Immanuel

What Immanuel does

Immanuel is a non-profit, faith-based senior living and care organization headquartered in Omaha, Nebraska, founded in 1887 with a Christ-centered mission serving older adults across Nebraska and Iowa. The organization operates 18 active communities across 11 campuses in 18 counties, providing a full continuum of care including 55 Plus Active Living, independent living, assisted living, memory support, skilled nursing and long-term care, affordable subsidized housing, home health, hospice, and Care Navigation. Its Immanuel Pathways (PACE) program operates three center locations in Central Iowa, Eastern Nebraska, and Southwest Iowa, delivering capitated Medicare/Medicaid-funded comprehensive care that enables seniors to age at home.

The business model blends private-pay recurring revenue (entrance fees plus monthly service fees at Signature and Village communities), subsidized affordable housing revenue (Courtyard communities funded via Medicaid, Low Income Tax Credit Housing, and HUD Housing), Medicare/Medicaid capitated payments through PACE, and Medicare/Medicaid/private-pay billings for home health and hospice services. Distribution is direct-to-consumer via on-site tours, a four-step consultative sales motion, and content marketing through the company website, blog, and social channels. The organization is governed by a board of directors rather than shareholders, with two affiliated foundations (Immanuel Vision Foundation and Immanuel Community Foundation) channeling philanthropic capital, including a $3.2M FY26 grant cycle from Vision Foundation.

The technology footprint is conventional for the sector: no proprietary platform is disclosed, though the Memory Support service uses unspecified "advanced digital tools" to enable family-resident connectivity. The organization maintains HIPAA, Section 1557 ACA, and WCAG 2.1 AA compliance postures and invests in differentiated wellness sub-brands (Thrive by Immanuel, Immanuel Adventures, Immanuel Explorers, Immanuel Choir, Recreational Therapy, Spiritual Care) and an internal employee innovation program (Doors to the Future) to compete beyond commoditized housing and care services.

Name

Immanuel

Legal name

Immanuel

Website

https://immanuel.com

Company type

Private

Founded year

1887

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Immanuel is a non-profit, faith-based senior living and care organization founded in 1887, operating 18 communities across Nebraska and Iowa with a full continuum from independent living to skilled nursing plus PACE, home health, and hospice services.

Ownership category

akta.pro rank

Product category

Senior Living and Senior Care Services

NAICS

Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082)

akta.pro primary industry

General Assisted Living Facilities (HLADABAA)

akta.pro secondary industries

Independent Living with Supportive Services (Light ADL/IADL Support) (HLADAAAE), Medicaid Waiver / PACE-Partnered Adult Day Programs (HLADAIAM)

Keywords

• Senior living services
• Retirement communities
• Assisted living care
• Memory support care
• PACE program

Headquarters

HQ city

Omaha

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Others

Revenue model

1. Retirement Living Services: Immanuel generates revenue through various senior living arrangements including 55 Plus Active Living, Independent Living, Assisted Living, and Memory Support communities. These operate through private-pay models (entrance fees and monthly fees) and subsidized programs.
2. Skilled Nursing & Long-Term Care: Revenue from skilled nursing facilities and long-term care services, operating on private-pay and subsidized arrangements through Medicaid.
3. Immanuel Pathways (PACE): PACE (Program of All-Inclusive Care for the Elderly) program generates revenue through Medicare and Medicaid capitated payments, providing comprehensive care for eligible seniors allowing them to remain in their homes.
4. Home Health & Hospice: Home-based healthcare services including home health care and hospice services, billed through Medicare, Medicaid, and private pay.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Immanuel is a non-profit senior living and senior care provider operating 18 communities across 11 campuses and 3 PACE centers in Nebraska and Iowa. It sells a full continuum of senior care — 55 Plus Active Living, Independent Living, Assisted Living, Memory Support, Skilled Nursing & Long-Term Care, Home Health & Hospice, Affordable (Subsidized) Communities, and the Immanuel Pathways (PACE) program — funded through private-pay entrance and monthly fees plus Medicare and Medicaid capitated payments. The organization also operates enrichment programs (Thrive by Immanuel, Immanuel Adventures, Immanuel Explorers, Spiritual Care, Choir, Recreational Therapy) and affiliated grant-making foundations.

Product overview

Immanuel is a non-profit, faith-based retirement living and senior care organization founded in 1887, operating a platform of interconnected service levels and residential communities across Nebraska and Iowa. The core platform consists of Immanuel Pathways (PACE), a Program of All-Inclusive Care for the Elderly providing holistic care using Medicaid and Medicare benefits. This integrates with service levels including 55 Plus Active Living, Affordable Communities, Independent Living, Assisted Living, Memory Support, Skilled Nursing & Long-Term Care, Home Health & Hospice, and Care Navigation. The service levels are delivered through 18 active independent living, assisted living, memory support, and long-term care communities on 11 campuses, plus three PACE center locations. Additionally, enrichment programs including Immanuel Adventures, Immanuel Explorers, Thrive by Immanuel, Spiritual Care, Immanuel Choir, and Recreational Therapy complement the residential offerings. Communities are categorized as Signature (private-pay, entrance fee), Villages (private-pay, community fee), Courtyards (affordable/subsidized), Care Communities (long-term care/skilled nursing), and Immanuel Pathways Centers (PACE participant facilities).

Differentiator

Problem solved

Functional benefit

Brands

• Immanuel Pathways (PACE®): Program of All-Inclusive Care for the Elderly - a holistic care program designed for seniors, ensuring they remain independent at home with comprehensive services encompassing every aspect of health, wellness, and daily support.
• Immanuel Vision Foundation
• Thrive by Immanuel
• Immanuel Adventures
• Immanuel Explorers
• Immanuel Choir
• Doors to the Future

Products and services

• Immanuel Pathways (PACE) Holistic Program of All-Inclusive Care for the Elderly (PACE) for seniors, providing comprehensive medical, wellness, and daily support services that enable participants to remain independent at home. PACE participants offset services using Medicaid and Medicare benefits. Immanuel Pathways operates three center locations across Nebraska and Iowa (Central Iowa in Des Moines, Eastern Nebraska in Omaha, Southwest Iowa in Council Bluffs).
• 55 Plus Active Living Active living service level for residents 55 and older, offering maintenance-free living with vibrant community activities, social engagement opportunities, and lifestyle amenities across Immanuel communities in Nebraska and Iowa.
• Independent Living Maintenance-free independent retirement living with engaging wellness programs and abundant social activities, designed for residents to live life on their terms across Immanuel's Signature, Village, and Courtyard communities.
• Assisted Living Assisted living services that maintain resident independence while providing necessary support, with dedicated teams ensuring daily activities are simpler, safer, and more enjoyable for seniors needing some help with activities of daily living.
• Memory Support Compassionate memory care for seniors living with Alzheimer's and dementia, featuring personalized activities and advanced digital tools that help families stay connected while fostering familiarity and comfort.
• Skilled Nursing & Long-Term Care Residential skilled nursing and long-term care services in home-like environments, providing both recovery and long-term care for seniors requiring ongoing medical supervision and daily living assistance, operating on private-pay and subsidized arrangements through Medicaid.
• Home Health & Hospice Professional in-home healthcare services including home health care and hospice delivered to seniors in their homes, with dedicated teams prioritizing comfort, well-being, and peace of mind. Billed through Medicare, Medicaid, and private pay, and available in the Omaha and Lincoln service areas.
• Affordable Communities (Subsidized)

Segments6 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Lutheran ServicesminorStrategic or Co-development PartnerLutheran Services is referenced as an affiliate organization of Immanuel, with both organizations sharing a faith-based heritage serving seniors and communities.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Life Care Services (LCS): Des Moines, Iowa-based CCRC and senior living operator and management company serving 140+ communities. Most direct geographic and operational peer to Immanuel given shared Iowa base and full continuum-of-care model including PACE-equivalent services.
• Five Star Senior Living: Operates independent living, assisted living, and memory support communities across the U.S. Comparable to Immanuel on community-based service levels, third-party management services, and Midwestern footprint overlap.
• Belmont Village Senior Living: Privately-held operator of premium assisted living and memory care communities with proprietary wellness and memory programs. Comparable to Immanuel's Signature communities on upscale positioning and signature programming such as Immanuel Adventures.
• Brookdale Senior Living: Largest U.S. senior living operator with independent living, assisted living, memory care, and skilled nursing communities. Competes with Immanuel for private-pay residents in the Midwest and is a direct operator-comparable on service levels and continuum-of-care strategy.
• Atria Senior Living: Major for-profit senior living operator (owned by Ventas) running independent living, assisted living, and memory support communities nationwide. Closely comparable to Immanuel on service-level mix, private-pay model, and resident-programming approach.
• Sunrise Senior Living: National senior living operator specializing in assisted living and memory care with premium private-pay positioning. Comparable to Immanuel's Signature communities on price point, resident experience programming, and brand-driven differentiation.
• Enlivant: Senior living operator (TPG-backed) managing assisted living and memory support communities across the U.S. Comparable to Immanuel on private-pay assisted living service model and competitive overlap in Midwest markets.
• Presbyterian Manors of Mid-America: Faith-based, non-profit senior living operator serving Kansas and Missouri with independent living, assisted living, memory support, skilled nursing, and home health. Closely comparable to Immanuel on mission-driven model, continuum of care, and Midwest regional focus.
• Christian Horizons: Faith-based, non-profit CCRC operator providing independent living, assisted living, memory care, skilled nursing, and rehabilitation across the Midwest. Mirrors Immanuel's faith-based, non-profit identity and full-service continuum.

Broad incumbents

• Trinity Health Senior Communities: Catholic, non-profit health system division operating senior living, skilled nursing, and PACE programs across multiple states. Comparable to Immanuel on faith-based non-profit identity, continuum of care, and PACE offering (Immanuel Pathways).

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/user/ImmanuelCommunities
• Facebookfacebook.com/immanuelcommunities
• LinkedInlinkedin.com/company/442526
• Instagraminstagram.com/immanuelcommunities
• Xx.com/immanuelcomm

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Immanuel