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Nonprofiteer
← EBENEZER SOCIETY

Form 990 for tax year 2022

Filed by EBENEZER SOCIETY.

Totals

Total revenue
$27,335,084
Total expenses
$26,708,145
Contributions and grants received
$1,299,328
Grants paid
$0
Program services expenses (Part IX)
$17,563,304
Management and general expenses
$9,144,841
Fundraising expenses
$0
Program service expenses (Part III)
$17,563,304

Program services were 65.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • James Hereford

    Ex-Officio

    Total calculated
    $3,487,618
    From this org
    $0
    From related orgs
    $3,370,758
    Other
    $116,860
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,753,793 related
    Bonus
    $0 + $1,399,311 related
    Other
    $0 + $217,654 related
    Deferred
    $0 + $100,535 related
    Nontaxable benefits
    $0 + $16,325 related
    Filer's total
    $0 + $3,487,618 related

  • Jonathan Lundberg

    President

    Total calculated
    $576,819
    From this org
    $0
    From related orgs
    $543,648
    Other
    $33,171
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $363,251 related
    Bonus
    $0 + $139,389 related
    Other
    $0 + $41,008 related
    Deferred
    $0 + $18,580 related
    Nontaxable benefits
    $0 + $14,591 related
    Filer's total
    $0 + $576,819 related

  • Richard Howard

    Chair, ended 5-2022

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Scott Wordelman

    Chair

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Todd Willett

    CFO, Treasurer

    Total calculated
    $345,342
    From this org
    $326,029
    From related orgs
    $0
    Other
    $19,313
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $308,273
    Bonus
    $0
    Other
    $17,756
    Deferred
    $0
    Nontaxable benefits
    $19,313
    Filer's total
    $345,342

  • Carl Runck

    Director

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Carolyn Jacobson

    Director

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Christina Widdess

    Director, new 5-2022

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Kenneth Ashton-Piper

    Director, New 5-2022

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Kimberly Faust

    Director

    Total calculated
    $396,690
    From this org
    $0
    From related orgs
    $359,093
    Other
    $37,597
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $318,422 related
    Bonus
    $0 + $39,244 related
    Other
    $0 + $1,427 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $19,297 related
    Filer's total
    $0 + $396,690 related

  • Robb Gruman

    Director

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Robert Walker

    Director, new 5-2022

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Susan Carlson-Weinberg

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Thomas Hokr

    Secretary

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Brenda Johnson

    Operations VP

    Total calculated
    $188,671
    From this org
    $179,859
    From related orgs
    $0
    Other
    $8,812
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,339
    Bonus
    $0
    Other
    $520
    Deferred
    $0
    Nontaxable benefits
    $8,812
    Filer's total
    $188,671

  • Connie Bednarek

    Controller

    Total calculated
    $164,485
    From this org
    $162,738
    From related orgs
    $0
    Other
    $1,747
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,131
    Bonus
    $2,000
    Other
    $8,607
    Deferred
    $0
    Nontaxable benefits
    $1,747
    Filer's total
    $164,485

  • Douglas Melby

    Finance Director

    Total calculated
    $209,111
    From this org
    $201,276
    From related orgs
    $0
    Other
    $7,835
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,404
    Bonus
    $2,000
    Other
    $10,872
    Deferred
    $0
    Nontaxable benefits
    $7,835
    Filer's total
    $209,111

  • Mark Stauffenecker

    Registered Nurse

    Total calculated
    $206,011
    From this org
    $187,773
    From related orgs
    $0
    Other
    $18,238
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,611
    Bonus
    $21,500
    Other
    $662
    Deferred
    $5,801
    Nontaxable benefits
    $12,437
    Filer's total
    $206,011

  • Robert Britain

    Administrator

    Total calculated
    $158,963
    From this org
    $143,835
    From related orgs
    $0
    Other
    $15,128
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,625
    Bonus
    $6,600
    Other
    $1,610
    Deferred
    $7,250
    Nontaxable benefits
    $7,878
    Filer's total
    $158,963

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

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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)

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.

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
26 October 2023
IRS schema version
2022v5.0
Source object
202322999349301517

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