Regular Meeting — February 24, 2026

I. Call to Order

II. Roll Call

III. Approve HMHD Board of Directors Meeting Minutes – January 13, 2026, and February 3, 2026

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, a Request for Additional Clinical Privileges, Changes in Staff Status, and Resignations – Hunt Regional Medical Center Medical Staff and the Allied Health Professional Staff
2. 2026 Stroke Performance Improvement Plan
3. Hunt Regional Healthcare 2025 Annual Quality/Safety and Risk Report
4. Hunt Regional Healthcare 2026 Performance Improvement Plan
5. Hunt Regional Medical Center 2026 Infection Prevention and Control Annual Program Evaluation
6. Soma Stille Imagiq2 Vascular Table for the Hunt Regional Medical Center Surgical Services Department
7. AGFA Healthcare 100 TB Additional Archive Storage for the Hunt Regional Medical Center Radiology Department
8. Fiscal Year 2025 Audit

B. Action Items

1. Cancellation of May 2, 2026 Board of Directors Election
2. January 2026 Financial Statements

C. Discussion Items

1. Strategic Initiatives
2. Chairman’s Report
3. President/Chief Executive Officer’s Report
   • Physician Recruitment
   • Royse City Electronic Health Record Update
   • Marketing Video and Marketing Update
4. Quality Performance Report
5. 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, February 24, 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, Mrs. Leslie Killgore, Mr. John C. Nelson, Jr., Mr. Wesley Oswald, Mrs. Janet Peek, Dr. Scott Pierce, Mr. Michael Taylor. Absent: Mrs. Julia Wensel. A quorum was present.

Approval of Minutes

Mr. Oswald moved, seconded by Mrs. Killgore, to approve the January 13 and February 3, 2026, meeting minutes as presented. The motion carried unanimously.

Medical Staff Report

Dr. Allembaugh reported that everything is going well. The medical staff is working on the bylaws with Mr. O’Neil to make modifications.

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.

Introduction of Officers and Directors

Ms. Isham introduced Ashley Strait, who has been promoted to the Quality and Coordinated Care Director role. She has been with the organization for 13 years and has been a nurse for 20 years with a doctorate in nursing. The Board welcomed Ms. Strait in her new role.

Unfinished Business

There was no unfinished business.

New Business

Consent Agenda

Dr. Pierce requested the Fiscal Year 2025 Audit item be removed from the Consent Agenda. Mrs. Clack moved, seconded by Mr. Nelson, to approve the remaining consent agenda items as recommended. The motion carried unanimously. Items approved:

• Appointments, a request for additional clinical privileges, requests to change staff status, and resignations for the Hunt Regional Medical Staff and Allied Health Professional Staff
• 2026 Stroke Performance Improvement Plan
• Hunt Regional Healthcare 2025 Annual Quality/Safety and Risk Report
• Hunt Regional Healthcare 2026 Performance Improvement Plan
• Hunt Regional Medical Center 2026 Infection Prevention and Control Annual Program Evaluation
• $36,950 for the purchase of a Soma Stille ImagiQ2 Vascular Table for the Hunt Regional Medical Center Surgical Services Department
• $82,764 for the purchase of AGFA Healthcare 100 TB additional archive storage for the Hunt Regional Medical Center Radiology Department

Fiscal Year 2025 Audit

Mr. Taylor reported that lead auditor Danielle Zimmerman met with him and the Finance/Budget Committee to discuss the fiscal year 2025 audit. She reviewed areas being addressed and cleaned up going forward. He noted improvements have been made and will continue to be made. Mr. Taylor moved, seconded, to approve the audit as presented. The motion carried unanimously.

Action Items

Mr. O’Neil presented Order Number 368, canceling the Hunt Memorial Hospital District Board of Directors election for May 2, 2026, due to uncontested candidates in Commissioner’s Precincts Two and Four. The following candidates were certified as unopposed and elected: Debby Clack and Wes Oswald (Precinct Two); Tina Fletcher and Wyman Williams (Precinct Four). Mr. Helton moved, seconded by Mrs. Peek, to approve Order Number 368. The motion carried unanimously.

Financial Statements

Ms. Walsh presented the January 2026 financial statements and statistical data. Following an overview of January performance, the capital project oversight and scheduling presentation, and the completion of the hyperbaric chamber project, Mr. Taylor moved, seconded by Mrs. Clack, to approve the financial statements subject to audit. The motion carried unanimously.

Discussion Items

Strategic Initiatives

Strategic initiatives were discussed in Executive Session.

Chairman’s Report

Ms. Gibson reported that the annual Clay Shoot fundraising event is scheduled for Friday, March 27, at the Texas Gun Ranch. The event includes a gun raffle with prizes including a custom Hunt Regional gun, a Henry shotgun, and a Kimber pistol. Underwriters are being sought to offset event costs, and organizers are exploring ways to make the event more affordable for hospital employees.

President/CEO Report

Dr. Usman reported that recruitment efforts are focused on expanding surgical and specialist capacity to reduce outpatient wait times. A contract has been signed with Dr. Bieligk, a surgical oncologist with 30 years’ experience, to begin full-time July 1, 2026. A female surgeon graduating in June and a gastroenterologist with 20 years’ experience are being interviewed. Dr. Usman also reported that the first group of residents will graduate in June 2027, with five residents expressing interest in working locally. The hospital hopes to accommodate two to three residents annually.

Patient Care Video

A video was presented featuring a father from Lone Oak, Texas, who shared his life-saving experience at Hunt Regional Medical Center, where he received two stents for two dissected blood vessels. Mr. Potter reported that the organization is focusing on community storytelling to highlight the care provided at Hunt Regional. The Board thanked the Marketing team for their efforts.

Quality Report

Ms. Isham reported that the hospital is prepared for the upcoming Joint Commission survey. The survey is expected before April 8, with five surveyors on site for five days. Preparation included adapting to 774 updated standards effective January 1, 2026, reviewing and updating over 1,000 policies, and completing 56 tracers across all facilities. The organization is tracking 334 quality metrics district-wide and overseeing 16 targeted improvement projects. The Board accepted the report.

Compliance Report

Mr. O’Neil presented the Compliance Report for the fourth quarter (October–December) 2025. A total of 380 employees completed compliance training. Sanction checks totaled 271 and were negative. Medical Staff appointments/reappointments: 10 in October, 6 in November, and 3 in December. One hotline report was received in November and addressed as a customer service issue. One physician’s compensation agreement was approved by the Compliance Committee in November. The report was accepted.

Executive Session

An Executive Session was held under Texas Government Code §551.071, §551.072, §551.074, and §551.085. Following the Executive Session, no action was taken.

Adjournment

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