What ROI does

Residential Options, Inc. (ROI), founded in 1984 as a 501(c)(3) non-profit headquartered in Okemos, Michigan, delivers Applied Behavior Analysis (ABA) therapy and related lifespan services to individuals with Autism Spectrum Disorder (ASD) and related developmental disabilities across Mid-Michigan. The organization operates through three regional Learning Centers (Okemos, Jackson, Ann Arbor) and supplements center-based care with in-home supports, Potty Training Boot Camp, family training, vocational training, supported independent living across 20+ sites, and four licensed adult foster care homes serving 26 residents. Clinical work is anchored in standardized assessment instruments — VB-MAPP, ABLLS-R, and AFLS — used to build individualized treatment plans reviewed and adjusted by Board Certified Behavior Analysts (BCBAs) and Licensed Masters of Social Work (LMSWs).

The organization has scaled almost entirely through internal promotion: nearly 300 team members, including a leadership team with multi-decade tenure, deliver a unified service portfolio rather than a modular technology product. ROI holds The Joint Commission's Behavioral Health Care Accreditation (2019) and BHCOE Provisional Accreditation (2018), and treats via evidence-based ABA protocols rather than proprietary software. Operationally, ROI relies on a 40-plus-year contractual relationship with the Clinton-Eaton-Ingham-Community Mental Health (CEI-CMH) Board, established at founding in 1984, which serves as both referral source and Medicaid waiver funding channel under the Children's Model II Waiver.

Revenue flows from three primary streams: (i) managed-services contracts via CEI-CMH using the Children's Model II Medicaid Waiver for in-home staffing and training, (ii) insurance reimbursement through eight in-network commercial carriers (McLaren, BCBS, BCN, PHP, Aetna, TRICARE, CIGNA, Priority Health) plus Medicaid, and (iii) contract-based adult foster care and supported living arrangements under the CEI-CMH Board. ROI does not publish pricing; intake and coverage navigation are managed by operations managers at each Learning Center. The go-to-market motion is community- and referral-led, supplemented by school district partnerships and disability advocacy organization relationships, with no direct consumer-marketing spend referenced. No AI/ML, software-as-a-service, or platform products are in scope.

Name

ROI

Legal name

Residential Options, Inc.

Website

https://roi-mi.com

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

251–500 employees

Short description

Residential Options, Inc. is a Michigan-based 501(c)(3) non-profit delivering evidence-based Applied Behavior Analysis (ABA) therapy, in-home supports, learning centers, adult foster care, and supported independent living to individuals with Autism Spectrum Disorder and developmental disabilities across their lifespan.

Ownership category

akta.pro rank

Product category

Behavioral Health and Developmental Disability Services

NAICS

Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Services for the Elderly and Persons with Disabilities (624120), Child and Youth Services (62411)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

ABA Therapy Providers (Clinic-Based) (EDAKAHAA)

akta.pro secondary industries

ABA Therapy Providers (Home-Based) (EDAKAHAB), ABA Assessment & Diagnostic Support (Functional Assessments, VB-MAPP/ABLLS-R) (EDAKAHAE), Parent/Caregiver Training & Family Consultation (ABA) (EDAKAHAG), Autism Behavioral Support (School-Based ABA/PBIS) (EDAKAKAE), Autism Classroom & School Program Support (Inclusion/Resource) (EDAKAKAC)

Keywords

• Applied behavior analysis therapy
• Developmental disability services
• Autism therapy programs
• Residential support services
• Independent living support

Headquarters

HQ city

Okemos

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Waiver Services: Contractual services through CEI-Community Mental Health using Children's Model II Medicaid Waiver program for in-home staffing supports, staff training, and family training
2. Insurance Reimbursement: Services billed through insurance providers including McLaren Health Plan, Blue Cross Blue Shield, Blue Care Network, Physician Health Plan, Aetna, TRICARE, CIGNA, and Priority Health
3. Contract-Based Services: Adult foster care homes and supported living services provided under contract with Clinton-Eaton-Ingham-Community Mental Health Board
4. Potty Training Boot Camp: Fee-based intensive two-day potty training program with potential insurance coverage

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Residential Options, Inc. (ROI) delivers evidence-based Applied Behavior Analysis (ABA) therapy and comprehensive developmental disability services for individuals with Autism Spectrum Disorder across the lifespan. Core offerings include ABA therapy delivered through three Learning Centers (Okemos, Jackson, Ann Arbor, MI), in-home supports, supported independent living, licensed adult foster care homes, vocational training, and family training. Services are reimbursed through insurance providers and Medicaid waiver programs.

Product overview

ROI (Residential Options, Inc.) is a 501(c)(3) non-profit healthcare organization offering a comprehensive suite of autism and developmental disability services built around Applied Behavior Analysis (ABA) therapy. The core offering is ABA Therapy, delivered through three ROI Learning Centers (in Okemos, Jackson, and Ann Arbor, Michigan) and in family homes. Supporting services include Potty Training Boot Camp, In-Home Supports for children and adults, Supported Independent Living Sites, Licensed Adult Foster Care Homes, Vocational Training, and Transition to Adulthood services. Clinical support services include Skill Assessment and Treatment Plan Development (using VB-MAPP, ABLLS-R, AFLS assessments), Individual Therapy, and Professional Consultation and Training. Family-centered offerings encompass Family Training Sessions. The organization operates as a unified service portfolio rather than a modular software platform, with all services integrated around evidence-based ABA principles.

Differentiator

Problem solved

Functional benefit

Products and services

• ABA Therapy (Applied Behavior Analysis) Evidence-based therapeutic service using principles of Applied Behavior Analysis to improve communication, interaction, and desired behaviors in individuals with Autism Spectrum Disorder and related developmental disabilities. Delivered to children and adults through Learning Centers and in-home settings.
• ROI Learning Centers Interactive play areas serving as the hub of clinical intervention for children, hosting skill assessments, treatment, individual therapy rooms, and a large play room. Three locations across Michigan: Okemos, Jackson, and Ann Arbor.
• Potty Training Boot Camp Two-day intensive toilet-training program designed for individuals with special needs, using evidence-based ABA principles to create personalized potty plans.
• In-Home Supports (Children) In-home staffing services providing assistance with independent living skills, activities of daily living, personal care, hygiene, household tasks, and implementation of individual treatment plans for children.
• In-Home Supports (Adult) In-home staffing for adults who wish to remain at home, supporting independent living skills, activities of daily living, and facilitating access to community-based activities.
• Supported Independent Living Sites Coordinates over 20 supported independent living sites where adults with developmental disabilities live in apartments, houses, or duplexes in the community with home maintenance and in-home staffing support.
• Licensed Adult Foster Care Homes State-licensed adult foster care homes serving 26 people across four homes (Thomas L. Parkway, Dewitt Road, Kemler Road, and Green Meadows) providing residential solutions for adults with ASD and developmental disabilities.
• Vocational Training Employment support services helping adults with ASD and developmental disabilities participate in meaningful occupations, including environmental modifications and job coaching.
• Transition to Adulthood Services Collaborative transition planning for individuals with ASD from age 14, helping them move toward independent adult living through person-centered planning and self-determination.
• Skill Assessment and Treatment Plan Development Comprehensive skill and communication assessments using VB-MAPP, ABLLS-R, and AFLS tools to determine areas of need and create evidence-based treatment plans.
• Individual Therapy Master's Level one-on-one therapy services for clients and families navigating challenges associated with ASD and developmental disabilities, available in-office or in-home.
• Professional Consultation and Training Consultation services for community-based organizations including interdisciplinary training, troubleshooting challenging behaviors, ABA principles training, and autism support groups.
• Family Training Sessions Individualized training for family members reinforcing understanding of ASD diagnosis, including stress management, positive behavioral supports, environmental modification, and sibling relationships.
• ROI Respite House Children's respite care facility providing short-term respite care for children with Autism Spectrum Disorder and related developmental disabilities.

Quantifiable outcome

• Improves communication, socialization, and self-care skills while reducing challenging behaviors
• +2 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Clinton-Eaton-Ingham-Community Mental Health (CEI-CMH) BoardcoreStrategic or Co-development Partner · 1 January 1984Long-standing contractual partnership since 1984 when ROI assumed operation of specialized adult foster care homes. CEI-CMH provides referrals and funding through Medicaid waiver programs. ROI provides services to children through Children's Model II Medicaid Waiver program and adult services under this partnership.
• Clinton County RESAminorStrategic or Co-development PartnerRegional Educational Service Agency partnership providing resources and support information for families of children with disabilities in Clinton County.
• Eaton Regional Educational Service Agency (RESA)minorStrategic or Co-development PartnerRegional educational partnership providing special education resources and support for families in Eaton County.
• Ingham Intermediate School District (ISD)minorStrategic or Co-development PartnerEducational partnership providing special education services and resources for families in Ingham County.

Scale indicators5 records

Recent moves11 records

Expansion highlights5 records

Direct peers

• Acorn Health: Multi-state ABA therapy provider offering clinic-based and home-based ABA services for children with autism, directly comparable to ROI's Learning Center and in-home service model.
• Autism Learning Partners: Regional and multi-state ABA provider delivering center-based and home-based services to children and adults with autism, comparable to ROI in service scope and payer mix.
• Hopebridge: Large multi-state ABA and occupational therapy provider operating clinic-based centers serving pediatric autism populations, structurally similar to ROI's Learning Center footprint.
• Kyo: ABA therapy provider delivering in-home and center-based autism services, comparable to ROI's delivery model across clinic and home settings.
• Cortica: Multi-state ABA and developmental neurology provider offering integrated therapy centers for children with autism and developmental disabilities, comparable in clinical model and patient profile.
• BlueSprig Pediatrics: Large ABA clinic operator focused exclusively on pediatric autism services, comparable to ROI's Learning Center clinical model and insurance-based revenue approach.
• Helping Hands Family: ABA therapy provider offering center-based autism services across multiple states, comparable in clinical model and payer-driven revenue approach.
• Centria Healthcare: National ABA and behavioral health provider offering clinic and home-based ABA services to children with autism, with similar lifespan and diagnostic specialization as ROI.

Regional players

• Hope Network: Large Michigan-based non-profit providing developmental disability, behavioral health, and residential services across the lifespan, highly comparable to ROI's regional Michigan footprint and non-profit model.

Broad incumbents

• BrightSpring Health Services: Diversified home and community-based health services provider with significant ABA and developmental disability offerings, comparable to ROI's in-home and adult residential service lines.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights5 records

Customer concentration

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 ROI