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Before the town's founding in 1901 cattle drives from Texas to Kansas followed the Western Trail through the area.
Because Busch was similar to another post office name, it was renamed Elk City on July 20, 1907.
Developing as an agricultural trade center, Elk City had four banks, four cotton gins, and a cotton oil mill by 1909.
In August 1931 the Community Hospital opened as one of the first cooperative hospitals in Oklahoma.
On November 24, 1947, Shell Oil Company brought in a producing oil well that furthered Elk City's economic development.
Miss America 1981 Susan Powell and songwriter James "Jimmy" Webb hail from Elk City.
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| Company name | Founded date | Revenue | Employee size | Job openings |
|---|---|---|---|---|
| Ascension St. Francis Hospital | 1956 | $2.6M | 6 | 11 |
| Margaret Mary Health | 1932 | $7.2M | 35 | 1 |
| CarolinaEast | 1962 | $1.2B | 1,630 | 100 |
| KU Topeka | 1909 | $220.0M | 1,666 | 6 |
| UF Health Central Florida | 2007 | $499,999 | 3,000 | 6 |
| Marina Del Rey Hospital | 1969 | $113.6M | 2,800 | 1 |
| Grove City Medical Center | 1978 | $47.7M | 525 | - |
| Central Maine Healthcare | 1891 | $340.0M | 3,000 | 23 |
| Pratt Regional Medical Center | 1950 | $90.9M | 350 | 25 |
| DLP Maria Parham Medical Center | 1925 | $560,000 | 9 | 19 |
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