The KGHMB was founded in 1991 as a result of the creation of kogi state. It was established by edict No.9 of 1991 which was amended by the edict No.5 of 1994. Since its inception, the Board has played a major role in the efficient and effective discharge of health care services in the state.
Following the last staff audit exercise in the state, the staff strength of the Board has significantly reduced from 4,500 to 2,360 workers comprising of various categories of personnel which include both Medical and nonmedical personnel.
The Board supervises fifty five (55) State owned hospitals/clinics. These include all the 22 general hospitals, cottage hospitals and four clinics as listed below
General Hospital Okene                                             Cottage Hospital Ogodu
General Hospital Obangede                                            Cottage Hospital Gboloko                                          
 General Hospital Isanlu                                                   Cottage Hospital Adogo
General Hospital Egume                                                  Cottage Hospital E / Adde
General Hospital Kabba                                                Cottage Hospital Odolu                   
 General Hospital Oguma                                                Cottage Hospital Abocho
 General Hospital Abejukolo                                        Cottage Hospital Ogugu
General Hospital Iyamoye                                           Cottage Hospital Agbaja
General Hospital Mopa                                               Cottage Hospital Olla
General Hospital Koton karfi                                       Cottage Hospital Iluku Bunu
 General Hospital Ogori                                              Cottage Hospital Egbe
General Hospital Okpo                                               Cottage Hospital Jamata
General Hospital Idah                                                   Cottage Hospital Ette
General Hospital Ugwalawo                                         Cottage Hospital Ojoku
General Hospital Iyale                                                              Cottage Hospital Ejule-Ojebe
 General Hospital Ankpa                                             Cottage Hospital Ajaka
General Hospital Okengwe                                           Cottage Hospital Onicha-Igo
General Hospital Dekina                                             Cottage Hospital Budon
C. H Hospital Ayegunle Gbedde                                   Cottage Hospital Eggon
C. H Hospital Olukotun                                               Cottage Hospital Ohono
Zonal Hospital Dekina                                                   Cottage Hospital Ike-Ogugu
KDRH Anyigba                                                               Cottage Hospital Odo-Ere
Eye Hospital Ogbonicha                                              Cottage Hospital Ikaka
                                                                                      Cottage Hospital Adavi-Eba
Comp. Health Centre Alloma                                      Farek Clinic Lokoja
Comp. Health Centre Nagazi                                       Sarki Buma Lokoja
Civil Service Clinic Lokoja                                            Workers Clinic Lokoja

ADMINISTRATIVE STRUCTURE:

The Hospital management Board is a major parastatal under the State Ministry of health. It has a Board which comprises of the Board of Directors headed by a chairman. All the members of the Board including the Chairman are part –time members. They are responsible for formulating policies and decisions for the Board in line with the civil Service rules and regulations

However, the administrative structure of the Board comprises the Chief Medical Director/Chief Executive (CMD/CE) and other Directors heading various Directorates viz aviz Medical services and Training, Administration and Finance, Pharmaceutical services and Nursing services. The Chief Medical Director is the Chief Executive and Accounting officer for the Board. He is also responsible for day to day running of the organization. He is a member of the Board – in council and ensures that policies of the State Government and Board -in council l are translated into actions and programmed. Each Directorate is further made up of departments, sections and units as may be determined.

All the Hospitals under the Board are headed by the Medical Officer in-charge or Chief Nursing Officer in-charge, as the case may be. They are the accounting officers in their respective hospitals but responsible to the Chief Medical Director/CE.

PROJECT HANDLED BY THE BOARD:
Beside payment of salaries, the Board does not handle projects. All Capital receipt and expenditure and projects/programmers involving health activities are coordinated by the Ministry of Health as the superintending Ministry.