Change The Outcome

Change The Outcome is a nonprofit organization that operates as a sub-recipient on federal opioid-response and substance-abuse grants, with all nine recorded awards in the past three years flowing through state and federal grantor channels rather than as prime federal contracts.

Change The Outcome holds a single prime federal grant award: a $4 million project grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) under FY 2022 Congressional Directive Spending Projects, awarded September 30, 2022 and completed September 29, 2023. The bulk of its federal activity — eight of nine awards — consists of sub-recipient grants from the Minnesota Department of Human Services, the designated prime grantee on SAMHSA's State Opioid Response (SOR) initiative. These sub-awards, dated July 2023 through July 2025, appear to fund opioid-response programming and related substance-abuse interventions at the state level.

All federal activity to date routes through a single customer: the Department of Health and Human Services Substance Abuse and Mental Health Services Administration. Combined obligated dollars across all nine awards total $4 million. Award frequency shows modest growth — one award in 2022, three in both 2023 and 2024, and two in 2025 — with no recompete cliff; the single prime grant expired in September 2023, and the recurring sub-awards cycle through annual renewal under Minnesota's SOR administration.

Change The Outcome does not hold federal contracts, IDVs, GWACs, or BPAs. Its footprint is narrowly concentrated in the federal substance-abuse grant ecosystem, operating exclusively as a pass-through entity below state prime grantees rather than as a direct federal awardee or contractor. The organization's federal role is limited to executing opioid-response and addiction-treatment programming funded by SAMHSA through state intermediaries.