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Through Life’s Challenging Seasons, We’re Here to Help.

Dr. Millicent Burke-Sinclair, Ed.D, MBA, MLAS, SPHR®, SHRM-SCP
Four Seasons President & CEO

With over 42 years of experience, Four Seasons is an award-winning, nationally recognized non-profit organization providing Care Navigation, Home Care, Palliative Care, Hospice Care, and Grief Services to thirteen counties, including Asheville, Hendersonville, Brevard, Franklin, Weaverville, Waynesville, Cherokee and many other treasured communities in Western North Carolina.

A locally trusted organization, Four Seasons is a leader in high-quality person-centered care, proven by our consistent rank in the top 10% of service providers for family satisfaction.

Did you know anyone can REQUEST CARE?

Four Seasons is here for you and your loved ones 24 hours a day, seven days a week, 365 days a year. All too often we hear families say “We wish we had called Four Seasons sooner,” so please do not wait to call us! We are here to provide an extra layer of support for you and your loved ones.

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Join us wherever you listen to podcasts the first Tuesday of each month for the Quality of Life Hospice & Palliative Care Podcast, hosted by our own President & CEO, Dr. Millicent Burke-Sinclair. Millicent sits down with leaders and experts to discuss how Hospice and Palliative Care improves quality of life for patients, families and caregivers. 


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Palliative Care

Palliative Care is NOT HOSPICE.  Rather, it is an approach to care focused on providing patients with relief from the symptoms, pain, and stress of a serious illness like Alzheimer’s or other types of Dementia, Cancer, Parkinson’s Disease, Heart Failure, Liver or Kidney Failure, COPD, and others. Palliative Care is provided to patients of all ages, including pediatric patients, and may be provided together with curative treatment, working with your current care team.


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Hospice Care

Hospice Care is specialized medical care providing pain and symptom management, emotional, and spiritual support to patients of all ages who no longer seeking curative treatment and for whom life expectancy is 6 months or less. Each dedicated hospice team provides pain and symptom management, as well as patient and family support and spiritual comfort.


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Four Seasons Riversong Pediatric Palliative and Hospice Care

Pediatric Palliative and Hospice Care is a partnership between you, your child, your existing physicians and treatment team, and our Four Seasons Riversong team. Our goal is to provide life-enhancing care, so that your child can focus on being a child.

When we meet with you the first question we ask is “What’s Most Important to You?” We listen to your goals, your child’s wishes and work with your existing treatment teams to provide additional care that can make a positive impact on quality of life. Our care not only helps your child be more comfortable physically, but also provides emotional and spiritual care. We also support the caregiver(s) and family with training and resources.


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Care Navigation

Our Care Navigation service provides support and guidance for individuals and families as they navigate the aging journey, helping them evaluate their current and anticipated needs to ensure that a full range of support and safeguards are in place.


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Home Care

Our Home Care services offers you and your loved ones caring assistance with life’s simple, daily routines.  These daily tasks may include grocery shopping, errands, bathing, dressing, meal prep, laundry, and transportation to doctor’s appointments.


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Grief Services

Grief counseling and education available to kids and adults in group and individual settings. We incorporate compassionate techniques at no cost to you and regardless of whether your loved one was in hospice.



trusted comfort

We provide physical, emotional and spiritual comfort during life’s difficult seasons.

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  • The comfort we provide is trusted and proven as shown in our quality outcomes which rank above the national average, scoring 24 out of 24 regarding the experience of care. 
  • Trusted comfort is also evident in that 94% of our Hospice patients reported that their pain improved within 48 hours of admission. 
  • We not only provide trusted comfort in your home or nursing facility, but also offer an inviting, home-like inpatient unit called Elizabeth House, where we provide relief, comfort, and respite. 
  •  Our commitment to providing trusted comfort is evident throughout our service lines, including our award-winning Home Care, which makes life more comfortable by helping with daily routines. 
trusted care

We provide care and support with a high level of respect that you deserve.

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  • Over 98% of our families report that their loved one was treated with dignity and respect, according to a 2024 HEALTHCAREfirst report. 
  • The percentage of patients receiving as much help as needed for pain management exceeds the national average by almost 10 percentage points. 
  • Testimonials from many patients and loved ones attest to our level of trusted care including this expression from Bill Tankersley, “The care my wife received was superb. Managing her pain was a priority, the staff spoke softly, and their touch was gentle. Comfort, compassion, and understanding were given to us both at Four Seasons.” 
  • The hospice star rating system provides a simple way for patients and their loved ones to understand and compare the quality of care provided by different hospices. It uses Consumer Assessment of Healthcare Providers and Systems (CAHPS) scores to evaluate the hospice experience reported by caregivers. Hospices are rated on a scale of 1 to 5 stars based on criteria such as communication, emotional and spiritual support, and overall rating of the hospice. This rating system compares hospices, with most falling into the 3-star and 4-star categories.  Four Seasons is proud to be a trusted 4-star hospice program. 
trusted collaboration

We work with you, your family and your providers to co-create the care experience.

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  • We offer Provider-led Palliative Care services across all counties, wherever a patient calls home. 
  • Each Hospice Care patient and family has access to a full care team including a Provider, Registered Nurse, Hospice Aid, Spiritual Care Team, and Social Worker providing quality care. Our team works with your current physician/provider to meet your needs. 
  • We collaborate with you, your family, and your providers through our Care Navigation program, offering trusted guidance to help individuals following the diagnosis of a serious illness, navigate care options and plan for what’s next. 
Trusted Confidence

We provide innovative, quality care from an experienced team of professionals.

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  • Four Seasons achieved Deemed Status in the 2024 Joint Commission Survey, thereby assuring care is reliable, safe and high quality. 
  • According to Modern Healthcare, Four Seasons ranks among the nation's Top 10 Best Places to Work, affirming our capacity to recruit top talent for delivering high-quality care and prompt responses. Notably, we stand out as the sole hospice facility on this prestigious list. 
  • Through participation in research studies and advanced practices, our Research and Innovation team is revolutionizing care and treatments for you or your loved one. 
  • The American Hospital Association awarded Four Seasons the Circle of Life Award, which acknowledges our provision of innovative care. 

We are so grateful for the voices of our community and the amazing stories they share with us all. If you would like to share your story of how you or a loved one was served by Four Seasons, please click below. You can submit your story/photos online or there are options for handwritten or emailed stories as well.


Hiking and Healing with Horses

Hiking and Healing with Horses

Throughout the year, Four Seasons' child and adolescent grief program, Compass, offers one-day fun outings centered around connecting grief with daily life and connecting with others. These meet-ups provide the opportunity for grieving children and their families to...

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Every dollar raised through the Four Seasons Foundation or spent at the Hospice Home Stores goes directly to patient services at Four Seasons, allowing them to provide trusted care, regardless of the ability to pay. In addition to donating or shopping at the Home Stores, volunteering with Four Seasons or the Home Stores is another amazing way to help your community.

Give to Four Seasons

Four Seasons Foundation supports patients and families by securing donations and gifts that help provide quality care, regardless of ability to pay.


Volunteer at Four Seasons

Whether your goal is to meet new people, become more involved in the community, or give your time in honor of the care we provide, there are many ways you can help.


Donate to or Shop at Hospice Home Store

Your donation of furniture, home goods, clothing and your patronage in our home stores in Hendersonville, Arden or Brevard help support the mission of Four Seasons.