2023-10-13T12:10:15-05:00 2022-12-31 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2022-01-01 410711612 Pioneer Home Inc PION 2189981500 1131 S Mabelle Ave Fergus Falls MN 56537 Nathan Johnson CEO 2189981500 2023-10-13 1 Nathan Johnson 999009999 1 Lisa Chaffee CPA P00193453 7012551091 2023-10-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PioneerCare Nathan Johnson 1131 S Mabelle Ave Fergus Falls MN 56537 17690302 0 X www.pioneercare.org X 1927 MN Pioneer Home, Inc. cares for the needs of the aged and infirm in a benevolent and charitable manner. 11 11 317 75 120932 39030 2547266 380448 14463655 14051674 23761 20460 0 3237720 17034682 17690302 61190 54950 0 0 8839718 9101978 0 0 0 7112965 7211439 16013873 16368367 1020809 1321935 18276562 20215140 21948322 22588609 -3671760 -2373469 Our Mission is to promote quality of life in a Christ-like way for those we serve by providing diverse and holistic care, focusing always on individual dignity and worth. 0 0 13407312 54950 17274193 In 2022 Pioneer Home Incorporated operated a 105-bed nursing facility, 52-unit memory care assisted living complex, 44-unit housing with services complex, 18-unit memory care assisted living complex in Breckenridge, Minnesota, and about 500 PioneerLink home monitoring/assistance clients were served. The Home is affiliated with the Evangelical Lutheran Church of America and the Home's mission is an extension of the member churches outreach services to the community. 13407312 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 11 0 1 317 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 MN X Nathan Johnson 2189981500 1131 S Mabelle Ave Fergus Falls MN 56537 Nathan Johnson CEO 48.00 5.00 X 180521 0 23724 Brad Tollerson Chair 1.50 0.00 X X 0 0 0 Joe Ellig Vice Chair 1.50 0.00 X X 0 0 0 Dean Monke Secretary 1.50 0.00 X X 0 0 0 Brandi Sillerud Treasurer 1.50 0.00 X X 0 0 0 Bonnie Denzel Director 1.50 0.00 X 0 0 0 Peggy Underwood Director 1.50 0.00 X 0 0 0 John Sethre Director 1.50 0.00 X 0 0 0 Janet Freeman Director 1.50 0.00 X 0 0 0 Suzanne Demuth Director 1.50 0.00 X 0 0 0 Jeff Ackerson Director 1.50 0.00 X 0 0 0 Lowell Brenna Director 1.50 0.00 X 0 0 0 180521 0 23724 1 0 1 0 Aegis Therapies PO Box 936653 Atlanta GA 31193 Physical,Occupational, Speech Therapy 391438 OneStaff Medical PO Box 3544 Omaha NE 68103 Travel Nursing/Healthcare Staffing 241618 DTN Staffing 1200 Collins Ave Mandan ND 58554 Travel Nursing/Healthcare Staffing 184985 GrapeTree Medical Staffing PO Box 5340 Sioux Falls SD 57117 Travel Nursing/Healthcare Staffing 139920 Ann Leo 2501 Boji Bend Drive Suite 200 Milford IA 51351 Pool Nursing 113700 7 136069 244379 380448 Resident Service Revenue 623000 13335483 13335483 Other Revenue 623000 593336 593336 Meals-Otter Tail Power/A'viands 722320 61648 61648 Partnership Revenue 623000 46885 2802 44083 Auxiliary Revenue 900099 14322 14322 14051674 20460 20460 15201 0 15201 15201 15201 Employee Retention Credit 900099 3222519 3222519 3222519 17690302 17168462 120932 20460 X 54950 54950 204651 204651 7343374 5879306 1464068 76073 63677 12396 918325 732219 186106 559555 437246 122309 31587 31587 8515 8515 371450 371450 1858245 1829224 29021 154366 11543 142823 519390 387586 131804 43 43 473931 468340 5591 25859 21087 4772 11213 5416 5797 886951 882241 4710 1234227 1227899 6328 209986 209986 Food 555861 555861 Medical Supplies 476012 476012 DHS Surcharge 295575 295575 Income Tax Provision 3025 3025 95203 76105 19098 16368367 13407312 2961055 0 6096434 5223586 967898 4605746 110075 155431 30410134 21116543 10412626 9293591 222046 197940 450000 450000 17483 288846 18276562 20215140 1158061 1996798 19552 1018 2484884 2330515 38475 67408 18235808 17941519 11542 251351 21948322 22588609 X -3671760 -2373469 -3671760 -2373469 18276562 20215140 X 1321935 -26555 2911 X 0 1 X 0 0 X 40391 52846 1541041 2547266 380448 4561992 15285932 15626377 15253358 14437841 13945943 74549451 15326323 15679223 16794399 16985107 14326391 79111443 0 0 0 79111443 12544 82987 13374 23761 20460 153126 74903 54892 45676 22053 39030 236554 87447 137879 59050 45814 59490 389680 15413770 15817102 16853449 17030921 14385881 79501123 0.99510 0.99500 0.00490 0.00500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 16601 14322 17233 13690 1 X 83549 866328 949877 23878141 16044768 7833373 4683363 4270906 412457 898753 800869 97884 9293591 Insurance Reserve 251351 251351 X 17649425 -26555 -26555 17675980 14322 14322 17690302 16351134 0 16351134 17233 17233 16368367 Part IV, Line 1b: Pioneer Home Inc. has an Auxiliary that has special events and gift sales to benefit Pioneer Home Inc. and its residents. Part IV, Line 2b: PioneerCare acts as a custodian for funds of residents. These funds are included in cash and cash equivalents and accounts payable in these consolidated financial statements. Resident trust funds totaled $27,975 and $8,247 at December 31, 2022 and 2021. PioneerCare holds security deposits of residents. These funds are included in cash and cash equivalents and accounts payable in these consolidated financial statements. Resident security deposits totaled $39,433 and $30,228 at December 31, 2022 and 2021. Part X, Line 2: The Home and PRC believe that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Home and PRC would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Auxiliary Revenues 14,322. Part XII, Line 4b - Other Adjustments: Auxiliary Expenses 17,233. 1 Educational Assistance 62 54950 Tuition, books, student loan repayment Part I, Line 2: Employees are eligible for the reimbursement of student loans, the cost of certain educational related expenses, and for scholarships to take additional courses. Payments are made directly to the school for tuition payments, and directly to the loan companies for student loan payments. X X 0 0 0 1 0 0 0 0 0 Nathan Johnson CEO 165745 0 14776 0 0 0 5416 0 18715 0 204652 0 0 0 Part I, Line 5 The CEO is eligible for a bonus. This bonus is calculated based on a specific formula. The board sets the maximum compensation incentive, and the corresponding financial and quality goals at the beginning of the fiscal year. The financial goals have two components and make up 60% of the total points. The quality goals have four components and make up 40% of the total points. Each component goal has possible points and earned points. At the end of the FY the board reviews all the measures and assigns earned points which determines the bonus amount that gets paid out. A City of Fergus Falls 416005153 2015-07-31 3600000 Refinance 2010 bond; and capital improvements for skilled nursing facility 0 0 0 A 1151242 3600000 235200 72000 82153 3210647 2015 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 1 0 0 0 1 A 1 Form 990, Part VI, Section A, line 6 The membership of this Corporation shall consist of the two lay delegates, and the senior pastor of the following congregations, provided they are legally in existence, and other concerned citizens of the Fergus Falls, Minnesota, area who are interested in the management and Christian development of Pioneer Home, Incorporated: First Lutheran Church 402 South Court Fergus Falls, Minnesota 56537 Bethlehem Lutheran Church 102 Junius Avenue Fergus Falls, Minnesota 56537 Zion Norwegian Evangelical Lutheran Church 202 East Summit Fergus Falls, Minnesota 56537 Augustana Lutheran Church 308 East Douglas Fergus Falls, Minnesota 56537 Hope Evangelical Lutheran Church P.O. Box 375 Fergus Falls, Minnesota 56537 The Board of Directors may also choose to appoint not more than eight individuals to represent other concerned citizens who are interested in the management and Christian development of Pioneer Home, Incorporated. Form 990, Part VI, Section A, line 7a The members vote for a delegate to represent them on the Board of Directors. Form 990, Part VI, Section A, line 7b Amendments to the Articles must be approved by a majority of the Board of Directors, and a majority of the members with voting rights. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b The completed 990 is reviewed by the CFO and CEO. The reviewed Form 990 is then provided to the board prior to the Form 990 being filed with the IRS. Form 990, Part VI, Section B, line 12c Any director, principal officer, or member of a committee with Governing Board delegated powers, who has a direct or indirect financial interest are required to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. If it is determined that a conflict exists the individual with the conflict abstains from voting on issues involving that conflict. Form 990, Part VI, Section B, line 15a The Executive Committee determined the initial salary for the CEO. On an annual basis, a wage plan is discussed with the full Board for all positions. The Board makes a final determination which is documented in the board minutes and can make any adjustments they deem necessary. Pioneer Home, Inc uses Leading Ages market analysis as a guide when determining salaries. The Pioneer Home Foundation, a related organization, does not compensate for the services provided by the CEO or CFO to the Pioneer Home Foundation. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 1,802,042. Management and general expenses 9,293. Fundraising expenses 0. Total expenses 1,811,335. Beauty Shop: Program service expenses 27,182. Management and general expenses 0. Fundraising expenses 0. Total expenses 27,182. Other Fees: Program service expenses 0. Management and general expenses 19,728. Fundraising expenses 0. Total expenses 19,728. Form 990, Part XI, line 9: Auxiliary Net Income 2,911. PRC LLC 1131 Mabelle Ave S Fergus Falls MN 56537 271608908 Holding Company MN 0 1506221 Pioneer Home Inc Pioneer Home Foundation 1131 Mabelle Ave S Fergus Falls MN 56537 363497297 To provide for Pioneer Home Inc. MN 501(c)(3) Line 7 Pioneer Home Inc 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 Pioneer Home Foundation C 136069 Accrual Accting