Pappas Telecasting received a construction permit to build a new station in Sioux City on February 25, 1997, immediately announcing that it planned to put KPTH on the air as a Fox affiliate in early 1998. Work on the tower site in
Plymouth County began that October. KPTH began broadcasting May 9, 1999. It operated from offices in
South Sioux City, Nebraska, and broadcast from an interim antenna at the level of its planned tower for the first five months. The high-power facility was necessary because two thirds of television households in the Sioux City market lived outside the metropolitan area. It also provided tower space for KMEG and for the digital facilities of
KTIV and
Iowa Public Television transmitter KSIN. In May 2005, Waitt Broadcasting (owner of KMEG) entered into a shared services agreement with Pappas Telecasting. Pappas assumed operations of KMEG and moved KPTH into the former's studios in
Dakota Dunes, South Dakota. In November 2007, Waitt announced it would sell KMEG to Siouxland Television,
LLC, with Pappas continuing to operate it as part of the deal. However, Pappas' Sioux City duopoly was among the company's thirteen stations which filed for
Chapter 11 bankruptcy protection in May 2008. As a result, the sale of KMEG to Siouxland Television fell through. On January 16, 2009, it was announced that several of the Pappas stations involved in the bankruptcy (including KPTH) would be sold to New World TV Group (also known as Titan Broadcast Management or Titan TV Broadcast Group) after the transaction received
United States bankruptcy court approval; New World/Titan also took over their operations while the sale was completed. Titan announced the sale of most of its stations, including KPTH, to the
Sinclair Broadcast Group on June 3, 2013. Sinclair announced the closing of the sale on October 3. In January 2021, Sinclair renewed its CBS affiliation agreement, with KPTH—instead of KMEG—listed as the Sioux City affiliate. On February 4, the CBS 14 subchannel of KMEG, including its programming and local news, moved to KPTH 44.3; KMEG's 14.1 subchannel began broadcasting
Dabl. ==News operation==