The Galveston County Health District (GCHD) is a distinct governmental entity and is unique as it oversees two major operations under two separate and distinct policy-making boards: (1) the United Board of Health appointed by Galveston county and cities to set policy for health department services and (2) the Coastal Health & Wellness Governing Board, on which the majority of members are consumers who set policy for the FQHC operations in accordance with federal requirements. Additionally, the district oversees services under three distinct tax ID's: Galveston County Health District, which funds services related to public health, animal control, financial screening for the Galveston County indigent healthcare program, and air and water monitoring services. Coastal Health & Wellness, which provides medical, dental and mental health counseling services to Galveston County residents, and Galveston Area Ambulance Authority which provides emergency and non-emergency ambulance services to contracted agencies within Galveston County.