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Trilogy Health Services

Senior living, memory care, healthcare services

Overview

Tr Trilogy Health Services operates senior living communities in the United States, offering assisted living, memory care, and post-acute healthcare. It focuses on personalized living experiences and activities that reflect residents’ interests, such as music, baking, gardening, and painting. Revenue comes from resident housing and care fees as well as billed healthcare services across long-term and post-acute stays. The company differentiates itself with the Trilogy SHIELD program, which emphasizes sanitation and illness prevention, and by investing in staff development to ensure high-quality care and a safe, supportive environment for both residents and employees.

Significant Headcount Growth

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About Trilogy Health Services

Simplify's Rating
Why Trilogy Health Services is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Healthcare

Company Size

1,001-5,000

Company Stage

Acquired

Total Funding

$26M

Headquarters

Louisville, KY

Founded

1997

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Simplify's take

What believers are saying

  • Trilogy opened a planned $30 million Crestwood, Kentucky campus in August 2026.
  • Twelve campuses earned 2026 AHCA/NCAL Bronze awards, reinforcing credibility with families and referral sources.
  • TempShield reached 30 communities by October 2026, with 60-target expansion improving avoidable-hospitalization economics.

What critics are saying

  • Runion v. Trilogy Health Service, LLC remains active in 2026, exposing employment-practices risk.
  • The 2025 Kingston integration still takes a year, distracting leaders from occupancy and margins.
  • Nursing labor shortages and turnover can break service quality, triggering regulator scrutiny and resident defections.

What makes Trilogy Health Services unique

  • Trilogy serves full-continuum care, from independent living to skilled nursing, across five states.
  • Its 2026 SHIELD-style monitoring and TempShield rollout reduce hospital transfers before symptoms.
  • Leigh Ann Barney prioritizes workforce development, retention, and culture during every acquisition integration.

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Funding

Total Funding

$26M

Above

Industry Average

Funded Over

2 Rounds

Acquisition funding comparison data is currently unavailable. We're working to provide this information soon!
Acquisition Funding Comparison Coming Soon

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Health Savings Account/Flexible Spending Account
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Paid Vacation
  • Parental Leave
  • Student Loan Assistance
  • Tuition Reimbursement

Growth & Insights and Company News

6 month growth

11%

1 year growth

11%

2 year growth

11%
EFA Magazine
Aug 27th, 2026
Trilogy Health Services plans $30M senior living campus in Crestwood, kentucky.

Trilogy Health Services plans $30M senior living campus in Crestwood, kentucky. The 123-unit project is expected to take 18 months to complete. Published: August 27, 2026 Posted by Robert McCune Trilogy Health Services (Louisville, Ky.), owner and operator of more than 150 senior living communities, is planning to build a new $30 million senior living campus in Crestwood, Ky., according to wdrb.com. The project comprises 123 units offering independent living, assisted living, memory care, and skilled nursing. Construction is expected to be completed in 18 months. Read more news about Trilogy Health Services here. Posted in: News

Senior Housing News
Aug 7th, 2026
American Healthcare REIT continues 'next level of growth' with SHOP deals.

American Healthcare REIT continues 'next level of growth' with SHOP deals. American Healthcare REIT (NYSE: AHR) is on a path to continue its "next level of growth beyond" where the company is today as senior housing acquisition and redevelopment options remain plentiful. Company leadership announced an increased future investment pipeline to a projected $800 million, up from $650 million projected in May. In the second quarter, the company completed $126.9 million in new senior housing operating portfolio (SHOP) investments, bringing the yearly total to $1.4 billion in new investments. The average age of the acquired properties is also dropping the company's average SHOP property age from 29 years to 21 years. Hanson said the company's continued growth, including adding new leadership talent paired with acquisitions, is "in the support of rapidly scaling SHOP" across "four primary initiatives" for AHR. Those include increased acquisition velocity, onboarding new talent able to help the business grow, being aggressive to expand relationships with existing and new operators, while also further tapping into Trilogy Health Services' operating platform and innovation to other operating partners to drive performance. "The overarching theme is measured aggression because this is the time to do it, with again, a generational opportunity before us," Hanson said. Also underway, AHR is undertaking development projects with its operating partners, including expansion projects along with new campus projects to meet incoming senior living demand. For example, Trilogy is in development on five new campuses in active construction as part of a multi-year development strategy, with 30 Trilogy communities with excess land or a "clear path to land ownership" that could support villa expansion projects with a pace of five to six villa projects annually, according to AHR President and Chief Operating Officer Gabe Willhite. The company also highlighted Trilogy's memory care center of excellence that is currently under development at a community in Warsaw, Indiana later this year. The aim is to advance dementia support through neuroscience-informed memory care practices and serve as a guiding model for memory support, as reported by Senior Housing News earlier this year. The effort "will be the hallmark" of Trilogy CEO Leigh Ann Barney's tenure at the company, Willhite opined. "It's something that highlights what we believe deeply about operating in this space: that we should continue to innovate, continue to get better, and invest to help make the experience for the seniors in our buildings better," Willhite said. "It's something that we hope to, in the future, not only utilize at Trilogy, but throughout our platform." According to the company's second quarter supplemental, AHR's total in-process development and expansion pipeline is expected to cost roughly $197.5 million, of which $72 million has been funded as of the end of June. The company reported same-store net operating income (NOI) growth of 20.5% in the company's SHOP segment during the second quarter compared to the same time period last year. In June, AHR acquired five new SHOP assets for roughly $126.9 million. To start the third quarter, AHR has acquired 10 new SHOP assets for approximately $1.0 billion, according to the company's second quarter earnings news release. "What we're buying now is high quality, institutional grade assets that are in infill markets or dense suburban areas and newer assets," said AHR Chief Investment Officer Stefan Oh. AHR is doing "50%" of its recent deals from off-market opportunities, meaning that AHR gets the "first bite of the apple" on reviewing and transacting on a given acquisition opportunity, Oh said. As of June 30, AHR has 327 properties across various segments, including 148 "integrated senior health campuses," 92 SHOP communities, 70 outpatient medical properties and 17 triple-net lease properties, according to the company's second quarter supplemental. In July, AHR named Hanson as CEO following Danny Prosky's retirement due to a medical incident. On Friday's earnings call, Prosky shared that his heart stopped beating following his "usual morning run" in February of this year. This resulted in Prosky receiving a heart transplant, he said, with his recovery being "optimal." "I truly have a new lease on life," Prosky said. "Such a profound experience gives one perspective, and it gave me the reason to think hard about what I want the next chapter of my life to look like, particularly after what my family has been through this year." Hanson, who was formerly the chairman of the AHR board, retired nearly five years ago from the company, but he was part of an "emergency succession plan" that's been in place over the last decade, he said. When asked about his potential tenure as CEO, Hanson said "the way you should view this CEOship isn't the typical into perpetuity CEOship," leaving the door open for a potential leadership change in the future. But he noted that the board is not creating "arbitrary timelines." "I'm here to do a job with this team attached to my hip, and we're going to do it very quickly," Hanson said. "We're going to do it very effectively. Will it be measured in a period of months or a few quarters? No, but you shouldn't expect it to be measured in years either." On Friday, AHR stock rose 3.71%, an increase of $2.03 in value to rest at $56.74. Companies featured in this article: Austin Montgomery is a reporter for Senior Housing News as part of WTWH Media. When he isn't writing, find him at a local disc golf course or at the driving range working on his golf swing.

Senior Housing News
Aug 6th, 2026
In the Pipeline: acts Retirement Life Communities starts on $200M expansion; covenant living continues growth.

In the Pipeline: acts Retirement Life Communities starts on $200M expansion; covenant living continues growth. In the Pipeline is part of your SHN+ subscription In the Pipeline is brought to you by the Senior Housing News Architecture & Design Awards, an annual competition that recognizes cutting-edge design, excellence, and innovation in senior living. Construction: planned. Trilogy announces latest development project. Trilogy Health Services is expanding its footprint in the Midwest with the announcement of a new $30 million senior living and skilled nursing campus in Crestwood, Kentucky, according to a news release. The development will include 123 residential living homes spanning independent living, assisted living, memory care and skilled nursing. Construction: in progress. New affordable project underway in Florida. SG Holdings in partnership with New Urban Development recently marked the start of construction at Serenity Gardens, a new affordable senior living property in Miami Gardens, Florida, according to a news release. The development will include a range of layouts including studio, one-bedroom and two-bedroom units. Acts Retirement-Life Communities start on expansion in South Carolina. Acts Retirement Life Communities and project partners celebrated the start of construction on the first phase of work that will add independent living, assisted living and memory care at Park Pointe Village in Rock Hill, South Carolina, according to a news release. Also part of the $200 million project includes a hospitality clubhouse and renovated outdoor spaces. The overall expansion project will "effectively double" the size of Park Pointe Village. Acts Retirement-Life Communities is adding 109 new acres at the community, and include 130 new independent living residences and an 18,000 square-foot clubhouse, two new restaurants and fitness, wellness and social spaces. The first phase includes the expansion of 28 new assisted living apartments and a 10-unit memory care renovation and updates to an existing independent living building. The second phase will include 41 new duplex-style carriage homes and options with garages, storage and refined finishes. A new, three-story independent living apartment building will offer new living options alongside a new clubhouse to "anchor the campus, according to the release. Amenities include a wood-fired kitchen, indoor outdoor dining and a multipurpose room, chapel and pickleball court. Outdoor spaces will also be reimagined as part of the project, including a memory care garden, landscaped plazas and courtyards, walking trails, recreation and fitness areas, dog. parks. Project partners include Spiezle Architectural Group, TLC Engineering, DCI Engineers, Vision Builders, Seamon Whiteside and Edifice Construction. Construction: completed. Senior living hospitality Group opens memory care expansion in Connecticut. East Hill, a continuing care retirement community (CCRC) in Southbury, Connecticut, recently opened a memory care expansion project for older adults experiencing late-stage dementia and significant cognitive change, according to a news release. With the expansion of The Gardens project, East Hill is able to offer two neighborhoods of memory care to support residents in all stages of life with dementia. The Villa includes 14 private suites with private bathrooms in a household setting with secure indoor and outdoor spaces with a patio and gardens. The Gardens now includes 18 private studio suites with separate living and sleeping areas with shared spaces including a kitchen, dining area, gathering space and outdoor porch. The Gardens expansion includes "calming household-style living spaces" with supportive lighting, simple layouts, secure walking paths and controlled access. Covenant Living Communities opens latest expansion in Michigan. Covenant Living of The Great Lakes, a not-for-profit community in Grand Rapids, Michigan is set to open its latest expansion later this month, according to a news release. The $30 million expansion includes 36 cottage homes at 18 duplex buildings. The homes include two bedroom and two-and-a-half bath floor plans with attached garages. Project construction started in October 2024 and all cottage homes are now reserved, the news release notes. Along with the new homes, the cottage neighborhood includes a private park and walking paths. The development team included Atlanta-based architectural firm Thompson, Hancock Witte & Associates, Grand Rapids-based civil engineering firm Progressive Companies, and Platinum Contracting Group LLC of Grand Rapids. Other noteworthy projects. Companies featured in this article: Austin Montgomery is a reporter for Senior Housing News as part of WTWH Media. When he isn't writing, find him at a local disc golf course or at the driving range working on his golf swing.

Trilogy Health Services, LLC
Dec 17th, 2025
Trilogy Health Services Acquires Kingston HealthCare Company

Trilogy health services acquires Kingston HealthCare Company. Exciting news! Today, Trilogy Health Services, LLC is announcing that Trilogy Health Services, LLC has acquired the Toledo-based Kingston HealthCare Company and 14 of its communities. This strategic acquisition deepens its presence across Indiana and Ohio, strengthening its mission to make lives better for residents, their families, and its communities through exceptional care and service. "Kingston's legacy of excellence and dedication to both residents and employees aligns perfectly with Trilogy's values," said Leigh Ann Barney, its CEO. "We are honored to be chosen to continue Kingston's legacy into its next chapter and look forward to building on their strong foundation. Together, we will continue to create an exceptional experience for our customers and employees, while opening new opportunities for growth." The transaction includes a transition in ownership of 14 senior living campuses in Indiana and Ohio, plus two additional sites in North Carolina and New Mexico. Its growth strategy will remain focused on its core Midwestern footprint. Kingston HealthCare, founded and led by President and CEO George Rumman for nearly 40 years, is recognized for its commitment to quality care, employee focus and community impact. "We are proud of the legacy Kingston has created and confident in the future it will build with Trilogy," Rumman said. "This milestone ensures Kingston's mission and values will continue to thrive for years to come." About Kingston HealthCare Company Kingston HealthCare Company, based in Toledo, Ohio, operates 14 senior living communities and employs over 1800 team members. They have provided high-quality senior care for nearly four decades, earning a reputation for excellence, innovation and a deep commitment to their employees and residents.

McKnight's Senior Living
Apr 25th, 2024
People in the news, March 22

Rhona Dempsey and Cristina Pietrowski have joined Trilogy Health Services, Louisville, KY, as chief nursing officer and chief legal officer, respectively.

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