Regular Meeting — September 22, 2026

I. Public Hearing on Proposed Hunt Memorial Hospital District Fiscal Year 2027 Budgets

The public is invited to attend and comment at the Public Hearing. The public hearing site is accessible to people with disabilities.

Adjourn Public Hearing.

II. Call to Order

III. Roll Call

IV. Election of Officers

V. Approve HMHD Board of Directors Meeting Minutes for August 12, 2026, and Budget Workshop and Meeting Minutes for August 25, 2026

VI. Medical Staff Report

VII. Citizens to Be Heard on Non-Agenda Items

Speakers are limited to three minutes on non-agenda items. 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. Speakers should conduct themselves in a civil manner. The Board cannot take action on items not listed on the agenda under the Texas Open Meetings Act. Concerns will be addressed by District Staff; they may be placed on a future agenda or addressed through another course of action.

VIII. Public Testimony

Speakers may opt to be heard at the time the agenda item is called and are limited to three minutes on agenda items.

IX. Introduction of Officers and Directors

X. Unfinished Business

XI. New Business

A. Consent Agenda

1. Appointments, a Request for Additional Clinical Privileges, Requests for Changes in Staff Status, a Reappointment, and Resignations – Hunt Regional Medical Center Medical Staff and the Allied Health Professional Staff
2. FY 2027 Marketing and Communications Plan Budget
3. Intelerad Mammography Tracking System for the Hunt Regional Medical Center Imaging/Mammography Department
4. OXOS MC2 Ultraportable X-ray Machine for the Hunt Regional Occupational Health Department
5. Annual renewal of Casualty Property, Directors & Officers, Cyber Security and Crime/Fiduciary Insurance

B. Action Items

1. Adoption of Fiscal Year 2027 Hunt Memorial Hospital District Operational and Capital Investment Plan Budgets
2. Adoption of Tax Rolls of Hunt Memorial Hospital District for 2026 as submitted by the Hunt County Tax Appraisal District
3. Proposed Amendments to the Hunt Memorial Hospital District Medical Staff Bylaws
4. August 2026 Financial Statements

C. Discussion Items

1. Strategic Initiatives
2. Chairman’s Report
3. President/Chief Executive Officer’s Report
   • Trauma Survey Designation
   • Medicaid Waiver Programs
   • Hunt County Jail Health Services

XII. Executive Session

The Board reserves the right to retire into closed Executive Session concerning any of the items listed on this Agenda, whenever it is considered necessary and legally justified under the Open Meetings Act, for:

• 551.071 – Consultation with attorney regarding pending or potential litigation involving the Hospital and/or Hospital District
• 551.072 – Discuss the purchase, exchange, lease, or value of real property where deliberations in an open session would have a detrimental effect on the position of Hunt Memorial Hospital District
• 551.073 – Deliberation regarding prospective gifts or donations
• 551.074 – Personnel matters relating to the appointment, employment, evaluation, discipline, or dismissal of an officer or employee
• 551.076 – Deliberation regarding security devices
• 551.085 – Discussion of pricing or financial planning information related to a bid or negotiation for the arrangement or provision of services or product lines
• 161.032(b) – Texas Health and Safety Code – medical committee or compliance officer report

XIII. 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, September 22, 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, Dr. Tina Fletcher, Mrs. Leslie Killgore, Mr. John C. Nelson, Jr., Mr. Wesley Oswald, Dr. Scott Pierce, Mr. Michael Taylor, Mrs. Julia Wensel, Mr. Wyman Williams. A quorum was present.

Approval of Minutes

Mrs. Clack moved, seconded by Mr. Oswald, to approve the August 25, 2026, meeting minutes as presented. The motion carried unanimously.

Medical Staff Report

Dr. Allembaugh reported that the Medical Staff annual meeting was held September 15, 2026. Amendments to the Medical Staff bylaws were presented and voted on. She also reported that Hunt Regional Medical Center’s Joint Commission Primary Stroke Program virtual survey went well, and the hospital has received its Level 3 Trauma designation.

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

Mr. Hurley introduced Dr. Faizal Mehmood, the hospital’s new Gastroenterologist, who completed his fellowship at Texas Tech University Health Sciences Center. Dr. Mehmood expressed his appreciation for the warm welcome and his enthusiasm for serving the Hunt County community. The Board welcomed Dr. Mehmood.

Unfinished Business

Delinquent Tax Collection Services

Following presentations at the July Board meeting, the Board discussed the merits of each firm. Mr. Taylor moved, seconded by Mr. Oswald, to approve Resolution No. 370 authorizing the agreement for delinquent tax collection services with Linebarger Goggan Blair & Sampson, LLP, effective October 1, 2026. The motion carried with Mrs. Killgore and Mr. Nelson opposing.

Resolution No. 371

Mr. Taylor moved, seconded by Mr. Oswald, to ratify Resolution No. 371 authorizing the imposition of an additional twenty-percent (20%) penalty to defray the costs of collection as authorized by the Texas Property Tax Code §33.07 and §33.08. The motion carried with Mrs. Killgore and Mr. Nelson opposing.

New Business

Consent Agenda

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

• Appointments, a request for additional clinical privileges, requests to change staff status, a request to change staff category, reappointments, and resignations for the Hunt Regional Medical Staff and Allied Health Professional Staff

Caddo Mills TIRZ Nos. 1 and 2

Ms. Petty presented the amended and restated final project and finance plans for Caddo Mills Tax Increment Reinvestment Zones Nos. 1 and 2 and the amendments to the participation agreements. She reported that TIRZ No. 1 has been amended to add the Hospital District’s participation in tax increment financing, and TIRZ No. 2 has been amended to reflect updated project costs. Mr. Oswald moved, seconded by Dr. Fletcher, to ratify the amended and restated Caddo Mills final project and finance plans for TIRZ Nos. 1 and 2, and to approve the amendments to the participation agreements for TIRZ Nos. 1 and 2. The motion carried with Mr. Helton and Mrs. Peek opposing — per the recorded vote from prior proceedings — and with Mr. Nelson opposing at this meeting.

Milestone Healthcare Contract Renewal

Mr. Hurley presented the Milestone Healthcare contract renewal for acute rehabilitation services. The contract reflects a 3% rate increase. Milestone provides inpatient rehabilitation therapy services seven days a week and has been a long-standing partner of Hunt Regional. Mr. Taylor moved, seconded by Mr. Oswald, to approve the Milestone Healthcare contract renewal for acute rehabilitation services as presented. The motion carried unanimously.

Financial Statements

Mr. Martin presented the July 2026 financial statements and statistical data. Following discussion on revenue performance, surgical and GI volume trends, accounts receivable, and supplemental funding programs, Mr. Taylor moved, seconded by Mr. Oswald, to approve the July 2026 financial statements subject to audit. The motion carried unanimously.

Discussion Items

Strategic Initiatives

Strategic initiatives were discussed in Executive Session.

Chairman’s Report

Dr. Pierce reported that Board orientation for new members Dr. Fletcher and Mr. Williams was held prior to the meeting and expressed appreciation to Mr. O’Neil and Mr. Boles for facilitating the session.

President/CEO Report

Mr. Boles reported that Hunt Regional Medical Center has received its Level 3 Trauma designation, a significant achievement reflecting the hospital’s commitment to emergency and trauma care for Hunt County and the surrounding region.

Mr. Boles reported that the Royse City Emergency Department continues to grow, averaging 25–30 patients per day. He also noted that the Live Oak Family Medicine Clinic officially opened at its new Commerce location with a well-attended community Open House on August 17.

Dr. Usman reported that Dr. Alexandra Green, General Surgery, began seeing patients and performing procedures in September. Dr. Mehmood, Gastroenterology, has a full schedule and is accepting new patients. Cardiology recruitment continues, with interviews scheduled for several candidates.

Mr. Boles reported that bond construction projects — including the wall separation, OR hybrid suite, and linear accelerator — are underway. The linear accelerator installation remains on track for completion in January 2027.

Mr. Martin provided an update on revenue cycle improvements, including progress with new collection vendors, the Sliced Health AI contract auditing tool, and itemized statement rollout. Early results show improvement in accounts receivable aging and collections.

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 7:44 p.m.