Regular Meeting — March 24, 2026

I. Call to Order

II. Roll Call

III. Approve HMHD Board of Directors Meeting Minutes – February 24, 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 Change in Staff Category, Changes in Staff Status, and a Resignation – Hunt Regional Medical Center Medical Staff and the Allied Health Professional Staff
2. Storz Greenlight Working Sheath and Scope Set – Hunt Regional Medical Center Surgical Services Department
3. Hunt Regional Medical Center Royse City EHR Ordering Document
4. Hunt Regional Medical Center Bad Debt Collections Vendor Ordering Document

B. Action Items

1. Oracle EHR Non-Performance
2. February 2026 Financial Statements

C. Discussion Items

1. Strategic Initiatives
2. Chairman’s Report
3. President/Chief Executive Officer’s Report
   • Physician Recruitment
   • Maternity Survey
   • Royse City Update
   • Leapfrog Participation
   • CMS Star Rating

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, March 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, Dr. Scott Pierce, Mr. Michael Taylor. Absent: Mrs. Janet Peek, Mrs. Julia Wensel. A quorum was present.

Approval of Minutes

Mrs. Killgore moved, seconded by Mr. Nelson, to approve the February 24, 2026, meeting minutes as presented. The motion carried unanimously.

Medical Staff Report

Dr. Allembaugh reported that the organization continues to await The Joint Commission survey and is working on the bylaws with legal counsel.

Citizens to Be Heard on Non-Agenda Items

Comments were heard from Mrs. Helton regarding the Commerce ER closure, the approval of the Caddo Mills Tax Increment Reinvestment Zone (TIRZ), and Urgent Care and Emergency Department services. Ms. Clevenger spoke regarding emergent medical response services for rodeo and various other sports events in Commerce.

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

There were no introductions made.

Unfinished Business

There was no unfinished business.

New Business

Consent Agenda

Mr. Boles clarified that the capital amount needed for the Royse City EHR is $740,137.10, noting the $773,091.98 outlined in the Board packet includes $32,954.88 in maintenance and support services to be expensed from the operational budget. Mr. Taylor moved, seconded by Mr. Oswald, to approve the following consent agenda items as recommended. The motion carried unanimously.

• Appointments, a change in staff category, changes in staff status, and a resignation for the Hunt Regional Medical Staff and Allied Health Professional Staff
• $18,570.30 for the purchase of a Storz Greenlight Working Sheath and Scope Set for the Hunt Regional Medical Center Surgical Services Department
• $740,137.10 for the Hunt Regional Medical Center Royse City Cerner Community Work Electronic Health Record
• $117,602.10 for the Oracle software change for bad debt collections for Hunt Regional Medical Center

Oracle EHR Non-Performance

This action item was deferred for consideration following the Executive Session. Following Executive Session, Mr. Taylor moved, seconded by Mr. Helton, to authorize Mr. Boles and Mr. O’Neil to continue negotiations concerning Cerner and Oracle’s situation. The motion carried unanimously.

Financial Statements

Ms. Walsh presented the February 2026 financial statements and statistical data. 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 were discussed in Executive Session.

Chairman’s Report

Ms. Gibson reported that the annual Clay Shoot fundraising event is Friday, March 27, at the Texas Gun Ranch. 68 shooters are currently registered. Raffle tickets remain on sale for a 1911 Kimber, a 410 Liberty Edition, and a hospital-engraved Mossberg Overnighter.

President/CEO Report

Mr. Boles reported that the Level II Maternal Designation survey received contingency approval to allow staff adequate time to complete the monitoring of their action plans.

June 1, 2026, is the tentative opening date for the Royse City Emergency Room. It has been determined that Oracle cannot meet EHR implementation timelines, so the hospital has engaged T-Systems and Athena to provide the documentation and billing/registration systems for Royse City.

The hospital plans to withdraw from Leapfrog’s quality ratings due to a lack of EHR compliance with CPOE, as Cerner’s system cannot meet core patient safety requirements, preventing the hospital from achieving higher Leapfrog scores.

Ms. Isham discussed the CMS Star rating and reported the hospital expects a two-star rating in the upcoming April CMS release, based on metrics taken during COVID and the Cerner EHR conversion. Key improvements include sepsis compliance rising from 40% to 60%, the left-without-being-seen rate returning to the industry standard of 2%, and stroke imaging compliance reaching 90%, exceeding the 70% industry average. An action plan will be presented to medical staff leadership to improve scores and address weaknesses.

Dr. Usman reported that Dr. Alexander Green, General Surgery, has verbally accepted a surgical position at Hunt Regional with a signed contract expected soon. A colorectal surgeon has been interviewed as a potential future recruit. Full surgical staffing is expected by fall, enabling expansion of elective surgery programs. Dr. Khan has accepted a GI position, and another GI candidate is scheduled to interview. The hospital has also begun cardiology recruitment efforts in coordination with the upcoming departures of Baylor Cardiology staff.

Executive Session

An Executive Session was held under Texas Government Code §551.071, §551.072, and §551.085. Following the Executive Session, action was taken on the Oracle EHR Non-Performance item as noted above.

Adjournment

There being no further business, the meeting adjourned at 7:15 p.m.