Nacogdoches Hospital District
Hospital District

Lynn Lindsey, CEO/Administrator
(936) 221-5801
Lynn Lindsey

With more than 35 years of experience in both the public and private sector, Lynn Lindsey has some clearly defined leadership principles.

“Employee morale is one of the most important things,” Lynn said. “Employees are the backbone of the organization. Your employees needs to know that you will support them and they also need to know that you would never ask them to do something you wouldn’t do yourself. You’re all in it together! And that brings us to integrity. Everyone needs to be able to see and know who I am -- honest, trustworthy and loyal.”

Lynn’s role as administrator for the Nacogdoches County Hospital District is her second act. She began her public accounting career in 1985 with Alexander & Rogers, and worked for three different local firms, concentrating mostly on financial presentation and the preparation of state and federal tax reports. She then entered the private sector, where she spent 15 years managing office staff and preparing financial reports. She has an Associate Degree in computer technology and a Bachelor’s Degree in accounting.

“I had actually retired and had been home for five months when my husband decided I needed to go back to work,” Lynn said. “I applied for a staff accounting position at Nacogdoches Memorial Hospital (work 8-5, no decision-making responsibilities, perfect job to take me into the sunset!). This was in September 2016, before a lot of changes that were on the horizon. I was eventually promoted to accounting manager and subsequently director of accounting. Upon the sale of the operations of the hospital, I was asked to ‘fill the shoes’ of administrator for NCHD. I excitedly agreed and have continued that role to present.”

Since accepting the position Lynn has relied on her leadership and management experience to shepherd NCHD through a period of transition, and she enjoys the opportunity to help her team make a difference in her community.

“My favorite part of the job is coming to work daily with co-workers,” she said. “The most challenging is navigating through the paperwork and emails. And the most rewarding is the completion of a project.”

Lynn’s husband, Larry, works in contractor sales for a national supply company. Their son, Cody, is a graduate of SFA with a masters in exercise physiology, and he works with the Heart Institute in Lufkin. Lynn is a member and co-treasurer of Geneva Baptist Church, and she is an active community volunteer.

Tell us something about yourself that would surprise us: I played softball for 45 years.

Describe yourself in one word: Dedicated.

What is your hobby or favorite leisure-time activity? Working outside, traveling with my friends.

Rhonda McCabe, CAO
Rhonda McCabe
Rhonda delivers more than 30 years of medical industry experience to her role as CAO for the Nacogdoches County Hospital District. She has spent most of her career in organizations that are financially stressed, so she understands how to stretch tight budgets and has a true understanding of the importance of revenue cycle management. Her resume includes work in a variety of practices, from large non-profit systems to a 25- bed surgical hospital. She also co-founded a medical billing company to provide health organizations with supportive, effective and skilled staff.  Rhonda is a licensed CPA in the state of Texas. She earned her Bachelor of Science in Accounting from Oklahoma State University and has a Master of Science in Health Care Administration from the Medical College of Virginia. Eager to give back to the community she now calls home, Rhonda serves as co-chair for the Reflections of Hope organization.

Ella Nobles, Operations Manager/Director of Foundation Services & Auxiliary Liaison

Ella Nobles

Ella is a lifelong resident of Nacogdoches County (she said, they like to call us “BINS”). She attended and graduated from Nacogdoches High School and entered work in the healthcare industry while a student at NHS. She continued her career, starting in dietary services at Nacogdoches Memorial Hospital and eventually moved up to her multiple roles with Nacogdoches County Hospital District. In addition to serving as Operations Manager for the district, she serves as the director of Foundation Services and liaison to the Auxiliary.  

Ella has two wonderful children and four adoring grandbabies. She is a member of Miracle Tabernacle Praise and Prayer Cathedral, where she serves supervisor of ministry. She also co-chairs efforts for the Reflections of Hope organization. Ella is active in the community and was recently named an honorary member of the Nacogdoches Memorial Auxiliary. She has also partnered in community events with Nacogdoches Head Start, SFA Early Childhood Lab, Christ Episcopal School, Nacogdoches Senior Center, Brown Community Health Center, 21/7, Nacogdoches County Chamber of Commerce, and Better Together.

Describe yourself in one word: Giver.

What is your hobby or favorite leisure-time activity? Shopping!

Karlie Cawthon-Church, Senior Financial Accountant 
(936) 221-5806

Karlie Cawthon-Church

Karlie is a passionate and dedicated individual who has found her calling in the financial realm while nurturing her love for cooking, arts and crafts, exploring new destinations, and cherishing moments with her two wonderful children.

Graduating from Stephen F. Austin State University in 2018 marked the beginning of Karlie's professional journey. She embarked on her career at Nacogdoches County Hospital District, initially serving as a Staff Accountant. Over the years, Karlie has consistently demonstrated her commitment to excellence, leading her to ascend to the position of Senior Financial Accountant/Payroll Specialist.

Karlie's work at Nacogdoches County Hospital District is as diverse as her interests. From delving into the intricacies of Information Technology to meticulously balancing books and budgets, she brings a multifaceted skill set to her role. This versatility enables her to navigate the complexities of financial management with finesse.

Beyond her professional achievements, Karlie is a devoted mother to her two kids, finding joy in creating lasting memories with them. Her enthusiasm for arts and crafts is evident in her creative pursuits outside the workplace, showcasing a side of her that adds a vibrant touch to her life.

In her downtime, you can find Karlie exploring the world, fueled by her passion for travel. Whether it's discovering new cultures or simply unwinding by the pool, she embraces the diverse experiences life has to offer. Moreover, Karlie is known for her philanthropic spirit, always ready to lend a helping hand to those in need. Her commitment to community service reflects her compassionate nature and desire to make a positive impact beyond the confines of her professional responsibilities.

As Karlie continues to excel in her role as a Senior Financial Accountant/Payroll Specialist, her journey exemplifies the harmonious blend of professional success and a rich, fulfilling personal life centered around family, creativity, exploration, and altruism.


Favorite pastime: My favorite thing to do is travel!

Quote to live by: “If we were meant to stay in one place, we’d have roots instead of feet.” - Rachel Wolchin

Wade Blake, Operations Manager, Nacogdoches County EMS
(936) 559-5156

Wade Blake

For Wade Blake, it’s all about being there to serve in someone’s time of need.

“One of the best parts of my job is seeing the gratitude on people’s faces when you have helped them through a tough time,” Wade said. “We see people in their most desperate and vulnerable times. It’s nice to know I could help them in their time of need.

As Operations Manager for Nacogdoches County EMS, Wade oversees all aspects of the EMS department, including staffing, fleet vehicles, payroll, and supplies. He also assists administration and the Nacogdoches County Hospital District Board of Directors with budget items.

Wade initially planned to go into law enforcement, but a series of knee surgeries put him on a different path. He graduated from Lufkin High School, then attended Angelina College, where he received his EMT-B certification.

“EMS allowed me an opportunity to still serve the public,” Wade said. “I applied at Nacogdoches County EMS because they were a hospital-based service. Most EMS services are fire department-based, so you must be a firefighter. I started with Nacogdoches EMS in December of 1990.”

Wade married his high school sweetheart, Cne’, in June of 1991. They have two sons. Walker teaches English and coaches at Nacogdoches High School. His wife Katie teaches elementary at Central in Lufkin. They have one son, Carter. Jeb works for Lowes in Nacogdoches and is engaged to Kayle, who is a nurse for a doctor in Lufkin.

Wade and his family are members of First Baptist Church in Lufkin. He is a member of The Rotary Club in Nacogdoches, and was actively involved in youth baseball when his sons were younger.

How would you describe your job to your 10-year-old self? Exciting, boring at times, fast-paced, challenging, and ever-changing.

Tell us something about yourself that would surprise us: I am very reserved until I get to know someone.

Describe yourself in one word: Loyal.

José Jesús Rubalcava, Director of Indigent Program & Payroll
(936) 221-5851
Jesus Rubalcava

As Nacogdoches County Hospital District’s Indigent Program Director, Jesús Rubalcava helps people who don’t qualify for state or federal programs get access to health care services. He has worked in health care for more than 22 years, and the path to his new position has been paved by inspiration, encouragement and hard work.

One of Jesús' former teachers, Mrs. Rebecca Shokrian, taught him to speak English when his family first came to the United States, and he credits her with inspiring him to help other people. During his last semester of college, a professor recommended him for the in-house Spanish Interpreter position at Nacogdoches Memorial Hospital. The job was supposed to last for four months, but it turned into a career.

“When I started as an interpreter, I decided to stay in healthcare because of the satisfaction of being able to help the non-English patients,” he said.

In addition to his service as an interpreter, Jesús has also worked at the hospital as a staff accountant, a payroll manager, a financial analyst and controller.

“The positions that I have held have given me the opportunity to work with patients, staff, and many local doctors,” he said. “I have learned medical terms and am able to speak with the patients in a form that they are able to understand.”

Jesús was in the Top Ten of his 1996 graduating class at Westwood High School in Palestine and earned his associate degree in business administration in 1998 from Trinity Valley Community College, where he was a member of Phi Theta Kappa, an International Honor Society of two-year colleges. He graduated Magna Cum Laude with a Bachelor of Business Administration in 2001 from Stephen F. Austin State University, where he was a member of Beta Gamma Sigma, the honor society for collegiate schools of business, and Alpha Chi National College Honor Scholarship Society.

Jesús and his wife, Veronica Chavez Rubalcava, have two daughters, Ariana and Angelica, and two “awesome” dogs, Remington and Bonita. They are members of Our Lady of Guadalupe Catholic Church in Diboll, where Jesús is an instituted acolyte, president of the Pastoral Council and youth group director. In his free time, he enjoys working in the yard, road trips with his family and taking naps.

How would you describe your job to your 10-year-old self? Your job is awesome! You are going to love helping people.

Tell us something about yourself that would surprise us. I love to dance and sing like nobody is watching.

Describe yourself in one word. Godfearing

Wester Couch, Marketing/HR Specialist
(936) 221-5821

A drive to serve steered Wester Couch toward healthcare, and he’s grateful to be part of such a gratifying career.

After completing an internship at the Houston Fire Department, Wester came to Nacogdoches to attend Stephen F. Austin State University and signed up as a volunteer firefighter with a department in the area.

“During one meeting at the department, a volunteer firefighter told me they cannot do much ‘on-scene’ if it was a medical emergency since they did not have their emergency medical technician license,” Wester said. “I told them, ‘Okay! I will go get my certification right now if you do!’ That is how I went to EMT school while in college at the same time, going to school eight to twelve hours a week in the night class at Angelina College. Then, I began working in the ambulance, which officially sparked my beginning in the healthcare industry. I have loved it in every sense and decided this is the industry I would love to stick to.”

Wester earned his Bachelor of Business Administration in Marketing from SFA and is pursuing a master’s in business administration. He has his Emergency Medical Technician certification from Angelina College and is a Basic Life Support instructor. He drew on his experience to write a book, “EMT Insider: Your Guide to EMT School: Includes 10 Subjects I Wish I Knew Before EMT School.”

As Marketing/HR Specialist with the Nacogdoches Hospital District, Wester focuses on community outreach and awareness, communication, community partnerships, recruitment and employee relations.

“My favorite part of the job is the people and the analytics!” he said. “I really enjoy seeing improvement in areas of profits, employee engagement, and patient satisfaction through the strategies we implement. It's incredibly satisfying to analyze the data and see tangible evidence that our efforts are making a difference. The human aspect is equally rewarding; I love the interactions, be it helping to solve an employee's problem, recruiting a fantastic new team member, or receiving positive feedback from the community we serve. The personal connections and the data-driven outcomes both validate the work I do every day.”

What two or three things are most important to you in your job?   
The people, the metrics & the growth.

How would you describe your job to your 10-year-old self?  
I take care of people. Even in Marketing, I ensure they get what they need and are informed.

Describe yourself in one word.  

Michelle McCollum, Project Manager
(936) 221-5854

Michelle graduated from Pineville High School in Pineville, Louisiana before attending Northwestern State University in Natchitoches, Louisiana, for 2 years. She has over 34 years of experience working in facilities and support services, including planning, and managing projects.

Michelle has lived in Nacogdoches for the past 35 years after moving here for her husband Trey's job. They married in 1986 after meeting in high school. Together, they have two daughters, Kailyn, and Kendall, two great sons-in-law, and four granddaughters with a fifth on the way.

In her role as Project Manager for the Nacogdoches County Hospital District, Michelle utilizes her decades of experience to excel at planning and executing projects for the hospital. She puts patients first to ensure they have a comfortable and safe environment. Michelle started in healthcare as a Pharmacy Technician before moving into facilities management.

Michelle's favorite part of her job is working with a united staff, and Board focused on providing quality care for the local community. Her goals are to positively impact, facilitate growth and improvements in healthcare accessibility, and see projects through from start to finish.

How would you describe your job to your 10-year-old self?  I start projects that are assigned to me, plan them out, and follow up till completion.

What is your hobby or favorite leisure-time activity? My favorite time is making memories with my granddaughters.  We love to do fun things together.  I also love vacations with my family.

Describe yourself in one word: Dedicated

Rebecca Sparks, Controller
(936) 221-5796


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