Legacy Health

What it reported doing in 2024

In support of its mission, LGSHMC voluntarily provides medically necessary patient care services that are discounted or free of charge to persons who have insufficient resources and/or who are uninsured. During fiscal year 2025, LGSHMC provided financial assistance on approximately 13,840 patient accounts (of which 704 accounts received discounts totaling 100% of costs) and resulted in LGSHMC incurring roughly $8,701,900 in uncompensated costs associated with this program. In addition to charity care, LGSHMC provides services under various states' Medicaid programs for financially needy patients, Medicare beneficiaries, and other government programs for which the cost of treating these patients exceeds the government payments received. During fiscal year 2025, LGSHMC incurred approximately $32,947,590, $53,851,770 and $940,860 in uncompensated costs attributable to Medicaid, Medicare, and other government programs, respectively. LGSHMC also provides a variety of other community benefit activities such as medical education, donations to other charitable entities, research, and other health improvement services, which totaled roughly $7,867,430 during fiscal year 2025.LGSHMC is part of Legacy, which collectively provided over $62 million, $261 million, $319 million, and $18 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2025. In addition, Legacy provided over $39 million in other community benefit activities during fiscal year 2025.

Financial Efficiency

• Mission deployment rate: 77.5%; rating input score 77
• Program expense ratio: 79.4%; rating input score 79
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• 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: Limited

Accountability

• Independent voting board: 66.7%; rating input score 67; 19th 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: 2.4%; rating input score 45; 45th percentile among comparable filings
• Total-asset coverage ratio: 0.77; rating input score 30; 30th percentile among comparable filings
• Liabilities to assets ratio: 0.05; rating input score 89; 89th percentile among comparable filings
• Officer compensation ratio: 1.4%; rating input score 67; 67th percentile among comparable filings

Growth

• Program expense growth: 5.6% per year; rating input score 100; 46th percentile among comparable filings
• Revenue growth: 4% per year; rating input score 100; 32nd percentile among comparable filings
• Asset growth: 4.9% per year; rating input score 100; 35th percentile among comparable filings