Tri-County Health Network

Tri-County Health Network, a tax-exempt nonprofit based in Telluride, Colorado, is a federal grant recipient providing rural health care services, care coordination, and suicide prevention support to underserved communities in southwestern Colorado as a prime grantee (79% of recent awards) and as a sub-recipient on Colorado Department of Public Health & Environment grants. The organization operates exclusively within the federal grant space; it holds no federal contracts and does not compete on contract vehicles.

Tri-County Health Network's customer base concentrates within the Department of Health and Human Services. The top four HHS offices account for 95% of recent awards: the Health Resources and Services Administration (6 awards), the Substance Abuse and Mental Health Services Administration (3 awards), and the Centers for Disease Control and Prevention (3 awards combined across two lines). All prime grant work flows through HHS, primarily the Federal Office of Rural Health Policy, which funds rural healthcare services and quality improvement initiatives.

The organization's prime grant portfolio centers on rural health service expansion and care coordination. Its flagship award is a $600,000 four-year Project Grant from the Federal Office of Rural Health Policy (CFDA 93.912) dated August 1, 2025, extending to July 31, 2029, to establish the Pathways Hub Care Coordination (PCC) program across Montrose and Delta counties in southwestern Colorado, serving up to 715 community members with focus areas including stroke, heart disease, cancer, chronic lower respiratory disease, maternal health services, and unintentional injury. The program targets populations experiencing social determinants of health barriers, including Latine and older adult community members, individuals with low incomes, and those without access to existing care coordination services, with bilingual Spanish-language support. An earlier $600,000 Small Health Care Provider Quality Improvement Project Grant from the same office (awarded August 1, 2022, completing July 31, 2026) represents the prior funding phase. Tri-County Health Network also acts as a sub-recipient on Colorado Department of Public Health & Environment grants supporting emergency response suicide prevention and domestic violence support, with sub-awards dated February, August, and December 2024 under the CO Emergency Response and CDC PHHS Preventive Block Grant programs.

Activity volumes are sparse and episodic—two awards in 2019, declining to one award per year in 2020 and 2022, then four awards in 2024 and one in 2025. Combined obligated dollars across all nineteen awards total $10.4 million. Only one award faces ultimate completion within the next twenty-four months, creating minimal recompete pressure in that window.