City-County Health District

What City-County Health District does

City-County Health District (CCHD) is a local public health district established in 1982 that serves as the designated public health authority for Barnes County, North Dakota, operating from its headquarters at 415 2nd Avenue NE in Valley City. The organization delivers a broad portfolio of direct clinical and preventive community health services to county residents, including immunizations for all ages, a Nurse of the Day walk-in clinic, home care, WIC (Women, Infants, and Children) nutrition assistance, car seat safety checks, breastfeeding support, family planning, environmental health monitoring, Health Tracks developmental screening, harm reduction and substance use prevention, recovery support, and the Sheyenne Valley Memory Café for individuals with dementia and their care partners. The Memory Café operates as a recurring community-based program hosted at Faith Lutheran Church with rotating expert presentations from partners including the Alzheimer's Association, ND Aging Services, Valley City Fire Department, and Valley City Police Department.

The underlying technology is described as standard public health service delivery infrastructure with no proprietary platform; the organization's web presence is a Wix-based informational site, and there are no public APIs, mobile applications, or AI/ML systems in evidence. CCHD curates the Barnes County Health & Wellness Resource Guide, a directory of 224+ local health and wellness resources that functions as a community information hub.

The business model is non-commercial and consistent with a government state entity. Revenue is derived from government appropriations and grants (the dominant stream), supplemented by insurance reimbursements for covered services such as vaccines, and nominal service fees including $40 per cholesterol screening. Programs are also available for uninsured and underinsured residents. The organization is governed by a District Board of Health rather than outside investors, has no parent company, no subsidiaries, and no disclosed funding rounds. Headcount is in the 11-50 employee range. Marketing and community outreach are conducted through the website, blog/news posts, the Sheyenne Valley Memory Café Facebook page, community events, and the resource guide.

Name

City-County Health District

Legal name

City-County Health District

Website

https://citycountyhealth.org

Company type

Private

Founded year

1978

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Headquarters

HQ city

Valley City

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Others

Revenue model

1. Insurance Reimbursements: Most insurance plans cover vaccines and many services offered by CCHD. The organization bills insurance for covered services.
2. Service Fees: Nominal fees charged for certain services such as cholesterol screenings at $40 per test.
3. Government Funding: As a local public health district, CCHD receives government funding to support public health initiatives and programs.
4. Uninsured/Underinsured Programs: Programs available for those without insurance coverage, supported by public health funding.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

City-County Health District directly provides community public health services to Barnes County, North Dakota residents, including immunizations for all ages, nursing assessments (Nurse of the Day walk-in clinic), maternal and child health programs such as WIC and breastfeeding support, adult health screenings (cholesterol, blood pressure, diabetes), behavioral health programs (recovery, harm reduction, substance use prevention), emergency preparedness education, and community support programs like the Sheyenne Valley Memory Cafe. The organization also maintains the Barnes County Health & Wellness Resource Guide to connect residents with local health and wellness resources.

Product overview

City-County Health District offers a unified portfolio of community health services and programs rather than a technology product. The core offerings include direct healthcare services (immunizations, nursing care, home care), preventive health programs (adult health screenings, child health tracks), maternal and family health services (WIC, breastfeeding support, car seat safety), behavioral health services (recovery, substance use prevention, harm reduction), and community support programs (Sheyenne Valley Memory Cafe, emergency preparedness). The organization also maintains the Barnes County Health & Wellness Resource Guide as a directory connecting residents to local health and social services. All services are provided as direct community health programs through the local public health district.

Differentiator

Problem solved

Functional benefit

Brands

• Sheyenne Valley Memory Cafe: A free, welcoming gathering for people living with memory loss and their care partners. Offers connection, education, and support in a relaxed setting.

Products and services

• Baby Safe Haven A safe surrender program for parents in crisis to anonymously surrender infants without fear of prosecution.
• Breastfeeding Services Support and education services for breastfeeding mothers, including Certified Lactation Consultant consultations.
• Car Seat Safety Car seat safety checks and installation by certified technicians to ensure proper child passenger safety.
• Emergency Preparedness Community preparedness programs and resources for handling emergency situations and natural disasters.
• Environmental Health Monitoring and inspection services for environmental health hazards including food safety, water quality, and sanitation.
• Family Planning Reproductive health services including contraception, education, and family planning resources.
• Harm Reduction Programs aimed at reducing negative health outcomes associated with substance use through education and support.
• Health Tracks Well-child visit program providing developmental screenings and connection to early intervention services.
• Home Care In-home healthcare services for individuals requiring medical care or assistance with daily activities.
• Immunizations Vaccination services for children and adults including flu, COVID-19, RSV, and routine childhood immunizations.
• Nursing Services Professional nursing care including Nurse of the Day walk-in clinic offering health assessments and consultations.
• Recovery Substance use recovery support and treatment coordination services for individuals and families.
• Sheyenne Valley Memory Cafe Free monthly gatherings for individuals with memory loss and their care partners, providing connection, education, and support in a relaxed setting.
• Substance Use Prevention Education and prevention programs aimed at reducing substance abuse in the community.
• WIC (Women, Infants, and Children) Federal nutrition program providing healthy foods, nutrition tips, and support for income-eligible families during pregnancy, infancy, and early childhood.
• Women's Way Program providing access to breast and cervical cancer screening services for eligible women.
• Barnes County Health & Wellness Resource Guide A comprehensive directory of local health and wellness resources in Barnes County, connecting residents to healthcare providers, social services, and community support programs (224+ resources).

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Eight partnerships are on record, tiered core and minor.

• Valley City Fire DepartmentcoreStrategic or Co-development Partner · 23 October 2025Fire Chief Scott Magnuson leads fire safety presentations at Sheyenne Valley Memory Café, covering smoke alarm placement, home escape planning, and safety for mobility aid users.
• ND Aging ServicescoreStrategic or Co-development Partner · 25 September 2025Nicole Klefstad Johnson of ND Aging Services co-presents emergency preparedness topics at Sheyenne Valley Memory Café events, providing expertise on preparing for emergencies for individuals with Alzheimer’s or other forms of dementia.
• Alzheimer's Association of Minnesota and North DakotacoreStrategic or Co-development Partner · 25 September 2025Beth Olson of the Alzheimer's Association co-presents at Memory Café events, sharing expertise on caregiver support and emergency preparedness for dementia patients.
• Dak-Minn Driving and Home Evaluations, LLCminorStrategic or Co-development Partner · 28 August 2025Joy Tandberg, Occupational Therapist and Driver Rehabilitation Specialist, presents on driving safety for seniors at Memory Café events.
• Valley City Police DepartmentminorStrategic or Co-development Partner · 22 May 2025Valley City Police Department presents scam alert and safety information at Sheyenne Valley Memory Café events.
• Barnes County Healthy Brain InitiativeminorStrategic or Co-development Partner · 24 April 2025Kerry Due, RN and member of Barnes County Healthy Brain Initiative, presents medication management topics at Memory Café events.
• South Central Human Service Center (SCHSC)coreStrategic or Co-development Partner · 1 January 2025SCHSC and CCHD collaborate on behavioral health initiatives. Chelsea Modlin, LCSW, was recognized for transformative leadership in behavioral health, with joint team celebration featuring staff from both organizations.
• Faith Lutheran ChurchminorStrategic or Co-development Partner · 1 January 2025Faith Lutheran Church, 309 4th Street NE, Valley City, serves as the venue for Sheyenne Valley Memory Café monthly gatherings.

Scale indicators1 record

Recent moves6 records

Expansion highlights3 records

Direct peers

• Fargo Cass Public Health: Local public health unit serving Cass County, ND. Most directly comparable North Dakota peer in scope and statutory mandate, operating clinical preventive services, immunizations, WIC, and maternal/child programs similar to CCHD.
• Grand Forks Public Health: North Dakota city/county public health department delivering immunizations, family planning, WIC, environmental health, and community health programs — a strong functional and structural analog to CCHD.
• Bismarck-Burleigh Public Health: City-county public health department in North Dakota providing clinical preventive services, WIC, immunizations, and environmental health — closely comparable in service mix and governance model.
• Cuyahoga County Board of Health: County-level public health agency offering immunizations, maternal/child health, harm reduction, and community health programs. Provides a benchmark for a mid-sized local public health authority similar in role to CCHD.
• Linn County Public Health: County public health agency in Iowa providing immunizations, maternal/child health, environmental health, and harm reduction services — strong functional peer to CCHD's rural public health model.

Broad incumbents

• Sedgwick County Health Department: County health department serving a larger metropolitan area. Comparable in scope of clinical and community health services but at a meaningfully larger scale than CCHD.
• Marion County Public Health Department: Indianapolis-area county public health department offering clinical preventive services, immunizations, WIC, and community programs. Useful as a scaled peer for service portfolio benchmarking.
• Lane County Public Health: County-level public health agency delivering a broad mix of preventive clinical services, behavioral health support, and community programs at greater scale than CCHD.

Others

• National Association of County and City Health Officials (NACCHO): Membership association representing the ~3,000 local health departments across the U.S. Not a competitor but the primary industry body setting standards and advocacy for entities like CCHD.
• Public Health Accreditation Board (PHAB): Accreditation body for U.S. governmental public health departments. Adjacent ecosystem actor that defines the quality bar and operational standards CCHD is benchmarked against.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/sheyennevalleymemorycafe
• LinkedInlinkedin.com/company/city-county-health-district

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about City-County Health District