Gonzales Healthcare Systems is locally owned and managed. It was established by law as a hospital district, a political subdivision of the State of Texas, and as such is endowed with certain powers, including the levying of taxes, invocation of eminent domain, and most importantly, providing care to those who are unable to care for themselves.

The map of the Gonzales County Hospital District can be found here.

The leadership of Gonzales Healthcare Systems includes a Board of Directors made up of representatives from the four precincts in the county** and five at-large positions. Board members serve four-year terms. Following an election, the Board will meet and choose a President, Vice President, and Secretary. The Board meets in regular session monthly and in special session as needed.

** Voting precincts are based on the Gonzales County commissioner precincts, however, the Hospital District does NOT include the territory of the following districts that lie within the county: Nixon Hospital District, Wilson Hospital District, DeWitt Medical District, Yoakum Hospital District and Shiner ISD and Lavaca Counties.

The current Board members are: