Concordia Lutheran Ministries

What it reported doing in 2024

At Concordia, the organization emphasizes the organization's high-quality care, and the organization are committed to continuously improving it. Quality remains at the heart of Concordia's mission. Across our network, accreditation renewals, strong survey results and many deficiency-free inspections affirmed our commitment to excellence in care. In the past year, Concordia enhanced its peer review and risk management processes, giving clinical and operational leaders tools to identify opportunities for improvement and mitigate risks early. Medical director collaboration meetings provided physician-led education on infection control, medication management and specialized resident care needs, strengthening outcomes across care settings. Staff education advanced with the launch of a new MedBridge Learning Management System in January 2025, offering continuing education credits for nurses, therapists, administrators and social workers while tailoring training to service line requirements. Concordia also continued to expand the use of its Compliance Store, an electronic regulatory resource that ensures staff have timely access to updated guidance, policy revisions and educational materials. Looking ahead, Concordia will maintain quarterly quality audits, expand the Compliance Store to cover more service lines, strengthen staff orientation programs and transition to automated risk management software - all with the goal of sustaining the trust that residents, patients and families place in our caregivers. Effective September 2023, the Concordia Lutheran Ministries network as defined by CARF earned another Five-Year Accreditation from CARF, the Commission on Accreditation of Rehabilitation Facilities. The achievement has been the recognized benchmark of quality health and human services for more than 50 years, and it is the fifth consecutive CARF accreditation awarded to Concordia. In addition to these achievements, on any given day, you will find a multitude of activities and events happening on Concordia's campuses - live entertainment, worship services, summer picnics, Oktoberfest celebrations, Bible studies, visits with therapy animals, athletic demonstrations, a prom celebration, resident choir performances, bowling contests, and so much more. In addition to on-campus entertainment, residents and patients were able to go on more trips to local restaurants, shopping venues, entertainment options and other in-person experiences. While these group activities continued, many personal stories of faith in caring happened this year. No matter how large or small, the daily activities at all Concordia entities provide a sense of community for the organization's residents, patients and the team members who care for them. In addition to the daily activities, the organization also has a full suite of pastoral care. Pastoral care has been an integral part of Concordia since its founding in 1881. Faith is woven into every aspect of Concordia's care - tending not only to physical and emotional needs, but to those of the spirit as well. Our Chaplaincy team serves across every location and home and community-based service line, bringing the comfort of the Gospel into daily life and in times of greatest need. As Concordia's footprint expands into more facilities, area hospitals and rehabilitation centers, our team continues to stretch its reach while also seeking out qualified pastors and deaconesses to join this vital ministry. In 2025, they walked alongside all members of the Concordia family - building relationships, offering encouragement and inspiring hearts with Christ's hope. The nearly 20 devoted employees are on call for emergencies at all times, and they serve residents, patients, families, employees, and community members with empathy and kindness. From hospital calls, counseling, in-home visits, in-facility worship services, Bible studies, hymn sings, and much more, this team is a vital component of the care provided at Concordia and

Financial Efficiency

• Mission deployment rate: 9.5%; rating input score 10
• Program expense ratio: 91%; rating input score 91
• Fundraising efficiency: $774.19 raised per $1 spent on fundraising; rating input score 95; 95th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 93.1%; rating input score 99; 99th percentile among comparable filings
• Total-asset coverage ratio: 95.7; rating input score 100; 100th percentile among comparable filings
• Liabilities to assets ratio: 0.01; rating input score 96; 96th percentile among comparable filings
• Officer compensation ratio: 1.1%; rating input score 72; 72nd percentile among comparable filings

Growth

• Program expense growth: 24.5% per year; rating input score 100; 94th percentile among comparable filings
• Revenue growth: 17.9% per year; rating input score 100; 92nd percentile among comparable filings
• Asset growth: 14.3% per year; rating input score 100; 84th percentile among comparable filings