WCCHD Board of Directors

The West Custer County Hospital District Board of Directors oversees Custer County Medical Center and Custer County Emergency Medical Services, our funding and our communities’ health concerns. These services comprise key roles for the Hospital District, which is a special tax district formed by the voters of Custer County to serve our county, our region and our visitors. We provide a long list of services, host visiting providers and promote community wellness.

The district dates to Jan. 1, 1988, following its approval by the county’s voters. At the time, it acquired the assets and duties of the nonprofit Custer County Medical Association, which itself formed in 1970, with the goal of establishing a medical office to support a physician. Initially, the district’s rural clinic was in a building at the corner of Rosita and 5th streets in Westcliffe. By May 2000, the Hospital District had completed our Medical Center at 704 Edwards Avenue.

The district has taxing authority, collecting a total of 7.908 mils in property taxes, with 3 mils restricted to supporting Emergency Medical Services. Other revenues come from fees and reimbursements.

The board meets from 3 to 5 p.m. the last Thursday of each month in the training room of our Custer County EMS Building. You can find minutes and agendas linked below on this page, along with other public documents, information about our board members and their contact information. Board members serve staggered four-year terms.

Meet the Board

Robert Tobin, Chairman

Bob Tobin serves as chairman of the West Custer County Hospital District board of directors and has been involved in the community since moving to Custer County in late 2006.

Bob’s work background includes 37 years with Merrill Lynch financial services. He and his wife, Renee, have four grown children living around the country, from Alaska to Massachusetts. Bob and Renee volunteer with the Garden Club, the West Custer County Library, Altitude Community Fitness, Custer County Schools and High Country Recycling.

Tony Crenshaw

Tony Crenshaw, EMS Liaison

Tony Crenshaw serves on the WCCHD Board as the EMS Liaison. This is his first foray into community service since retiring and moving to Westcliffe in 2022.

Tony spent forty years in public safety as a first responder. First as an ocean lifeguard and then thirty plus years as a career firefighter in southern California. He and his wife, Stacy, have family both here in Westcliffe and in Colorado Springs. This includes four adult children and seven grand kids.

Besides spending time with family, they are currently working on restoring their 100 year old home in the Wet Mountains.

Cindy Alvarado, Treasurer

Cindy Alvarado, Treasurer

Cindy Alvarado has 35 years of experience in the field of finance. She founded TLC Bookkeeping in 1998 and has been its sole proprietor for the past 25+ years.

TLC Bookkeeping has successfully served the full-charge bookkeeping needs of an extensive range of small businesses, non-profits and individual finances, including that of a 2020 & 2024 U.S. Presidential Candidate. Additionally, Cindy possesses another 20 years of progressive experience successfully operating accounting departments at several companies, including a non-profit community resource center for 9 years.  

Cindy and her husband moved to Westcliffe in 2021 from Colorado Springs. Her husband is a First Grade Teacher at Custer County Elementary School and they are the proud parents of 4 adult children. Not only are they actively involved with Custer County School District, but they volunteer as Sunday School Teachers at Sangre De Cristo Fellowship where they attend Sunday services. Cindy also co-owns and runs Thrifty Cliffe, a local thrift boutique, with her mom and daughter. She is proud to run a three-generation, woman-owned business in downtown Westcliffe. Besides spending time with family and their many animals, Cindy & her husband very much enjoy small town life and the ongoing development of their ranch in Westcliffe.

Thomas Neches

Thomas Neches, Member at large

 Thomas Neches, managing partner of Thomas Neches & Company LLP, provides accounting, financial, business valuation and statistical analyses to assist trial attorneys.

 Mr. Neches has testified as an expert in state and federal courts in Arizona, California, Florida, Kentucky, Missouri, Nevada, New York and Oregon. He is a Certified Public Accountant, Accredited in Business Valuation, a Certified Valuation Analyst, a Certified Fraud Examiner and is Certified in Financial Forensics. Mr. Neches received his BA in Mathematics and Literature from UC San Diego and his MS in Operations Research from UCLA. 

Mr. Neches has testified to juries on behalf of both plaintiffs and defendants in antitrust, breach of contract, fraud, intellectual property, lender liability, personal injury and wrongful termination cases. Examples of the litigation issues he has addressed include lost profits, lost business value, determining a reasonable royalty and piercing the corporate veil. Representative industries include banking, entertainment, insurance, manufacturing, retail, securities and wholesale. Mr. Neches specializes in applying computer database and statistical techniques to assemble and analyze voluminous and complex data. 

Mr. Neches has more than forty years of professional experience. Prior to forming Thomas Neches & Company in 2000, he was Senior Partner of Simpson & Company, a firm of certified public accountants specializing in litigation services. Previously, he was a partner at Coopers & Lybrand (now PricewaterhouseCoopers) in its litigation services practice in Los Angeles. Prior to joining Coopers & Lybrand he was a manager in the management consulting group of Arthur Young & Company (now Ernst & Young), where he specialized in operations improvement, systems analysis and litigation consulting. Before that he was head of the technical staff at The Assessment Group, a consulting firm which conducted economic and cost analysis for the U.S. Navy. Mr. Neches has acted as a Judicial Arbitrator of the Superior Court of the State of California for Los Angeles County. 

 During 2003-2013, Mr. Neches was an Adjunct Professor at Loyola Law School. He has been an instructor in numerous regional and local courses on litigation services. Among other publications he has authored, Mr. Neches is the co-author of “Use of Expert Witnesses” in Prosecuting and Defending Insurance Claims (John Wiley & Sons, 1989). 

Mr. Neches is a member of the American Institute of Certified Public Accountants, the National Association of Certified Valuators and Analysts, the Association of Certified Fraud Examiners, the American Statistical Association and the American Bar Association. 

Alma Golden

Alma Golden, Incoming Secretary

Dr. Alma Golden is a pediatrician who retired full-time to her home in the Wet Mountain Valley in 2021, where her family has had roots and property for over 25 years.

Her most recent assignment was in Washington, DC leading the Bureau for Global Health in the United States Agency for International Development as the White House Appointed, Senate-confirmed Assistant Administrator.  Previously (2002-2006) she served under President George W. Bush in Health and Human Services leading the Office of Population Affairs.  Her career has included private pediatrics, indigent health services, academic medicine (University of Texas Medical Branch, Galveston, and Texas A&M University), healthcare administration, adolescent health, and national and international public health policy.  She began her professional career as a 7th grade Life Science teacher before entering medicine.  Alma is delighted to be the grandmother of 13 wonderful children and young adults.


Upcoming Board Meeting Agenda

Board Minutes

— 2022 —

— 2021 —


— 2020 —


— 2019 —

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