Immanuel Living

What it reported doing in 2024

Immanuel living at buffalo hill was incorporated in the state of Montana on september 7, 1953. Recognized as an affiliated social ministry organization by the evangelical lutheran church in america (elca), its membership primarily consists of lutheran congregations within the Montana synod. However, immanuel living at buffalo hill operates independently and assumes full financial responsibility for its sustainability. Today, immanuel living at buffalo hill stands as one of the largest life plan communities in Montana. As a not-for-profit organization, immanuel living at buffalo hill provides a full continuum of care through: (continued on schedule o)- skilled nursing & rehabilitation services - operating as the retreat, immanuel skilled care center (iscc)- independent & assisted living - offered at the terraces (buffalo hill terrace, bht), the villas, and the cottages- memory care services - provided through the lodge and the retreat- outpatient therapy, offering rehabilitation services to the public - operating as the retreat- at home support - operating as immanuel living at home- early childhood education - operating as growing roots early learning center in both kalispell and somersfor the fiscal year ending june 30, 2025:- the retreat provided 39,226 days of care for older adults and individuals with disabilities.- immanuel living at buffalo hill was among the largest medicaid long-term care providers in flathead county, delivering 15,529 days of care to the medicaid population, despite a reimbursement shortfall of nearly $1 million.- the terraces maintained a 97% occupancy rate, with a total 60,498 resident days, serving an average of 40 assisted living residents and 23 memory care residents daily.- services offered include skilled nursing, assistance with daily living activities, therapy services (physical, occupational, and speech), pastoral care, social and recreational activities, dining, housekeeping, and laundry.in alignment with our mission, immanuel living at buffalo hill actively supports the local community through:- chamber and rotary involvement: member of both the kalispell chamber of commerce and the evergreen chamber of commerce, participating in fundraising efforts. Active in multiple rotary clubs, contributing to the rotary foundation annual endowment fund. - local outreach and support:30 meals for the abbie shelter 100 meals for feed the flathead 30 sack lunches for habitat for humanity 100 sack lunches per month for the flathead warming center clothing donations to second helpings thrift store financial contributions to numerous community organizations, including: alzheimer's association logan health foundation flathead valley community college foundation kalispell chamber foundation evergreen chamber of commerce Montana health care association - educational and cultural contributions: hosting caregiver support groups, educational sessions, and professional music performances for both residents and community members. Providing meeting space for various local organizations. Partnering with the salvation army for the annual giving tree holiday support program- leadership and industry contributions: immanuel living at buffalo hill staff members actively serve on key industry and community boards, including: Montana health care association Montana hospital association national/Montana alzheimer's association kalispell chamber of commerce rotary & leadership flathead Montana ambassadors board flathead county healthcare coalition glacier symphony and chorale united way - commitment to sustainability and workforce development: immanuel living at buffalo hill is dedicated to environmental stewardship, composting over 65,000 pounds of food waste annually, and is proudly certified as a green restaurant, demonstrating our commitment to sustainable practices. We also invest in the future of healthcare by: offering scholarships to employees pursuing education in any field. Providing no-cost cna training and certifi

Financial Efficiency

• Mission deployment rate: 85.2%; rating input score 85
• Program expense ratio: 81.9%; rating input score 82
• Fundraising efficiency: $1.19 raised per $1 spent on fundraising; rating input score 3; 3rd percentile among comparable filings

Transparency & Controls

• Consistency checks: 85.7%; rating input score 86; 1st percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 86.7%; rating input score 87; 19th 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; 66th 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: -5.2%; rating input score 16; 16th percentile among comparable filings
• Total-asset coverage ratio: 3.28; rating input score 77; 77th percentile among comparable filings
• Liabilities to assets ratio: 1.03; rating input score 5; 5th percentile among comparable filings
• Officer compensation ratio: 4.5%; rating input score 55; 55th percentile among comparable filings

Growth

• Program expense growth: 8.2% per year; rating input score 100; 63rd percentile among comparable filings
• Revenue growth: 6.7% per year; rating input score 100; 57th percentile among comparable filings
• Asset growth: 9.5% per year; rating input score 100; 62nd percentile among comparable filings