Regular Meeting — November 18, 2025

I. Call to Order

II. Roll Call

III. Approve HMHD Board of Directors Meeting Minutes – October 9, 2025, and October 28, 2025

IV. Medical Staff Report

V. Citizens to Be Heard on Non-Agenda Items

Speakers are limited to three minutes. Citizens are invited to address the Board on topics not already scheduled for a Public Hearing. Please sign up to speak prior to the meeting. The Board cannot take action on items not listed on the agenda under the Texas Open Meetings Act.

VI. Public Testimony

Speakers may opt to be heard at the time the agenda item is called and are limited to three minutes.

VII. Introduction of Officers and Directors

VIII. Unfinished Business

IX. New Business

A. Consent Agenda

1. Appointments and Requests to Change Staff Status – Hunt Regional Medical Center Medical Staff and the Allied Health Professional Staff

B. Action Items

1. Consider an Increase in the Texas Capital Bank IGT Line of Credit
2. September 2025 Financial Statements
3. October 2025 Financial Statements

C. Discussion Items

1. Strategic Initiatives
2. Chairman’s Report
3. President/Chief Executive Officer’s Report
   • ACA Insurance Market Perspective After BBB Impact
   • Anesthesia Services Proposal
   • Bond Issuance Update
   • Royse City Update
   • Physician Recruitment

X. Executive Session

XI. Adjourn

Meetings of the Board of Directors of Hunt Memorial Hospital District are accessible to people with disabilities. If you need an interpreter or special assistance, please call 903-408-1621 or email stice@huntregional.org at least 72 hours prior to the scheduled meeting.

Call to Order

The Board of Directors of Hunt Memorial Hospital District conducted a meeting on Tuesday, November 18, 2025, at 5:30 p.m. in the sixth-floor Homer Horton, Jr. Boardroom at Hunt Regional Medical Center, 4215 Joe Ramsey Boulevard, Greenville, Texas. Dr. Pierce, Chairman, called the meeting to order.

Roll Call

Members present: Mrs. Deborah Clack, Mr. William Jefferson Helton, Mr. John C. Nelson, Jr., Mr. Wesley Oswald, Mrs. Janet Peek, Dr. Scott Pierce, Mr. Michael Taylor, Mrs. Julia Wensel. Absent: Mrs. Leslie Killgore. A quorum was present.

Approval of Minutes

Mrs. Clack moved, seconded by Mrs. Wensel, to approve the October 9 and October 28, 2025, meeting minutes as presented. The motion carried unanimously.

Medical Staff Report

Dr. Allembaugh reported that the medical staff funded the purchase of 370 turkeys to be included in Thanksgiving food boxes, with a total of 514 boxes to be distributed. The hospital participated in an active shooter drill and all went well. She also extended an invitation to attend the Fourth Annual Holiday Tree Spectacular on November 21 from 6–8 PM at the Senior Center to support the Meals on Wheels Program, which serves 12,000 meals a month throughout Hunt County.

Citizens to Be Heard on Non-Agenda Items

Several community members spoke against the abrupt emergency room closures and insufficient public notice, urging the need for transparency and requesting that a town hall meeting be held. Ms. Welch submitted a petition of over 1,700 signatures supporting the reopening of the Commerce ER. Following comments from other community members on the need for clear communication and transparent financial reporting, the Board thanked everyone for their attendance and comments.

Public Testimony

There were no members of the public present to address the Board of Directors regarding any item of the agenda.

Introduction of Officers and Directors

Mr. Boles introduced Tammy Walsh as Interim CFO, who is assisting during the permanent CFO recruitment process with CHC and will begin full time the following week. The Board welcomed Ms. Walsh. Mr. Hurley introduced Kim Saenz as the new Service Excellence Director, replacing Jennifer Padilla who accepted an Oncology position in Tyler. Ms. Saenz has 35 years of service with the Hospital District and is very active in community activities. The Board congratulated Ms. Saenz in her new position.

Unfinished Business

There was no unfinished business.

New Business

Consent Agenda

Mr. Oswald moved, seconded by Mrs. Clack, to approve the following consent agenda item as recommended. The motion carried unanimously.

• Appointments and requests to change staff status for the Hunt Regional Medical Staff and Allied Health Professional Staff

Financial Statements

Mr. Boles presented the September and October 2025 financial statements and statistical data. Mr. Taylor moved, seconded by Mr. Oswald, to approve the September and October 2025 financial statements subject to audit. The motion carried with Mr. Helton opposing.

Texas Capital IGT Line of Credit

Mr. Boles reported there was no action to be taken on the Texas Capital Bank IGT line of credit item, as it was included on the agenda as a placeholder in case there was a need to borrow additional money to fund the intergovernmental transfers.

Discussion Items

Strategic Initiatives

Strategic initiatives were discussed in Executive Session.

Chairman’s Report

Dr. Pierce reported that during the December 16th Board meeting, the Board will consider bond pricing and approval with a target closing date of January 8, 2026.

President/CEO Report

Mr. Boles reported that Ms. Ridge presented information on significant changes in patient insurance coverage that may increase financial risk and impact patient volume beginning January 1, 2026, as new insurance plans are decreasing reimbursements and increasing premiums, causing clients to go uninsured. Education is being provided to billing and business office staff to prepare for financial and operational impacts.

Mr. Hurley reported that the current CRNA anesthesia program is subsidized at $2.1 million annually and faces a proposed $960,000 increase due to rising CRNA salaries. All alternative proposals reviewed over the past three months are similar in cost. The hospital will continue to negotiate with the current provider, with a contract renewal effective January 1, 2026, pending full Board approval of final terms.

Mr. Boles reported that bond counsel and financial advisors will attend the December 16th meeting to set the rate and approve the $29.3 million bond issuance with a delivery date of January 8, 2026.

Mr. Boles reported the Royse City inspection was scheduled for the following day with no issues expected, and that Mr. Potter is working on the Electronic Health Record with Oracle.

Mr. Boles reported that Dr. John, Gastroenterologist, is leaving at the end of January to open a private practice closer to his home in Collin County.

Executive Session

An Executive Session was held under Texas Government Code §551.071, §551.074, and §551.085. Following the Executive Session, no action was taken.

Adjournment

There being no further business, the meeting adjourned at 7:33 p.m.