Wellspace Health

Wellspace Health, operating as The Effort, is a Sacramento-based nonprofit healthcare organization that receives federal grants as a prime recipient (87% of recent awards) to operate behavioral health crisis services, primary care delivery, and infectious disease and sexual health programs across California's greater Sacramento County region. The vendor does not hold federal contracts and does not appear on federal contract vehicles; all federal funding flows through HHS grant programs administered by SAMHSA, HRSA, CDC, and the VA.

Wellspace's federal grant portfolio centers on SAMHSA-funded 988 crisis line capacity expansion and behavioral health infrastructure. The most recent and largest award is a $225 thousand project grant from SAMHSA's Center for Mental Health Services (CFDA 93.00R, 988 and Behavioral Health Crisis Services Programs) dated September 30, 2026, running through September 29, 2029, to expand structured follow-up services for individuals at risk of suicide, overdose, and recurring behavioral health crisis through its 24/7 988 Suicide and Crisis Lifeline Center. The project funds increased follow-up staffing, upgraded phone-text-chat technology capacity, improved referral pathways, and extended follow-up from 90 days to up to 12 months when clinically appropriate, initially in Sacramento County and expanding to all 30 counties by year three. Representative prior work includes a SAMHSA Center for Mental Health Services project grant (award date September 30, 2022, completion September 29, 2026) to establish a Certified Community Behavioral Health Clinic delivering mental health and substance use disorder treatment and prevention services to Sacramento County's vulnerable population; an HRSA Bureau of Primary Health Care project grant (September 1, 2024, completion August 31, 2026) addressing breast cancer screening through community outreach and patient navigation in partnership with UC Davis Health; and a cooperative agreement from SAMHSA's National Center for HIV/AIDS (September 30, 2023, completion September 29, 2028) to establish an STI and sexual health center across Wellspace's 30+ community health centers and crisis centers. Wellspace also received HRSA funding for Ryan White Title III HIV capacity development (September 1, 2024, completion August 31, 2025) to install dedicated dental treatment equipment for HIV/AIDS patients at its Oak Park Dental Health Center.

Customer concentration is heavily weighted toward HHS. The Department of Health and Human Services accounts for 96% of recent awards, split across HRSA (15 awards), SAMHSA (5 awards), and CDC (1 award). Wellspace also holds one sub-award from the Department of Veterans Affairs Veterans Integrated Service Network 21 for $371 thousand. Three awards are sub-recipient positions under California Department of Health Care Services as the pass-through entity for 988 crisis lifeline funding; Wellspace receives these sub-awards (most recently September 29, 2025) to operate the California 988 Suicide and Crisis Lifeline. Activity has been modest over the past five years — two awards in 2022 rising to three in 2023 and 2024, then declining to one award each in 2025 and 2026 — with one award reaching ultimate completion inside the next twenty-four months, limiting near-term recompete exposure. The organization's $184.6 million in obligated funding across $371 thousand in combined potential value indicates that most federal grants have been fully funded at execution and are running through their performance periods with minimal new-award pipeline activity visible in the source data.