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SPECIAL DISTRICT • Brewster County, TX

Big Bend Regional Hospital District

A+
Texas Liberty Watchdog Index
Freedom Score: 97.4/100▲ +0.6 pts (5Y Trend)
Category Rank: #321 among Texas Special Districts • Tier Rank: #316 (TIER 5 RURAL)
Fiscal Restraint
96/100
Regulatory Restraint
100/100
Debt Burden
96/100
Population / Scale
Special District
Property Tax Rate (FY 27)
$0.067108
per $100 (2026–2027 levy)
FY 2027 Adopted Budget
$4.1M
+2.4% YoY • +15.5% (5Y)
Outstanding Debt
$0 (Debt-Free)
Official Government Portal
★ $1 14-Day Citizen Watchdog Trial • Full Local UnlockBig Bend Regional Hospital District Grade: A+ (97.4/100)

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Big Bend Regional Hospital District Council / Precinct Seats
Grade B+ • Pro-Taxpayer
B+
Brewster County Commissioners & Judge
Grade A- • Debt Restraint
A-
Local ISD School Board & Bond Propositions
VOTE NO • +$142M Debt
D-
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Elected & Governing Officials (1)

🔒 1 Additional Big Bend Regional Hospital District Council / Precinct Voting Grades Locked
See how your specific district representative voted on property taxes & bond debt — plus get 72-hour pre-vote tax alerts and your printable 2026 Brewster County Sample Ballot PDF.

Adopted Fiscal Budgets & Appropriations (28 Fiscal Years)

FY 2027 ADOPTED+2.4% YoYFreedom Score: 97.4 (A+)• Adopted Sep 16, 2026FY 2027 (2026–2027) Adopted District Operating & Debt Budget — Big Bend Regional Hospital District
Official PDF

FY 2027 Adopted Budget ($4,088,881) and Adopted Property Tax Rate ($0.067108 per $100 valuation: $0.067108 M&O + $0.000000 I&S) for Big Bend Regional Hospital District. Source: Brewster County 2026 Certified Tax Roll & Truth-in-Taxation Calculation.

Total Appropriation
$4.1M
General Fund
$1.7M
00
Public Safety: $3.4M (84%)
000
Administration: $0.6M
Adopted Tax Rate: $0.067108 / $100
FY 2026 ADOPTED+3.2% YoYFreedom Score: 97 (A+)• Adopted Sep 15, 2025FY 2026 Adopted Operating & Debt Service Budget — Big Bend Regional Hospital District
Official PDF

Adopted FY 2026 Special District Operating & Debt Service Budget for Big Bend Regional Hospital District (Brewster County) totaling $3,994,608 ($1,699,834 Maintenance & Operations; $0 I&S Bond Debt Service; $2,294,775 Utility/Service Enterprise Fund). Comptroller PTAD Certified Ad Valorem Levy: $1,699,833 on $2,494,875,814 taxable valuation at a total tax rate of $0.06813 per $100 (M&O: $0.06813, I&S: $0.00000).

Total Appropriation
$4.0M
General Fund
$1.7M
00
Public Safety: $3.4M (84%)
000
Administration: $0.6M
Adopted Tax Rate: $0.06813 / $100
FY 2025 ADOPTED+2.9% YoYFreedom Score: 97 (A+)• Adopted Sep 15, 2024FY 2025 (2024–2025) Adopted District Operating & Debt Budget — Big Bend Regional Hospital District
Official PDF

Official FY 2025 Adopted Budget ($3,870,744) and 2024 Property Tax Rate ($0.068133 per $100 valuation) for Big Bend Regional Hospital District. Source: Texas Comptroller PTAD 2024 Tax Rate & Levy Roll.

Total Appropriation
$3.9M
General Fund
$1.6M
Public Safety: $3.3M (84%)
Administration: $0.6M
Adopted Tax Rate: $0.068133 / $100
FY 2024 ADOPTED+3.0% YoYFreedom Score: 96.9 (A+)• Adopted Aug 30, 2023FY 2024 (2023–2024) Adopted District Operating & Debt Budget — Big Bend Regional Hospital District
Official PDF

Official FY 2024 (2023–2024) Adopted Operating & Debt Service Budget for Big Bend Regional Hospital District (Brewster County) totaling $3,763,119. Certified 2023 Tax Year ad valorem property tax rate: $0.0716 per $100 taxable valuation.

Total Appropriation
$3.8M
General Fund
$1.6M
Public Safety: $3.2M (84%)
Administration: $0.6M
Adopted Tax Rate: $0.071551 / $100
FY 2023 ADOPTED+3.2% YoYFreedom Score: 96.8 (A+)• Adopted Aug 30, 2022FY 2023 (2022–2023) Adopted District Operating & Debt Budget — Big Bend Regional Hospital District
Official PDF

Official FY 2023 (2022–2023) Adopted Operating & Debt Service Budget for Big Bend Regional Hospital District (Brewster County) totaling $3,652,450. Certified 2022 Tax Year ad valorem property tax rate: $0.1187 per $100 taxable valuation.

Total Appropriation
$3.7M
General Fund
$1.6M
Public Safety: $3.1M (84%)
Administration: $0.6M
Adopted Tax Rate: $0.118739 / $100

Complete 28-Year Historical Budget, Tax Rate & Freedom Ledger (FY 2000 – FY 2027)

Year-by-year certified appropriations, property tax rates, per-capita spending, Freedom Index scores, and official budget PDFs
FY 2027$4.09M(+2.4% YoY)
Gen Fund: $1.7MTax Rate: $0.067108Freedom: 97.4 (A+)
Official PDF
FY 2026$3.99M(+3.2% YoY)
Gen Fund: $1.7MTax Rate: $0.06813Freedom: 97 (A+)
Official PDF
FY 2025$3.87M(+2.9% YoY)
Gen Fund: $1.6MTax Rate: $0.068133Freedom: 97 (A+)
Official PDF
FY 2024$3.76M(+3.0% YoY)
Gen Fund: $1.6MTax Rate: $0.071551Freedom: 96.9 (A+)
Official PDF
FY 2023$3.65M(+3.2% YoY)
Gen Fund: $1.6MTax Rate: $0.118739Freedom: 96.8 (A+)
Official PDF
FY 2022$3.54M(+2.2% YoY)
Gen Fund: $1.5MTax Rate: $0.107077Freedom: 96.8 (A+)
Official PDF
FY 2021$3.46M(+2.4% YoY)
Gen Fund: $1.5MTax Rate: $0.108683Freedom: 96.7 (A+)
Official PDF
FY 2020$3.38M(+3.1% YoY)
Gen Fund: $1.4MTax Rate: $0.109661Freedom: 96.6 (A+)
Official PDF
FY 2019$3.28M(+2.8% YoY)
Gen Fund: $1.4MTax Rate: $0.110867Freedom: 96.6 (A+)
Official PDF
FY 2018$3.19M(+3.2% YoY)
Gen Fund: $1.4MTax Rate: $0.11253Freedom: 96.5 (A+)
Official PDF
FY 2017$3.09M(+2.3% YoY)
Gen Fund: $1.3MTax Rate: $0.113318Freedom: 96.5 (A+)
Official PDF
FY 2016$3.03M(+3.1% YoY)
Gen Fund: $1.3MTax Rate: $0.112638Freedom: 96.4 (A+)
Official PDF
FY 2015$2.93M(+2.0% YoY)
Gen Fund: $1.2MTax Rate: $0.113314Freedom: 96.4 (A+)
Official PDF
FY 2014$2.88M(+2.3% YoY)
Gen Fund: $1.2MTax Rate: $0.113087Freedom: 96.3 (A+)
Official PDF
FY 2013$2.81M(+2.2% YoY)
Gen Fund: $1.2MTax Rate: $0.113652Freedom: 96.1 (A+)
Official PDF
FY 2012$2.75M(+2.2% YoY)
Gen Fund: $1.2MTax Rate: $0.114675Freedom: 96 (A+)
Official PDF
FY 2011$2.69M(+3.0% YoY)
Gen Fund: $1.1MTax Rate: $0.115248Freedom: 95.9 (A+)
Official PDF
FY 2010$2.61M(+1.8% YoY)
Gen Fund: $1.1MTax Rate: $0.114787Freedom: 95.9 (A+)
Official PDF
FY 2009$2.57M(+2.6% YoY)
Gen Fund: $1.1MTax Rate: $0.115476Freedom: 95.7 (A+)
Official PDF
FY 2008$2.50M(+2.3% YoY)
Gen Fund: $1.1MTax Rate: $0.115476Freedom: 95.6 (A+)
Official PDF
FY 2007$2.45M(+3.1% YoY)
Gen Fund: $1.0MTax Rate: $0.11513Freedom: 95.5 (A+)
Official PDF
FY 2006$2.37M(+2.9% YoY)
Gen Fund: $1.0MTax Rate: $0.11513Freedom: 95.5 (A+)
Official PDF
FY 2005$2.31M(+3.0% YoY)
Gen Fund: $1.0MTax Rate: $0.114439Freedom: 95.5 (A+)
Official PDF
FY 2004$2.24M(+2.9% YoY)
Gen Fund: $1.0MTax Rate: $0.114782Freedom: 95.4 (A+)
Official PDF
FY 2003$2.17M(+2.8% YoY)
Gen Fund: $0.9MTax Rate: $0.115126Freedom: 95.4 (A+)
Official PDF
FY 2002$2.12M(+2.5% YoY)
Gen Fund: $0.9MTax Rate: $0.115356Freedom: 95.3 (A+)
Official PDF
FY 2001$2.07M(+2.8% YoY)
Gen Fund: $0.9MTax Rate: $0.115587Freedom: 95.2 (A+)
Official PDF
FY 2000$2.01M(+2.3% YoY)
Gen Fund: $0.9MTax Rate: $0.114893Freedom: 95.2 (A+)
Official PDF

Active Code of Ordinances & Municipal Regulations

Search All Ordinances & Regulations →
Order No. 2023-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2023 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2023 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2023-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2024 (2023–2024) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2024 (2023–2024) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2022-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2022 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2022 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2022-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2023 (2022–2023) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2023 (2022–2023) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2021-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2021 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2021 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2021-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2022 (2021–2022) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2022 (2021–2022) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2020-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2020 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2020 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2020-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2021 (2020–2021) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2021 (2020–2021) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2019-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2020 (2019–2020) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2020 (2019–2020) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2019-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2019 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2019 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2018-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2019 (2018–2019) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2019 (2018–2019) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2018-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2018 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2018 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2017-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2018 (2017–2018) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2018 (2017–2018) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2017-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2017 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2017 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2016-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2016 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2016 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2016-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2017 (2016–2017) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2017 (2016–2017) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2015-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2016 (2015–2016) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2016 (2015–2016) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2015-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2015 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2015 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2014-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2015 (2014–2015) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2015 (2014–2015) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2014-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2014 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2014 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2013-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2014 (2013–2014) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2014 (2013–2014) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2013-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2013 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2013 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2012-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2012 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2012 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2012-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2013 (2012–2013) Annual Operating & Capital Budget — Big Bend Regional Hospital District
Official legislative enactment adopting the Fiscal Year 2013 (2012–2013) Operating, Debt Service, and Capital Appropriations Budget for Big Bend Regional Hospit...
Order No. 2011-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2011 Tax Year Ad Valorem Property Tax Rate for Big Bend Regional Hospital District
Official legislative enactment levying the 2011 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...

Elections, Candidate Races & Ballot Propositions (10)

UNIFORM MAY • 2025-05-03

May 2025 Big Bend Regional Hospital District Official General Election Canvass

Voter Turnout: 161 (18.9% of 850 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 4
Laura Portillo WINNER
100.0% (141 votes)
Director, Place 3
Reagan Reed WINNER
100.0% (141 votes)
Director, Place 2
Angela Juett WINNER
100.0% (141 votes)
Director, Place 1
Buddy Cavness WINNER
100.0% (141 votes)
Director, Place 5
Valynda Henington WINNER
100.0% (141 votes)
UNIFORM MAY • 2023-05-06

May 2023 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 289 (17.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
64.0% (185 votes)
Sarah L. Henderson
36.0% (104 votes)
UNIFORM MAY • 2022-05-07

May 2022 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 459 (27.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
69.0% (317 votes)
Michael R. Vance
31.0% (142 votes)
UNIFORM MAY • 2021-05-01

May 2021 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 408 (24.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
65.0% (265 votes)
David C. Morales
35.0% (143 votes)
UNIFORM MAY • 2020-05-02

May 2020 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 476 (28.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
59.0% (281 votes)
Jennifer M. Garza
41.0% (195 votes)
UNIFORM MAY • 2019-05-04

May 2019 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 357 (21.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
67.0% (239 votes)
Rebecca A. Thornton
33.0% (118 votes)
UNIFORM MAY • 2018-05-05

May 2018 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 425 (25.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
72.0% (306 votes)
Rebecca A. Thornton
28.0% (119 votes)
UNIFORM MAY • 2017-05-06

May 2017 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 459 (27.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
54.0% (248 votes)
Sarah L. Henderson
46.0% (211 votes)
UNIFORM MAY • 2016-05-07

May 2016 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 255 (15.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
66.0% (168 votes)
Michael R. Vance
34.0% (87 votes)
UNIFORM MAY • 2015-05-02

May 2015 Big Bend Regional Hospital District Uniform General & Special Election

Voter Turnout: 476 (28.0% of 1,700 registered voters)
Official Canvass PDF

Candidate Races

Director, Place 3 (At-Large)
Reagan Reed WINNER
65.0% (309 votes)
Jennifer M. Garza
35.0% (167 votes)

Meeting Dockets & Agendas (322)

Showing Top 15 • Search All Meeting Dockets →
2026-10-14 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-09-16 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-08-19 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-07-15 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-06-17 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-05-20 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-04-15 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-03-18 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-02-18 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2026-01-21 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2025-12-17 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2025-11-19 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2025-10-15 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2025-09-10 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting

2025-08-13 • REGULAR SESSION

Big Bend Regional Hospital District Board of Directors Regular Meeting