Regular Meeting — April 28, 2026

I. Call to Order

II. Roll Call

III. Approve HMHD Board of Directors Meeting Minutes – March 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, Changes in Staff Status, and Resignations – Hunt Regional Medical Center Medical Staff and the Allied Health Professional Staff
2. NuStep T5XR Recumbent Cross Trainers for the Hunt Regional Medical Center Cardiac Rehab Department
3. GE Vscan Air CL Handheld Ultrasound System for Hunt Regional Specialists Obstetrics and Gynecology

B. Action Items

1. March 2026 Financial Statements

C. Discussion Items

1. Strategic Initiatives
2. Chairman’s Report
3. President/Chief Executive Officer’s Report
   • Payor Authorization Issues
   • Royse City Marketing Plan
   • Quinlan TIRZ Update
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, April 28, 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, Mrs. Julia Wensel. A quorum was present.

Approval of Minutes

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

Medical Staff Report

Dr. Deuell reported that The Joint Commission conducted its triennial survey and the hospital did well.

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

There were no introductions made.

Unfinished Business

There was no unfinished business.

New Business

Consent Agenda

Mr. Taylor moved, seconded by Mr. Oswald, to approve the following consent agenda items as recommended. The motion carried unanimously. Items approved:

• Appointments, changes in staff status, and resignations for the Hunt Regional Medical Staff and Allied Health Professional Staff
• $22,121 funded by the Commerce Auxiliary for the purchase of three NuStep T5XR Recumbent Cross Trainer bikes for the Hunt Regional Medical Center Cardiac Rehab Department
• $5,320 funded by the Commerce Auxiliary for the purchase of a GE Vscan Air CL Handheld Ultrasound System with Roll Stand for the Hunt Regional Specialists Obstetrics and Gynecology Department

Mr. Boles expressed appreciation to the Commerce Auxiliary for their financial support in funding the equipment purchases for the Cardiac Rehab and Hunt Regional Specialists Obstetrics and Gynecology departments.

Financial Statements

Ms. Walsh presented the March 2026 financial statements and statistical data. Mr. Taylor moved, seconded by Mr. Oswald, to approve the financial statements subject to audit. The motion carried unanimously.

District Dashboard

Mr. Boles provided an overview of the March 2026 District and Greenville Hospital Performance Measures dashboard. Mr. Nelson moved, seconded by Mrs. Killgore, to approve the dashboard as presented. The motion carried unanimously.

Discussion Items

Strategic Initiatives

Strategic initiatives were discussed in Executive Session.

Chairman’s Report

Dr. Pierce reported that the Texas Healthcare Trustee Governance Conference will be held June 4–6, 2026, in San Antonio, and those interested in attending should contact Sherie.

With profound gratitude from the Hunt Memorial Hospital District Board of Directors, staff, and community, Mrs. Peek and Mr. Helton were each presented with a plaque recognizing their steadfast service and unwavering commitment to the District and its mission. Their leadership and devoted contributions strengthened the District’s ability to deliver exceptional care and leave an enduring legacy.

President/CEO Report

Ms. Isham presented an overview of The Joint Commission survey results from April 21–24, 2026. Six surveyors were onsite; 728 elements of performance were reviewed with 21 findings cited, fewer than 3%, with no follow-up visit required. Key strengths included staff teamwork and engagement, high-quality patient care, and a well-developed performance improvement program. An ICU standardized report sheet was forwarded to Joint Commission headquarters for consideration as a best practice. Corrective actions for each cited element will be submitted by June 23, 2026.

Ms. Isham also reported that The Joint Commission will conduct a one-day virtual survey on the Hunt Regional Primary Stroke Program the following day.

Dr. Usman reported that faculty and residents performed well during the virtual Internal Medicine Residency ACGME accreditation survey, with results expected in September.

Dr. Usman presented a surgical volume review covering Q1 2024–2026. Surgical volume dropped significantly due to the departures of three high-volume providers, accounting for 53% of volume loss in orthopedics, gastroenterology, and general surgery. New providers starting mid to late 2026 include Dr. Faizal Mehmood (Gastroenterology) and Dr. Alexandra Green (General Surgery). High cancellation rates in endoscopy (64%) and operating rooms (36%) were attributed mainly to provider transitions, weather, and staff PTO, with authorization issues accounting for only 4% of cancellations.

Mr. Boles reported that the Hunt Regional Medical Center Royse City Emergency Department is scheduled to open June 1, 2026. A successful job fair was held in Royse City with approximately 132 in attendance and several clinical and clerical positions filled.

Mr. Boles reported that he and Mr. Hurley attended the Quinlan TIRZ Board meeting, at which the Board approved construction of 360–380 apartments on 16 acres for higher-income families. The Caddo Mills TIRZ is also very active, with approximately 8,000–10,000 houses planned for construction.

Compliance Report

Mr. O’Neil presented the Compliance Report for the first quarter (January–March) 2026. A total of 154 employees completed compliance training. Sanction checks totaled 182 and were negative. Medical Staff appointments/reappointments: 4 in January, 4 in February, and 5 in March. No hotline or investigation reports were received during the quarter. Exit interview HR issues were investigated and addressed in each month. Two physician compensation agreements were approved by the Compliance Committee in February; none were approved in January or March. The report was accepted.

Executive Session

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

Adjournment

There being no further business, the meeting adjourned at 8:15 p.m.