Trellis Supportive Care

What Trellis Supportive Care does

Trellis Supportive Care is a community-based nonprofit 501(c)(3) hospice and palliative care provider headquartered in Winston-Salem, North Carolina, serving 13 counties across the Piedmont Triad region. Founded in 1977 by community members and formally operating since 1979, it is the oldest hospice organization in North Carolina. Its core service lines are hospice care and palliative care for patients with life-limiting illnesses, supplemented by professional grief counseling, advance care planning (GotPlans?), caregiver education, complementary therapies (music, massage, pet therapy), and the 35-year-old Camp Carousel grief program. Specialized disease programs include Advanced Cardiac Care (in partnership with the American Heart Association), Advanced Pulmonary Care (American Lung Association), Advanced Dementia Care, and the CMS GUIDE Program for dementia patients. The Kate B. Reynolds (KBR) Hospice Home, a 40-private-room inpatient facility opened in 1998 and expanded in 2005 and 2010, anchors clinical capacity.

The organization operates through four physical offices (Winston-Salem headquarters, Mocksville, Walnut Cove, Salisbury) and delivers the majority of care via home visits across private residences, nursing homes, and assisted living facilities. Technology is not a strategic pillar; the only disclosed technical features are VR experiences and Smart TVs used for patient comfort and virtual family visits. The organization is led by President and CEO Dr. Michael Lalor (since June 2025), supported by five vice presidents and a Board of Directors with a separate Foundation Board governance structure. Workforce comprises 340+ trained clinical professionals and 450 volunteers serving more than 800 patients daily (nearly 1,000 per recent CEO commentary).

The business model is a hybrid reimbursement-and-donation nonprofit model. Core hospice and palliative services are billed to Medicare, Medicaid, and most private insurers, with the GUIDE Program specifically funded through CMS. As a nonprofit, Trellis provides care regardless of ability to pay, and the gap is closed through community donations, memorials, church contributions, and special-event fundraising (e.g., the Hope Run 5K). Revenue mix is therefore concentrated on government payors at the reimbursement layer and diversified across thousands of individual donors at the fundraising layer, with no equity investors, parent company, or subsidiaries. Customer acquisition is primarily through healthcare provider referrals, hospital and long-term care facility partnerships, and direct family inquiries, with a referral center operating seven days a week.

Name

Trellis Supportive Care

Legal name

Trellis Supportive Care

Website

https://trellissupport.org

Company type

Private

Founded year

1979

Operating status

Operating

Headcount range

251–500 employees

Short description

Trellis Supportive Care is a nonprofit hospice and palliative care provider serving 13 counties across northwest North Carolina from its Winston-Salem headquarters. Founded in 1979, it delivers hospice, palliative, grief, and dementia care to 800+ patients daily via 340+ staff, 450 volunteers, and a 40-room inpatient facility.

Ownership category

akta.pro rank

Product category

Hospice and Palliative Care

NAICS

Services for the Elderly and Persons with Disabilities (624120), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (6233)

SIC

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

akta.pro primary industry

In-Home Hospice Physician / Nurse Practitioner Visits (HSABAFAM)

Keywords

• Hospice care services
• Palliative care services
• Grief counseling
• End-of-life care
• Community health services

Headquarters

HQ city

Winston Salem

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Insurance Reimbursement: Services reimbursed by Medicare, Medicaid, and most private insurance plans. As a nonprofit, services are provided regardless of ability to pay, supported in part by community donations and memorials.
2. Donations and Community Support: Financial support from memorials, donations, church funding, special events, and overall community support to supplement specialized programs. Generous community donations help cover care for uninsured patients.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

Trellis Supportive Care delivers hospice, palliative, and grief support services to patients with life-limiting or serious illnesses across 13 counties in northwest North Carolina. Care is provided in private homes, nursing homes, assisted living facilities, and the 40-room Kate B. Reynolds (KBR) Hospice Home in Winston-Salem. Services include physician and nursing visits, medication management, 24/7 on-call support, emotional and spiritual counseling, and supplemental programs such as veteran outreach, dementia support (GUIDE), and complementary therapies.

Product overview

Trellis Supportive Care is a community-based nonprofit hospice and palliative care provider offering a comprehensive suite of services centered around hospice care, palliative care, and grief support. The core offerings include Hospice Care and Palliative Care as primary service lines, supplemented by the KBR Hospice Home (a 40-room inpatient facility), grief counseling, and caregiver support programs. Specialized care programs target specific conditions including dementia (GUIDE Program, Advanced Dementia Care), cardiac conditions (Advanced Cardiac Care with AHA partnership), pulmonary disease (Advanced Pulmonary Care), and veteran patients (We Honor Veterans program). Additional programs include GotPlans? advance care planning workshops, Caregiver Confidence workshops, Camp Carousel grief camp for children and adults, and complementary therapies such as music therapy, massage therapy, and pet therapy. The organization serves 13 counties from 4 offices and the KBR Hospice Home in Winston-Salem, North Carolina.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care End-of-life care services for patients with life-limiting illnesses, providing medical, emotional, and spiritual support including home visits, 24/7 availability, and a dedicated care team.
• Palliative Care Specialized medical care for patients with serious illnesses focusing on pain and symptom management, emotional support, and treatment guidance while patients pursue curative treatment.
• Grief Support and Counseling Professional grief counseling for individuals or groups of any age, including individual sessions, support groups, art therapy, and community workshops, provided free of charge to anyone in the community.
• Kate B. Reynolds (KBR) Hospice Home 40-room inpatient hospice facility providing around-the-clock care for patients requiring more intensive support than can be provided at home, including short-term care and respite services.
• GotPlans? Advance Care Planning Free advance care planning workshops helping individuals and families navigate healthcare decisions, living wills, and healthcare power of attorney documentation.
• GUIDE Program (Guiding an Improved Dementia Experience) CMS-supported program providing comprehensive coordinated dementia care including nursing visits, care planning, ongoing monitoring, medication management, 24/7 access to care team, and respite care up to $2,500 annually for unpaid caregivers.
• We Honor Veterans Program Specialized care and outreach program for veteran patients including staff training, veteran volunteer matching, monthly Veteran Coffees, and veteran-specific fellowship events.
• Advanced Cardiac Care Program In-home cardiac care program in collaboration with the American Heart Association providing IV diuretics, Milrinone infusions, LVAD therapy, and 24/7 symptom management to reduce hospital admissions.
• Advanced Pulmonary Care Program Specialized in-home care for patients with advanced lung disease including respiratory assessments, nebulizer treatments, pulmonary medications, and coordination with pulmonologists to reduce ED visits and hospitalizations.
• Advanced Dementia Care Program Specialized dementia care using best practices with staff training, caregiver education, music and massage therapies, and a resource guide covering home safety, communication, and pain management.
• Camp Carousel Grief support program for children, teens, and adults including day camp sessions, art and music therapy, and adult retreats for processing grief and building coping skills.
• Caregiver Confidence Workshops Free workshops providing caregivers with tools, resources, and training including topics such as home safety, fall prevention, medication management, and caregiver self-care.
• Complementary Therapies Additional support services including music therapy, massage therapy, pet therapy, and other holistic approaches provided by specially trained volunteers and therapists to enhance patient comfort.

Named customers4 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Eleven partnerships are on record, tiered core and minor.

• American Heart Association (AHA)coreStrategic or Co-development PartnerCollaboration with AHA and NPHI to improve quality of life for cardiac patients. Combines expertise from 70+ hospice organizations to develop best practices for symptom management and cardiac care delivery.
• American Lung Association (ALA)coreStrategic or Co-development PartnerCollaboration with ALA to improve care for patients with advanced lung disease, coordinating with patients' pulmonologists using best practices.
• Community Health Accreditation Partner (CHAP)coreStrategic or Co-development PartnerCHAP accreditation demonstrates that Trellis meets the highest standards of care and accountability for hospice and home health providers.
• National Partnership for Healthcare & Hospice Innovation (NPHI)coreStrategic or Co-development PartnerNational cooperative of non-profit hospice agencies providing evidence-based framework for delivering highest quality patient care. Trellis is a member organization.
• We Honor Veterans Program (NHPCO and Veterans Administration)coreStrategic or Co-development PartnerJoint program between National Hospice and Palliative Care Organization and Veterans Administration providing special training to serve veteran patients. Trellis is a partner organization.
• Intergenerational Center for Arts and WellnessminorOthersWinston-Salem based community center for intergenerational programs and wellness activities, hosting Trellis community programs.
• Rufty-Holmes Senior CenterminorOthersSalisbury-based senior center collaborating with Trellis for community outreach and senior services.
• Regional Hospitals throughout 13 countiescoreChannel Partner/ Reseller/ DistributorPartnership with hospitals throughout the 13-county service area for patient referrals and coordinated care.
• Long-term Care Facilities throughout 13 countiescoreChannel Partner/ Reseller/ DistributorPartnership with nursing homes and long-term care facilities for hospice care delivery to residents.
• Chambers of Commerce (multiple)minorOthersPartnerships with Davie County Chamber, Yadkin Valley Chamber, Lexington Area Chamber, Rowan County Chamber, Lewisville-Clemmons Chamber, Kernersville Chamber, Greater Winston Salem Chamber, King Chamber of Commerce, Greensboro Chamber of Commerce, and North Davidson County Chamber.
• Richard Childress RacingminorOthersVenue partner for veteran recognition events and community gatherings at their facility in Welcome/Lexington, NC.

Scale indicators6 records

Recent moves10 records

Expansion highlights6 records

Direct peers

• Amedisys: One of the largest U.S. home health and hospice providers with a substantial hospice census across multiple states. Directly comparable to Trellis in core hospice service delivery and Medicare-reimbursed care models, though at materially larger scale and now under UnitedHealth's Optum.
• Gentiva: National hospice and palliative care provider spun out from Kindred, serving a broad Medicare-reimbursed hospice census. Closely comparable to Trellis on hospice core services, specialty palliative programs, and referral-driven patient acquisition.
• VITAS Healthcare (Chemed Corporation): Largest U.S. hospice operator owned by Chemed (CHE), offering routine home care, GIP, and specialty palliative programs. Direct competitor in hospice services, with broader scale and more condition-specific programs than Trellis.
• Encompass Health: Public home health and hospice operator with hospice segments across multiple states. Overlaps directly with Trellis on home-based hospice delivery, quality measurement against CMS Hospice Compare, and value-based care positioning.
• BrightSpring Health Services: Diversified home and community health provider with a hospice segment serving complex patient populations including dementia. Comparable to Trellis on hospice service delivery, chronic-disease specialization, and home-based complex care.
• Enhabit: Public home health and hospice operator focused on Medicare-reimbursed post-acute care. Directly comparable to Trellis in hospice clinical model, referral-driven growth, and CMS quality ratings exposure.
• Addus HomeCare: Personal care, home health, and hospice provider serving Medicaid and Medicare populations across multiple states. Comparable to Trellis on home-based hospice, palliative-style community care, and value-based reimbursement arrangements.
• Aveanna Healthcare: Home health, hospice, and private duty services provider with significant pediatric and adult patient census. Comparable to Trellis on home-based hospice delivery and Medicare hospice reimbursement dependence.

Emerging players

• The Pennant Group: Home health, hospice, and senior living provider with a growing hospice footprint concentrated in the western U.S. Comparable to Trellis on hospice clinical model and community-based service delivery, though focused on different geographies.

Regional players

• Hospice of the Piedmont: Nonprofit hospice and palliative care provider serving central North Carolina from a multi-office footprint. Closely comparable to Trellis as a fellow NC nonprofit hospice with community-funded programs and similar specialty offerings.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCn03nxKxzHmnAym1ocOdE8A
• Facebookfacebook.com/trellissupport
• LinkedInlinkedin.com/company/trellis-supportive-care
• Instagraminstagram.com/trellissupport
• Xx.com/TrellisSupport

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 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 Trellis Supportive Care