Regular Meeting — January 27, 2026

I. Call to Order

II. Roll Call

III. Approve HMHD Board of Directors Meeting Minutes – December 16, 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, Requests to Change Staff Status, and a Resignation – Hunt Regional Medical Center Medical Staff and the Allied Health Professional Staff

B. Action Items

1. May 2, 2026 Election Order Number 367
2. Hunt Memorial Hospital District Organization Chart
3. December 2025 Financial Statements

C. Discussion Items

1. Strategic Initiatives
2. Chairman’s Report
3. President/Chief Executive Officer’s Report
   • Royse City Opening Update
   • Bond Projects Update
   • Physician Recruitment
   • CFO Search Update

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

Due to the extensive winter storm that impacted Northeast Texas from January 23 to January 27, 2026, the Hunt Memorial Hospital District Board of Directors meeting originally scheduled for Tuesday, January 28, 2026, was rescheduled to Tuesday, February 3, 2026, to ensure safer road conditions for all attendees.

The Board of Directors of Hunt Memorial Hospital District conducted a meeting on Tuesday, February 3, 2026, 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, Dr. Scott Pierce, Mrs. Julia Wensel. Absent: Mrs. Leslie Killgore, Mrs. Janet Peek, Mr. Michael Taylor. A quorum was present.

Approval of Minutes

Mr. Oswald moved, seconded by Mr. Nelson, to approve the December 18, 2025, meeting minutes as presented. The motion carried unanimously.

Medical Staff Report

Dr. Allembaugh reported that the medical staff is preparing for the upcoming Joint Commission survey. There are current vacancies for the Secretary and Chief of Staff-Elect positions, and an election will be held soon to fill those openings.

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 before or during the Board’s consideration of said items.

Introductions of Officers and Directors

There were no introductions made.

Unfinished Business

There was no unfinished business.

New Business

Consent Agenda

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

• Appointments, requests to change staff status, and a resignation for the Hunt Regional Medical Staff and Allied Health Professional Staff upon recommendation of the Board Credentials Review Committee

Election Order No. 367

Mr. O’Neil presented Order Number 367, an order of election of Hunt Memorial Hospital District to be held on Saturday, May 2, 2026, for the purpose of electing two hospital directors from each of Commissioner’s Precincts Two and Four in Hunt County. Applications for place on the ballot shall be filed by 5:00 p.m., Friday, February 13, 2026. Mr. Helton encouraged Commerce community members to consider applying for the two open positions in Commissioner’s Precinct 2. Following discussion, Mrs. Clack moved, seconded by Mr. Helton, to adopt Order Number 367 as presented. The motion carried unanimously.

HMHD Organization Chart

Mr. Boles presented the revised Organization Chart and outlined the following changes: Tammy Walsh has accepted the full-time Vice President Chief Financial Officer position, Dr. Usman is the new Vice President Physician Services responsible for Medical Partners, Graduate Medical Education, the Hospitalists/Intensivists, and the Internal Medicine Residency Clinic; Chad Martin is the Vice President Financial Operations responsible for the Revenue Cycle including Health Information Management, Clinics Patient Accounts, Patient Access, and Patient Financial Services; and Brandi Isham, Vice President Quality/Clinical Integration, will add Cardiopulmonary, Laboratory, and Lab Solutions departments under her leadership. He reported that, to assist Ms. Isham, Ashley Strait has been promoted to Director of Quality/Coordinated Care/Medical Staff/CDI. Following the overview, Mr. Oswald moved, seconded by Mrs. Clack, to approve the revised District Organization Chart as presented. The motion carried unanimously.

Financial Statements

Mr. Boles presented the December 2025 financial statements and provided a financial analysis of expenses and revenue for the first quarter of FY 2026 compared to FY 2025. Following the presentation and review of statistics and bond sale activities, Mr. Oswald moved, seconded by Mrs. Clack, to approve the financial statements subject to audit. The motion carried unanimously.

Discussion Items

Strategic Initiatives

Strategic initiatives may be discussed in Executive Session.

Chairman’s Report

There was no report.

President/CEO Report

Mr. Boles reported the following: The Royse City facility currently has clinics on the second floor for OB/GYN, Pediatrics, and Primary Care, with an Orthopedic Clinic coming at a later date. Taryn Wade, RN, will oversee the operations, and TeamHealth EMC will provide physician staffing for the Emergency Department. The last component of opening the Emergency Department is the Electronic Health Record (EHR), and the District is awaiting the proposal from Cerner/Oracle. There was discussion on EHR options, and Cerner is preferred to be the quickest pathway to opening the Emergency Department.

Titus Regional Medical Center in Mount Pleasant was sold to CHRISTUS Health System last evening. Hunt Memorial Hospital District is the only independent hospital east of I-30.

An update on the bond projects was provided; an option to use a second linear accelerator at $300,000 a month with a temporary vault instead of building a second vault for the new linear accelerator is being considered; the waterproofing project is back on track; and costs for the roofing and parking lot/sidewalk projects are less than originally stated. These savings will go towards the renovation/expansion costs of the Emergency Room.

Dr. Usman reported the following: an update on recruitment activities for General Surgery, Orthopedic Surgery, and Gastroenterology. Succession planning is an area they will be working on to address open slots and aging providers.

The Internal Medicine Residency Program is doing well, and the first class will graduate in June 2027. The final survey of the Residency Program is expected in April, and the results will then be reviewed by the ACGME in September. The program received a $900,000 grant, and Dr. Usman expressed appreciation to everyone who assisted in the grant process.

Executive Session

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

Adjournment

There being no further business, the meeting adjourned at 6:42 p.m.