Legacy ER & Urgent Care

What Legacy ER & Urgent Care does

Legacy ER & Urgent Care operates a hybrid emergency room and urgent care model under a single facility footprint in the Dallas-Fort Worth North Texas metroplex. The company runs seven owned-and-operated walk-in locations — including named sites in Allen, Frisco East, and Frisco West — each offering 24/7 emergency room services alongside urgent care from 7 a.m. to 9 p.m. daily, supported by on-site diagnostic capabilities (laboratory testing, X-ray, CT scans, EKG, and ultrasound). Its defining commercial construct is a dual-billing approach in which approximately seven of every ten patient visits are billed at urgent care rates during urgent care hours, while only the minority of visits requiring genuine emergency-level care are billed at ER facility fees ranging from $373.76 to $3,772.09.

The business is structured as a privately held Texas LLC (Casus Healthcare, LLC) operating under the Intuitive Health family of brands, with no public listing or disclosed venture capital backing. Revenue mechanics combine per-visit facility and physician fees, in-network insurance reimbursements from Blue Cross Blue Shield, Cigna, UnitedHealthcare, Aetna, Humana, Baylor Scott & White Health Plan, and Tricare, plus a subscription membership (Legacy Select at $16.99/month or $149/year) that targets uninsured and underinsured patients with discounted urgent care visits. Go-to-market is direct-to-consumer via walk-in traffic, online check-in through the InQuicker platform, content marketing through a health resources blog, and community education anchored by the trademarked 'ER Savings Initiative.' The company reports roughly 85,000-90,000 annual patient visits, 8/10 star patient satisfaction, 95% would-recommend scores, 6-minute door-to-triage ER performance, and an average ER visit time under two hours.

The core clinical product surface comprises emergency care, urgent care, diagnostic labs and imaging, orthopedic services, and pediatric care, with school physicals ($25) and rapid COVID-19 testing as ancillary offerings. Operating leadership is led by CEO Thom Herrmann and Regional Medical Director Dr. Brian Mayer; the broader clinical and operational workforce spans 251-500 employees. The company has no mobile app, no public API, and no AI/ML capabilities disclosed, instead relying on third-party SaaS integrations (InQuicker, AdvancedMD, 360 Medical Billing Solutions) for scheduling and revenue cycle management.

Name

Legacy ER & Urgent Care

Legal name

Casus Healthcare, LLC

Website

https://legacyer.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

251–500 employees

Short description

Legacy ER & Urgent Care operates seven hybrid emergency room and urgent care walk-in facilities across the Dallas-Fort Worth metroplex, serving approximately 85,000-90,000 patients annually with on-site diagnostics, dual-level billing, and the Legacy Select subscription membership for uninsured patients.

Ownership category

akta.pro rank

Headquarters

HQ city

Allen

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Emergency Room Services: Revenue from emergency room facility fees and physician services. ER facility fees range from $373.76 (Level 1) to $3,772.09 (Level 6 critical care). Approximately 15% of patients requiring ER-level services are billed at ER rates.
2. Urgent Care Services: Revenue from urgent care visits. 7 out of 10 visits are billed as urgent care services, with a typical urgent care sick visit costing $99.00 with Legacy Select plan.
3. Legacy Select Membership: Monthly membership program for uninsured or under-insured individuals providing 20%+ discounts on services. Priced at $16.99/month or $149/year with a one-time $10 processing fee.
4. Insurance Reimbursements: In-network reimbursement from major insurance providers including Blue Cross Blue Shield, Cigna, UnitedHealthcare, Aetna, Humana, Baylor Scott & White Health Plan, Tricare, and others.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Legacy ER & Urgent Care operates hybrid emergency room and urgent care facilities under one roof at multiple Dallas-Fort Worth locations, providing 24/7 ER services and 7am–9pm daily urgent care services. The company delivers on-site diagnostic capabilities including laboratory testing, X-ray, CT scans, EKG, and ultrasound, and uses a dual-billing model where most visits are billed at urgent care rates rather than ER rates.

Product overview

Legacy ER & Urgent Care operates a combined emergency room and urgent care model under one roof, offering both services at the same facilities. The core product consists of Emergency Room Services (24/7) and Urgent Care Services (7 a.m. to 9 p.m. daily), with the unique billing approach of charging only for the level of care received. Supporting modules include Diagnostic Labs & Imaging (X-ray, CT scans, EKG, ultrasound, COVID-19 testing), Orthopedic Services, and Pediatric Care. Legacy Select is a sub-brand membership program providing affordable access to discounted services for uninsured/under-insured patients.

Differentiator

Problem solved

Functional benefit

Brands

• Legacy Select: Affordable medical insurance payment plan for individuals or families without medical insurance, offering $16.99/month membership with discounts on urgent care visits and emergency services.

Products and services

• Emergency Room (ER) Services

Quantifiable outcome

• 7 out of 10 visits billed as urgent care services, resulting in significant cost savings for patients
• +3 more outcomes

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature2 records

Partnerships

One partnership is on record.

• Intuitive HealthcoreOthersLegacy ER & Urgent Care is a member of the Intuitive Health family of facilities. Intuitive Health is the parent organization that operates Legacy ER & Urgent Care locations across North Texas, delivering both emergency and urgent care services in convenient locations.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Emerging players

• GoHealth Urgent Care: Large multi-state urgent care operator partnering with health systems, offering walk-in care, on-site lab and imaging. Competes with Legacy for the same urgent care patient visits, particularly among insured consumers seeking convenience and lower cost than hospital EDs.
• NextCare Urgent Care: National urgent care chain with walk-in services, on-site diagnostics, and broad insurance coverage — competes with Legacy on the urgent care side of the hybrid model and increasingly extends into higher-acuity services that overlap with Legacy's positioning.

Broad incumbents

• CVS MinuteClinic: National retail clinic operator inside CVS Pharmacy locations offering low-cost walk-in care for common illnesses and minor injuries. Competes with Legacy's urgent care services on price (typically $0-$75) and convenience, particularly for low-acuity visits that represent a portion of Legacy's UC volume.

Direct peers

• SignatureCare Emergency Center: Texas-based operator of multiple freestanding 24/7 emergency rooms with on-site imaging and lab services, directly competing with Legacy in the DFW and broader Texas hybrid ER market. Operates the same walk-in, no-appointment model targeting the same cost-conscious consumer segment.
• First Choice Emergency Room (Adeptus Health): Historically one of the largest independent freestanding ER operators in the U.S. before Adeptus Health's bankruptcy/restructuring; pioneered the hybrid ER model Legacy operates. Direct conceptual peer despite corporate setbacks, as the operating model remains highly comparable.
• iCare Emergency Room & Urgent Care: Hybrid ER and urgent care operator with Texas locations, combining emergency and urgent care services under one roof — a near-identical operating model to Legacy, competing for the same walk-in consumer market in overlapping Texas metros.
• Texas Emergency Care Center: Operator of freestanding emergency rooms across Texas including the DFW metroplex, offering 24/7 ER services with on-site CT, X-ray, ultrasound, and lab — directly overlapping Legacy's service portfolio, target customer, and delivery model.
• Code 3 Emergency Room & Urgent Care: Texas-based hybrid ER and urgent care provider with freestanding locations offering 24/7 ER and walk-in urgent care, board-certified physicians, and on-site imaging — directly comparable to Legacy in service mix, hours, and target customer.
• Citizens Emergency Medical Center: Freestanding emergency room operator in Texas offering 24/7 emergency care with on-site imaging and lab services. Targets the same walk-in consumer segment as Legacy and competes in overlapping DFW-area geographies.

Others

• Intuitive Health: Parent operating company of Legacy ER & Urgent Care; operates additional hybrid ER/UC facilities under different brand names in other states. As Legacy's parent, Intuitive Health is the closest internal comparator and the strategic platform for any multi-market expansion beyond DFW.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/legacyerandurgentcare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds1 record

Investors2 records

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 ER & Urgent Care