2019-10-11T13:03:34-05:00 2018-12-31 FAIRVIEW HEALTH SVCS 2450 RIVERSIDE AVE S DEPT C-207 LE MINNEAPOLIS MN 554541450 990 2018-01-01 410706141 EBENEZER SOCIETY EBEN 6128743460 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 JONATHAN LUNDBERG EB PRES, SECRETARY 6126724976 2019-08-29 2019-10-11 162.96.9.40 2019-10-11 13:03:34 CD P 9A7795162CD8FED1DB572D6341B886463E8B285F 9A7795162CD8FED1DB572D6341B886463E8B285F 2018 2020-03-31 21:24:44Z JONATHAN LUNDBERG 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 25912206 false X WWW.FAIRVIEW.EBENEZER.ORG X 1919 MN EBENEZER HELPS OLDER ADULTS AND OTHERS MAKE THEIR LIVES MORE INDEPENDENT, HEALTHFUL, MEANINGFUL AND SECURE. WITH OUR PARTNERS AT FAIRVIEW HEALTH SERVICES, WE PROVIDE ACCESS THROUGHOUT MINNESOTA TO A FULL RANGE OF HOUSING OPTIONS, COMMUNITY-BASED PROGRAMS AND SERVICES. 12 8 1165 178 0 39963 218028 78362 17006310 19287878 4882 13712 5992479 6532254 23221699 25912206 0 0 17785066 19030333 0 0 5540197 5814913 23325263 24845246 -103564 1066960 48772230 44657038 36673993 31491841 12098237 13165197 X EBENEZER HELPS OLDER ADULTS AND OTHERS MAKE THEIR LIVES MORE INDEPENDENT, HEALTHFUL, MEANINGFUL AND SECURE. WITH OUR PARTNERS AT FAIRVIEW HEALTH SERVICES, WE PROVIDE ACCESS THROUGHOUT MINNESOTA TO A FULL RANGE OF HOUSING OPTIONS, COMMUNITY-BASED PROGRAMS AND SERVICES. false false 14509447 19287879 EBENEZER HELPS OLDER ADULTS AND OTHERS MAKE THEIR LIVES MORE INDEPENDENT, HEALTHFUL, MEANINGFUL AND SECURE. WITH OUR PARTNERS AT FAIRVIEW HEALTH SERVICES, WE PROVIDE ACCESS THROUGHOUT MINNESOTA TO A FULL RANGE OF HOUSING OPTIONS, COMMUNITY-BASED PROGRAMS AND SERVICES. 14509447 true true false false false false false false false false true false false false false true false false false false false false false false false false false false false true false false false false false false false false false false false false true true false false false true 301 0 true 1165 true false false false false false false false false false false false false X 12 8 false false false false true true true true true false false true true true true true true true true false MN X X TODD WILLETT 6128743460 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 JAMES HEREFORD FHS PRESIDEN 1.00 40.00 X X 0 1780267 84827 LAURA REED RN FSH CNO, END 1.00 40.00 X X 0 638399 85201 CAROLYN JACOBSON FHS CHR, BEG 1.00 40.00 X 0 573211 144163 LINDA COLLINS DIRECTOR 0.25 2.00 X 0 0 0 GINA DINGMAN DIRECTOR 0.25 2.00 X 0 0 0 KENT EKLUND VICE CHAIR 0.25 2.00 X 0 0 0 ROBB GRUMAN DIRECTOR 0.25 2.00 X 0 0 0 JEANNE RIPLEY DIRECTOR 0.25 2.00 X 0 0 0 JOHN SELSTAD 1ST CHAIR, E 0.25 2.00 X X 0 0 0 SHARY MULHERE SECRETARY, E 0.25 2.00 X X 0 0 0 CARL RUNCK DIRECTOR 0.25 2.00 X 0 0 0 THOMAS R HOKR DIRECTOR 0.25 2.00 X 0 0 0 RICHARD HOWARD CHAIR 0.25 2.00 X X 0 0 0 SCOTT WORDELMAN DIRECTOR 0.25 2.00 X 0 0 0 MARK F THOMAS EB CEO, END 2.00 40.00 X 0 441103 149271 JONATHAN LUNDBERG EB PRES, SEC 2.00 40.00 X 0 384352 72369 TODD T WILLETT EBENEZER CFO 2.00 40.00 X 249370 0 19989 SUSAN FARR DIRECTOR-DEV 40.00 0.00 X 297319 0 25894 ERIN M HILLIGAN ES VP OPERAT 40.00 0.00 X 187973 0 5469 BRIAN HOLBROOK ES HPC DIREC 40.00 0.00 X 159712 0 19628 MARY SANDERS ES VP HR 40.00 0.00 X 142997 0 25812 JILL ACOSTA ES CAMPUS DI 40.00 0.00 X 129146 0 16370 1166517 3817332 648993 15 false true false CENTREX REHAB 8120 PENN AVENUE SOUTH SUITE 227 MINNEAPOLIS MN 55431 REHAB SERVICES 2486003 NEW HORIZON FOODS 2207 FLAG AVENUE SOUTH MINNEAPOLIS MN 55426 FOOD MGMT SVCS 1324201 CLIFTON LARSON ALLEN 220 SOUTH SIXTH STREET STUIE 300 MINNEAPOLIS MN 55402 ACCOUNTING SVCS 228680 ANNLEO INC 2501 BOJI BEND DRIVE SUITE 200 MILFORD IA 51351 STAFFING 143374 SENIOR CARE SOLUTIONS INC PO BOX 2283 STILLWATER MN 55082 STAFFING 141793 5 78362 78362 PATIENT-MEDICAL SERVICES 623000 17866106 17866106 NURSING HOME SERVICES 623000 1219698 1219698 ADULT DAYCARE 624100 166669 166669 CAFETERIA 722320 35405 35405 19287878 13412 13412 6532254 6532254 6532254 6532254 300 300 300 300 25912206 19287878 6545966 249370 249370 16352156 10950612 5401544 271202 128771 142431 979952 857249 122703 1177653 806110 371543 278540 24762 253778 5502 5502 95236 95236 34324 34324 572934 136833 436101 1598376 900477 697899 159296 19247 140049 133173 34574 98599 912204 912204 1232282 1232282 SUPPLIES 385864 372384 13480 REPAIRS - UTILITIES 138740 133975 4765 TAXES 132817 41837 90980 MEDICAL SURCHARGE 95710 95710 39915 6906 33009 24845246 14509447 10335799 0 8948629 8359760 13539464 10789438 13505 13505 217555 383308 35976360 12894858 23972007 23081502 620000 620000 1461070 1409525 48772230 44657038 14096472 9483050 22577521 22008791 36673993 31491841 X 12098237 13165197 12098237 13165197 48772230 44657038 1066960 X false true X true false X 189945 120363 214891 218028 78362 821589 20396525 20531339 19350411 17006310 19287878 96572463 20586470 20651702 19565302 17224338 19366240 97394052 97394052 43529 38294 6761930 5996647 6545666 19386066 43529 38294 6761930 5996647 6545666 19386066 20629999 20689996 26327232 23220985 25911906 116780118 0.83400 0.87480 0.17000 0.13000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 921540 921540 31617121 10461119 21156002 3403605 2433739 969866 34094 34094 23081502 X SCHEDULE D, PAGE 3, PART X EBENEZER SOCIETY IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE MINNESOTA STATUTES. CONSEQUENTLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. THE ORGANIZATION'S ANNUAL TAX FILINGS ARE SUBJECT TO REVIEW BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OTHER TAXES. EBENEZER SOCIETY IS PART OF FAIRVIEW HEALTH SERVICES WHICH RECOGNIZES ALL TAX POSITIONS, INCLUDING THOSE POSITIONS IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES, WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%) THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEET AS OF DECEMBER 31, 2018 OR 2017. false true false false false false false false false JAMES HEREFORD FHS PRESIDENT/CEO 1340912 439355 42546 42281 1865094 LAURA REED RN FSH CNO, END 8-18 599498 38901 43000 42201 723600 CAROLYN JACOBSON FHS CHR, BEGIN 12-18 452681 120530 101962 42201 717374 MARK F THOMAS EB CEO, END 8-18 253405 138403 49295 87681 61590 590374 JONATHAN LUNDBERG EB PRES, SECRETARY 319335 62990 2027 24500 47869 456721 TODD T WILLETT EBENEZER CFO 249370 18500 1489 269359 SUSAN FARR DIRECTOR-DEVELOPMENT 258709 38610 24500 1394 323213 ERIN M HILLIGAN ES VP OPERATIONS 185973 2000 3951 1518 193442 BRIAN HOLBROOK ES HPC DIRECTOR 129712 30000 18577 1051 179340 MARY SANDERS ES VP HR 142997 24500 1312 168809 SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES HEREFORD 0 125,102 0 LAURA REED, RN 0 10,582 0 CAROLYN JACOBSON 0 58,962 0 MARK F. THOMAS 0 44,681 0 FORM 990 - ORGANIZATION'S MISSION EBENEZER HELPS OLDER ADULTS AND OTHERS MAKE THEIR LIVES MORE INDEPENDENT, HEALTHFUL, MEANINGFUL AND SECURE. WITH OUR PARTNERS AT FAIRVIEW HEALTH SERVICES, WE PROVIDE ACCESS THROUGHOUT MINNESOTA TO A FULL RANGE OF HOUSING OPTIONS, COMMUNITY-BASED PROGRAMS AND SERVICES. FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THIS CORPORATION SHALL CONSIST SOLELY AND EXCLUSIVELY OF THE PERSONS WHO CONSTITUTE THE DIRECTORS OF THIS CORPORATION FROM TIME TO TIME. WHEN A PERSON BECOMES A DIRECTOR OF THIS CORPORATION, SUCH PERSON SHALL CONCURRENTLY WITH BECOMING SUCH A DIRECTOR, AUTOMATICALLY BECOME AND BE A MEMBER OF THIS CORPORATION, AND WHEN A PERSON CEASES TO BE A DIRECTOR OF THIS CORPORATION, THEY SHALL CONCURRENTLY WITH CEASING TO BE SUCH A DIRECTOR, AUTOMATICALLY CEASE TO BE A MEMBER OF THIS CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A THE CHAIR OF THE CORPORATION SHALL BE ELECTED FROM AND BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL ELECT MEMBERS TO DIRECTOR POSITIONS AND FILL VACANCIES IN ELECTED DIRECTOR POSITIONS. THE BOARD OF DIRECTORS OF THIS CORPORATION SHALL ELECT MEMBERS FROM THE NOMINEES MADE FROM THE BOARDS OF EACH OF THE CONSTITUENT ORGANIZATIONS AS LISTED IN THE BYLAWS OF THIS CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7B DECISIONS ARE SUBJECT FAIRVIEW HEALTH SERVICES RESERVE POWERS. FORM 990, PAGE 6, PART VI, LINE 11B THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE RETURN IS ALSO REVIEWED BY THE PRESIDENT AND CFO. THE FORM 990 IS SUBSEQUENTLY PRESENTED TO THE BOARD OF DIRECTORS. UPON APPROVAL FROM THE BOARD OF DIRECTORS, THE FORM 990 IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C MANAGERS, DIRECTORS AND SENIOR MANAGEMENT ARE REQUIRED TO ANNUALLY COMPLETE A DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH FAIRVIEW'S SYSTEM CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. ANY CONFLICTS OF INTEREST BY BOARD MEMBERS ARE BROUGHT TO THE BOARD FOR REVIEW. FORM 990, PAGE 6, PART VI, LINE 15A THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE FAIRVIEW SYSTEM HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. FORM 990, PAGE 6, PART VI, LINE 15B THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE FAIRVIEW SYSTEM HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. FORM 990, PAGE 6, PART VI, LINE 19 EBENEZER SOCIETY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND INSPECTION OF THE DOCUMENTS IS AVAILABLE AT THE CORPORATE FINANCE DEPARTMENT. EBENEZER YORK ASSISTED LIVING LLC 2722 PARK AVE MINNEAPOLIS MN 55407 262912486 MN N/A EBENEZER RED WING ASST LIVING LLC EBENEZER RED WING ASSISTED LIVING 2722 PARK AVE MINNEAPOLIS MN 55407 204381407 MN N/A FAIRVIEW HEALTH SERVICES 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 410991680 HOSPITAL MN 501C3 3 N/A false EBENEZER RIDGES ASSISTED LIVING 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 411964691 ASSISTED MN 501C3 10 N/A true EBENEZER RIDGES 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 411287792 NURSING MN 501C3 10 N/A true EBENEZER SOCIETY FOUNDATION 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 411356565 SUPPORT MN 501C3 12A N/A true EBENEZER TOWERS 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 237005359 HOUSING MN 501C3 10 N/A true EBENEZER PARK APARTMENTS 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 411378656 HOUSING MN 501C3 10 N/A true EBENEZER LAKES SENIOR HOUSING 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 320190409 HOUSING MN 501C3 10 N/A true EBENEZER LAKES ASSISTED LIVING 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 412012560 ASSISTED MN 501C3 10 N/A true EBENEZER RIDGE POINT APARTMENTS 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55454 411769727 HOUSING MN 5012C 10 N/A true EBENEZER MANAGEMENT SERVICES EBENEZER MANAGEMENT SERVICES 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 411567406 MGMT SVCS MN N/A false false false true false false false false false false true false true false false true true false true true FAIRVIEW HEALTH SERVICES S 7536837 FAIR MARKET VALUE FAIRVIEW HEALTH SERVICES L 395155 FAIR MARKET VALUE FAIRVIEW HEALTH SERVICES P 1000795 FAIR MARKET VALUE EBENEZER SOCIETY FOUNDATION C 78362 FAIR MARKET VALUE