Compass Health, Inc.

Compass Health, Inc., doing business as Pathways Community Behavioral Healthcare, is a Missouri-based tax-exempt nonprofit operating as a federal grant recipient focused on behavioral health crisis services, suicide prevention, and supportive housing for underserved rural communities. The organization operates as a Federally Qualified Health Center and Certified Community Behavioral Health Clinic across a 25-county rural service region in eastern and central Missouri, competing in full-and-open grant programs without set-aside designations.

Compass Health's federal footprint is entirely grant-funded. The organization serves as prime recipient on 46 of 67 total awards (69%) and subrecipient on 21 awards (31%), with combined dollar obligations of $662.2 million across grants running from 2001 through 2029. The capability portfolio centers on suicide prevention and crisis intervention coordination, permanent supportive housing and rapid rehousing for homeless individuals, behavioral health clinical services, and substance use disorder treatment for rural populations. Representative prime grants include a $250,000 three-year SAMHSA award (September 2026, CFDA 93.00R) to expand and strengthen coordination between Missouri's 988 Suicide & Crisis Lifeline and 19 local public safety answering points across 26 counties, with mobile crisis outreach teams and post-crisis follow-up services; a $744,094 36-month HRSA Rural Communities Opioid Response award (September 2022, ultimate completion August 2025) targeting pregnant women, mothers, and women of childbearing age with substance use or opioid use disorders in Henry County; and consecutive HUD Continuum of Care Program grants (CFDA 14.267) in 2022 through 2026 totaling approximately $630,000 in annual funding for permanent supportive housing, rapid rehousing, and transitional housing serving homeless populations in Clinton, Missouri.

Customer concentration clusters heavily with HUD and HRSA programs. HUD's Assistant Secretary for Community Planning and Development leads with 18 awards, followed by HRSA (9 awards), the Department of Justice Office of Justice Programs Victims of Crime Program (5 awards), SAMHSA (5 awards), and the Administration for Children and Families (5 awards), collectively representing 63% of all awards. The top five federal agencies are nearly identical across both award-count and potential-value rankings, reflecting consistent depth rather than a single large dollar anchor. Compass Health serves as subrecipient under prime grants from the Missouri Department of Social Services, Missouri Department of Health and Senior Services, U.S. Committee for Refugees and Immigrants, the National Psychology Training Consortium, and the Missouri Coalition for Primary Health Care, with sub-award work including WIC nutrition services, Temporary Assistance for Needy Families case management, breast and cervical cancer screening, refugee health services, and psychology internship training placements.

Activity has averaged approximately 7.2 awards annually over the past five years (2022–2026), with 2023 peaking at 10 awards. Two awards are scheduled to reach ultimate completion within the next twenty-four months, presenting recompete opportunities in the behavioral health crisis and supportive housing space. Compass Health maintains a single parent vehicle, an Indefinite Delivery Contract (V255PV150335) carrying 5 task orders and $106 thousand combined potential value. The organization's primary NAICS concentration is Outpatient Mental Health and Substance Abuse Centers (6 awards), with secondary activity in nursing home and adult day care services. As of September 30, 2026, Compass Health operates from a 10,396 square-foot facility in Eldon, Missouri, constructed with support from a $1 million congressionally directed spending construction grant (ultimate completion September 2026), and maintains administrative headquarters at 1800 Community Drive, Clinton, Missouri.