Regular Meeting — July 28, 2026

I. Call to Order

II. Roll Call

III. Approve HMHD Board of Directors Meeting Minutes – June 10 and June 23, 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

A. Approve Contract and Resolution Approving Agreement

Discuss, consider, and take action to authorize the Board of Directors to execute a contract for delinquent tax collection services with either the Perdue or Linebarger firms to perform all legal services necessary to collect delinquent ad valorem property taxes as provided in the Texas Property Tax Code; and also discuss, consider, and take action regarding Resolution No. 370, providing certain findings and providing an effective date.

B. Approve Resolution Authorizing a Twenty-Percent Penalty

Discuss, consider, and take action to ratify Resolution No. 371 authorizing the imposition of an additional twenty-percent (20%) penalty to be borne by the delinquent taxpayer to defray the costs of collection, as authorized by the Texas Property Tax Code §33.07 and §33.08, to compensate a private law firm for its attorneys’ fees.

IX. New Business

A. Consent Agenda

1. Appointments, Request for Additional Privileges, and Resignations – Hunt Regional Medical Center Medical Staff and the Allied Health Professional Staff
2. ERBE Vio 3n/APC 3 Generators for the Hunt Regional Medical Center Endoscopy Department

B. Action Items

1. Hunt County Emergency Medical Services Presentation
2. Schedule HMHD Board Budget Workshop
3. June 2026 Financial Statements

C. Discussion Items

1. Strategic Initiatives
2. Chairman’s Report
3. President/Chief Executive Officer’s Report
   • Royse City Update
   • Physician Recruitment
   • IGT Programs Education
   • Trauma Survey
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, July 28, 2026, at 5:30 p.m. in the lobby of Hunt Regional Family Medicine Live Oak Clinic, 2800 Highway 24, Suite A, Commerce, Texas. Dr. Pierce, Chairman, called the meeting to order.

Roll Call

Members present: Mrs. Deborah Clack, Dr. Tina Fletcher, Mr. John C. Nelson, Jr., Mr. Wesley Oswald, Dr. Scott Pierce, Mr. Michael Taylor, Mrs. Julia Wensel, Mr. Wyman Williams. Absent: Mrs. Leslie Killgore. A quorum was present.

Approval of Minutes

Mr. Nelson moved, seconded by Mrs. Clack, to approve the June 10 and June 23, 2026, meeting minutes as presented. The motion carried unanimously.

Medical Staff Report

Dr. Allembaugh reported the Medical Staff will conduct their annual meeting on September 15, 2026, and will vote on amendments to the Medical Staff bylaws.

Citizens to Be Heard on Non-Agenda Items

Mr. Lisenbee thanked the Board for keeping its commitment to ensuring adequate emergency response for citizens and for expanding healthcare access by relocating the Live Oak Family Medicine Clinic to a larger facility. He requested the District consider financial support to the Senior Center Resources and Public Transit system, noting that many Commerce citizens who previously walked to the clinic may not be able to safely reach the new location and may need assistance using the transport service.

Mr. Ford discussed property taxes and the use of funds to support the Hospital District.

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

Delinquent Tax Collection Services

Representatives from Linebarger Goggan Blair & Sampson LLP and Perdue Brandon FielderCollins&Mott, LLP each provided an overview of their delinquent tax collection services. The Linebarger firm highlighted a recovery rate of 133%, a fully staffed local office with three full-time employees, and an approach emphasizing litigation, detailed case management, timely court appearances, and semi-annual reporting. The Perdue firm reported collecting over $1.12 million for the District in the last 12 months, charged a 15% attorney fee compared to Linebarger’s 20%, and emphasized collections through negotiation and research rather than litigation. Perdue also noted it would collect Hospital District and County taxes jointly to simplify taxpayer interactions. Following discussion over collection metrics and fee structures, the Board tabled the item until the August meeting.

Resolution No. 371

The agenda item authorizing a twenty-percent penalty to defray Hunt Memorial Hospital District’s costs of property tax collections was tabled.

New Business

Consent Agenda

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

• Appointments, a request for additional clinical privileges, and resignations for the Hunt Regional Medical Staff and Allied Health Professional Staff
• $101,744 for the purchase of ERBE Vio 3n/APC 3 generators for the Hunt Regional Medical Center Endoscopy Department

Hunt County EMS Presentation

Mr. McLaughlin reported that Hunt Regional contracts with AMR Hunt County EMS and 13 Fire Departments to provide emergency medical services throughout Hunt County. In 2025, they responded to over 25,500 calls, averaging 70 per day, operating four stations with eight frontline ambulances and a 24/7 critical care supervisor. They maintain a close partnership with Air Evac for cases exceeding local capabilities and will maintain full county coverage if new Emergency Service Districts are formed. EMS crews provide CPR training in high schools, host car seat installation drives, and have safely transported 30 newborns to Hunt Regional’s Level 3 NICU.

Mr. Sanchez provided an overview of the Texas EMS School: 57 candidates enrolled, 28 completed their programs, and 21 achieved National Certification with a 75% pass rate. Royse City ISD is in its fourth year of the EMT Program. The Hospital District plans to continue growing EMS education partnerships with school districts in Hunt County.

Dr. Trujillo expressed appreciation for the dedication of everyone involved with the EMS program and thanked the Hospital District for its continued support.

HMHD Board Budget Workshop

The Board reached consensus to conduct a budget workshop on Tuesday, August 25,