St. John's United

What St. John's United does

St. John's United is a Billings, Montana-based 501(c)(3) not-for-profit organization operating a comprehensive senior living, healthcare, and family services continuum across eight Montana campuses in Billings, Billings Heights, Laurel, Hamilton, and Missoula. Founded in 1960 as Montana's first HUD-financed senior retirement home and owned by 24 Evangelical Lutheran Church in America congregations, the organization employs nearly 700 qualified staff plus volunteers and serves older adults across the full acuity spectrum — from independent living through skilled nursing — alongside family services including C.A.R.E.S. Wraparound, adoption placement through Wendy's Wonderful Kids, intergenerational childcare, and outpatient therapy.

The service architecture is built around a continuum-of-care model: residential living (independent, assisted, memory care, skilled nursing), three outpatient therapy centers offering LSVT BIG/LOUD for Parkinson's and driving rehabilitation, Medicare-approved home health and hospice delivered via a 2013 partnership with Billings Clinic and Big Sky Senior Services, an on-site pharmacy, a 36-room Transitional Rehab Center, Luther's Lodge guest housing, and an aeroponic Greenhouse serving as both culinary supplier and an Urban Horticulture Education Center with Billings Public Schools. Sub-brands segment the market across acuity and price points — Aeries (101 luxury 55+ residences launched 2024), Mission Ridge (Life Plan Community via the Missions United joint venture with Intermountain Health), WyndStone, SkyRidge Cottages, Chapel Court (affordable housing), The Crossings, and the managed Sapphire Lutheran Homes.

The revenue model combines recurring monthly residential fees (subscription/recurring) with managed-services billing to Medicare, Medicaid, and private insurance for clinical and hospice services, supplemented by donations through the St. John's Foundation, ancillary service fees (respite suites, wellness classes, adaptive devices), and pharmacy revenue. GTM is community-led: direct tours at eight physical campuses, educational outreach in schools, healthcare-provider referral partnerships, and integrated marketing via website, Echoes magazine, podcast, and social channels. The 2026 $191.46M Ziegler financing, the 2024 Aeries launch, and the 2025-2026 Chapel Court Living expansion indicate active capacity growth funded through senior-living-specialist capital channels rather than equity rounds.

Name

St. John's United

Legal name

St. Johns Lutheran Ministries Inc.

Website

https://stjohnsunited.org

Company type

Private

Founded year

1960

Operating status

Operating

Headcount range

501–1,000 employees

Short description

St. John's United is a Billings-based 501(c)(3) operating an eight-campus Montana continuum of senior living, Medicare-certified home health and hospice, outpatient therapy, family services, childcare, and pharmacy, serving older adults across the full acuity spectrum.

Ownership category

akta.pro rank

Product category

Senior Living Services

NAICS

Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (6233), Assisted Living Facilities for the Elderly (623312), Continuing Care Retirement Communities (623311), Services for the Elderly and Persons with Disabilities (624120), Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082), Services-Skilled Nursing Care Facilities (8051), Services-Health Services (8000)

akta.pro primary industry

Large Campus / Multi-Building Assisted Living Communities (HLADABAG)

akta.pro secondary industries

Luxury / High-End Assisted Living Communities (HLADABAD), Luxury/Resort-Style Independent Living Communities (HLADAAAC), Independent Living with Supportive Services (Light ADL/IADL Support) (HLADAAAE), Market-Rate Independent Living (Private Pay) Communities (HLADAAAA), Elder Services & Aging Support (BPAGAEAF)

Keywords

• Senior living services
• Assisted living care
• Home health hospice
• Memory care services
• Family support services

Headquarters

HQ city

Billings

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Marketing or Sales, Technology or R&D

Revenue model

1. Residential Living Fees: Monthly fees from independent living, supportive living, and memory care residential communities. Includes income-based and private pay options.
2. Home Health Care Services: Skilled nursing, therapy services (physical, occupational, speech), and home health aide services covered by Medicare and most private insurance.
3. Hospice Care Services: End-of-life care services covered by Medicare, Medicaid and most private insurance companies. Includes interdisciplinary team visits, medication, and equipment.
4. Pharmacy Services: Retail and long-term care pharmacy services including multi-dose packaging, medication synchronization, automatic refills, and delivery services.
5. Outpatient Therapy: Physical, occupational, and speech therapy services at three locations. Accepts most insurance plans. Includes specialized programs like LSVT BIG/LOUD and driving rehabilitation.
6. Childcare Services: Center for Generations provides childcare from infants to age 12, serving both employees and community members.
7. Respite Suite Services: Day, night, and weekend respite care for adults over 65 with private suites and personal care options. Standard rates and package pricing available.
8. Family Services: C.A.R.E.S. Wraparound, Wendy's Wonderful Kids adoption program, and Confidential Intermediary Services for adoption placements in Montana.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels9 records

Core offering

St. John's United operates a continuum of senior living, healthcare, and human services across multiple Montana campuses. It provides independent living, assisted/supportive living, memory care, skilled nursing, home health, hospice, outpatient therapy, transitional rehabilitation, pharmacy, childcare, family services (including adoption), respite care, and spiritual care to seniors, families, and children in the region.

Product overview

St. John's United is a not-for-profit senior living and human services organization offering a comprehensive continuum of care across Montana. The portfolio includes Independent Living, Supportive Living (assisted living and full nursing), Memory Care, At Home services, Home Health Care, Hospice Care, Transitional Rehab Care, and various wellness/support services. Key residential sub-brands include Aeries (luxury 55+ community), Mission Ridge (Life Plan community), WyndStone, SkyRidge Cottages, The Crossings, Chapel Court (affordable housing), and Sapphire Lutheran Homes. Family services encompass C.A.R.E.S. Wraparound, childcare (Center for Generations), and adoption services. Additional services include Pharmacy, Public Wellness Classes, Outpatient Therapy, Respite Suites, Adaptive Device Library, Greenhouse, Spiritual Care, Luther's Lodge, and Senior Connect. The organization serves over 700 employed staff and operates multiple campuses across Billings, Laurel, Hamilton, and Missoula.

Differentiator

Problem solved

Functional benefit

Brands

• Aeries: A premier 12-story active adult independent living community by St. John's United in Billings, MT, offering 101 residences ranging from 849 to nearly 3,000 square feet with 18+ unique floor plans. Designed for active, independent adults 55+.
• Center for Generations
• Luther's Lodge
• Center for Generations
• Urban Horticulture Education Center (UHEC)

Products and services

• Independent Living Maintenance-free independent living for active seniors with one and two-bedroom apartments across multiple Montana locations, with access to community amenities and healthcare support.
• Assisted Living Assisted living services for seniors needing support with daily activities, offering seamless transitions as residents' care needs change. Includes Meadowlark Landing, SkyRidge Cottages, Brown's Landing, The Vista, and Nefzger & Liggett Cottages.
• Memory Care Specialized 24-hour care for seniors with Alzheimer's disease and other forms of dementia, featuring secure environments, trained staff, memory-enhancing therapies, and person-centered dementia care across multiple cottage locations.
• Senior At Home Care Services (At Home) Membership-based program allowing seniors to stay in their own homes while receiving support services including emergency response, transportation, concierge services, and priority access to St. John's United communities.
• Home Health Care Medicare-approved comprehensive program bringing skilled nursing and therapy services to patients' homes, including skilled nursing, physical therapy, occupational therapy, speech therapy, home health aide, and social work services.
• Hospice Care End-of-life care providing comfort, dignity, and quality of life for patients with life-limiting illness, featuring an interdisciplinary team of nurses, CNAs, social workers, chaplains, bereavement coordinators, and volunteers.
• Outpatient Therapy Outpatient physical, occupational, and speech therapy services at three Montana locations, featuring specialized programs like Parkinson's LSVT BIG/LOUD and Driving Rehabilitation.
• Transitional Rehab Care 36-bed short-term rehabilitation unit helping patients transition from hospital to home with comprehensive therapy up to six days a week and 24/7 nursing services, featuring private rooms and onsite pharmacy.
• Pharmacy Full-service retail and long-term care pharmacy offering multi-dose packaging, automatic refills, medication synchronization, daily delivery, and pharmacist-led events on campus.
• Family Services & C.A.R.E.S. Wraparound Family-centered strength-based services including C.A.R.E.S. Wraparound for child abuse prevention and family preservation, Wendy's Wonderful Kids adoption program, Confidential Intermediary Services for Montana adoption records, and pregnancy support counseling.
• Center for Generations Childcare Faith-based intergenerational childcare program serving children from infants through age 12, featuring developmental programs alongside interactions with the elder community at St. John's United. State of Montana Licensed and STAR 3 provider.
• Respite Suites Day, night, and weekend respite care for adults 65+ with private suites, personal care services, health and wellness programs, and meals in a comfortable social setting.
• Luther's Lodge Home away from home providing private bedroom/bathroom suites with shared living areas for out-of-town guests receiving medical care near Billings hospitals, located at First English Lutheran Church at $50/night.
• Spiritual Care Pastoral and chaplain services providing spiritual support for residents and staff of all faiths, including weekly worship, Bible studies, hospital visits, counseling, and memorial services.
• Senior Connect Free program helping seniors and caregivers access essential local services including food, housing, transportation, healthcare, and social support, with expansion into Yellowstone, Missoula, and Ravalli Counties.
• Public Wellness Classes Public wellness classes at Mission Ridge including aquatic classes (Water Walk, Aquarobics, Arthritis Aquatic), mat yoga, QiGong, Zumba Gold, strength training, and arthritis exercise programs.
• Aeries Premier 12-story active adult retirement community with 101 residences (849-3,000 sq ft), 18+ floor plans, gourmet dining, wellness programs, and access to the continuum of care for active independent adults 55+. First community of its kind in Montana.
• Mission Ridge Montana's first Life Plan community offering one and two-bedroom independent living options with amenities including pool, fitness center, dining venues, and shuttle transportation, with assisted living at The Vista.
• Chapel Court Affordable Housing Affordable senior housing offering low-income qualified apartments with subsidized rents and newly remodeled moderately-priced Studio to 2-bedroom apartments (328-998 sq ft) with utilities, phone, internet, cable, bi-weekly housekeeping, and meal credit included.
• WyndStone Senior living campus in Billings Heights offering 12 spacious floor plans for independent and assisted living with dining venues, fitness/aquatic centers, and priority access to memory care and other continuum services.
• SkyRidge Cottages Assisted living and memory care cottages with 16 well-designed apartments each, featuring family-style dining, secured outdoor courtyards, and access to WyndStone amenities.
• The Crossings Vibrant senior care community in Laurel with seven spacious floor layouts, independent living with extensive services, and access to continuum of care including Richardson Cottage memory care and Brown's Landing.
• Sapphire Lutheran Homes Faith-based 41-unit campus in Hamilton offering assisted living studios and apartments with scenic Bitterroot Valley views, serving low to moderate income residents with priority access to St. John's continuum of care.
• Enhanced Living Services À la carte support services for Chapel Court residents including household services (LifeLine, housekeeping, dining plans) and resident care services (medication assistance, shower assistance, diabetes management).
• Greenhouse Aeroponic vertical farming greenhouse growing lettuce and herbs for St. John's culinary services, functioning as an Urban Horticulture Education Center for Billings Public Schools students and providing inter-generational learning opportunities.
• Adaptive Device Library Collection of assistive and adaptive devices and technologies allowing individuals to try devices before purchasing, including video magnifiers, medication dispensing units, and tablets to support independent living.

Named customers8 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

13 partnerships are on record, tiered core and minor.

• Billings CliniccoreStrategic or Co-development Partner · 1 January 2013Partnered with Billings Clinic and Big Sky Senior Services in 2013 to launch home-based services initiative named St. John's United Home Health and Hospice.
• Big Sky Senior ServicescoreStrategic or Co-development Partner · 1 January 2013Partnered with Billings Clinic and St. John's United in 2013 to launch Medicare-approved home health and hospice services.
• St. Vincent Healthcare / Intermountain HealthcoreStrategic or Co-development Partner · 1 January 1995In 1995, St. John's and St. Vincent Healthcare (now Intermountain Health) partnered to form Missions United joint venture corporation. Mission Ridge opened three years later creating Montana's first full service continuing care retirement community.
• 24 Montana Congregations of the ELCAcoreOthersOwnership congregations including American Lutheran Church (Billings and Harlowton), Atonement Lutheran Church (Billings), Bethlehem Lutheran Church, Big Timber Lutheran Church, Emmanuel Lutheran Church (Shepherd), First American Lutheran Church (Hardin), First English Lutheran Church (Billings), First Lutheran Church (Miles City), Grace Lutheran Church (Barber), Immanuel Lutheran Church (Absarokee), Joliet Lutheran Church, King of Glory Lutheran Church (Billings), Lutheran Church of the Good Shepherd (Billings), Melville Lutheran Church, Messiah Lutheran Church (Red Lodge), Our Redeemer's Lutheran Church (Helena), Our Savior's Lutheran Church (Laurel), Peace Lutheran Church (Billings), St. James Lutheran Church (Columbus), Trinity Lutheran Church (Lennep), Zion Lutheran Church (Lewistown), and Zion Lutheran Church (Roundup). These 24 congregations own St. John's United as a 501(c)(3) not-for-profit organization.
• Sapphire Lutheran HomescoreStrategic or Co-development PartnerSt. John's provides management services to Sapphire Lutheran Homes in Hamilton, Montana. The campus features multiple residences including The Remington, Memory Lane, The Manor, and Canyon View.
• Billings Public SchoolsminorStrategic or Co-development PartnerPartnership to create Urban Horticulture Education Center greenhouse used as year-round classroom for high school students in Future Ready, Frameworks and Special Education programs. Approximately 600 middle school and elementary students participate in fieldtrips.
• LeadingAgeminorOthersNational organization with mission to expand possibilities for aging through education, advocacy, and applied research.
• Lutheran Services in AmericaminorOthersNational network connecting Lutheran social service organizations. St. John's participates in Lutheran Services in America Connect and Lutheran Connections, Incorporated.
• Montana Synod of the ELCAminorOthersRegional governing body of the Evangelical Lutheran Church in America overseeing Montana congregations that co-own St. John's United.
• Dave Thomas Foundation for AdoptioncoreOthersGrant funder for Wendy's Wonderful Kids program dedicated to finding permanent homes for America's longest-waiting children in foster care.
• Montana Health NetworkminorOthersHealthcare network providing collaborative opportunities for Montana healthcare providers.
• Riverstone HealthminorOthersLocal public health agency in Yellowstone County providing community health services.
• Adult Resource Alliance of Yellowstone CountyminorOthersResource organization helping people 60 and up stay active, live independently and enjoy life to its fullest.

Scale indicators9 records

Recent moves14 records

Expansion highlights6 records

Broad incumbents

• Amedisys: Major national home health and hospice provider — directly comparable to St. John's Medicare-certified home health and hospice business and provides a public-market reference for the value of those service lines.
• Encompass Health: Large public operator of home health, hospice, and inpatient rehabilitation facilities — comparable to St. John's United Home Health and Hospice and Transitional Rehab Center at scale, providing a public-market benchmark for these service lines.
• Brookdale Senior Living: Largest U.S. senior living operator with ~650 communities across independent living, assisted living, and memory care — comparably offers the same continuum St. John's delivers but at significantly greater scale and as a for-profit public company.

Direct peers

• Christian Living Communities: Faith-based non-profit operating senior living and healthcare services across Colorado and other states — closely comparable to St. John's in mission, services, and organizational form.
• National Lutheran Communities & Services: Lutheran-affiliated non-profit operating independent living, assisted living, memory care, and skilled nursing in the Mid-Atlantic — another Lutheran sister organization with a comparable continuum-of-care model and similar non-profit governance.
• The Evangelical Lutheran Good Samaritan Society: National Lutheran-affiliated non-profit providing senior living, skilled nursing, and home health services — the closest faith-based, ELCA-aligned comparable to St. John's United, with significant overlap in mission, regulatory environment, and service mix.
• Presbyterian Senior Living: Faith-based non-profit operating a continuum of senior living (independent living, assisted living, memory care, skilled nursing) across multiple Pennsylvania and Maryland campuses — comparable in mission, governance model, and multi-level service portfolio.
• Asbury Communities: Methodist-affiliated non-profit CCRC operator with multiple campuses providing independent living, assisted living, and skilled nursing — comparable to St. John's in faith-based, multi-campus, non-profit, multi-service-line delivery.
• Acts Retirement-Life Communities: Faith-based non-profit CCRC operator with multiple campuses primarily across the Mid-Atlantic and Southeast — directly comparable to St. John's in operating model, life-plan community approach, and faith-based ownership structure.

Others

• Life Care Services: Third-party management company for CCRCs and senior living communities nationally — adjacent to St. John's as a partner/competitor in the CCRC management ecosystem and a relevant comparable for management services delivered to Sapphire Lutheran Homes.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@StJohnsMT
• Facebookfacebook.com/stjohnsmt
• Instagraminstagram.com/missionridge_seniorliving
• LinkedInlinkedin.com/company/stjohnsunited

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Subsidiaries7 records

Funding overview

Funding rounds1 record

Investors1 record

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

M&A

Investments

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

Frequently asked questions about St. John's United