S. Buddy Cavness, Vice Chairman

District 4

Marathon, Texas

​Term: 2018-2022

Next Election: May 2022

James "Cuatro" White IV, Secretary

District 2

Marfa, Texas

​Term: 2018-2020

Next Election: May 2022

Greg Henington, Director

District 3

Terlingua, Texas

​Term: 2016-2020

Next Election Date: May 2, 2020

Director Contact:

Jacqueline McCracken, Executive Director

Big Bend Regional Hospital District

105 W. Holland Avenu

Alpine, TX 79830



Alfredo Armendariz, Director

District 1

Presidio, Texas

Term: 2016-2020

Next Election: May 2, 2020

Board of Directors

Directors are elected from five Single Member Districts (SMD) that are established in accordance with population guidelines and regulations promulgated by the United States Department of Justice.  Existing precinct lines will be adjusted every ten years in accordance with census data as published by the United States Census Department. 

​The management, control and administration of the District is vested in the Board of Directors who represent all residents of the District equally, regardless of the county, city or community of residence.


​Big Bend Regional Hospital District

Esther Howard, Chairman

District 5

Alpine, Texas

Term: 2016-2020

​Next Election: May 2, 2020