Legacy Community Health

Legal name: Legacy Community Health Services Inc

Nonprofit profile at a glance

EIN
760009637
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Houston, TX, USA
Phone
7138303000
Rating
81
Verdict
STRONG
Rating confidence
Standard
Sector
Health Treatment Facilities, Primarily Outpatient

Official website

Reported finances

Revenue
$453,793,852
Expenses
$447,180,166
Assets
$139,314,302
Liabilities
$85,058,708

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

33 people listed

Executive titles in this filing

  • ROBERT HILLIARD (CHIEF EXECUTIVE OFFICER END 12/24)
  • ROBERT PALUSSEK (CHIEF OPERATING OFFICER END/CHIEF EXECUTIVE OFFICER BEG 06/25)

Highest reported compensation

  • ROBERT HILLIARD (CHIEF EXECUTIVE OFFICER END 12/24): $667,419 total reported compensation
  • VANDANA SHRIKANTH (PHYSICIAN- INFECTIOUS DISEASE): $518,611 total reported compensation
  • VERNICKA SALES (CHIEF POP HEALTH & LEGACY PERF SERVICES END 01/25): $453,715 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Values Health Care is a Right, Not a Privilege We believe that comprehensive health care is a human right. Legacy’s services and programs are open to all who need us, regardless of the ability to pay, without judgment or exception. Driving healthy change in our communities. Vision Connecting our communities to health every day, in every way. Connecting our communities to health every day, in every way. Values Health Care is a Right, Not a Privilege.

What it reported doing in 2024

Clinical services - 190,956 people served. Legacy community health provides comprehensive, affordable primary and specialty healthcare to individuals and families across all ages. Our services include adult medicine, pediatrics, ob/gyn, behavioral health, and more - delivered with cultural humility and respect for every patient. Legacy is committed to providing access to care regardless of a patient's ability to pay. We strive to create a welcoming environment where all individuals feel safe, respected, and supported in their healthcare journey. See schedule o for more information.

Operating model

Revenue model
Other-operating. 94% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 98% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and some related-organization disclosures are missing.

Rating breakdown

  • Financial Efficiency: 74
  • Transparency & Controls: 83
  • Accountability: 100
  • Sustainability: 32
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.6%; rating input score 81
  • Program expense ratio: 81.8%; rating input score 82
  • Fundraising efficiency: $3.79 raised per $1 spent on fundraising; rating input score 14; 14th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 90%; rating input score 90; 4th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • 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: 97.7%; rating input score 98; 33rd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: No; rating input score 0

Accountability

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

Sustainability

  • Operating margin: 1.5%; rating input score 40; 40th percentile among comparable filings
  • Total-asset coverage ratio: 0.31; rating input score 10; 10th percentile among comparable filings
  • Liabilities to assets ratio: 0.61; rating input score 28; 28th percentile among comparable filings
  • Officer compensation ratio: 2%; rating input score 56; 56th percentile among comparable filings

Growth

  • Program expense growth: 15.9% per year; rating input score 100; 88th percentile among comparable filings
  • Revenue growth: 15.6% per year; rating input score 100; 90th percentile among comparable filings
  • Asset growth: 14.1% per year; rating input score 100; 84th percentile among comparable filings

Details

  • What they do: 6 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 80.6% of revenue deployed · 81.8% of spending went to programs
  • Governance: 10 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $365.9M in reported program spending
  • Leadership: top reported pay $667K · 33 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $11.6M reported
  • Consistency: 41 of 43 current checks pass · 2 findings to review
  • Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 33 filed money-flow records
  • Related organizations: 12 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Financial Efficiency: Fundraising efficiency scored 14/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Moderate — Sustainability: Operating margin scored 40/100.
  • High — Sustainability: Total-asset coverage ratio scored 10/100.
  • High — Sustainability: Liabilities to assets ratio scored 28/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Review — Sustainability: Officer compensation ratio scored 56/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.