The Montgomery County Hospital District (MCHD) is a political subdivision of the State of Texas. MCHD was established through special legislation in 1977 to provide healthcare to the indigent residents of Montgomery County. In addition to its legislation charge to provide indigent care through its Health Care Assistance Program (HCAP), MCHD operates the county’s 911 ambulance service, manages the county’s Public Health District and offers a variety of community and professional education programs.

mchd ems The MCHD Board of Directors is made up of seven elected members, three at-large and the remaining four are elected from different commissioner’s precincts of which they are a resident. Each member serves a four-year term.

 Feel free to search our site for important resources that can help assist you in obtaining the information you need. Here you will find information about our purpose, contact information for departments and services. We are here to assist the people in Montgomery County in their emergency medical, preparedness and healthcare needs.


Our mission is to care for the indigent and provide EMS services while protecting the interest of the taxpayers and insuring long-term stability through fund development.


Our vision is cost effective indigent care and taxpayer supplemented EMS with total professionalism administered through an elected Board of Directors.