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Nonprofiteer
← EBENEZER RIDGES

Form 990 for tax year 2023

Filed by EBENEZER RIDGES.

Totals

Total revenue
$20,635,479
Total expenses
$22,152,010
Contributions and grants received
$832,958
Grants paid
$0
Program services expenses (Part IX)
$18,617,448
Management and general expenses
$3,534,562
Fundraising expenses
$0
Program service expenses (Part III)
$18,617,448

Program services were 84.0% 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
    $5,246,751
    From this org
    $0
    From related orgs
    $5,208,444
    Other
    $38,307
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,888,932 related
    Bonus
    $0 + $1,260,653 related
    Other
    $0 + $2,058,859 related
    Deferred
    $0 + $21,097 related
    Nontaxable benefits
    $0 + $17,210 related
    Filer's total
    $0 + $5,246,751 related

  • Jonathan Lundberg

    President

    Total calculated
    $609,396
    From this org
    $0
    From related orgs
    $532,207
    Other
    $77,189
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $376,881 related
    Bonus
    $0 + $95,683 related
    Other
    $0 + $59,643 related
    Deferred
    $0 + $61,529 related
    Nontaxable benefits
    $0 + $15,660 related
    Filer's total
    $0 + $609,396 related

  • Scott Wordelman

    Chair

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Todd Willett

    CFO, Treasurer

    Total calculated
    $393,911
    From this org
    $0
    From related orgs
    $357,738
    Other
    $36,173
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $323,251 related
    Bonus
    $0 + $30,000 related
    Other
    $0 + $4,487 related
    Deferred
    $0 + $13,568 related
    Nontaxable benefits
    $0 + $22,605 related
    Filer's total
    $0 + $393,911 related

  • Carl Runck

    Director, ended 5-2023

    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, ended 5-2023

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Kenneth Ashton-Piper

    Director

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Kimberly Faust

    Director

    Total calculated
    $443,463
    From this org
    $0
    From related orgs
    $409,780
    Other
    $33,683
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $335,409 related
    Bonus
    $0 + $72,859 related
    Other
    $0 + $1,512 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $20,483 related
    Filer's total
    $0 + $443,463 related

  • Robb Gruman

    Director

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Robert Walker

    Director

    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

  • Dorca Nyauma Migiro

    Charge RN

    Total calculated
    $172,985
    From this org
    $0
    From related orgs
    $150,562
    Other
    $22,423
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $147,112 related
    Bonus
    $0 + $3,450 related
    Other
    $0
    Deferred
    $0 + $7,977 related
    Nontaxable benefits
    $0 + $14,446 related
    Filer's total
    $0 + $172,985 related

  • Garrett Bothun

    Administrator

    Total calculated
    $168,468
    From this org
    $0
    From related orgs
    $140,567
    Other
    $27,901
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $126,784 related
    Bonus
    $0 + $10,452 related
    Other
    $0 + $3,331 related
    Deferred
    $0 + $5,358 related
    Nontaxable benefits
    $0 + $22,543 related
    Filer's total
    $0 + $168,468 related

  • Gladys Kiobbo

    Charge RN

    Total calculated
    $146,092
    From this org
    $0
    From related orgs
    $130,068
    Other
    $16,024
    Hours/week
    40

  • Holly Kranz

    Director of Nursing

    Total calculated
    $157,605
    From this org
    $0
    From related orgs
    $135,814
    Other
    $21,791
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $127,259 related
    Bonus
    $0 + $5,100 related
    Other
    $0 + $3,455 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $21,791 related
    Filer's total
    $0 + $157,605 related

  • Mercy Nyasende

    RN

    Total calculated
    $144,640
    From this org
    $0
    From related orgs
    $127,142
    Other
    $17,498
    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 $2,049,355 JONATHAN LUNDBERG $54,539
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
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202413169349301306

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