2023-10-26T18:00:16+00:00 2022-12-31 990 2022-01-01 410706141 Ebenezer Society EBEN 6128743460 7505 Metro Boulevard Suite 100 Edina MN 554393017 Jonathan Lundberg President 2023-10-26 Jonathan Lundberg 999009999 2022 2023-04-26 12:10:37Z Jonathan Lundberg 7505 Metro Boulevard Suite 100 Edina MN 554393017 27335084 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. 13 9 1069 0 0 0 1227252 1299328 12265485 26003452 254917 32304 11859939 0 25607593 27335084 0 0 19990421 20680753 0 0 7653505 6027392 27643926 26708145 -2036333 626939 59031436 61531272 34170472 37209333 24860964 24321939 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 17563304 26003452 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. 17563304 true true false false false false false true false true false false true true true false true 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 true true false false true X 85 0 true 1069 true false false false false false false false false false false false false X 13 9 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 7505 Metro Boulevard Suite 100 Edina MN 55439 James Hereford Ex-Officio 2.0 40.0 X X 0 3370758 116860 Jonathan Lundberg President 40.0 2.0 X X 0 543648 33171 Richard Howard Chair, ended 5-2022 0.3 1.5 X X 0 0 0 Scott Wordelman Chair 0.3 1.5 X X 0 0 0 Todd Willett CFO, Treasurer 40.0 2.0 X X 326029 0 19313 Carl Runck Director 0.3 1.5 X 0 0 0 Carolyn Jacobson Director 0.3 1.5 X 0 0 0 Christina Widdess Director, new 5-2022 0.3 1.5 X 0 0 0 Kenneth Ashton-Piper Director, New 5-2022 0.3 1.5 X 0 0 0 Kimberly Faust Director 2.0 40.0 X 0 359093 37597 Robb Gruman Director 0.3 1.5 X 0 0 0 Robert Walker Director, new 5-2022 0.3 1.5 X 0 0 0 Susan Carlson-Weinberg Vice Chair 0.3 1.5 X 0 0 0 Thomas Hokr Secretary 0.3 1.5 X 0 0 0 Brenda Johnson Operations VP 40.0 0.0 X 179859 0 8812 Connie Bednarek Controller 40.0 0.0 X 162738 0 1747 Douglas Melby Finance Director 40.0 0.0 X 201276 0 7835 Mark Stauffenecker Registered Nurse 40.0 0.0 X 187773 0 18238 Robert Britain Administrator 40.0 0.0 X 143835 0 15128 1201510 4273499 258701 41 false true false Network Therapy Service LLC 8120 Penn Avenue South Suite 480 Minneapolis MN 55431 Rehab Services 1651315 Grapetree Medical Staffing LLC PO Box 5340 Sioux Falls SD 57117 Medical Staffing Services 1148407 Annleo INC PO Box 5341 Sioux Falls SD 571175341 Medical Staffing Services 297219 Clifton Larson Allen LLP PO Box 1067 St Cloud MN 563021067 Accounting Services 278754 Bestoption Medical Staffing LLC 8500 Normandale Blvd Suite 350 Bloomington MN 55437 Medical Staffing Services 202155 7 115910 1183418 1299328 Assisted Living Nursing Services 623990 7144752 7144752 Assisted Living Rent Services 531390 6033032 6033032 Nursing Home Patient Services 623000 12811838 12811838 Cafeteria 722320 13830 13830 0 0 0 0 26003452 5153 5153 0 0 27151 27151 0 27151 27151 0 0 0 0 0 27335084 26003452 0 32304 326029 326029 17834832 12800311 5034521 20836 20836 1242173 701785 540388 1256883 850175 406708 121817 31685 90132 38950 38950 260690 260690 0 0 0 0 29389 29389 438598 192121 246477 1479744 1330512 149232 38431 8481 29950 119821 65125 54696 620749 620749 990204 990204 Non-Medical Supplies 870572 816608 53964 Medical Supplies 400958 399614 1344 Licenses/Fees/Memberships 186545 62442 124103 Repairs & Maintenance 185378 184987 391 245546 98622 146924 0 26708145 17563304 9144841 0 6378635 5628742 3488402 3374215 24165669 27943345 0 0 0 0 87381 0 142476 153461 34918585 15817907 19717435 19100678 1051176 909478 483125 471513 500000 807395 3017137 3142445 59031436 61531272 10537246 15355571 138674 110583 0 0 23494552 21743179 34170472 37209333 24860964 24321939 24860964 24321939 59031436 61531272 X 626939 -273263 32299 -925000 X false true X true false X 78362 126036 678054 1227252 1299328 3409032 19287878 19456142 18303444 24125424 26003452 107176340 0 0 0 19366240 19582178 18981498 25352676 27302780 110585372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110585372 6545666 6564991 6158266 13765 5153 19287841 0 6545666 6564991 6158266 13765 5153 19287841 0 0 0 0 0 0 0 25911906 26147169 25139764 25366441 27307933 129873213 0.8515 0.799 0.15 0.201 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 644666 644666 29974602 12226862 17747740 3174007 2687310 486697 1125310 903735 221575 19100678 Operating Leases 1960112 Debt Service Fund Restricted Fund Invest 1182333 3142445 LT Debt 19292360 Other LT Debt - Operating Leases 2105887 LT Debt - Current 344932 21743179 X Schedule D, Part IV, Line 2b Explanation of escrow agreement Ebenezer Society holds in trust deposit amounts received by tenants upon move-in. The tenant deposits are maintained in an interest-bearing account separate from Ebenezer Society's accounts. Deposits are refunded, minus any amounts for repairs, when the tenant leaves the facility. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION 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 OR OTHER TAXES. false true false false false false false true false Todd Willett CFO, Treasurer 308273 0 0 0 17756 0 0 0 19313 0 345342 0 0 0 Jonathan Lundberg President 0 363251 0 139389 0 41008 0 18580 0 14591 0 576819 0 38485 James Hereford Ex-Officio 0 1753793 0 1399311 0 217654 0 100535 0 16325 0 3487618 0 208150 Kimberly Faust Director 0 318422 0 39244 0 1427 0 18300 0 19297 0 396690 0 0 Mark Stauffenecker Registered Nurse 165611 0 21500 0 662 0 5801 0 12437 0 206011 0 0 0 Douglas Melby Finance Director 188404 0 2000 0 10872 0 0 0 7835 0 209111 0 0 0 Brenda Johnson Operations VP 179339 0 0 0 520 0 0 0 8812 0 188671 0 0 0 Connie Bednarek Controller 152131 0 2000 0 8607 0 0 0 1747 0 164485 0 0 0 Robert Britain Administrator 135625 0 6600 0 1610 0 7250 0 7878 0 158963 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals participated in a nonqualified retirement plan: James Hereford, Jonathan Lundberg Due to a vesting event, the following individuals had income in Part VII and Schedule J related to a nonqualified retirement plan: James Hereford $208,150 Jonathan Lundberg $38,485 Schedule J, Part I, Line 7 Non-fixed payments FAIRVIEW HEAL TH SERVICES PROVIDES LUMP SUM FINANCIAL AWARDS BASED ON SYSTEM-WIDE, BUSINESS UNIT AND/OR DEPARTMENTS FINANCIAL AND QUALITY MEASURES. ANNUAL GOALS, SPECIFICALLY TIED TO PRODUCTIVITY AND QUALITY INDICATORS, ARE SET FOR THE YEAR AND AN INCENTIVE PAID OUT ANNUALLY IF KEY GOALS AND MEASURES ARE ACHIEVED. Schedule J, Part I, Line 3 Related Org to establish compensation THE ORGANIZATION IS PART OF THE FAIRVIEW HEALTH SERVICES SYSTEM AND FAIRVIEW HEALTH SERVICES HUMAN RESOURCES USES COMPARABLES TO ESTABLISH COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR ACCORDING TO MARKET STANDARDS. Schedule J, Part III Other Additional Information The nonqualified plan is only open to a select group of highly compensated employees. The plan contributes the difference of what 403(b) employer contributions were missed for participants who earn more than the IRS limit on eligible compensation for qualified retirement plans. The contribution is unfunded. The plan complies with section 457(f) of the Code. Form 990, Part V, Line 3b Form 990-T Not Filed Explanation There was no unrelated income reported in the current tax year, therefore no Form 990T is required to be filed. Form 990, Part VI, Line 6 Classes of members or stockholders 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, Part VI, Line 7a Members or stockholders electing members of governing body 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, Part VI, Line 7b Decisions requiring approval by members or stockholders HE FOLLOWING ACTIONS MUST BE APPROVED BY FAIRVIEW HEALTH SERVICES, THE SOLE CORPORATE MEMBER: (A) ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS; (B) ALL CAPITAL BUDGETS OF THE ORGANIZATION AND ALL OTHER ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS ORGANIZATION, AND ALL MAJOR CAPITAL EXPENDITURES BEFORE FUNDS ARE EXPENDED THEREFOR; (C) ALL OPERATING BUDGETS OF THIS ORGANIZATION AND ALL OTHER ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS ORGANIZATION, BEFORE AUTHORIZED EXPENDITURES MAY BE MADE THEREFROM; (D) STRATEGIC PLANS OF THIS ORGANIZATION AND ALL OTHER ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS ORGANIZATION; (E) THE INCURRING OF ANY LONG TERM DEBT OF THIS ORGANIZATION AND ALL OTHER ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS ORGANIZATION, OTHER THAN INTRA-SYSTEM OF REFINANCING DEBT; (F) ALL HUMAN RESOURCES AND BENEFIT POLICIES;(G) ANY MAJOR RISK CONTRACTING AGREEMENTS, WHICH FOR THESE PURPOSES MEANS ANY CONTRACT THAT DEALS WITH CAPITATION OR A SIMILAR RISK BEARING CONCEPT; (H) ANY MERGER, CONSOLIDATION, OR TOTAL OR PARTIAL DISSOLUTION; (I) THE NUMBER OF DIRECTORS; AND (J) ANY GOVERNANCE AND ACTION OF THE TYPE SET FORTH IN SUBPARAGRAPHS (A) AND (F) THROUGH (I) ABOVE AS PROPOSED BY THE BOARD OF DIRECTORS OF ANY ENTITY DIRECTLY CONTROLLED BY THIS ORGANIZATION TO THE EXTENT THAT THE GOVERNING DOCUMENTS OF SUCH ENTITY GIVE THIS ORGANIZATION OR THE BOARD A RIGHT TO APPROVAL OVER SUCH GOVERNANCE ACTION. Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Part VI, Line 12c Conflict of interest policy 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, Part VI, Line 15a Process to establish compensation of top management official THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY YHE 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, Part VI, Line 15b Process to establish compensation of other employees 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, Part VI, Line 19 Required documents available to the public 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 Other changes in net assets or fund balances Distribution to related party - -925000; Ebenezer York Assisted Living LLC 7505 Metro Boulevard Suite 100 Edina MN 55439 262912486 Housing MN 6089282 13323548 Ebenezer Society Fairview Woods LLC 7505 Metro Boulevard Suite 100 Edina MN 55439 204381407 Housing MN 5495384 7333240 Ebenezer Society Ebenezer Towers on Portland LLC 7505 Metro Boulevard Suite 100 Edina MN 55439 472019262 Housing MN 30747 2283072 Ebenezer Society Edina Senior Living LLC 6500 France Avenue South Edina MN 55435 472449637 Housing MN 2746231 15097473 Ebenezer Society Fairview Health Services 2450 Riverside Avenue Minneapolis MN 55454 410991680 Hospital MN 501(c)(3) 3 na false Ebenezer Ridges Assisted Living 7505 Metro Boulevard Suite 100 Edina MN 55439 411964691 Assisted MN 501(c)(3) 10 Ebenezer Society true Ebenezer Ridges 7505 Metro Boulevard Suite 100 Edina MN 55439 411287792 Nursing MN 501(c)(3) 10 Ebenezer Society true Ebenezer Society Foundation 7505 Metro Boulevard Suite 100 Edina MN 55439 411356565 Support MN 501(c)(3) Type I Ebenezer Society true Ebenezer Ridge Point Apartments 7505 Metro Boulevard Suite 100 Edina MN 55439 411769727 Housing MN 501(c)(3) 10 Ebenezer Society true Ebenezer Towers 7505 Metro Boulevard Suite 100 Edina MN 55439 237005359 Housing MN 501(c)(3) 10 Ebenezer Society true Ebenezer Lakes Senior Housing 7505 Metro Boulevard Suite 100 Edina MN 55439 320190409 Housing MN 501(c)(3) 10 Ebenezer Society true Ebenezer Lakes Assisted Living 7505 Metro Boulevard Suite 100 Edina MN 55439 412012560 Assisted MN 501(c)(3) 10 Ebenezer Society true Fairview Home Care and Hospice 2450 Riverside Ave Minneapolis MN 55454 411434246 Home Health Care MN 501(c)(3) 10 Fairview Health Services false Fairview Physician Associates Network 7505 Metro Blvd Suite 100 Edina MN 55439 411753325 Specialty MN 501(c)(3) 10 Fairview Health Services false Fairview Foundation 2450 Riverside Ave Minneapolis MN 55454 411573810 Foundation MN 501(c)(3) 7 Fairview Health Services false Range Regional Health Care 750 East 34th Street Hibbing MN 55746 411293970 Hospital MN 501(c)(3) 3 Fairview Health Services false Grand Itasca Clinic and Hospital 1601 Golf Course Road Grand Rapids MN 55744 411865874 Hospital MN 501(c)(3) 3 Fairview Health Services false PreferredOne Community Health Plan 2450 Riverside Ave Minneapolis MN 55454 411796007 INSURANCE MN 501(c)(4) Fairview Health Services false Fairview Bethesda Hospital 2450 Riverside Ave Minneapolis MN 55454 363517697 Hospital MN 501(c)(3) 3 Fairview Health Services false HealthEast St Joseph's Hospital 2450 Riverside Ave Minneapolis MN 55455 410693880 Hospital MN 501(c)(3) 3 Fairview Health Services false HealthEast St John's Hospital 2450 Riverside Ave Minneapolis MN 55454 411456897 Hospital MN 501(c)(3) 3 Fairview Health Services false HealthEast Woodwinds Hospital 2450 Riverside Ave Minneapolis MN 55454 411592761 Hospital MN 501(c)(3) 3 Fairview Health Services false HealthEast Professional Services 2450 Riverside Ave Minneapolis MN 55454 261226617 Medical Services MN 501(c)(3) 7 Fairview Health Services false HealthEast Medical Research Institute 2450 Riverside Ave Minneapolis MN 55454 411765832 Meical Research MN 501(c)(3) 4 Fairview Health Services false Ridges Surgery Center LLC 14101 Fairview Drive Suite 400 Burnsville MN 55337 462441825 Surgery Center MN Fairview Health Servcies N/A Southhealth ASC LLC 4200 Dahlberg Drive Suite 300 Golden Valley DE 55422 822364607 Surgery Center MN Fairview Health Services N/A Ebenezer Management Services Inc 7505 Metro Boulevard Suite 100 Edina MN 55439 411567046 Mgmt Svcs MN Ebenezer Society C Corporation 22867363 35320336 1 true Ebenezer Development Inc 7505 Metro Blvd Suite 100 Edina MN 55439 883201659 Property Management MN Ebenezer Society C Corporation 0 1046172 1 true Fairview Clinics 2450 Riverside Ave Minneapolis MN 55454 411761760 Medical Services MN Fairview Health Services C Corporation false Fairview Express Care 2450 Riverside Ave Minneapolis MN 55454 205996177 Medical Services MN Fairview Health Services C Corporation false Fairview Development Company 2450 Riverside Ave Minneapolis MN 55454 411568579 Leasehold MN Fairview Health Services C Corporation false Fairview Physician and Clinic Services 2450 Riverside Ave Minneapolis MN 55454 411544996 Medical Services MN Fairview Health Services C Corporation false HealthEast Diversified Services Inc 2450 Riverside Ave Minneapolis MN 55454 411388583 Lab & Real Estate MN Fairview Health Services C Corporation false FHS Assurance LTD 2450 Riverside Ave Minneapolis MN 55454 980417513 Self Insurance MN Fairview Health Services C Corporation false false false true false false false false false false false false true false false true true true false true Ebenezer Society Foundation O 232444 Cost Ebenezer Lakes Assisted Living O 4053291 Cost Ebenezer Lakes Senior Housing O 64272 Cost Ebenezer Ridge Point Apartments O 111353 Cost Ebenezer Ridges Assisted Living O 2339272 Cost Ebenezer Ridges O 12936268 Cost Ebenezer Management Services Q 3182289 Cost Ebenezer Ridges Q 211798 Cost Ebenezer Society Foundation C 115910 Cost