2018-09-07T12:01:03-05:00 2017-12-31 410991680 FAIRVIEW HEALTH SVCS 2450 RIVERSIDE AVE S DEPT C-207 LE MINNEAPOLIS MN 554541450 990 2017-01-01 410706141 EBENEZER SOCIETY EBEN 6128743460 2722 PARK AVENUE S MINNEAPOLIS MN 55407 JONATHAN LUNDBERG EBENEZER PRESIDENT 6126724976 2018-08-26 2018-09-07 162.96.9.2 2018-09-07 12:01:03 CD P 2DD6051660811F97DBCCE4A8321C0471BB7EF285 5CADB5576C0A467FBF6013688B7D33E9E8CCDAB4 2017 2018-06-14 16:35:46Z JONATHAN LUNDBERG 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 23221699 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. 14 11 1155 500 0 214891 218028 19350411 17006310 -28413 4882 6790343 5992479 26327232 23221699 0 0 17341037 17785066 0 0 8493628 5540197 25834665 23325263 492567 -103564 40324455 48772230 39291238 36673993 1033217 12098237 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 13639868 17006310 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. 13639868 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 296 0 true 1155 true false false false false false false false false false false X 14 11 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 0.00 40.00 X X 0 1347774 23564 LAURA REED RN FSH CNO 0.00 40.00 X X 0 208276 9201 GINA DINGMAN DIRECTOR 1.00 1.00 X 0 0 0 JEANNE RIPLEY DIRECTOR 1.00 1.00 X 0 0 0 JOHN SELSTAD 1ST VICE CHA 1.00 1.00 X X 0 0 0 SHARY MULHERE SECRETARY 1.00 1.00 X X 0 0 0 ROBB GRUMAN DIRECTOR 1.00 1.00 X 0 0 0 KENT EKLUND 2ND VICE CHA X 0 0 0 CARL RUNCK DIRECTOR X 0 0 0 THOMAS R HOKR DIRECTOR X 0 0 0 RICHARD HOWARD CHAIR 1.00 1.00 X X 0 0 0 SCOTT WORDELMAN DIRECTOR 1.00 1.00 X 0 0 0 LINDA COLLINS DIRECTOR 1.00 1.00 X 0 0 0 MARK F THOMAS EBENEZER CEO 0.00 40.00 X 0 575565 80615 JONATHAN LUNDBERG EBENEZER PRE 40.00 0.00 X 175482 142770 20570 TODD T WILLETT EBENEZER CFO 40.00 0.00 X 250177 0 6107 SUSAN FARR STAFF 40.00 0.00 X 254216 0 23392 BRYAN MICHAEL STAFF 40.00 0.00 X 166991 0 22052 ERIN M HILLIGAN CORP DIR SKI 40.00 0.00 X 152613 0 26628 MARY SANDERS STAFF 40.00 0.00 X 138585 0 10001 BRIAN HOLBROOK STAFF 40.00 0.00 X 126345 0 11840 1264409 2274385 233970 7 false true false CENTREX REHAB 8120 PENN AVENUE SOUTH SUITE 227 MINNEAPOLIS MN 55431 REHAB SERVICES 1787336 A'VIANDS LLC 1751 COUNTY B WEST SUITE 300 ROSEVILLE MN 55113 FOOD MGMT SVCS 702646 NEW HORIZON FOODS 2207 FLAG AVENUE SOUTH MINNEAPOLIS MN 55426 FOOD MGMT SVCS 629046 CLIFTON LARSON ALLEN 220 SOUTH SIXTH STREET STUIE 300 MINNEAPOLIS MN 55402 ACCOUNTING SVCS 127145 4 218028 218028 PATIENT-MEDICAL SERVICES 623000 15631010 15631010 NURSING HOME SERVICES 623000 1167569 1167569 ADULT DAYCARE 624100 173261 173261 CAFETERIA 722320 34470 34470 17006310 4168 4168 5992479 5992479 5992479 5992479 714 714 714 714 23221699 17006310 5997361 425659 425659 15299846 10468486 4831360 258494 107455 151039 634499 634499 1166568 769850 396718 102174 39931 62243 21279 21279 87369 87369 104634 99933 4701 219455 35570 183885 1052 1052 1473838 919087 554751 76570 8219 68351 47984 3608 44376 937253 937253 1395091 44475 1350616 MISCELLANEOUS 398051 88536 309515 SUPPLIES 284471 122688 161783 REPAIRS - UTILITIES 193118 188104 5014 TAXES 102148 13717 88431 95710 95710 23325263 13639868 9685395 0 2441350 8948629 9813718 13539464 143000 13505 13505 198934 217555 35712637 11740630 25062130 23972007 1019458 620000 1632360 1461070 40324455 48772230 16168289 14096472 23122949 22577521 39291238 36673993 X 1033217 12098237 1033217 12098237 40324455 48772230 -103564 11168584 X false true X true X 311116 189945 120363 214891 218028 1054343 11811812 20396525 20531339 19350411 17006310 89096397 12122928 20586470 20651702 19565302 17224338 90150740 90150740 66748 43529 38294 6761930 5996647 12907148 66748 43529 38294 6761930 5996647 12907148 12189676 20629999 20689996 26327232 23220985 103057888 0.87480 0.91740 0.13000 0.08000 X 921540 921540 31477134 9481029 21996105 3250800 2259601 991199 63163 63163 23972007 X SCHEDULE D, PAGE 3, PART X 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. false true false false false false false false false JAMES HEREFORD FHS PRESIDENT/CEO 1200014 147760 23564 1371338 LAURA REED RN FSH CNO 168276 40000 9201 217477 MARK F THOMAS EBENEZER CEO 346507 183331 45727 61459 19156 656180 JONATHAN LUNDBERG EBENEZER PRESIDENT 175482 142770 2185 3605 9544 5236 187211 151611 TODD T WILLETT EBENEZER CFO 250177 6107 256284 SUSAN FARR STAFF 254216 23392 277608 BRYAN MICHAEL STAFF 133813 33178 215 21837 189043 ERIN M HILLIGAN CORP DIR SKILLED SR 152613 26628 179241 SCHEDULE J, PAGE 1, PART I, LINE 4 MARK F. THOMAS 0 42,559 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 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 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 false false true true false true true true true true FAIRVIEW HEALTH SERVICES R 5947228 FAIR MARKET VALUE FAIRVIEW HEALTH SERVICES L 321375 FAIR MARKET VALUE FAIRVIEW HEALTH SERVICES P 863607 FAIR MARKET VALUE EBENEZER SOCIETY FOUNDATION C 218028 FAIR MARKET VALUE