Trust

What Trust does

Trust is a Sunnyvale, California-based software company founded in 2018 that operates an AI-powered micro-engagement platform marketed under the name Harmony Health. The platform is purpose-built to connect at-risk and hard-to-reach populations in the United States — estimated at over 100 million Americans — to health and social care services through a network of community-based organizations (CBOs), faith-based organizations (FBOs), and non-profits that already have established trust with these communities. The core technical product is a UI-less, SMS-first engagement layer with real-time translation in 112+ languages, automated two-way workflows, predictive risk identification, AI-assisted eligibility screening, and closed-loop referrals across healthcare, housing, pharmacy, and food bank systems. Architecture is described as a white-label digital thread that preserves community brand identity and does not require end users to download an app, addressing digital-literacy and device-access barriers among target populations. Compliance posture covers HIPAA, TCPA, CCPA, and CPRA.

Trust operates a multi-channel GTM combining enterprise field sales to Managed Care Plans and ecosystem enterprises (telecom, housing, employment) with a community-led channel model in which CBOs and FBOs act as distribution partners operating white-labeled outreach programs. Revenue derives from SaaS subscriptions, managed care plan partnerships with platform and managed-service fees, and bundled professional services for onboarding, training, and program reporting — all via consultative, quote-based multi-year contracts. The company's documented operating scale includes 2,600 deployed outreach programs, 5.5M messages/touches, 30M SMS communications, and 1.8M community members reached across 81 languages. Named customers and partners include California Coverage & Health Initiatives (CCHI), Independent Living Systems, Alliance for a Better Community, Peach Tree Healthcare, Central Health Access Assisters (CHAA), and CalAIM Enhanced Care Management and Community Supports providers — with primary concentration in California and the broader U.S. market. Leadership includes a healthcare-experienced C-suite and a sizable advisory bench drawing from Kaiser Permanente, CDPHP, Tufts Health Plan, Aetna, Sutter Health, and HHS Office of Minority Health alumni.

Name

Trust

Legal name

Trust

Website

https://trust.care

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Trust operates Harmony Health, an AI-powered, SMS-first micro-engagement platform that enables community-based organizations, faith-based groups, and non-profits to connect at-risk U.S. populations to health and social care services through white-label outreach in 112+ languages.

Ownership category

akta.pro rank

Product category

Healthcare Community Engagement Software

NAICS

Individual and Family Services (6241), Other Individual and Family Services (624190), Social Assistance (624)

SIC

Services-Social Services (8300), Services-Health Services (8000), Services-Prepackaged Software (7372)

akta.pro primary industry

Care Team Collaboration, Secure Messaging & Clinical Communication within EHR (HLACAAAK)

akta.pro secondary industries

Care Coordination, Referral Management & Transitions-of-Care Pathways (HLACAGAL), Health Access & Social Care Innovations (Community Health, Telehealth for Underserved) (BPAGALAG), Family Care Navigation & Care Coordination Platforms (multi-member care plans, referrals) (HLALAHAL)

Keywords

• Healthcare engagement software
• Community outreach platform
• Multilingual SMS engagement
• Managed care outreach
• Social determinants platform

Headquarters

HQ city

Sunnyvale

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Platform Subscription: Trust provides its AI-powered micro-engagement platform on a SaaS basis to community-based organizations, managed care plans, and ecosystem partners. The platform is white-labeled for CBOs and provides a branded engagement experience. Pricing is likely tiered based on the number of community members reached, programs run, or outreach volume. Rapid onboarding with minimal IT support suggests a productized, scalable subscription model.
2. Managed Care Plan Partnerships: Trust partners with Managed Care Plans (MCPs) who benefit from the community network and partnership with Community Partners. Trust positions itself as an experienced partner providing program support, consultation, and insights to optimize efforts across stakeholders. This suggests a managed services or platform fee model where MCPs pay for access to the community partner network and engagement tools.
3. Professional Services & Program Support: Trust offers collaborative team working sessions to identify challenges, training and webinar support, dedicated community engagement managers, and tailored program reporting. This indicates a professional services component bundled with the platform for enterprise Managed Care Plan partners, potentially structured as onboarding and ongoing support retainers.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

Trust operates the Harmony Health micro-engagement platform, an AI-powered, white-label SMS-first communication system that enables community-based organizations, faith-based organizations, and non-profits to engage at-risk and multilingual populations in their native languages without requiring app downloads. The platform provides automated two-way workflows, real-time translation in 112+ languages, predictive risk flagging, and interoperability with payers, providers, housing, pharmacy, and food banks to drive benefits enrollment and closed-loop social-care referrals. It is sold to Managed Care Plans and ecosystem enterprises seeking to scale community-first outreach into populations that traditional top-down healthcare systems fail to reach.

Product overview

Trust operates as a micro-engagement platform consisting of two interconnected offerings: (1) Harmony Health — the primary customer-facing product name used in testimonials and case studies for the AI-powered communication platform, and (2) the Trust Platform (White-label SMS Messaging) — the underlying technology that community-based organizations leverage to send trusted messages to members. Both products work together to connect at-risk and diverse communities to critical health and social care through multi-channel outreach (SMS, voice, video, email), real-time AI-powered translation in 112+ languages, and automated workflows. The platform is available on web and mobile, serving Community Partners (CBOs, FBOs, nonprofits), Managed Care Plans, and Other Ecosystem Partners/Enterprises.

Differentiator

Problem solved

Functional benefit

Brands

• Harmony Health: The platform referred to in customer testimonials as 'Harmony Health' - described as the AI-powered communication platform for community engagement and healthcare benefits delivery.

Products and services

• Harmony Health (Trust Micro-Engagement Platform) An AI-powered micro-engagement platform that empowers community-based organizations, non-profits, and faith-based organizations to connect at-risk and multilingual populations (1.8M+ members to date) to critical health and social care via app-less SMS, voice, video, RCS, and email communications in 112+ languages. Includes automated two-way workflows, real-time translation, predictive risk flagging for proactive intervention, an interoperability hub for closed-loop referrals across housing, pharmacy, food banks, and care providers, and HIPAA/TCPA/CCPA-compliant security with white-label deployment. Sold to Managed Care Plans, healthcare payers, and ecosystem enterprises on multi-year subscription contracts and used by community partners for native-language benefits enrollment and outreach.

Quantifiable outcome

• 80% of CalAIM ECM and Community Supports providers using Harmony Health for more than 2 months have expanded their use of the platform beyond CalAIM programs
• +4 more outcomes

Named customers6 records

Segments6 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability7 records

Feature8 records

Partnerships

Four partnerships are on record, tiered core.

• California Coverage & Health Initiatives (CCHI)coreStrategic or Co-development Partner · 1 January 2022CCHI partnered with Trust (Harmony Health) since 2022 to support outreach and engagement for Medi-Cal enrollment programs. CCHI organized outreach programs, onboarded and supported 18 participating community partners to use digital outreach through Harmony Health. The Harmony Health team acted as an extension of CCHI's team, helping partners reach and engage community members in their native languages and complementing existing workflows. CCHI is cited as a case study partner demonstrating how Trust's platform increases awareness, enrollment, and referrals to social services.
• CalAIM Enhanced Care Management (ECM) ProviderscoreStrategic or Co-development PartnerTrust partners with ECM (Enhanced Care Management) and Community Supports (CS) providers who use Trust's platform to engage hard-to-reach Medi-Cal populations. These providers focus on populations of concern including those eligible for housing navigation, deposits, recuperative care, medically tailored meals, and asthma remediation. Trust's platform enables increased assessments and closed-loop referrals to improve quality of life and health outcomes.
• CalAIM Community Supports ProviderscoreStrategic or Co-development PartnerTrust partners with Community Supports providers offering programs including housing navigation, housing deposits, housing sustaining services, recuperative care, medically tailored meals, short-term post-hospitalization, day habilitation, and asthma remediation. Trust's CalAIM partners use the platform to increase ECM enrollment activity and improve closed-loop referrals across the full spectrum of Community Supports.
• Harmony Health (Product Name / White-label Platform)coreOthersHarmony Health is the product name and white-label brand under which Trust's platform is offered to community partners, healthcare providers, and Managed Care Plans. Community organizations and healthcare providers reference 'Harmony Health' as the platform they use for engagement, suggesting it operates as a white-label or co-branded product offered to channel partners and enterprise customers.

Scale indicators10 records

Recent moves5 records

Expansion highlights5 records

Emerging players

• Caravan Health: ACO formation and population health services for community health centers and rural hospitals. Comparable in supporting value-based care for safety-net providers.
• Bamboo Health: Real-time care coordination and behavioral health notification network connecting providers, payers, and crisis systems. Comparable in care coordination infrastructure for vulnerable populations, though focused on clinical event notifications.
• Cityblock Health: Value-based care provider serving Medicaid and dual-eligible populations with community-based care teams. Comparable in mission and target population, though Cityblock is a provider rather than a SaaS platform.
• Socially Determined: Social risk analytics and SDOH data platform for health plans and providers. Comparable in addressing SDOH for managed care, though focused on analytics rather than engagement execution.

Broad incumbents

• Arcadia: Healthcare data and analytics platform used by payers and providers for population health management. Comparable in payer-facing analytics, though Arcadia focuses on clinical data rather than community outreach.
• Aledade: Largest network of independent primary care ACOs serving Medicare, Medicaid, and commercial patients. Comparable in payer/provider ecosystem focus on care coordination, though Aledade operates ACOs rather than engagement software.
• Privia Health: Physician enablement platform serving independent practices, including community health centers, with payer-agnostic care coordination. Comparable in serving community-based providers, though broader in scope.

Direct peers

• Healthify (now part of WellSky): Social determinants of health platform offering closed-loop referrals and social care coordination for health plans and providers. Directly comparable as a payer-facing SDOH/care coordination platform.
• findhelp (formerly Aunt Bertha): Social care network and referral platform used by payers, providers, and CBOs to connect individuals to community resources. Closely comparable in serving the same MCP + CBO buyer base for SDOH/social care coordination.
• Unite Us: Leading social care coordination and referral platform connecting healthcare and social service providers with closed-loop referrals. Directly comparable as a SaaS platform sold to Managed Care Plans, CBOs, and health systems for community-based care coordination.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/trust-care-support

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 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 Trust