The People's Harm Reduction Alliance

What The People's Harm Reduction Alliance does

The People's Harm Reduction Alliance (PHRA) is a Seattle-based 501(c)(3) nonprofit founded in 2007 that provides peer-centered, community-integrated harm reduction services to people who use drugs across Washington State. Operating with a team of six, the organization runs four service channels: a fixed syringe exchange site at Christ Episcopal Church in Seattle's University District, mobile outreach across King County (North and South Seattle, South King County), mobile outreach in Kitsap County (North Kitsap, South Kitsap, Bremerton) under the Ostrich Bay program, and a statewide mail-based naloxone distribution program operated in partnership with the Washington State Department of Health. Service offerings are provided entirely free of charge and include sterile syringes and injection equipment, naloxone (Narcan) kits, fentanyl test strips, wound care supplies, safer sex supplies, emergency contraception, nicotine replacement therapy, and hygiene items.

PHRA has expanded its clinical footprint beyond a pure supply model by adding low-barrier Suboxone (Buprenorphine) treatment for opioid use disorder — anchored by prescriber Fern Feldman, ARNP — and free Hepatitis C screening with in-house treatment for Suboxone-enrolled participants. The organization also offers structured naloxone training to individuals and groups, and accepts in-kind donations of outdoor survival gear, clothing, and hygiene items in addition to cash contributions. The underlying "technology" is operational rather than digital: scheduling, supply logistics, and the mail-order naloxone intake run through the phra.org website with no proprietary software, app, or AI components disclosed.

The business model is a nonprofit funding stack rather than a commercial revenue model. Cash revenue is generated through individual donations and monthly giving (processed via Network For Good), in-kind community contributions, and government pass-through funding via the Washington State Department of Health partnership that underwrites the statewide mail-based naloxone program. PHRA is an independent 501(c)(3) (Tax ID #35-2307112) with no parent company, no investor ownership, and no disclosed financial figures; it has been continuously operating for nearly 18 years under a philosophy of treating people who use drugs as experts in their own care without punishment-based conditions.

Name

The People's Harm Reduction Alliance

Legal name

The People's Harm Reduction Alliance

Website

https://phra.org

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

1–10 employees

Short description

PHRA is a Seattle-based 501(c)(3) nonprofit that provides free, peer-centered harm reduction services — syringe exchange, naloxone distribution, Suboxone treatment, and Hep C testing — to people who use drugs across Washington State via fixed sites, mobile outreach, and a statewide mail program.

Ownership category

akta.pro rank

Product category

Harm Reduction Services

NAICS

Individual and Family Services (6241)

SIC

Services-Social Services (8300)

akta.pro primary industry

Substance Use Disorder Prevention & Recovery Services (BPAGACAE)

akta.pro secondary industry

Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO)

Keywords

• Harm reduction services
• Syringe exchange programs
• Naloxone distribution
• Opioid overdose prevention
• Drug user health

Headquarters

HQ city

Seattle

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales, Others

Revenue model

1. Donations and charitable contributions: PHRA operates as a 501(c)(3) nonprofit organization. Revenue is generated through community donations, monthly giving programs, and charitable contributions from supporters who share the organization's passion for harm reduction.
2. Partnership with Washington State Department of Health: In partnership with Washington State Department of Health, PHRA operates a naloxone distribution program that provides free naloxone kits by mail to individuals anywhere in Washington State.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels3 records

Core offering

The People's Harm Reduction Alliance (PHRA) is a 501(c)(3) nonprofit that provides free, peer-centered harm reduction services to people who use drugs, including syringe exchange, sterile injection equipment, naloxone (Narcan) distribution by mail and in person, low-barrier Suboxone (Buprenorphine) treatment, Hepatitis C testing and treatment, and overdose prevention education. Services are delivered through fixed exchange sites, mobile outreach in King and Kitsap counties, and a statewide mail-based naloxone program in partnership with the Washington State Department of Health.

Product overview

The People's Harm Reduction Alliance operates a peer-centered harm reduction ecosystem offering multiple integrated service delivery channels. The core portfolio includes seven interconnected services: three syringe exchange programs (University District Exchange, King County Mobile Outreach, and Kitsap County Mobile Outreach) providing sterile injection equipment and harm reduction supplies; a free naloxone by mail program in partnership with Washington State Department of Health; naloxone training for individuals and organizations; low-barrier Suboxone (buprenorphine) treatment co-located with exchange sites; and Hepatitis C testing and treatment services. Services also include overdose prevention education, fentanyl test kit distribution, wound care, safer sex supplies, and referrals to external resources. The programs operate as a unified harm reduction model centered on syringe exchange as the primary access point, with naloxone distribution and Suboxone treatment as complementary harm reduction interventions.

Differentiator

Problem solved

Functional benefit

Products and services

• University District Exchange (Seattle) Fixed-site syringe exchange and harm reduction hub in Seattle's University District (Christ Episcopal Church) providing new syringes, sterile injection equipment, naloxone, fentanyl test kits, nicotine replacement therapy, wound care supplies, HRT kits, safer sex supplies, emergency contraception, hygiene products, and referrals to suboxone treatment, Hep C testing, HIV testing, and wound care for people who use drugs.
• King County Mobile Outreach & Delivery Mobile syringe exchange operating Monday-Friday in North and South Seattle plus South King County, delivering syringes, sterile injection equipment, naloxone, fentanyl test kits, nicotine replacement therapy, wound care supplies, HRT kits, safer sex supplies, emergency contraception, hygiene products, and referrals for suboxone treatment, Hep C testing, HIV testing, and wound care directly to community members.
• Ostrich Bay (Kitsap) Mobile Outreach & Delivery Mobile syringe exchange serving Kitsap County with scheduled locations in North Kitsap (Tuesdays), South Kitsap (Thursdays), and Bremerton (Saturdays), plus delivery by appointment. Provides syringes, naloxone, fentanyl test kits, wound care supplies, HRT kits, safer sex supplies, emergency contraception, hygiene products, syringe disposal, overdose prevention education, harm reduction education, suboxone treatment, and referrals for Hep C and HIV testing and wound care.
• Free Naloxone by Mail (Washington State) Mail-based naloxone distribution program operated in partnership with the Washington State Department of Health, providing free naloxone (Narcan) kits to individuals anywhere in Washington State to reverse opioid overdoses.
• Naloxone Training Training program teaching individuals and organizations how to identify opioid overdoses and properly administer naloxone in both nasal and injectable forms. Offers one-on-one training at sites and group training for organizations, covering harm reduction strategies and overdose response.
• Low-Barrier Suboxone (Buprenorphine) Treatment On-demand, low-barrier medication-assisted treatment program for opioid use disorder offering Suboxone prescriptions with no punishment for positive drug tests. Co-located with PHRA syringe exchange sites, providing accessible care without waiting lists or red tape.
• Hepatitis C Testing & Treatment Free and confidential Hepatitis C screening at the University District location, with in-house treatment available for those enrolled in the Suboxone program. Staff provides treatment options and access referrals for non-enrolled individuals.

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Washington State Department of HealthcoreStrategic or Co-development PartnerPHRA operates a naloxone distribution program in partnership with Washington State Department of Health that provides free naloxone (a.k.a. Narcan) kits by mail to individuals anywhere in Washington State. This is a core partnership enabling the organization's statewide harm reduction mission.

Scale indicators1 record

Recent moves6 records

Expansion highlights5 records

Direct peers

• VOCAL-NY: A New York-based grassroots organization that runs harm reduction services alongside advocacy on drug user health, housing, and criminal justice. Overlaps with PHRA in syringe access and naloxone distribution, with a stronger advocacy orientation.
• BOOM!Health: A Bronx-based harm reduction and community services nonprofit providing syringe exchange, overdose prevention, and integrated health services to people who use drugs — a comparable integrated harm reduction and clinical services model.
• Chicago Recovery Alliance: A long-standing peer-led harm reduction organization providing syringe exchange, naloxone, and drug checking services in Chicago, with a similar operating philosophy to PHRA — peer-centered, street-based outreach serving people who use drugs in a major U.S. metro.
• NEXT Distro: Mail-based harm reduction supply distributor explicitly named as a PHRA referral partner; operates an online and mail-based naloxone and supply ordering model that closely parallels PHRA's Washington mail program, serving overlapping populations of people who use drugs.

Others

• Drug Policy Alliance: A national advocacy and policy organization promoting harm reduction and drug decriminalization. Adjacent rather than directly competitive — it shapes the policy environment in which PHRA operates and is a frequent collaborator with community harm reduction groups.

Broad incumbents

• AIDS Healthcare Foundation: A large global nonprofit providing HIV/AIDS and Hepatitis C testing, treatment, and prevention services, including harm reduction programming. Overlaps with PHRA's Hep C testing and treatment and HIV testing/referral services.
• North American Syringe Exchange Network (NASEN): A national network supporting syringe access programs across North America, providing funding, supplies, and advocacy for harm reduction programs including PHRA. Highly comparable in core service (syringe exchange) and target population.
• National Harm Reduction Coalition: The largest U.S. harm reduction advocacy and capacity-building organization, providing training, resources, and technical assistance to syringe exchanges and drug user health programs nationally — the most direct national analog to PHRA's mission and service mix.
• San Francisco AIDS Foundation: A larger Bay Area-based nonprofit offering syringe access, naloxone, and substance use services alongside HIV prevention and housing support. Operates in the same harm reduction and drug user health space as PHRA but with a broader portfolio and urban focus.

Regional players

• Texas Harm Reduction Alliance: A Texas-based harm reduction nonprofit providing naloxone, syringe access, and drug user health services in a different geography. Comparable in mission and peer-led model but operating in a more politically hostile regional environment than PHRA.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/the-people-s-harm-reduction-alliance

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

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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 The People's Harm Reduction Alliance