What Legacy Construction does

Legacy Construction is a Fresno, California-based, founder-led commercial general contractor founded in 2007 by CEO Bill Cummings. The company specializes in healthcare, retail, and mixed-use developments, with healthcare — particularly construction for Federally Qualified Health Centers, community health centers, dental, dermatology, and oral surgery providers — constituting the primary vertical. Since 2019, 64 percent of Legacy's healthcare projects have been located in federally designated Primary Care Health Professional Shortage Areas, and the company reports that facilities it has built collectively serve more than 324,000 patients annually, 92.4 percent of whom qualify as low-income. Legacy operates as part of a three-phase service ecosystem: Legacy Realty & Development handles concept-to-permit planning using HRSA, UDS, Census, and demographic data products for site identification and financing strategy (including New Market Tax Credits); Legacy Construction executes the permit-to-occupancy phase as a licensed contractor; and Legacy Media provides drone mapping, Matterport and LiDAR 3D scanning, and project documentation through the build-to-brand phase. The company is licensed in Arizona, California, Florida, Utah, Minnesota, Montana, Nevada, Oregon, Tennessee, and Washington D.C., and has completed more than 300 projects since inception.

The business model is project-based, generating revenue through fixed-price contracts, cost-plus arrangements, and construction management agreements as a prime contractor on healthcare, retail, and mixed-use work. Pricing is custom-quoted and not publicly disclosed. The go-to-market is enterprise field sales: business development managers and senior executives cultivate direct relationships with healthcare organization leadership, real estate developers, and property owners, supplemented by industry conference participation (ICSC Monterey, CPCA), referrals from architects and lenders, and community engagement. The company has delivered its largest project to date in 2024 — the 40,000 SF Altura Centers for Health Tulare Campus — alongside 20 other projects in the same year, and is expanding into the Sacramento region and laying groundwork for Arizona and Minnesota entry. Revenue is not publicly disclosed. Recognition includes consecutive Great Place to Work certification (94 percent employee satisfaction versus a 57 percent national average), four consecutive Fortune Best Workplaces in Construction listings, two consecutive Fresno Bee Gold awards for Commercial Construction, and the inaugural CVLUX Best Commercial Builder 2026 award.

Name

Legacy Construction

Legal name

Legacy Construction

Website

https://lcfresno.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

11–50 employees

Short description

Legacy Construction is a Fresno-based, founder-led commercial general contractor specializing in healthcare facility construction for Federally Qualified Health Centers, community health centers, and specialty care providers across nine states plus Washington D.C.

Ownership category

akta.pro rank

Product category

Commercial Construction Services

NAICS

Commercial and Institutional Building Construction (23622), Nonresidential Building Construction (2362)

SIC

General Bldg Contractors - Nonresidential Bldgs (1540)

akta.pro primary industry

Design-Build / EPC General Contracting (IMAFAAAD)

Keywords

• Commercial construction services
• Healthcare facility construction
• Construction management
• Tenant improvement services
• Mixed-use development

Headquarters

HQ city

Fresno

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. General Contracting and Construction Management: Legacy Construction earns revenue as a licensed commercial general contractor on healthcare, retail, and mixed-use projects. Revenue is project-based, generated through fixed-price contracts, cost-plus fee arrangements, or construction management agreements. The company serves as the prime contractor responsible for permit to occupancy delivery.
2. Development and Real Estate Services: Through Legacy Realty & Development (LRD), the company engages in planning and development, using custom data products to drive development from concept to permit. This includes site identification, financial modeling, financing strategy, and project budgeting, often utilizing tools such as New Market Tax Credits (NMTCs) to structure deals.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels7 records

Core offering

Legacy Construction is a licensed commercial general contractor that delivers full-service construction management and general contracting for healthcare, retail, and mixed-use developments from permit to occupancy. Through its affiliated entities it also provides concept-to-permit development planning and build-to-brand media documentation, enabling integrated project delivery for healthcare organizations, real estate developers, and property owners.

Product overview

Legacy Construction operates as a full-service commercial contractor with a family of integrated services across three phases: Legacy Realty & Development handles planning and development from concept through permit using data-driven site analysis; Legacy Construction (core contracting) manages the permit-to-occupancy phase as a licensed commercial contractor specializing in healthcare, retail, and mixed-use projects; and Legacy Media provides drone mapping, 3D scanning (Matterport/LiDAR), and media coverage services to support project documentation and branding. Together, these services are designed to support clients from initial concept through final project branding.

Differentiator

Problem solved

Functional benefit

Brands

• Legacy Realty & Development: Planning and development entity that uses custom data products to drive development. Supports projects from concept to permit.
• Legacy Media
• Legacy Commercial (LCRE)

Products and services

• Legacy Construction — Full-Service Commercial Contracting
• Legacy Realty & Development — Planning and Development
• Legacy Media — Drone Mapping, 3D Scanning, and Project Documentation

Quantifiable outcome

• Delivered nine healthcare projects totaling $31.65 million in investment and nearly 65,000 square feet of new and modernized medical space in a single year (2024)
• +4 more outcomes

Named customers13 records

Segments4 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

One partnership is on record.

• HMH EngineersminorStrategic or Co-development PartnerHMH Engineers had a presence at ICSC Monterey alongside Legacy Construction. Legacy noted HMH as a partner actively engaged and visible at the conference, suggesting an ongoing working relationship on development and construction projects in the regional brokerage and development community.

Scale indicators10 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Brasfield & Gorrie: Large private commercial GC with a strong healthcare and institutional portfolio. Comparable in serving hospital systems, ambulatory care, and mixed-use developments across multiple U.S. regions.
• McCarthy Building Companies: National commercial GC with a top-tier healthcare construction division serving hospitals, health systems, and ambulatory providers. Comparable to Legacy in healthcare specialization and full general-contracting scope, though operating at much larger scale.
• Robins & Morton: Employee-owned commercial general contractor with one of the nation's largest dedicated healthcare construction practices. Highly comparable to Legacy because both focus on complex, regulated healthcare facility delivery for community and regional health systems.
• Boldt Company: Mid-sized commercial GC with a longstanding healthcare and industrial practice. Comparable to Legacy's vertically integrated approach and focus on technically demanding healthcare and community-focused projects.
• Swinerton: West Coast-rooted commercial GC active in healthcare, retail, and mixed-use. Highly comparable to Legacy in geographic origin (California) and healthcare-plus-retail project mix.
• Herrero Builders: San Francisco Bay Area commercial GC with a strong healthcare practice serving hospitals, medical offices, and ambulatory facilities. Comparable to Legacy as a California-based GC with deep healthcare vertical expertise.
• Mark III Construction: California-based commercial GC with a healthcare-focused practice delivering medical office buildings and ambulatory facilities. Closely comparable to Legacy in size, California geography, and healthcare vertical focus.
• Rudolph and Sletten: California-based commercial GC specializing in healthcare, higher education, and life sciences. Comparable in California-centric footprint and complex institutional project delivery.

Broad incumbents

• DPR Construction: Top-tier national commercial GC with a dedicated healthcare practice serving major health systems and academic medical centers. Comparable healthcare-construction capability but operating at vastly larger scale across all commercial verticals.
• Turner Construction: Largest commercial GC in the U.S. with a significant healthcare and institutional portfolio. Comparable in nonresidential building delivery but operates as a broad incumbent across all major verticals.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Instagraminstagram.com/legacyfresno
• Facebookfacebook.com/legacyfresno
• LinkedInlinkedin.com/company/legacyconstructionfresno

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries5 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 Construction