What Legacy Hospice does

Legacy Hospice is a privately-held, for-profit hospice care provider founded in 2016 and headquartered at 29470 State Highway 181 in Daphne, Alabama (with an additional Livingston, US listing in firmographic data). The company delivers end-of-life hospice care to patients with life-limiting illnesses (prognosis of six months or less, including cancer, heart failure, COPD, dementia, ALS, stroke, and renal failure) through an interdisciplinary care team comprising physicians, registered nurses, certified nursing assistants, social workers, chaplains, and trained volunteers. Services are delivered directly in patients' homes, assisted living communities, and skilled nursing facilities across 5 states (Alabama, Arkansas, Mississippi, Missouri, and Tennessee) through 24 branch locations covering 142 counties. Core service lines include medical care and symptom management, caregiver training and respite, grief and bereavement counseling, emotional and spiritual support, and daily personal care assistance. The company is led by CEO Elaine Ziegler and a C-suite including a CFO, a dual-hat COO/Chief Compliance Officer, a Chief Clinical Officer, a Chief Business Development Officer, and a VP of HR.

Legacy Hospice does not operate a proprietary technology platform; its service is fundamentally clinical delivery rather than software. The public-facing website (legacyhospice.net) is built on standard third-party tooling: Gravity Forms for inquiry capture, CookieYes for consent management, Yoast SEO for search visibility, a ZIP-based Store Locator for the location finder, and HRM Direct for recruitment. Operations are anchored by a centralized 24/7 intake function reachable at 844-222-2296 that routes callers directly to nurses rather than answering services, with most admissions completed within 24 hours of referral. The organization holds ACHC (Accreditation Commission for Health Care) accreditation and reports CAHPS quality and family satisfaction scores consistently above the national average. No AI/ML capabilities, no public APIs or SDKs, and no mobile apps are disclosed in any source.

The revenue model is reimbursement-driven, not consumer-priced. Revenue is generated primarily through the Medicare Hospice Benefit (per-diem reimbursement for each day of care, with services typically delivered at no cost to eligible patients), supplemented by Medicaid hospice coverage in applicable states and private insurance plans. GTM is sales-led and referral-based: the company invests in direct relationships with referring physicians, hospital discharge planners, and skilled nursing facilities, while running a multi-channel family-facing digital presence (website, Facebook, Instagram, LinkedIn, YouTube) for top-of-funnel education and inbound inquiry capture. The organization employs 251–500 staff, has no disclosed external funding rounds, no acquisitions, no parent company, and operates as an independent private company under Alabama governing law.

Name

Legacy Hospice

Legal name

Legacy Hospice

Website

https://legacyhospice.net

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

251–500 employees

Short description

Legacy Hospice operates 24 branches across 5 US states, delivering end-of-life hospice care through interdisciplinary teams to patients in homes, assisted living, and skilled nursing facilities, primarily reimbursed through the Medicare Hospice Benefit.

Ownership category

akta.pro rank

Product category

Hospice Care Services

NAICS

Nursing and Residential Care Facilities (623)

SIC

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

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Hospice Care in Nursing Facilities (SNF/NH Hospice) (HLADAHAD), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), Routine In-Home Hospice Care (HSABAFAA)

Keywords

• Hospice care services
• End-of-life care
• Palliative care
• Bereavement support
• Symptom management

Headquarters

HQ city

Livingston

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Others

Revenue model

1. Medicare Hospice Benefit: Legacy Hospice generates revenue primarily through the Medicare Hospice Benefit, which typically covers hospice services at no cost to the patient. This is the dominant revenue stream for the organization.
2. Medicaid Hospice Coverage: Medicaid coverage for hospice services in applicable states, providing another government-funded revenue stream for eligible patients.
3. Private Insurance: Private insurance plans cover hospice care services, representing another revenue stream for the organization.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Legacy Hospice is a multi-state hospice care provider delivering end-of-life clinical and supportive services through an interdisciplinary care team (physicians, nurses, aides, social workers, chaplains, and volunteers). Core services include medical care and symptom management, caregiver training and respite, emotional and spiritual support, daily personal care, and grief/bereavement care, with care delivered in patients' homes, assisted living communities, and skilled nursing facilities. A centralized 24/7 nurse-staffed intake drives most admissions within 24 hours across 24 branches covering 142 counties in Alabama, Arkansas, Mississippi, Missouri, and Tennessee.

Product overview

Legacy Hospice provides a unified hospice care service portfolio delivered through interdisciplinary teams across 24 branches in 5 states. The core offering is comprehensive end-of-life care encompassing medical care and symptom management, caregiver training and respite, grief and bereavement care, emotional and spiritual support, and daily assistance with personal care. This is supplemented by a 24/7 centralized intake and referral system, healthcare provider referral coordination with quality reporting, and CAHPS-based quality measurement. Services are delivered directly to patients in their homes, assisted living communities, and skilled nursing facilities. The company does not operate distinct SaaS products, software modules, or platform add-ons; all offerings are clinical service lines within a single hospice care organization.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Care and Symptom Management Physicians and nurses provide ongoing clinical oversight, managing medications and adjusting care plans to keep hospice patients comfortable and minimize pain and distressing symptoms. For patients with life-limiting illnesses.
• Caregiver Training and Respite Hands-on training prepares families to confidently care for their loved ones, with respite care providing caregivers time to rest and recharge, plus 24/7 on-call nurse support. For family caregivers of hospice patients.
• Grief and Bereavement Care Ongoing support for families after a loved one passes, including counseling and bereavement services. For surviving family members of hospice patients.
• Emotional and Spiritual Support Licensed social workers provide counseling and emotional support, while chaplains offer spiritual care that meets each person where they are, regardless of background or belief. For hospice patients and their families.
• Daily Assistance and Personal Care Certified nursing assistants (CNAs) assist hospice patients with personal care and daily activities such as bathing, dressing, and eating. For hospice patients in their place of residence.
• Hospice Care Coordination and Admission Centralized intake process that acknowledges referrals promptly, with most admissions completed within 24 hours. Coordinates care from referral through ongoing service delivery. For families seeking hospice admission.
• Healthcare Provider Referral Services Structured referral pathway for physicians, hospitals, and care teams to refer patients to Legacy Hospice, including clinical quality reporting and ongoing communication with referring providers. For referring healthcare providers.
• CAHPS Quality Rating Reporting Consistently scores at or above national benchmarks on the Medicare CAHPS Hospice Survey, measuring patient and family experience across communication, symptom management, and overall satisfaction. For referring providers and regulators.

Quantifiable outcome

• CAHPS quality and family satisfaction scores consistently above national average
• +1 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Partnerships

One partnership is on record.

• Accreditation Commission for Health Care (ACHC)coreOthersACHC provides accreditation for Legacy Hospice, demonstrating compliance with healthcare quality standards and regulatory requirements. This accreditation serves as a quality credential for the organization.

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Compassus: Compassus is one of the largest US hospice and palliative care providers operating across multiple states with an interdisciplinary care team model closely mirroring Legacy's clinical approach. It is a direct competitor for referral relationships with hospitals, physicians, and skilled nursing facilities.
• Traditions Health: Traditions Health is a multi-state hospice and home health provider with a comparable referral-driven GTM and emphasis on rapid admissions and clinical quality. Direct competitor in adjacent Southeast geographies for both hospice referrals and family-direct business.
• The Pennant Group: Pennant Group operates home health, hospice, and senior living services across the Western and Southern US through a decentralized branch model. It is a direct hospice competitor with similar branch-level economics and growth strategy in overlapping geographies.
• Addus HomeCare: Addus provides personal care, home health, and hospice services across more than 20 states, with significant overlap in Legacy's service regions. Competes for the same Medicaid and Medicare hospice beneficiaries and shares a referral-based, multi-state branch model.
• National HealthCare Corporation (NHC): NHC operates skilled nursing facilities, assisted living, home care, and hospice across the Southeast and Midwest. Its hospice division directly competes with Legacy in overlapping states (TN, MO, AL-area) and benefits from integrated SNF/AL referral pipelines.

Broad incumbents

• BrightSpring Health Services: BrightSpring is a large diversified home and community-based services platform offering hospice, home health, pharmacy, and behavioral services. It is a broader incumbent competing for hospice referrals and labor in Legacy's geographies, with materially greater scale and capital resources.
• Enhabit: Enhabit operates home health and hospice services across 30+ states post-spin-off from Encompass Health, with hospice as a smaller but strategically important segment. It competes for hospice referrals in Legacy's footprint as part of a broader post-acute continuum.
• Gentiva: Gentiva (formerly Kindred at Home Hospice) is one of the largest US hospice operators with national reach and significant referral density in the Southeast. A major incumbent competitor for hospital and SNF hospice referrals in Legacy's five-state service area.
• Aveanna Healthcare: Aveanna provides home health, hospice, and private-duty nursing across more than 30 states, with a growing hospice segment competing for clinical labor and referrals in the Southeast and Midwest. Operates at materially larger scale than Legacy.
• Amedisys (Optum): Amedisys, now part of Optum/UnitedHealth Group, operates home health and hospice at national scale and is the dominant Medicare hospice referral competitor in many Southeast markets. It competes with Legacy for both hospital referrals and clinical talent in shared geographies.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@legacyhospice7685
• Facebookfacebook.com/legacyhospice
• LinkedInlinkedin.com/company/legacy-hospice-holdings-inc
• Instagraminstagram.com/_legacyhospice

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

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 Hospice