Kentucky River District Health Department

What Kentucky River District Health Department does

Kentucky River District Health Department (KRDHD) is a state government district public health agency operating under the Kentucky Cabinet for Health and Family Services and headquartered at 441 Gorman Hollow Rd., Hazard, Kentucky. It serves the residents of seven rural Eastern Kentucky counties — Knott, Lee, Leslie, Letcher, Owsley, Perry, and Wolfe — through an integrated portfolio of clinical, community, home-based, and regulatory public health services. The agency is governed by a District Board of Health with representation from each of the seven counties and is funded through a mix of state appropriations, federal program grants (including Ryan White Part B, opioid settlement allocations, and ARC grants), Medicaid/Medicare reimbursements, sliding-scale patient fees, and environmental health certification fees (food handler $30, food manager $75, private water testing $50, tanning registration $20 annually).

KRDHD's service delivery operates through seven county health department offices, three home health agencies (Lee, Owsley, Wolfe), school nurse services in 18 schools across three counties, four harm reduction community centers branded as The Hub (Knott, Lee, Letcher, Owsley), and environmental health regulatory programs covering approximately 300 food service establishments, 64 schools, 24 hotels and motels, and 11 youth camps. The product portfolio spans Home Health (skilled nursing, physical therapy, occupational therapy, aide services since 1974); HANDS home visitation for first-time parents; WIC supplemental nutrition; Ryan White Part B HIV/AIDS care coordination across 13 counties; syringe exchange; dental sealants and fluoride varnish; diabetes self-management education; tobacco cessation (Freedom From Smoking, N-O-T); Medical Reserve Corps disaster preparedness (since 2004); and environmental inspections. Technology consists of standard public health information systems; no proprietary software products, APIs, or digital platforms are disclosed.

The go-to-market is direct-to-consumer service delivery: residents access services in person at county health department clinics, via home health visits, or at community-based locations. Customer segments include the general community, WIC-eligible women and children, expectant and new parents, school-aged children, HIV/AIDS patients, diabetes patients, and individuals needing harm reduction services. Auxiliary revenue from environmental health fees (food, water, septic, tanning certifications) functions as a regulatory cost-recovery mechanism rather than a market-driven business. The Hub harm reduction model expanded from two to five counties in 2025 using a $545,000 opioid settlement grant and was recognized as a national public health best practice by the National Association of County and City Health Officials (NACCHO).

Name

Kentucky River District Health Department

Legal name

Kentucky River District Health Department

Website

https://krdhd.org

Company type

Public

Founded year

1974

Operating status

Operating

Headcount range

11–50 employees

Short description

Kentucky River District Health Department (KRDHD) is a Kentucky state government district health agency providing clinical, home health, maternal-child, harm reduction, dental, environmental, and HIV/AIDS services to residents across seven rural Eastern Kentucky counties, funded by appropriations, federal grants, and reimbursements.

Ownership category

akta.pro rank

Product category

Public Health Services

NAICS

Administration of Public Health Programs (92312), Administration of Environmental Quality Programs (924)

SIC

Services-Health Services (8000)

akta.pro primary industry

County/District/Local Health Departments (HLAJAAAB)

akta.pro secondary industries

Local Public Health & Human Services Administration (BPAIACAK), State/Provincial Health Department & Public Health Administration (BPAIABAH)

Keywords

• Public health services
• Home health care
• Harm reduction programs
• Environmental health inspections
• Maternal child health

Headquarters

HQ city

Hazard

HQ country

United States

HQ region

North America

Offices11 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Others

Revenue model

1. Government Funding: Federal and state government appropriations and grants including opioid settlement funds
2. Medicare/Medicaid Reimbursement: Billable services covered under Medicare, Medicaid, and private insurance for home health, clinical, and other health services
3. Ryan White Program Grants: Federal Ryan White Part B funding for HIV/AIDS care coordination services
4. Environmental Health Fees: Fees for food handler certifications, food manager certifications, and environmental inspections. Food handlers certification $30, food managers $75, private water supply testing $50
5. Sliding Scale Fees: Reduced-cost services for income-eligible families; Medicaid and KCHIP accepted

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

Kentucky River District Health Department is a state government public health agency that delivers direct clinical, community, and environmental health services across seven counties in rural Eastern Kentucky. It operates county health department clinics, home health visits, school-based services, and The HUB harm reduction community centers, providing immunizations, family planning, WIC nutrition, HANDS home visitation, Ryan White HIV/AIDS care coordination, diabetes self-management education, environmental inspections, and emergency preparedness.

Product overview

Kentucky River District Health Department operates as a multi-county public health agency serving seven counties in Eastern Kentucky (Knott, Lee, Leslie, Letcher, Owsley, Perry, and Wolfe). The organization provides an integrated portfolio of health services organized into clinical services (adult, adolescent, and child health including immunizations, family planning, WIC, and dental programs), community services (harm reduction/HUB network, school health, diabetes education, health promotion, preparedness), and specialized programs (Ryan White HIV/AIDS care, HANDS parent support, environmental health). The core offering is direct public health service delivery rather than a software product, with services delivered through district offices, county health departments, and The HUB harm reduction community centers. The HUB network, which expanded from two to five counties in 2025, represents a notable program growth, while traditional services like Home Health and WIC provide foundational community care.

Differentiator

Problem solved

Functional benefit

Products and services

• Home Health Services Non-profit in-home health care services serving Lee, Owsley, and Wolfe Counties since 1974, providing skilled nursing visits, physical therapy, occupational therapy, and 24-hour on-call services to help residents remain at home.
• HANDS (Help and Nurturing Development Services) Voluntary home visitation program for first-time expectant parents providing support during pregnancy and early childhood development through community resources and educational materials.
• Ryan White Part B Care Coordination Program Medical and social services program for HIV-positive patients in Eastern Kentucky providing case management, medication assistance, dental care, mental health services, and transportation across 13 counties.
• The HUB - Harm Reduction Services Network of community centers providing harm reduction services including peer support, food, sterile syringes, overdose prevention tools, and substance abuse referrals.
• Syringe Exchange Program Anonymous, confidential, free, and legal needle exchange program providing safe disposal, clean needle exchange, HIV/Hepatitis C/STD testing, vaccinations, and substance abuse treatment referrals across multiple county health departments.
• Dental Health Program School-based oral health program offering dental sealants, cleanings, fluoride varnish, and comprehensive oral health assessments, currently serving schools in Wolfe and Owsley counties.
• Diabetes Self-Management Education Free self-management education classes teaching skills including blood sugar monitoring, medication understanding, healthy eating, meal planning, and physical activity for living well with diabetes.
• School Health Services School nurse services provided in 18 schools across Knott, Letcher, and Wolfe Counties offering dental varnish, well child exams, hearing and vision screenings, chronic disease management, and health education.
• Health Promotion Programs Comprehensive health education programs including tobacco cessation (Freedom From Smoking, N-O-T), child care health consulting, maternal child health, bullying/suicide prevention, teen pregnancy prevention (Reducing the Risk, Positive Potential curricula), and community health education.
• Environmental Health Programs Regulatory and inspection services covering food service establishments, hotels, swimming pools, tattoo/piercing facilities, septic systems, private water supplies, rabies control, and radon testing across the seven-county district.
• WIC (Women, Infants, and Children) Supplemental Nutrition Program Nutrition education and healthy food program providing monthly food checks, nutrition counseling, breastfeeding support, and health care referrals for pregnant women, breastfeeding mothers, infants, and children up to age 5.
• Medical Reserve Corps / Disaster Preparedness Volunteer organization established in 2004 providing medical and non-medical support during emergencies, disasters, and public health initiatives, with staff trained in disaster response and communication systems.
• Epidemiology and Vital Statistics Recording of births and deaths, communicable disease reporting and investigation, and statistical surveillance services for the seven-county coverage area.
• Adult, Adolescent, and Child Health Services Comprehensive clinical services including well child exams, immunizations, adult immunizations, family planning, STD/HIV testing and treatment, TB control, breastfeeding support, WIC, and nutrition counseling across all age groups.

Quantifiable outcome

• The Hub model expanded from 2 to 5 counties in 2025
• +3 more outcomes

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Seven partnerships are on record, tiered core and minor.

• KY AIDS Drug Assistance Program (KADAP)coreOthersAccess to KY AIDS Drug Assistance Program for HIV-positive patients through Ryan White Part B Care Coordination Program
• Kentucky Department of Public HealthcoreOthersGuidance and oversight for syringe exchange programs, harm reduction services, and public health initiatives
• Centers for Disease Control and Prevention (CDC)coreOthersCDC guidance informs syringe exchange program design and harm reduction best practices
• Kentucky Department for Public Health - Division of Food SafetyminorOthersState plumbing code and food safety regulation coordination
• Local School DistrictscoreOthersCollaboration with local school boards in Knott, Letcher and Wolfe Counties for school health services across 18 schools
• Kentucky Regional Prevention CenterminorOthersCollaboration on Sources of Strength implementation in middle and high schools for suicide prevention
• WYMT-TV and Local News MediaminorOthersMedia partnership for radon test kit distribution through federal grant support

Scale indicators9 records

Recent moves6 records

Expansion highlights3 records

Direct peers

• Wedco District Health Department: Adjacent Kentucky district health department serving Bourbon, Harrison, Nicholas, Scott, and other counties. Closely comparable in scope (clinical, environmental, home health) and governance structure under Kentucky Cabinet for Health and Family Services.
• Three Rivers District Health Department: Kentucky district health department serving Carroll, Gallatin, Owen, Pendleton counties. Direct peer with same public agency mandate, environmental health, home health, and clinical service model.
• Buffalo Trace District Health Department: Kentucky district health department serving Bracken, Fleming, Lewis, Mason, and Robertson counties. Matches the multi-county district model with environmental, clinical, and home health services.
• Gateway District Health Department: Kentucky district health department serving Bath, Menifee, Montgomery, and Morgan counties. Directly comparable as a rural Appalachian-adjacent district offering clinical, environmental, and home health services.
• Cumberland Valley District Health Department: Kentucky district health department serving Bell, Clay, Harlan, Jackson, and Rockcastle counties. Directly comparable rural Eastern/Southeastern Kentucky district with clinical and environmental health programs.

Regional players

• Kentucky River Community Care: Regional behavioral health agency also serving Eastern Kentucky counties. Comparable as a regional safety-net provider in the same service geography, with overlapping behavioral and substance use disorder focus.

Others

• National Association of County and City Health Officials (NACCHO): National membership and advocacy association for local health departments. Comparable in that NACCHO sets standards, recognizes best practices, and represents the local public health agency ecosystem of which KRDHD is a member.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/krdhd
• Facebookfacebook.com/profile.php
• Instagraminstagram.com/krdhd606
• LinkedInlinkedin.com/company/kentucky-river-district-health-department

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Subsidiaries12 records

Funding overview

Funding rounds1 record

Investors1 record

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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 Kentucky River District Health Department