Legacy Health

What Legacy Health does

Legacy Health is a nonprofit 501(c)(3) regional health system headquartered in Portland, Oregon, operating six hospitals and an integrated network of specialty institutes, urgent care centers, imaging facilities, and outpatient pharmacies across Oregon and southwest Washington. Founded in 1875 as Good Samaritan Hospital and reorganized into the Legacy Health System in 1989, the organization employs approximately 17,000 staff and providers, delivering the full continuum from primary care to tertiary services including oncology, cardiac care, neurosciences, orthopedics, transplant (kidney, bone marrow, stem cell), robotic surgery, ECMO life support, and behavioral health. Two of its hospitals — Legacy Meridian Park and Legacy Salmon Creek — hold CMS 5-star quality ratings, and the Emanuel ECMO program holds the ELSO Platinum Award, one of fewer than 50 of 800 worldwide centers to achieve it.

The system is supported by a MyHealth patient portal enabling telehealth, secure messaging, appointment scheduling, and prescription requests, with pricing structured as insurance-network co-pays for commercially insured and Medicare/Medicaid patients and unit pricing ($40–$77 per message, capped at $126) for self-pay portal messages. Care delivery is sales-led and geographically anchored through insurance network participation (Medicare, Medicaid, Oregon Health Plan, Washington Apple Health, and most commercial plans), direct referrals, and emergency department access. Beyond clinical operations, Legacy maintains specialty sub-brands including Devers Eye Institute, Rehabilitation Institute of Oregon (CARF accredited), Cancer Institute, Weight and Diabetes Institute, and Transplant Services, alongside community programs such as interpreter services in approximately 200 languages and a human donor milk distribution partnership with Northwest Mothers Milk Bank.

Revenue is generated almost entirely through patient services billed to insurance payers and direct patient payments, supplemented by philanthropy and community grants. The system is currently navigating material financial pressure — projecting a $38 million loss for the current fiscal year after a 47% increase in operating expenses from 2021 to 2025 — which has triggered service reductions, clinic closures, the closure of all Washington Legacy-GoHealth Urgent Care locations, and a high-profile contract split with Regence BlueCross BlueShield that removed Legacy from network for approximately 9,300 Clark County residents in April 2025. Despite these pressures, S&P affirmed Legacy's A/stable investment-grade bond rating in April 2025 and the organization continues to execute major capital projects, including the 330,300-square-foot West Tower at Legacy Emanuel (opened September 2024), a planned Oregon Burn Center (2026), and a new MRI at Meridian Park (January 2026). A new Harvard-trained physician CEO is set to take over in March 2026.

Name

Legacy Health

Legal name

Legacy Health

Website

https://legacyhealth.org

Company type

Private

Founded year

1875

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Legacy Health is a nonprofit six-hospital regional health system headquartered in Portland, Oregon, serving Oregon and southwest Washington with 17,000 staff delivering primary through tertiary care including oncology, transplant, ECMO, and pediatric services.

Ownership category

akta.pro rank

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Services Revenue: Legacy Health generates revenue primarily through patient care services billed to insurance companies (Medicare, Medicaid, commercial payers) and direct patient payments. The health system projects a $38 million loss for the current fiscal year due to rising costs and stagnant reimbursement rates.
2. Philanthropy and Community Support: Donations and grants from philanthropic donors and organizations, including $8 million from Legacy Health for environmental remediation in a community development project.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels8 records

Core offering

Legacy Health is a nonprofit, six-hospital health system that delivers comprehensive primary, secondary, and tertiary healthcare services across Oregon and southwest Washington. Its offerings span hospital inpatient care, emergency services, specialty institutes (cancer, eye care, rehabilitation, weight and diabetes, ECMO life support, transplant), urgent care, outpatient pharmacy, diagnostic imaging, pediatric care, behavioral health, and clinical research, supported by a MyHealth digital patient portal.

Product overview

Legacy Health is a nonprofit six-hospital healthcare system serving Oregon and southwest Washington. The system operates as a unified healthcare delivery network consisting of six hospitals (Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Silverton Medical Center, Legacy Salmon Creek Medical Center), two specialized facilities (Randall Children's Hospital, Unity Center for Behavioral Health), multiple specialty institutes (Cancer Institute, Devers Eye Institute, Rehabilitation Institute of Oregon, Weight and Diabetes Institute, ECMO Program, Transplant Services), and a network of primary and specialty care clinics. The system is supported by the MyHealth patient portal for digital access to medical records, appointments, and provider messaging, along with outpatient pharmacies (The Apothecary), comprehensive imaging services, and a research institute. Services range from primary care and emergency medicine to highly specialized surgical procedures including transplants, cardiac surgery, and ECMO life support.

Differentiator

Problem solved

Functional benefit

Brands

• Legacy Devers Eye Institute: Eye care institute offering cataract surgery, LASIK, and specialized care for complicated eye diseases
• Legacy Rehabilitation Institute of Oregon (RIO)
• Legacy Cancer Institute
• Legacy Weight and Diabetes Institute
• Legacy Transplant Services
• Legacy-GoHealth Urgent Care
• MyHealth

Products and services

• Legacy Emanuel Medical Center
• Legacy Good Samaritan Medical Center
• Legacy Meridian Park Medical Center
• Legacy Salmon Creek Medical Center
• Legacy Mount Hood Medical Center
• Legacy Silverton Medical Center
• Randall Children's Hospital at Legacy Emanuel
• Unity Center for Behavioral Health
• Legacy Devers Eye Institute
• Legacy Cancer Institute
• Legacy Rehabilitation Institute of Oregon (RIO)
• Legacy Weight and Diabetes Institute
• Legacy ECMO Program
• Legacy Transplant Services
• Legacy Imaging Services
• Legacy-GoHealth Urgent Care
• Legacy Pharmacy (The Apothecary)
• Legacy Research Institute
• MyHealth Patient Portal

Quantifiable outcome

• Two Legacy Health hospitals (Meridian Park and Salmon Creek) achieved CMS 5-star quality ratings
• +4 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Northwest Mothers Milk BankcoreStrategic or Co-development Partner · 21 September 2022Legacy Salmon Creek Medical Center partnered with Northwest Mothers Milk Bank to open the first human donor milk distribution site in Southwest Washington for infants with medical need. As of November 2023, Legacy Emanuel Medical Center also joined as a distribution site. Families can obtain donor milk the same day they leave the hospital, avoiding shipping costs and drive time to Tigard, Oregon.
• GoHealth Urgent CareminorChannel Partner/ Reseller/ DistributorLegacy partnered with GoHealth to operate urgent care centers under the Legacy-GoHealth Urgent Care brand. As of late 2025, the partnership continues with eight Oregon centers remaining open while all Washington-based Legacy-GoHealth Urgent Care locations closed by November 15, 2025 due to financial restructuring.
• TriMet (Portland public transit)minorOthersLegacy Emanuel Medical Center is accessible via TriMet public transit, with bus service available to the hospital campus.
• C-TRAN (Vancouver, WA public transit)minorOthersLegacy Salmon Creek Medical Center is accessible via C-TRAN public transit service in Clark County, Washington.

Scale indicators11 records

Recent moves7 records

Expansion highlights5 records

Market position

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/user/OurLegacyHealth
• Facebookfacebook.com/legacyhealth
• LinkedInlinkedin.com/company/legacy-health
• Instagraminstagram.com/ourlegacyhealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries11 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 Legacy Health