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Nonprofiteer
← EBENEZER RIDGES

Form 990 for tax year 2022

Filed by EBENEZER RIDGES.

Totals

Total revenue
$17,544,937
Total expenses
$18,964,069
Contributions and grants received
$308,748
Grants paid
$0
Program services expenses (Part IX)
$15,574,014
Management and general expenses
$3,390,055
Fundraising expenses
$0
Program service expenses (Part III)
$15,574,014

Program services were 82.1% 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
    2 + 40 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
    $0
    From related orgs
    $326,029
    Other
    $19,313
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

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

  • 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

  • Daniel King

    Nursing Assistant

    Total calculated
    $160,048
    From this org
    $0
    From related orgs
    $153,860
    Other
    $6,188
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $143,276 related
    Bonus
    $0 + $10,200 related
    Other
    $0 + $384 related
    Deferred
    $0 + $5,486 related
    Nontaxable benefits
    $0 + $702 related
    Filer's total
    $0 + $160,048 related

  • Deann Garrett

    RN

    Total calculated
    $136,258
    From this org
    $0
    From related orgs
    $123,053
    Other
    $13,205
    Hours/week
    40

  • Dorca Nyauma Migiro

    Charge RN

    Total calculated
    $162,318
    From this org
    $0
    From related orgs
    $141,546
    Other
    $20,772
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $135,695 related
    Bonus
    $0 + $5,250 related
    Other
    $0 + $601 related
    Deferred
    $0 + $7,533 related
    Nontaxable benefits
    $0 + $13,239 related
    Filer's total
    $0 + $162,318 related

  • Eunice Nyaundo

    RN

    Total calculated
    $123,721
    From this org
    $0
    From related orgs
    $123,423
    Other
    $298
    Hours/week
    40

  • Peter Motondi

    Charge RN

    Total calculated
    $138,986
    From this org
    $0
    From related orgs
    $113,216
    Other
    $25,770
    Hours/week
    40

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 Health 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
202342999349301244

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