    Nontaxable benefits
    $30,475
    Filer's total
    $330,799

  • KRISTIN VATER

    HEALTH CENTER ADMINISTRATOR

    Total calculated
    $180,656
    From this org
    $154,741
    From related orgs
    $0
    Other
    $25,915
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $143,830
    Bonus
    $10,911
    Other
    $0
    Deferred
    $15,657
    Nontaxable benefits
    $10,258
    Filer's total
    $180,656

  • STEVEN MELLSTROM

    HUMAN RESOURCES DIRECTOR

    Total calculated
    $154,297
    From this org
    $133,988
    From related orgs
    $0
    Other
    $20,309
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $128,913
    Bonus
    $5,075
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $20,309
    Filer's total
    $154,297

  • TSERING DAMDUL

    REGISTERED NURSE

    Total calculated
    $142,461
    From this org
    $122,152
    From related orgs
    $0
    Other
    $20,309
    Hours/week
    40

  • HOLLY JOHNSON

    SALES DIRECTOR

    Total calculated
    $137,897
    From this org
    $117,588
    From related orgs
    $0
    Other
    $20,309
    Hours/week
    40

  • DAYLE TESSNER

    DIRECTOR OF NURSING

    Total calculated
    $129,613
    From this org
    $123,243
    From related orgs
    $0
    Other
    $6,370
    Hours/week
    40

  • SUE CENTER

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CLAY NORRBOM

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • SALLY DREW

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • MARTY FOX

    RESIDENT DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • STEVE JOHANNSEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • HARRY PETERSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION WAS RECOMMENDED BY PACIFIC RETIREMENT SERVICES, INC. AND APPROVED BY CAPITOL LAKES' BOARD AS PART OF THE ANNUAL BUDGET PROCESS.
PART I, LINE 7
THE ORGANIZATION PAID BONUSES THIS YEAR. THE PROCESS FOR DETERMINING EXECUTIVE BONUSES IS DISCRETIONARY. IT IS DETERMINED BY THE VP OF OPERATIONS FOR PRS AND IT IS BASED ON THE PERFORMANCE OF THE COMMUNITY FOR THE YEAR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
6 August 2024
IRS schema version
2022v5.0
Source object
202442209349301749

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.