Trilogy Health Services

What Trilogy Health Services does

Trilogy Health Services, LLC is a private, for-profit senior living operator headquartered in Louisville, Kentucky, founded in 1997 by Randy Bufford. The company runs a full continuum-of-care platform spanning Independent Living, Assisted Living, Memory Care, Skilled Nursing, Adult Day Services, and on-site hemodialysis across 140+ communities in Kentucky, Indiana, Ohio, Michigan, and Wisconsin, supported by 13,000+ team members. Two core sub-brands, Synchrony Rehab and Synchrony Pharmacy, deliver on-site physical, occupational, and speech therapy and clinical pharmacy services integrated into the care model.

The technology stack centers on integrated care coordination rather than consumer software. Trilogy's proprietary differentiators include 100% employed caregivers (no agency staffing), an on-site pharmacy/rehab model that supports clinical collaboration, and AI-enabled clinical monitoring for fall detection and remote patient monitoring. Technology partnerships extend capabilities: Olio and AION Biosystems supply an FDA-cleared TempShield wearable temperature monitor integrated into post-discharge coordination (67% hospital prevention rate among monitored residents), and Exxat One centralizes student clinical placements across eight states and 100+ communities. Quality metrics — rehabilitation outcomes nearly 40% higher than industry average and rehospitalization rate 8.5% lower than industry average — support clinical differentiation.

The business model is B2C with an enterprise B2B overlay. Revenue is generated through monthly residential fees across Independent Living, Assisted Living, and Memory Care (subscription/recurring), Skilled Nursing and Rehabilitation reimbursed through Medicare, Medicaid, and private pay, and managed pharmacy services delivered through the Synchrony partnership. Go-to-market combines a direct-to-consumer channel (website tour scheduling, community locator, senior living assessments) with an enterprise healthcare-partner referral portal targeting hospital discharge planners. Distribution runs through 140+ physical campuses across five states. In November 2024, Trilogy was acquired by American Healthcare REIT for $258 million, and in 2024 it acquired Kingston HealthCare Company, while in March 2023 it acquired Waunakee Manor — reflecting a serial acquisition-led expansion strategy. Leadership is anchored by President and CEO Leigh Ann Barney.

Name

Trilogy Health Services

Legal name

Trilogy Health Services, LLC

Website

https://trilogyhs.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

10,001+ employees

Short description

Trilogy Health Services is a private, for-profit senior living operator headquartered in Louisville, Kentucky, providing a full continuum of Independent Living, Assisted Living, Memory Care, Skilled Nursing, Adult Day Services, and on-site dialysis across 140+ communities in Kentucky, Indiana, Ohio, Michigan, and Wisconsin, serving individual seniors and families with integrated Synchrony Rehab and Synchrony Pharmacy services.

Ownership category

akta.pro rank

Product category

Senior Living Services

NAICS

Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Nursing and Residential Care Facilities (623)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Transitions of Care Management (Hospital/SNF/Home) (HLADALAD)

akta.pro secondary industries

Independent Living with Supportive Services (Light ADL/IADL Support) (HLADAAAE), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC), Home Health Clinical Care Coordination & Case Management (HSABACAO)

Keywords

• Senior living services
• Assisted living care
• Memory care services
• Skilled nursing facilities
• Post-acute rehabilitation

Headquarters

HQ city

Louisville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Senior Living Services: Monthly residential fees for independent living, assisted living, and memory care services including housing, dining, and care coordination.
2. Skilled Nursing and Rehabilitation: Short-term and long-term skilled nursing care with on-site physical, occupational, and speech therapy services. Revenue generated through Medicare, Medicaid, and private pay.
3. On-Site Pharmacy Services: Integrated pharmacy services provided through Synchrony Health Services partnership for post-acute residents.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Trilogy Health Services is a private senior living operator providing a full continuum of care across 140+ campus communities in five Midwestern states, including Independent Living, Assisted Living, Memory Care, Skilled Nursing, Adult Day Services, and on-site Dialysis. The company integrates on-site rehabilitation (Synchrony Rehab) and clinical pharmacy (Synchrony Pharmacy) services within each community to deliver coordinated clinical care. Care is delivered by 100% employed caregivers and supported by AI-powered clinical monitoring, fall detection, and remote patient monitoring technology.

Product overview

Trilogy Health Services operates a comprehensive senior living platform with 140+ communities across Ohio, Kentucky, Indiana, Michigan, and Wisconsin. The portfolio centers on a full continuum of care spanning Independent Living, Assisted Living, Memory Care, Skilled Nursing, and Adult Day Services. Two key sub-brands—Synchrony Rehab and Synchrony Pharmacy—deliver on-site rehabilitation and pharmacy services directly within communities, enabling integrated clinical collaboration. Trilogy Dialysis provides specialized kidney care at qualifying campuses. The company has received recognition including 62 communities named among the best by U.S. News and World Report and 23 by Newsweek, as well as AHCA/NCAL Bronze Commitment to Quality Awards.

Differentiator

Problem solved

Functional benefit

Brands

• Synchrony Rehab: Rehabilitation division providing Physical, Occupational, and Speech Therapy services for residents in Skilled Nursing Facilities.
• Synchrony Pharmacy

Products and services

• Independent Living Maintenance-free living option offering private apartments or patio homes with housekeeping, dining options, scheduled activities, and laundry services, designed for older adults seeking an active, social lifestyle.
• Assisted Living Residential care providing assistance with activities of daily living, including medication management, personal care, 24/7 licensed nurses, and social services, for seniors who need help while maintaining independence.
• Memory Care Services Long-term specialized care for individuals with Alzheimer's disease or other forms of dementia, featuring the Best Friends Approach, Daily Rhythms programming, specially trained caregivers, and secure environments.
• Skilled Nursing Services 24-hour skilled nursing care with on-site rehabilitation services including physical, occupational, and speech therapy, pharmacy, laboratory, radiology, and case management for short- and long-term care needs.
• Adult Day Services Daytime care program providing access to amenities, activities, health monitoring, and socialization opportunities for seniors, while giving family caregivers temporary relief and respite.
• Trilogy Dialysis Hemodialysis services for seniors delivered on-site at qualifying campuses, utilizing Ascent medical recliners with massage and healing options and offering private treatment bays with natural light.
• Synchrony Rehab Rehabilitation division providing Physical, Occupational, and Speech Therapy services on-site within skilled nursing facilities, enabling seamless collaboration between therapists, pharmacy consultants, and medical care teams.
• Synchrony Pharmacy Specialized clinical pharmacy services providing medications, clinical pharmacy consultation, and operational support to senior housing, skilled nursing, and healthcare facilities operated by Trilogy.

Quantifiable outcome

• Rehabilitation outcomes nearly 40% higher than industry average
• +5 more outcomes

Named customers2 records

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Eight partnerships are on record, tiered core, strategic and minor.

• OliocoreTechnology or Integration · 21 April 2026Strategic partnership integrating Olio's care coordination platform with Trilogy's post-acute and behavioral health networks. The partnership integrates AION Biosystems' FDA-cleared TempShield wearable temperature monitor into Trilogy's post-discharge coordination and Safe Return workflows, achieving a 67% hospital prevention rate among monitored residents.
• ExxatcoreTechnology or Integration · 22 October 2025Exxat partnered with Synchrony Rehab (rehabilitation division of Trilogy Health Services) to implement Exxat One as a centralized platform for managing student placements and onboarding across eight states and over 100 communities, supporting clinical education and workforce development.
• AION BiosystemscoreTechnology or IntegrationAION Biosystems developed the FDA-cleared TempShield wearable temperature monitor, which was integrated into Trilogy's care coordination workflows through a partnership with Olio. The device monitors patients for up to 90 days post-discharge from skilled nursing facilities and addresses infection detection during care transitions.
• Alzheimer's AssociationstrategicStrategic or Co-development PartnerTrilogy sponsors and works directly with local Alzheimer's Association chapters. The Alzheimer's Association hosts caregiver support groups throughout several Trilogy communities, and Trilogy supports the organization's mission to find a cure for Alzheimer's disease.
• Synchrony Health ServicescoreStrategic or Co-development PartnerSynchrony Health Services provides integrated pharmacy and rehabilitation therapy services for Trilogy communities. Synchrony Rehab provides Physical, Occupational, and Speech Therapy, while Synchrony Pharmacy partners with Trilogy to meet unique pharmacy needs through specialized clinical and operational support.
• Bellarmine UniversityminorStrategic or Co-development PartnerTrilogy Kentucky communities partnered with Bellarmine University nursing students to support residents and families while providing clinical education opportunities for nursing students.
• The Trilogy FoundationcoreOthersThe Trilogy Foundation supports Trilogy employees through emergency assistance, food security, first-time home buyers programs, scholarships, Live a Dream program, and Susan's Savings program. Distributed $1.2M to employees, residents and community in 2022.
• Kingston HealthCare CompanystrategicOthersTrilogy Health Services acquired Kingston HealthCare Company, expanding their portfolio of senior living communities and healthcare services.

Scale indicators13 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• Senior Lifestyle: Family-owned senior living operator offering independent living, assisted living, and memory care across multiple US states. Comparable continuum-of-care positioning and target customer base to Trilogy's portfolio.
• The Ensign Group: Post-acute and skilled nursing operator with strong clinical outcomes focus and integrated rehab operations. Highly comparable to Trilogy's skilled nursing plus Synchrony Rehab combination, with similar emphasis on reducing rehospitalizations.
• Genesis Healthcare: Skilled nursing facility operator providing post-acute, rehabilitation, and assisted living services across the US. Comparable to Trilogy's skilled nursing and rehab platform, with similar Medicare/Medicaid reimbursement exposure.
• Five Star Senior Living: Senior living operator offering independent living, assisted living, and memory care across multiple states. Comparable to Trilogy's IL/AL/Memory Care offerings with overlapping target customer segments.
• Life Care Centers of America: Privately held skilled nursing and rehabilitation provider operating across the US. Comparable to Trilogy's skilled nursing platform with on-site therapy services and similar post-acute care positioning.
• Brookdale Senior Living: Largest US senior living operator offering independent living, assisted living, memory care, and skilled nursing nationwide. Most directly comparable to Trilogy across the full continuum-of-care model, though at significantly larger national scale.
• National HealthCare Corporation: Operates skilled nursing and assisted living communities with on-site rehabilitation services. Comparable to Trilogy across SNF, AL, and rehab service lines with a similar integrated clinical services model.
• Atria Senior Living: Major senior living operator with a multi-state footprint offering independent living, assisted living, and memory care. Closely comparable service mix to Trilogy's IL/AL/Memory Care offerings with similar continuum-of-care positioning.

Broad incumbents

• Encompass Health: Largest owner and operator of inpatient rehabilitation hospitals in the US. Comparable to Trilogy's Synchrony Rehab post-acute rehabilitation focus, but operates at broader scale and as a publicly traded public company.

Emerging players

• Sonida Senior Living: Smaller, publicly traded senior living operator focused on independent living, assisted living, and memory care. Comparable service mix to Trilogy's community-based offerings but at significantly smaller scale and footprint.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/trilogyliving
• Facebookfacebook.com/trilogyhs

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries3 records

Funding overview

Funding rounds1 record

Investors3 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Trilogy Health Services