legacyhospice.net-
STATUS
Active
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YEAR
2025
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Location
Daphne, AL
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IMPACT METRICS
Total patients served1Source; Legacy Hospice proprietary data. Data as of December 31, 2025.4.2KPatients served in rural communities1Source: Legacy Hospice proprietary data based on the percentage of Average Daily Census patients based in a rural community. Rural community is defined as less than 100 individuals per square mile based on 2020 US Census data. Percentage is calculated as average daily rural census divided by Average Daily Census (all patients).82%Aggregate CAHPS score1Source: Legacy Hospice. The CAHPS score is based on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey, which is a standardized survey that measures the experiences of patients and informal caregivers of patients that die in hospice. The standardized assessment is used to measure quality of care and is a comparable measure across hospice providers. Data as of December 31, 2025. Data has been rounded to the nearest whole number.87%
Legacy Hospice is expanding access to high-quality, compassionate end-of-life care, particularly in underserved rural communities. Partnering with Double Impact, the company is scaling its regional platform while enhancing clinical quality, compliance, and outreach. Together, we aim to improve patient and family experiences while supporting a more efficient, patient-centered healthcare system.
Impact thesis
As the population ages and value-based care models expand in the United States, there is an opportunity to improve patient and family experiences while enhancing system efficiency by scaling access to high-quality hospice care. Access to high-quality end-of-life care remains uneven across the United States, particularly in rural communities where provider shortages, geographic dispersion, and limited healthcare infrastructure constrain patient choice.1Bambury EA, Merdjanoff AA, Fergen JT, Mueller JT. Exploring access to critical health services for older adults in rural America from 1990 to 2020. J Rural Health. 2025 Jan ;41(1):e70004. doi: 10.1111/jrh.70004. PMID: 40022451; PMCID: PMC11871418.
Today, hospice care recipients consistently report higher patient and family satisfaction, improved pain and symptom management, and greater alignment of care with patient preferences.1Liu, P., & Liao, X. (2025). The impact of hospice care on the prognosis, quality of life, and emotional well-being of patients with chronic heart failure. Journal of Hospice & Palliative Nursing, 27(1), E10–E16. Hospice enables individuals to spend their final months in familiar settings, often at home or in skilled nursing facilities; high-quality providers emphasize comfort, dignity, and coordinated interdisciplinary support.
In addition to improved patient satisfaction, studies have found that hospice care in the US is associated with lower Medicare spending in the last months of life, largely due to reduced hospitalizations and intensive interventions.1May, P., Normand, C., & Morrison, R. S. (2018). Economic impact of hospital inpatient palliative care consultation: Review of current evidence and directions for future research. Journal of Palliative Medicine, 21(6), 829–835.
Opportunity & investment
Legacy Hospice currently operates in six states in the Southeastern US and has built a strong regional platform delivering high-quality hospice services. The company partners closely with patients, families, caregivers, and physicians to provide coordinated, home-based care focused on comfort and dignity.
Double Impact was drawn to Legacy’s strong clinical quality, positive reputation among referral partners, and commitment to serving rural geographies. We believe our expertise in healthcare services and clinical care makes us an excellent partner for the next phase of Legacy’s growth.
Value creation
Since our investment in Legacy Hospice closed in November 2025, Double Impact and the management team have focused on thoughtful and sustainable business expansion.
We have supported enhancements to sales and marketing capabilities to drive awareness among referral sources and educate communities about the benefits of hospice care. At the same time, we have prioritized clinical excellence by strengthening compliance, quality assurance, and governance functions to ensure care standards remain high as the company grows.
Consistent with our impact approach, Double Impact worked with the management team to identify company-specific impact metrics—including patient satisfaction, care quality indicators, and access expansion measures—and set performance targets for the coming year. Together, we are working to scale a model that delivers compassionate end-of-life care while contributing to a more efficient and patient-centered healthcare system.
