For many of its 85 years, Lovelace was a national leader in medicine and the premier healthcare brand in New Mexico. With changes in ownership, management and direction, the once preferred brand lost its luster along with considerable market share. The Lovelace system was acquired by Nashville-based Ardent Health Services and was merged with St. Joseph Healthcare and renamed Lovelace Sandia Health System. The merger and name change created consumer confusion and resulted in additional decline in business, employee morale and physician morale. This was a brand in distress.