Knox County Hospital District

What Knox County Hospital District does

Knox County Hospital District (KCHD) is a non-profit, tax-subsidized political subdivision of the State of Texas, established by the Texas Legislature in 1967 with property taxing authority to offset Medicare shortfalls. The district operates a 14-bed acute care hospital in Knox City, Texas — the original site of healthcare delivery since 1910 — together with a network of affiliated facilities including the Knox City Clinic and Munday Clinic (family medicine), Munday Nursing Center (61 licensed skilled nursing beds, acquired December 2012), Knox County Pharmacy & Supply (retail pharmacy added 2013), Seymour Medical Supply (durable medical equipment distribution across 29 counties, acquired 2009), home health services, EMS (two fully staffed ambulances with MICU capabilities, 24/7), and ancillary services spanning laboratory (CLIA certified, 24-hour), radiology (in-house CT plus mobile MRI/ultrasound), cardiac rehabilitation, physical therapy, speech therapy, and social services. The district is CIHQ accredited (certificate dated April 13, 2025) and serves Knox County and surrounding North Texas communities with a 24-hour Level IV Trauma Center emergency department.

The business model blends fee-for-service healthcare revenue with a property tax subsidy (41.4 cents per $100 of valuation, in place since the district's 1967 creation) and reimbursement from Medicare, Medicaid, and private pay across all service lines. The district has expanded steadily since 1993 through a deliberate strategy of acquiring or building ancillary service lines and facilities — including the 2009 Seymour Medical Supply purchase, 2012 Munday Nursing Center rescue, 2013 Knox City Clinic and Pharmacy completion, and 2020 Munday Clinic construction — under long-tenured Administrator/CEO Stephen Kuehler, who returned to the district in 2002 with an explicit expansion mandate. The 1987 voter referendum that defeated a rollback 810-314 and reopened a hospital that had closed on October 17, 1986 reflects the community-embedded nature of the institution and its reliance on local political support.

Revenue is not publicly disclosed and the district operates without venture capital, private equity, or public market exposure. There is no AI/ML capability evident in the disclosed technology stack, and digital infrastructure is limited to standard social media presence (LinkedIn, Twitter, Facebook, Instagram) plus a ClaraPrice price transparency portal. The leadership team is led by CEO Stephen Kuehler and CFO Dan Offutt, supported by a Board of Trustees with appointed and elected members.

Name

Knox County Hospital District

Legal name

Knox County Hospital District

Website

https://knoxhospital.org

Company type

Private

Founded year

1967

Operating status

Operating

Short description

Knox County Hospital District is a non-profit, tax-subsidized Texas political subdivision operating a 14-bed acute care hospital, 61-bed nursing center, two clinics, pharmacy, DME distribution across 29 counties, and EMS in rural North Texas.

Ownership category

akta.pro rank

Product category

Rural Acute Care Hospital Services

NAICS

Ambulatory Health Care Services (621), Specialty (except Psychiatric and Substance Abuse) Hospitals (622310)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Trauma Centers & Level I–IV Trauma Hospitals (HLAFAAAK)

akta.pro secondary industry

Complex Wound Care SNFs (HLADADAJ)

Keywords

• Rural healthcare services
• Acute care hospital
• Emergency medical services
• Long-term nursing care
• Home health services

Headquarters

HQ city

Knox City

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Healthcare Service Fees: Revenue generated from providing acute care, emergency services, laboratory, radiology, physical therapy, cardiac rehabilitation, speech therapy, home health, EMS, and pharmacy services to patients covered by Medicare, Medicaid, and private pay.
2. Property Tax Subsidies: Knox County Hospital District has been property tax subsidized since 1967 when the Texas Legislature created the District with property taxing authority to accommodate for losses from Medicare payment shortfalls. Current tax rate is 41.4 cents/$100 valuation.
3. Long-term Care Services: Munday Nursing Center (61 beds) accepts Medicare, Medicaid and private pay for 24-hour nursing care, assistance with meals, medications and other activities of daily living, as well as rehabilitative therapy.
4. Durable Medical Equipment Sales: Seymour Medical Supply provides durable medical equipment including Respironics, Invacare, Pride, Nova, ConvaTec, Hollister, Drive, Carex, First Quality, and Omron brands to patients and facilities across 29 counties.

Go-to-market motion1 record

Distribution channels8 records

Marketing channels6 records

Core offering

Knox County Hospital District operates a 14-bed acute care hospital in Knox City, Texas, providing 24-hour Level IV Trauma emergency services, inpatient and swing bed care, EMS, laboratory, radiology, cardiac rehabilitation, physical and speech therapy, home health, pharmacy, and durable medical equipment. The District supplements the hospital with two family medicine clinics (Knox City and Munday), a 61-bed long-term nursing center (Munday Nursing Center), a retail pharmacy, and Seymour Medical Supply serving 29 counties.

Product overview

Knox County Hospital District is a rural healthcare system comprising a 14-bed acute care hospital and multiple affiliated facilities operating as a unified service network. The core hospital provides emergency, inpatient, and swing bed services, supported by two family medicine clinics (Knox City Clinic and Munday Clinic), a long-term care facility (Munday Nursing Center), retail pharmacy (Knox County Pharmacy & Supply), durable medical equipment provider (Seymour Medical Supply), EMS services, home health care, and ancillary services including laboratory, radiology, cardiac rehabilitation, physical therapy, speech therapy, and social services. The system serves Knox County and surrounding areas with a focus on keeping healthcare local and accessible.

Differentiator

Problem solved

Functional benefit

Products and services

• Knox County Hospital (Acute Care) 14-bed non-profit acute care hospital in Knox City providing 24-hour Level IV Trauma Emergency Center, EMS, inpatient and swing bed services, skilled nursing care, laboratory, radiology, cardiac rehabilitation, physical and speech therapy, palliative care, and social services. Accepts Medicare, Medicaid, and private pay.
• Knox City Clinic Family medicine clinic at 712 SE 5th St, Knox City, offering preventive care, acute care, and routine medical services. Open Mon-Fri 8am-5pm, Sat 9am-12pm. Located across from Knox County Hospital and under the same roof as Knox County Pharmacy.
• Munday Clinic Family medicine clinic at 120 East D St, Munday, TX, providing outpatient services with providers Cindy Guess, FNP and Chris Scott, FNP. Open Mon-Fri 8am-5pm.
• Munday Nursing Center 61-bed long-term care facility at 421 West F St, Munday, providing 24-hour nursing care, assistance with meals, medications, and activities of daily living, plus rehabilitative therapy. Accepts Medicare, Medicaid, and private pay. Currently undergoing remodeling.
• Knox County Pharmacy & Supply Retail pharmacy at 12 SE 5th St, Knox City, TX, offering prescription medications, over-the-counter medications, and pharmaceutical supplies. Open Mon-Fri 9am-5pm, Sat 9am-12pm, with delivery to Munday Clinic M-F.
• Seymour Medical Supply, Inc. Durable medical equipment company at 120 W. McLain, Seymour, TX, servicing 29 counties. Carries Respironics, Invacare, Pride, Nova, ConvaTec, Hollister, Drive, Carex, First Quality, and Omron brands for personalized service, equipment delivery, and follow-up support.
• KCHD EMS Services Emergency Medical Services providing 911 emergency and non-emergency services to all of Knox County and surrounding area. Certified at basic life support (BLS) level with mobile intensive care unit (MICU) capabilities. Two fully staffed ambulances available 24/7, 365 days a year, staffed by licensed paramedics and EMTs.
• Knox County Hospital Home Health Home health care services providing skilled nursing, home health aide services, and physical and occupational therapy to Knox County residents recovering from illness or hospitalization in their own homes.
• Laboratory Services CLIA-certified diagnostic laboratory providing 24-hour services including hematology, serology, chemistry, special chemistry, urinalysis, immunology, microbiology, and blood bank services. Inspected every other year by the Texas Department of State Health Services.
• Radiology Services In-house radiology department equipped for x-rays 24/7 with in-house CT capabilities. Mobile services include ultrasounds and echoes on Wednesdays and MRIs every other Saturday. All images reviewed by Board Certified Radiologists.
• Cardiac Rehabilitation Medically supervised program helping improve health and well-being for patients with heart conditions including post-heart attack, post-angioplasty/stent, bypass surgery, valve repair/replacement, congestive heart failure, heart transplant, and angina.
• Physical Therapy Physical therapy services provided by Eric and Larressa Earthman, serving home health and hospital patients on an outpatient and inpatient basis.
• Speech Therapy Speech therapy services improving communication skills and treating swallowing disorders. Provided to home health, Munday Nursing Center, swing bed patients, and in/outpatients by Holly Stocks, MSCC-SLP.
• Social Services Department helping patients and families understand and cope with medical, psychological, and social issues, including assistance with Advance Directives, obtaining medications, and accessing community resources.

Quantifiable outcome

• Hospital survived economic challenges, closed October 17, 1986, and successfully reopened September 1, 1987 after community voted to defeat rollback (810-314)

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators6 records

Recent moves15 records

Expansion highlights5 records

Broad incumbents

• Encompass Health: Largest US owner and operator of inpatient rehabilitation hospitals with ~165 facilities. Comparable in providing post-acute and rehabilitation services, particularly relevant given KCHD's cardiac rehab, PT, and SNF services.
• Community Health Systems: Operator of ~70 hospitals predominantly in rural and non-urban communities. Highly comparable business model focused on community/rural acute care hospitals with limited bed counts and similar service-line breadth.
• Universal Health Services: Operator of ~400 acute care and behavioral health facilities nationwide. Comparable as a multi-site hospital operator with acute care and ancillary service exposure.
• AdventHealth: Non-profit health system operating 50+ hospitals across multiple states. Comparable as a non-profit integrated delivery network with hospital, clinic, and ancillary service exposure.
• HCA Healthcare: Largest for-profit hospital operator in the US with 180+ hospitals across 20 states including Texas. Comparable in delivering acute care, ED, and ancillary services, though at enterprise scale rather than rural community focus.
• Tenet Healthcare: Multi-state hospital operator with significant Texas presence through Conifer Health and USPI. Comparable in providing acute care, ambulatory, and post-acute services across multiple sites.
• Ascension: Large Catholic non-profit health system operating 140+ hospitals across the US. Comparable as a non-profit, multi-facility operator delivering acute care and ancillary services in community settings.
• Baylor Scott & White Health: Largest not-for-profit healthcare system in Texas operating 50+ hospitals across North and Central Texas. Comparable as a Texas-based multi-site provider serving overlapping geographies, though at vastly larger scale than KCHD.
• Ardent Health Partners: Mid-sized hospital operator with facilities across multiple states. Comparable as a multi-site acute care operator with similar service-line breadth including ED, inpatient, and ancillary services.

Direct peers

• Avera Health: Regional non-profit health system serving rural communities across the Upper Midwest. Highly comparable as a non-profit, tax-supported rural health system delivering integrated acute, long-term, and ancillary services to small-population geographies.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/knoxcountyhospitaldistrict
• LinkedInlinkedin.com/company/knox-county-hospital-district
• Instagraminstagram.com/knoxcountyhospitaldistrict
• Xx.com/knoxhealthcare

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries7 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 Knox County Hospital District