What Segue does

Segue, Inc. is a 501(c)(3) non-profit mental health agency founded in 1984 and incorporated November 15, 1985, operating exclusively in Jackson and Hillsdale counties in Michigan. The organization delivers a portfolio of eight integrated clinical programs to approximately 300 individuals living with severe and persistent mental illness, co-occurring substance use disorders, and related conditions. Its two anchor programs are IMPACT, an Assertive Community Treatment (ACT) team providing 24/7 community-based rehabilitation, and DREAMS, a 24/7 case management program. Supporting programs include Psychiatric Services, Outpatient Therapy, Integrated Dual Disorders Treatment (IDDT), Family Psycho-Education (FPE), Medication Delivery, and Certified Peer Support Specialists (CPSS).

The clinical model is built on evidence-based practices including ACT, DBT, IDDT, and FPE, delivered by a multidisciplinary team of physicians, registered nurses, master's-level therapists, case managers, Certified Peer Support Specialists with lived experience, and substance abuse specialists. Services are provided in consumers' homes, community settings, and at two office locations (Jackson and Hillsdale). Segue holds CARF accreditation and a State of Michigan Substance Abuse/Mental Health Integrated Treatment License; supports a 24/7 crisis line; and operates the Diane M. Reynolds Recovery Center.

Revenue is generated primarily through Medicaid-funded services authorized by LifeWays Community Mental Health (the regional CMH authority), supplemented by individual donations and charitable contributions. The organization's go-to-market is community-led: referrals flow through primary care physicians, hospitals, county mental health systems, and Medicaid networks. The organization is governed by a Board of Directors (chaired by Nikki Adkins) with Mike Thompson serving as CEO since December 2020, following founder Judith Zarend (retired 2015) and interim leadership under Diane Reynolds (retired 2020).

Name

Segue

Legal name

Segue, Inc.

Website

https://segueinc.org

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

11–50 employees

Short description

Segue, Inc. is a 501(c)(3) non-profit mental health agency founded in 1984 that delivers eight evidence-based programs (ACT, case management, outpatient therapy, IDDT, FPE, psychiatric services, medication delivery, and peer support) to approximately 300 individuals with severe mental illness in Jackson and Hillsdale counties, Michigan.

Ownership category

akta.pro rank

Headquarters

HQ city

Hillsdale

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Others, Infrastructure

Revenue model

1. Medicaid-funded Services: Government-funded healthcare reimbursements for mental health services provided to Medicaid-eligible individuals. Programs include ACT, case management, outpatient therapy, psychiatric services, and medication delivery.
2. Donations and Charitable Contributions: Monetary donations from individuals and organizations used to cover activities and assist consumers with needs that would otherwise not be available, including holiday parties, recovery materials, meals, and client necessities.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Segue, Inc. is a non-profit mental health agency providing intensive community-based mental health services for adults with severe and persistent mental illness and co-occurring substance use disorders in Jackson and Hillsdale counties, Michigan. Its core offerings include the IMPACT Assertive Community Treatment program and DREAMS case management program, supplemented by psychiatric services, outpatient therapy, IDDT, Family Psycho-Education, medication delivery, and Certified Peer Support Services. Services are primarily reimbursed through Medicaid via contracts with LifeWays Community Mental Health.

Product overview

Segue is a non-profit mental health agency offering a comprehensive suite of mental health services in Jackson and Hillsdale counties, Michigan, established in 1984. The organization operates as a platform of integrated programs centered around two core offerings: IMPACT (Assertive Community Treatment) and DREAMS (Case Management). IMPACT provides intensive, team-based community rehabilitation with 24/7 emergency response, while DREAMS offers comprehensive case management with 24-hour crisis capability. Supporting these core programs are Psychiatric Services for diagnostic and medication management, Outpatient Therapy for individual and group counseling, Integrated Dual Disorders Treatment (IDDT) for co-occurring disorders, Family Psycho-Education (FPE) for family involvement, Medication Delivery for adherence support, and CPSS for peer-based support. Together, these eight distinct programs serve approximately 300 individuals annually with severe and persistent mental illness, schizophrenia, mood disorders, anxiety disorders, personality disorders, and co-occurring substance use disorders.

Differentiator

Problem solved

Functional benefit

Brands

• IMPACT: Assertive Community Treatment (ACT) program - a team approach providing comprehensive, community-based rehabilitation for individuals with severe mental illness requiring intensive and individualized treatment.
• DREAMS
• IDDT

Products and services

• IMPACT (Assertive Community Treatment) IMPACT is Segue's Assertive Community Treatment (ACT) program — an evidence-based practice providing comprehensive, community-based rehabilitation for adults with severe mental illness. The team-based approach includes nurses, clinicians, certified peer support specialists, and physicians providing 24/7 emergency response services, including DBT skills groups, Healthy Living Skills, IDDT groups, Anger Management Skills, Social Skills, and Traveler's Guide self-exploration groups.
• DREAMS (Case Management) DREAMS is Segue's case management program providing 24/7 emergency response capability and community-based services to help consumers access supports and services to achieve recovery goals. Services include assessment, planning, linkage, advocacy, coordination, and monitoring, primarily delivered in the consumer's home.
• Psychiatric Services Individual psychiatric services including diagnosis, evaluation, and treatment for mental illnesses. Services address biological, psychological, and social components simultaneously, with diagnostic lab work, prescription management, and coordination with primary care physicians.
• Outpatient Therapy Therapy services provided by master's-level prepared clinicians including psychotherapy, brief solution-focused therapy, and DBT skills therapy. Services target adults with severe mental illness residing in Jackson or Hillsdale County with Medicaid insurance.
• Integrated Dual Disorders Treatment (IDDT) Evidence-based practice for consumers with co-occurring mental illness and substance use disorders. IDDT is integrated into the ACT program and provides treatment through stages: engagement, persuasion, active treatment, and relapse prevention.
• Family Psycho-Education (FPE) Evidence-based practice providing education about serious mental illnesses, skills training, problem solving, and social/emotional support to consumers and their identified family or support network. Involves joining sessions, educational workshops, and multifamily group problem solving.
• Medication Delivery Community living support service that delivers and observes client self-administration of medications to improve adherence. A partnership with Advanced Care Pharmacy focuses on behavioral health medications with the goal of transitioning consumers to independent medication management.
• CPSS (Certified Peer Support Specialists) Services provided by certified peers with lived experience of mental illness who mentor and assist others to achieve community inclusion, recovery, resiliency, and productivity. Activities include person-centered planning, recovery storytelling, accessing entitlements, and developing wellness plans.

Quantifiable outcome

• Reduction in crises and hospitalizations
• +4 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Three partnerships are on record, tiered core and minor.

• LifeWays Community Mental HealthcoreStrategic or Co-development Partner · 1 January 2017Contracted to provide nursing home OBRA screenings and recommendations for the network. LifeWays (formerly Jackson-Hillsdale Community Mental Health Board) authorizes services and contracts with Segue for mental health care delivery.
• Advanced Care PharmacycoreStrategic or Co-development Partner · 1 July 2013Contract partnership for medication delivery services to Jackson and Hillsdale County residents. Segue entered into contract with Advanced Care Pharmacy to provide medication delivery services, a Community Living Support service focusing on improving medication adherence through delivery and observation of medication self-administration.
• Ypsilanti State Psychiatric Hospital (YRPH)minorStrategic or Co-development Partner · 1 January 1984Historical partnership through contract with YRPH via Jackson-Hillsdale Community Mental Health Board. YRPH assisted in establishing the Fairweather Lodge program for transitioning long-term hospital patients back into the community.

Scale indicators5 records

Recent moves16 records

Expansion highlights6 records

Broad incumbents

• Magellan Health: National managed behavioral health company (now part of Centene) serving Medicaid plans with utilization management, care coordination, and specialty provider networks. Comparable at the payer-administration layer that contracts with and oversees agencies like Segue.
• Centerstone: One of the largest nonprofit behavioral health providers in the U.S., offering ACT, case management, outpatient therapy, and crisis services across multiple states. Directly comparable operating model to Segue but at national scale with broader funding streams.
• Carelon Behavioral Health: Formerly Beacon Health Options, one of the largest managed behavioral health organizations in the U.S., administering behavioral health benefits for Medicaid and commercial plans. Comparable at the managed-care layer that ultimately funds Segue's services.
• Volunteers of America: National nonprofit providing behavioral health, housing, and recovery services including ACT-style programs and peer support. Comparable as a similarly mission-driven nonprofit mental health and recovery provider, but at much larger national scale.

Direct peers

• Network180: Kent County Community Mental Health authority in Grand Rapids, Michigan. Comparable as a Michigan CMH providing ACT, outpatient therapy, case management, and 24/7 crisis services to adults with serious mental illness under a Medicaid-funded model.
• Lakeshore Regional Entity: Michigan Prepaid Inpatient Health Plan (PIHP) representing multiple community mental health agencies in western and northern Lower Michigan. Comparable as a Michigan regional behavioral health authority operating under the same Medicaid managed-care structure as LifeWays.
• LifeWays Community Mental Health: Michigan Community Mental Health entity (PIHP) for Jackson and Hillsdale counties that contracts with and authorizes Segue's services. Directly comparable as a regional behavioral health authority with overlapping ACT, case management, and outpatient service lines in the same geography.
• Cherry Health: Michigan-based FQHC offering integrated primary care and behavioral health services including outpatient therapy and psychiatry. Comparable as a Michigan non-profit delivering community-based mental health services to Medicaid populations.

Regional players

• Aspire Health Partners: Large Central Florida-based nonprofit behavioral health provider offering ACT, case management, outpatient therapy, and crisis services. Comparable operating model and evidence-based ACT/IDDT programming; serves a different geography.
• Compass Health: Washington state-based nonprofit behavioral health agency providing outpatient mental health, substance use, and crisis services across multiple counties. Comparable as a community mental health agency of similar scale and service mix; non-overlapping geography.

Market position

Strengths4 records

Weaknesses2 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/SegueInc
• LinkedInlinkedin.com/company/segue-inc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Segue