Office Hours

  Monday - Friday:  8:00 AM until 12:00 PM
                               1:00 PM until 5:00 PM
  Saturday:             Closed
  Sunday:                Closed

 

  Note: Offices may have unscheduled closings for staff  training, meetings, holidays, or other out-of-office events.  


​​​The Big Bend Regional Hospital District (BBRHD) is a political subdivision of the State of Texas which was established through special legislation in 1991 to provide healthcare for needy residents of Presidio and Brewster Counties.

NOTICE OF PUBLIC HEARING ON BIG BEND REGIONAL HOSPITAL DISTRICT 2018-2019 BUDGET

The Board of Directors of the Big Bend Regional Hospital District will hold a public hearing for the Big Bend Regional Hospital District’s proposed budget for fiscal year 2018-2019 on Thursday, September 20, 2018.  

All interested parties may attend at 5:30 p.m.  at the BBRHD Administrative offices, 105 Holland Avenue, Alpine, Texas 79830.

Contact Us

Presidio-Brewster County Indigent Healthcare Program


Alpine Office

​105 W. Holland Ave.

Alpine, Texas 79830



Presidio Office

​803 W. O'Reilly Street

​Presidio, Texas 79845


BBRHD, where we began and where we are going.

The District was created by acts of the 72nd Texas Legislature in 1991 where the Brewster County Hospital District and the Presidio County Hospital District were merged into the current Big Bend Regional Hospital District.  The 80th Texas Legislature consolidated and codified previously enacted legislation to create the existing enabling legislation of the District.   


The District was created to provide hospital and medical services for needy residents of the District a charge that is the basis for the hospital district.


On October 1, 2014 the District rolled out the newly branded Presidio-Brewster County Indigent Healthcare Program (PBCIHP) where significant changes were made in the administration of the indigent healthcare program that was the basis of the District.  The program saw significant growth thanks to the outreach provide by the newly created Patient Advocate positions.  Program enrollment increased dramatically, medical coverage improved all without an increase to the District tax rate.

​Big Bend Regional Hospital District

Big Bend Regional Hospital District

105 W. Holland Ave.

Alpine, Texas 79830


(432) 837-7051  Office

​(432) 837-3261  Fax



Big Bend Regional Hospital District

Mailing Address:

P.O Box 1439

Alpine TX 79831


​​The District

BBRHD operates a healthcare network (PBCIHP) which provides assistance to needy residents of the bi-county area.  The network provides resources to qualified residents of Brewster and Presidio counties through a network of service providers which includes clinics, hospitals, doctors offices, medical centers, pharmacies and other healthcare providers.


Our Mission Statement

The Big Bend Regional Hospital District is a bi-county hospital district which serves Brewster and Presidio County.  The management, control and administration of all funds and resources of the District are vested in the Board of Directors.  Our primary mission is to provide indigent health care to the needy residents of the area in a cost effective manner.​​