For owner-led PT, wellness & fitness practices
Grow on your terms.
Trellis runs the business side of your practice so you keep your name, your clinical control and real equity. Built by clinic owners, for clinic owners. The alternative to private equity.
Our approach
A partner, not a buyer who takes over.
Private equity is one path. For many owners it's the right one. If you want growth and support without giving up what you built, there's another way.
Keep your name
Your patients and community know you. By default, your practice keeps its name and identity. We rebrand only if you want to.
Keep clinical control
Licensed clinicians make every clinical decision. We never set care plans, visit targets or treatment protocols.
Keep real equity
Owners and clinicians can keep meaningful ownership in their practice and share in the growth they help create.
| Typical PE platform | Trellis partnership | |
|---|---|---|
| Your practice name | Often rebranded to the platform | Kept by default |
| Clinical decisions | Can be shaped by corporate targets | Stay with your licensed clinicians |
| Your ownership | Majority sold; any rollover tied to the fund's exit | Meaningful ongoing equity in your practice |
| Time horizon | Built around a resale, often in a few years | Long-term operators, not a fund |
| Management fees | Often hard to see | Open-book, fair market value, explained line by line |
General comparison of common industry models. Every deal is different; specific terms are set in each partnership agreement.
What we stand for
Structure that lets you grow.
A trellis doesn't change what grows. It gives it support to climb. That's our job.
Growth
We leave every practice and every person better than we found them.
Stability
We deliver the basics every time, so you can focus on patients and your team.
Trust
Open books, no surprises. We do what we say we'll do.
Autonomy
Clinicians lead the clinical work. We take the rest off your plate.
What we do
We run the back office. You run the practice.
Trellis provides the non-clinical services that pull owners away from patients and people, at a scale a single practice can't build alone.
Finance & accounting
Bookkeeping, payables, budgeting and clear monthly reporting you can actually use.
People & HR
Payroll, benefits, recruiting support, onboarding and HR compliance.
Revenue cycle support
Front-desk workflows, claims follow-up and denial management. Payments stay in your practice's account.
Marketing & growth
Local marketing, websites, reviews and community outreach, under your practice's brand.
Technology
EMR, scheduling, phones, devices and security, set up and supported.
Operations & growth planning
Scorecards, staffing models, new locations and leadership coaching for your team.
Clear lines. Trellis does not practice therapy or bill payers. Your practice keeps its own legal entity, payer contracts, bank account and clinical leadership.
Who we partner with
Owners and clinicians at a turning point.
We work with owner-led outpatient physical therapy, wellness and fitness practices, typically one to five locations, across the Southeast and beyond.
Planning what's next
You're thinking about succession.
You want to step back over time without handing your patients, team and reputation to someone who'll strip it for parts.
Ready to grow
You want to add locations.
You have the demand and the clinical model. You need capital, systems and people to grow without breaking what works.
Tired of the back office
You got into this to treat patients.
Payroll, HR, IT and billing questions eat your nights and weekends. You want that weight lifted without losing control.
Clinicians who want ownership
You want to open your own clinic.
You're a strong clinician and leader. We help you build a new practice with real equity and the business support behind you from day one.
How it works
A clear, unhurried path.
No pressure and no surprises. You'll know where we are and what comes next at every step.
Connect
A confidential conversation about your practice, your goals and your timeline.
Discover
We learn how your practice runs and share how we work, including how our fees are built.
Align
We agree on structure, ownership and roles, in writing, before anything changes.
Integrate
A planned first 100 days to move services over with minimal disruption to patients and staff.
Grow
Regular scorecards, shared goals and support to build what's next, together.
Built by operators
We've sat in your chair.
Trellis was founded by people who have owned and run outpatient clinics for more than a decade. We know what it takes to make payroll, keep great clinicians and still put patients first, because we do it every week.
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Proven systemsEvery service we offer is one we already run for our own clinics.
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Open-book feesFair market value, explained line by line. You'll see exactly what you pay for.
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Culture firstWe'd rather build a great partnership than squeeze out the last dollar.
Start a conversation
Let's talk about what you want next.
Every conversation is confidential, and there's no obligation. Tell us a little about your practice and we'll set up a time that works for you.
Helpful to include
- Your role and your practice's city and state
- Number of locations and clinicians
- What you're exploring: succession, growth, support or a new clinic
- Best way and time to reach you
Please don't send patient information.