Regular Meeting — December 16, 2025

I. Call to Order

II. Roll Call

III. Approve HMHD Board of Directors Meeting Minutes – November 18, 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, Request for Additional Clinical Privileges, Changes in Staff Category, Changes in Staff Status, and Resignations – Hunt Regional Medical Center Medical Staff and the Allied Health Professional Staff
2. Hunt Regional Healthcare Strategic Plan for Achieving Health Equity 2025/2026
3. Hunt Memorial Hospital District Patient Safety Culture Survey Policy
4. Hunt Memorial Hospital District Patient Safety Event/Serious Reportable Event Policy
5. Hunt Memorial Hospital District Sentinel Events Policy
6. Revised Hunt Regional Healthcare 2025 Plan for Patient Services
7. Annual Review of Hunt Memorial Hospital District Investment Policy
8. Memorandum of Understanding for Greenville Rec Center Lease Space
9. Purchase of an Oculogica Eyebox for Occupational Health

B. Action Items

1. Consider Charitable Donation of Real Estate
2. Physician Recruitment Contract for Pulmonary and Sleep Medicine Services
3. Schedule a Special Board of Directors’ Meeting to Approve Bond Pricing and Execute a Bond Purchase Agreement
4. Discussion and Consideration of an Agreement to Participate in Caddo Mills TIRZ #2
5. Financial Statements

C. Discussion Items

1. Strategic Initiatives
2. Chairman’s Report
3. President/Chief Executive Officer’s Report
   • Royse City Opening Update
   • Anesthesia Services Proposal
   • Bond Issuance Update
   • Physician Recruitment
4. Compliance Report

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, December 16, 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, Mrs. Leslie Killgore, Mr. John C. Nelson, Jr., Mr. Wesley Oswald, Mrs. Janet Peek, Dr. Scott Pierce, Mr. Michael Taylor, Mrs. Julia Wensel. A quorum was present.

Approval of Minutes

Mrs. Peek moved, seconded by Mrs. Clack, to approve the November 18, 2025, meeting minutes as presented. The motion carried unanimously.

Medical Staff Report

Dr. Allembaugh reported that medical executive committee members are reviewing quality measures and working collaboratively on setting goals for the coming year.

Citizens to Be Heard on Non-Agenda Items

There were no citizens to be heard on non-agenda items.

Public Testimony

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

Unfinished Business

There was no unfinished business.

New Business

Consent Agenda

Dr. Pierce removed the Hunt Regional Healthcare Strategic Plan for Achieving Health Equity 2025/2026 and the Memorandum of Understanding for Greenville Rec Center Lease Space from the consent agenda. Mr. Nelson moved, seconded by Mrs. Peek, to approve the remaining consent agenda items as recommended. The motion carried unanimously. Items approved:

• Appointments, requests for additional clinical privileges, changes in staff category, changes in staff status, and resignations for the Hunt Regional Medical Staff and Allied Health Professional Staff
• Hunt Memorial Hospital District Patient Safety Culture Survey Policy
• Hunt Memorial Hospital District Patient Safety Event/Serious Reportable Event Policy
• Hunt Memorial Hospital District Sentinel Events Policy
• Revised Hunt Regional Healthcare 2025 Plan for Patient Services
• Annual review of the Hunt Memorial Hospital District Investment Policy
• $60,045.00 for the purchase of an Oculogica Eyebox for Occupational Health

HRH Strategic Plan for Improving Access to Care 2025/2026

Ms. Isham presented changes to the Hunt Regional Healthcare Strategic Plan, noting CMS refined the language from “achieving health equity” to “access to care.” Additional changes include stratifying data collected on “Stroke Last Known Well to Arrival Time” by relevant patient characteristics, and reviewing care access and outcomes dashboards quarterly by the Quality Council. Mrs. Clack moved, seconded by Mrs. Killgore, to approve the plan as presented. The motion carried unanimously.

MOU for Greenville Rec Center Lease Space

Mr. Potter presented a proposed Memorandum of Understanding between Hunt Memorial Hospital District and the City of Greenville to lease approximately 5,039 sq. ft. of tenant space within the City of Greenville’s SportsPark Center for rehabilitation and related healthcare services. The outpatient rehab services will relocate to this space, with a conservative revenue estimate of $2.8M and expenses of $1.8M. Patient volume is anticipated to grow due to higher foot traffic and community visibility. The vacated gym space in the hospital may be repurposed for cardiac rehab. Mr. Taylor moved, seconded by Mr. Oswald, to approve the Memorandum of Understanding as presented. The motion carried unanimously.

Charitable Donation of Real Estate

Mr. Boles presented a proposal for the Board to consider the donation of the 4.17-acre former hospital and outpatient behavioral health sites on Sterling Hart Drive to the City of Commerce for the development of a walking trail funded through grants. An intergovernmental agreement will formalize the transfer, allowing the city to assume ownership without lease obligations. Mr. Oswald moved, seconded by Mrs. Peek, to proceed with the intergovernmental agreement to transfer ownership to the City of Commerce as outlined. The motion carried unanimously.

Introduction of Officers and Directors

Mr. Boles reported recent changes in leadership: Chad Martin is the Vice President of Financial Operations; Brandi Isham, Vice President of Quality and Coordinated Care, will oversee the Laboratory and Cardiopulmonary departments; and Dr. Usman has accepted the position of Vice President of Physician Services while continuing as Medical Program Director of the Internal Medicine Residency Program. The Board congratulated the staff on their new positions and additional responsibilities.

Pulmonary Services

Dr. Usman presented a proposal for Medical Partners to purchase Greenville Pulmonary Associates for $80,000 over two years. Dr. Philip will continue seeing pulmonary patients, serving as an ICU Intensivist, and remaining as core faculty for the Internal Medicine Residency Program. The current Advanced Practitioner Provider will transition to full-time to improve patient access. A review of the pro forma indicated a net gain in year three. Mr. Oswald moved, seconded by Mrs. Clack, to approve the purchase as outlined. The motion carried unanimously.

Special HMHD Board Meeting Date

Mr. Boles reported that following a due diligence call with bankers and legal counsel, the hospital district may proceed with the bond issuance. The proposed special meeting date was set for January 13, 2026. Mr. Helton moved, seconded by Mrs. Peek, to hold a special Board meeting at 5:30 PM on Tuesday, January 13, 2026, for the purpose of authorizing the sale of the Hunt Memorial Hospital District General Obligation Bonds, Series 2026. The motion carried unanimously.

Caddo Mills TIRZ #2

Ms. Petty presented a proposal for a Caddo Mills Tax Increment Reinvestment Zone #2 on 4,169.37 acres with an estimated taxable value of over $1.6B, with potential to rise to $3B with full development. The City requested the Hospital District participate at 50%, appoint two members to the TIRZ Board, and provide a list of potential hospital projects. The 30-year term terminates December 31, 2055. Mr. Oswald moved, seconded by Mr. Taylor, to proceed with the Caddo Mills TIRZ #2 as presented. The motion carried, with Mr. Helton and Mrs. Peek opposing.

Financial Statements

Ms. Walsh presented the November 2025 financial statements and statistical data. Mr. Taylor moved, seconded by Mrs. Peek, to approve the November 2025 financial statements subject to audit. The motion carried unanimously.

Discussion Items

Strategic Initiatives

Strategic initiatives were discussed in Executive Session.

Chairman’s Report

Dr. Pierce reported that beginning in January, board meetings will return to their regular fourth Tuesday schedule. The January regular meeting will be on the 27th, and the special meeting for the bond sale will be held on January 13th.

President/CEO Report

Mr. Boles reported that two candidates were interviewed for the CFO position the prior week with another candidate scheduled. He also expressed appreciation to Julie Gibson and the Hunt Regional Healthcare Foundation for purchasing new inpatient mattresses for patients.

Compliance Report

Mr. O’Neil presented the Compliance Report for the third quarter (July–September) 2025. A total of 224 employees completed compliance training. Sanction checks totaled 198 and were negative. Medical Staff appointments/reappointments: 20 in July, 23 in August, and 20 in September. No hotline or investigation reports were received during the quarter. Exit interview HR issues in July and September were investigated and addressed. No physician compensation agreements were approved by the Compliance Committee during the quarter. The report was accepted.

Executive Session

An Executive Session was held under Texas Government Code §551.072 and §551.085. Following the Executive Session, no action was taken.

Adjournment

Dr. Pierce wished everyone a safe and happy holiday. There being no further business, the meeting adjourned at 7:32 p.m.