EBENEZER SOCIETY: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- EBENEZER SOCIETY (EIN 41-0706141)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-09-07
- IRS object ID
- 201812509349300531
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-09-07T12:01:03-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410991680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRVIEW HEALTH SVCS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2450 RIVERSIDE AVE S DEPT C-207 LE | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554541450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410706141 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EBENEZER SOCIETY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EBEN | BusinessNameControlTxt |
| Phone | 6128743460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2722 PARK AVENUE S | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55407 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JONATHAN LUNDBERG | PersonNm |
| Person Title | EBENEZER PRESIDENT | PersonTitleTxt |
| Phone | 6126724976 | PhoneNum |
| Signature | 2018-08-26 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparation | 2018-09-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 162.96.9.2 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-09-07 | IPDt |
| IP Tm | 12:01:03 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2DD6051660811F97DBCCE4A8321C0471BB7EF285 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5CADB5576C0A467FBF6013688B7D33E9E8CCDAB4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JONATHAN LUNDBERG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2722 PARK AVENUE SOUTH | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55407 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,221,699 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FAIRVIEW.EBENEZER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1919 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1155 | TotalEmployeeCnt |
| Total Volunteers | 500 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $214,891 | PYContributionsGrantsAmt |
| CY Contributions Grants | $218,028 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,350,411 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,006,310 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$28,413 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,882 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,790,343 | PYOtherRevenueAmt |
| CY Other Revenue | $5,992,479 | CYOtherRevenueAmt |
| PY Total Revenue | $26,327,232 | PYTotalRevenueAmt |
| CY Total Revenue | $23,221,699 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,341,037 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,785,066 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,493,628 | PYOtherExpensesAmt |
| CY Other Expenses | $5,540,197 | CYOtherExpensesAmt |
| PY Total Expenses | $25,834,665 | PYTotalExpensesAmt |
| CY Total Expenses | $23,325,263 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $492,567 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$103,564 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,324,455 | TotalAssetsBOYAmt |
| Total Assets EOY | $48,772,230 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,291,238 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,673,993 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,033,217 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,098,237 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,639,868 | ExpenseAmt |
| Revenue | $17,006,310 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $13,639,868 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 296 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1155 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TODD WILLETT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6128743460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2722 PARK AVENUE SOUTH | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55407 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JAMES HEREFORD | ||||||||
| FHS PRESIDEN | 0.00 | 40.00 | Yes (X) | Yes (X) | $0 | $1,347,774 | $23,564 | |
| LAURA REED RN | ||||||||
| FSH CNO | 0.00 | 40.00 | Yes (X) | Yes (X) | $0 | $208,276 | $9,201 | |
| GINA DINGMAN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANNE RIPLEY | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SELSTAD | ||||||||
| 1ST VICE CHA | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARY MULHERE | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBB GRUMAN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KENT EKLUND | ||||||||
| 2ND VICE CHA | Yes (X) | $0 | $0 | $0 | ||||
| CARL RUNCK | ||||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS R HOKR | ||||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD HOWARD | ||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SCOTT WORDELMAN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA COLLINS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK F THOMAS | ||||||||
| EBENEZER CEO | 0.00 | 40.00 | Yes (X) | $0 | $575,565 | $80,615 | ||
| JONATHAN LUNDBERG | ||||||||
| EBENEZER PRE | 40.00 | 0.00 | Yes (X) | $175,482 | $142,770 | $20,570 | ||
| TODD T WILLETT | ||||||||
| EBENEZER CFO | 40.00 | 0.00 | Yes (X) | $250,177 | $0 | $6,107 | ||
| SUSAN FARR | ||||||||
| STAFF | 40.00 | 0.00 | $254,216 | $0 | $23,392 | Yes (X) | ||
| BRYAN MICHAEL | ||||||||
| STAFF | 40.00 | 0.00 | $166,991 | $0 | $22,052 | Yes (X) | ||
| ERIN M HILLIGAN | ||||||||
| CORP DIR SKI | 40.00 | 0.00 | $152,613 | $0 | $26,628 | Yes (X) | ||
| MARY SANDERS | ||||||||
| STAFF | 40.00 | 0.00 | $138,585 | $0 | $10,001 | Yes (X) | ||
| BRIAN HOLBROOK | ||||||||
| STAFF | 40.00 | 0.00 | $126,345 | $0 | $11,840 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,264,409 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,274,385 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $233,970 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CENTREX REHAB | |||||
| 8120 PENN AVENUE SOUTH SUITE 227 | MINNEAPOLIS | MN | 55431 | REHAB SERVICES | $1,787,336 |
| A'VIANDS LLC | |||||
| 1751 COUNTY B WEST SUITE 300 | ROSEVILLE | MN | 55113 | FOOD MGMT SVCS | $702,646 |
| NEW HORIZON FOODS | |||||
| 2207 FLAG AVENUE SOUTH | MINNEAPOLIS | MN | 55426 | FOOD MGMT SVCS | $629,046 |
| CLIFTON LARSON ALLEN | |||||
| 220 SOUTH SIXTH STREET STUIE 300 | MINNEAPOLIS | MN | 55402 | ACCOUNTING SVCS | $127,145 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $218,028 | RelatedOrganizationsAmt |
| Total Contributions | $218,028 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT-MEDICAL SERVICES | 623000 | $15,631,010 | $15,631,010 |
| NURSING HOME SERVICES | 623000 | $1,167,569 | $1,167,569 |
| ADULT DAYCARE | 624100 | $173,261 | $173,261 |
| CAFETERIA | 722320 | $34,470 | $34,470 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,006,310 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,168 | TotalRevenueColumnAmt |
| Exclusion | $4,168 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,992,479 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,992,479 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,992,479 | TotalRevenueColumnAmt |
| Exclusion | $5,992,479 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $714 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $714 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $714 | TotalRevenueColumnAmt |
| Exclusion | $714 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,221,699 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,006,310 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5,997,361 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,659 | TotalAmt |
| Management And General | $425,659 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,299,846 | TotalAmt |
| Program Services | $10,468,486 | ProgramServicesAmt |
| Management And General | $4,831,360 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,494 | TotalAmt |
| Program Services | $107,455 | ProgramServicesAmt |
| Management And General | $151,039 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,499 | TotalAmt |
| Program Services | $634,499 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,166,568 | TotalAmt |
| Program Services | $769,850 | ProgramServicesAmt |
| Management And General | $396,718 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,174 | TotalAmt |
| Program Services | $39,931 | ProgramServicesAmt |
| Management And General | $62,243 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,279 | TotalAmt |
| Management And General | $21,279 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,369 | TotalAmt |
| Management And General | $87,369 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,634 | TotalAmt |
| Program Services | $99,933 | ProgramServicesAmt |
| Management And General | $4,701 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,455 | TotalAmt |
| Program Services | $35,570 | ProgramServicesAmt |
| Management And General | $183,885 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,052 | TotalAmt |
| Management And General | $1,052 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,473,838 | TotalAmt |
| Program Services | $919,087 | ProgramServicesAmt |
| Management And General | $554,751 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,570 | TotalAmt |
| Program Services | $8,219 | ProgramServicesAmt |
| Management And General | $68,351 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,984 | TotalAmt |
| Program Services | $3,608 | ProgramServicesAmt |
| Management And General | $44,376 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $937,253 | TotalAmt |
| Management And General | $937,253 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,395,091 | TotalAmt |
| Program Services | $44,475 | ProgramServicesAmt |
| Management And General | $1,350,616 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MISCELLANEOUS | $398,051 | $88,536 | $309,515 |
| SUPPLIES | $284,471 | $122,688 | $161,783 |
| REPAIRS - UTILITIES | $193,118 | $188,104 | $5,014 |
| TAXES | $102,148 | $13,717 | $88,431 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,710 | TotalAmt |
| Program Services | $95,710 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,325,263 | TotalAmt |
| Program Services | $13,639,868 | ProgramServicesAmt |
| Management And General | $9,685,395 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,441,350 | BOYAmt |
| EOY | $8,948,629 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,813,718 | BOYAmt |
| EOY | $13,539,464 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,000 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,505 | BOYAmt |
| EOY | $13,505 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,934 | BOYAmt |
| EOY | $217,555 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,712,637 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,740,630 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,062,130 | BOYAmt |
| EOY | $23,972,007 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,019,458 | BOYAmt |
| EOY | $620,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,632,360 | BOYAmt |
| EOY | $1,461,070 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,324,455 | BOYAmt |
| EOY | $48,772,230 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,168,289 | BOYAmt |
| EOY | $14,096,472 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,122,949 | BOYAmt |
| EOY | $22,577,521 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,291,238 | BOYAmt |
| EOY | $36,673,993 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,217 | BOYAmt |
| EOY | $12,098,237 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,217 | BOYAmt |
| EOY | $12,098,237 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,324,455 | BOYAmt |
| EOY | $48,772,230 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$103,564 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $11,168,584 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $311,116 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $189,945 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $120,363 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $214,891 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $218,028 | CurrentTaxYearAmt |
| Total | $1,054,343 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,811,812 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,396,525 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,531,339 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,350,411 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,006,310 | CurrentTaxYearAmt |
| Total | $89,096,397 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,122,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,586,470 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,651,702 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,565,302 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,224,338 | CurrentTaxYearAmt |
| Total | $90,150,740 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $90,150,740 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,748 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,761,930 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,996,647 | CurrentTaxYearAmt |
| Total | $12,907,148 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,748 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,761,930 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,996,647 | CurrentTaxYearAmt |
| Total | $12,907,148 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,189,676 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,629,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,689,996 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,327,232 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,220,985 | CurrentTaxYearAmt |
| Total | $103,057,888 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.87480 | PublicSupportCY509Pct |
| Public Support PY509 | 0.91740 | PublicSupportPY509Pct |
| Investment Income CY | 0.13000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.08000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $921,540 | OtherCostOrOtherBasisAmt |
| Book Value | $921,540 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,477,134 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,481,029 | DepreciationAmt |
| Book Value | $21,996,105 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,250,800 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,259,601 | DepreciationAmt |
| Book Value | $991,199 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,163 | OtherCostOrOtherBasisAmt |
| Book Value | $63,163 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,972,007 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | EBENEZER SOCIETY IS A TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS SUBJECT TO INCOME TAX ON ANY INCOME FROM UNRELATED BUSINESS ACTIVITIES. THE ORGANIZATION ALSO OWNS OR CONTROLS CERTAIN TAXABLE AFFILIATES. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND IN VARIOUS STATE AND LOCAL JURISDICTIONS. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, AND LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. THE ORGANIZATION 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 SHEETS AS OF DECEMBER 31, 2017, 2016, AND 2015. THE ORGANIZATION DOES NOT EXPECT THAT THERE WILL BE A SIGNIFICANT CHANGE IN THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES HEREFORD | |||||||||||
| FHS PRESIDENT/CEO | $1,200,014 | $147,760 | $23,564 | $1,371,338 | |||||||
| LAURA REED RN | |||||||||||
| FSH CNO | $168,276 | $9,201 | $217,477 | $40,000 | |||||||
| MARK F THOMAS | |||||||||||
| EBENEZER CEO | $346,507 | $45,727 | $19,156 | $656,180 | $183,331 | $61,459 | |||||
| JONATHAN LUNDBERG | |||||||||||
| EBENEZER PRESIDENT | $142,770 | $5,236 | $151,611 | $3,605 | $175,482 | $2,185 | $9,544 | $187,211 | |||
| TODD T WILLETT | |||||||||||
| EBENEZER CFO | $250,177 | $6,107 | $256,284 | ||||||||
| SUSAN FARR | |||||||||||
| STAFF | $254,216 | $23,392 | $277,608 | ||||||||
| BRYAN MICHAEL | |||||||||||
| STAFF | $133,813 | $215 | $21,837 | $189,043 | $33,178 | ||||||
| ERIN M HILLIGAN | |||||||||||
| CORP DIR SKILLED SR | $152,613 | $26,628 | $179,241 | ||||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | MARK F. THOMAS 0 42,559 0 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 REVIEW 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 EBENEZER'S DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH EBENEZER'S CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. ANY CONFLICTS OF INTERESTS 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 HUMAN RESOURCES EXECUTIVE 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 OFFICER AND KEY EMPLOYEE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE HUMAN RESOURCES EXECUTIVE 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. |
| FORM 990, PART XI, LINE 9 | CAPITALIZED ALLOCATIONS 11,168,584 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|
| EBENEZER YORK ASSISTED LIVING LLC | |||||||
| 2722 PARK AVE | MINNEAPOLIS | MN | 55407 | 262912486 | MN | N/A | |
| EBENEZER RED WING ASST LIVING LLC | |||||||
| 2722 PARK AVE | MINNEAPOLIS | MN | 55407 | 204381407 | MN | N/A | EBENEZER RED WING ASSISTED LIVING |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (true) |
| EBENEZER RIDGES | ||||||||||
| 2722 PARK AVENUE SOUTH | MINNEAPOLIS | MN | 55407 | 411287792 | NURSING | MN | 501C3 | 10 | N/A | Yes (true) |
| EBENEZER SOCIETY FOUNDATION | ||||||||||
| 2722 PARK AVENUE SOUTH | MINNEAPOLIS | MN | 55407 | 411356565 | SUPPORT | MN | 501C3 | 12A | N/A | Yes (true) |
| EBENEZER TOWERS | ||||||||||
| 2722 PARK AVENUE SOUTH | MINNEAPOLIS | MN | 55407 | 237005359 | HOUSING | MN | 501C3 | 10 | N/A | Yes (true) |
| EBENEZER PARK APARTMENTS | ||||||||||
| 2722 PARK AVENUE SOUTH | MINNEAPOLIS | MN | 55407 | 411378656 | HOUSING | MN | 501C3 | 10 | N/A | Yes (true) |
| EBENEZER LAKES SENIOR HOUSING | ||||||||||
| 2722 PARK AVENUE SOUTH | MINNEAPOLIS | MN | 55407 | 320190409 | HOUSING | MN | 501C3 | 10 | N/A | Yes (true) |
| EBENEZER LAKES ASSISTED LIVING | ||||||||||
| 2722 PARK AVENUE SOUTH | MINNEAPOLIS | MN | 55407 | 412012560 | ASSISTED | MN | 501C3 | 10 | N/A | Yes (true) |
| EBENEZER RIDGE POINT APARTMENTS | ||||||||||
| 2722 PARK AVENUE SOUTH | MINNEAPOLIS | MN | 55454 | 411769727 | HOUSING | MN | 5012C | 10 | N/A | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EBENEZER MANAGEMENT SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | EBENEZER MANAGEMENT SERVICES | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2722 PARK AVENUE SOUTH | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55407 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411567406 | EIN |
| Primary Activities | MGMT SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FAIRVIEW HEALTH SERVICES | ||
| R | $5,947,228 | FAIR MARKET VALUE |
| FAIRVIEW HEALTH SERVICES | ||
| L | $321,375 | FAIR MARKET VALUE |
| FAIRVIEW HEALTH SERVICES | ||
| P | $863,607 | FAIR MARKET VALUE |
| EBENEZER SOCIETY FOUNDATION | ||
| C | $218,028 | FAIR MARKET VALUE |