August 17, 2026 at 10:30 AM - Finance Committee - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF COMMITTEE MEMBERS

___ Pamela Brower, Chair
___ Sylvia Tryon Oliver
___ Karen O'Connor Urban
 

3. CALL TO ORDER, CONFIRMATION OF QUORUM, VERIFICATION OF MEETING POSTING, AND CLOSED MEETING NOTICE:
 

3.A. Call to order.
 

3.B. Establish quorum.
 

3.C. Confirm posting of Meeting's public notice in accordance with Texas Open Meetings Act, Texas Government Code, Chapter 551.
 

3.D. Notice is hereby provided that the Committee may convene in closed meeting session(s) during this meeting to consider any agenda item, when permitted under the Texas Open Meetings Act, Texas Government Code Chapter 551.
 

4. NOTICE REGARDING BUDGET. The Hospital District’s Fiscal Year 2026 Budget (“FY26 Budget”) has been duly adopted by the Board and approved by the Commissioners Court. The Committee may discuss the FY26 Budget at this meeting. The adopted FY26 Budget and the required taxpayer impact statement for Fiscal Year 2026 are available for public review on the District’s official website at: [https://www.nchdcc.org/public_notices/finance.php](https://www.nchdcc.org/public_notices/finance.php).

The Hospital District’s Fiscal Year 2027 Budget (“FY27 Budget”) is currently under development and may be discussed by the Committee at this meeting. Because the FY27 Budget has not yet been adopted, a taxpayer impact statement for Fiscal Year 2027 is not currently available.
 

5. ANNOUNCEMENT ON DISCLOSURE OF CONFLICTS OF INTEREST. Any Conflict of Interest, or Appearance of a Conflict of Interest, relating to items on this agenda shall be disclosed at this time. Members declaring such conflicts shall abstain from voting and are requested to refrain from discussion on the affected items. Any conflicts identified later in the meeting must be disclosed immediately upon discovery.
 

6. PUBLIC COMMENT - This section provides the public an opportunity to address the Committee on any matter within its authority. In-person attendees wishing to comment on any agenda item or other subject within the Committee’s jurisdiction must complete and submit the “Agenda Item Request to Speak” form, available at the entrance of the meeting room, no later than five (5) minutes before the meeting begins. Remote attendees participating by audio or video conference must verbally notify the presiding officer of their desire to comment when public comment is called. Comments are limited to three (3) minutes per speaker, except that commenters using a translator are allowed up to six (6) minutes. The presiding officer may, in his or her discretion, limit the number of speakers and/or the time allotted to each. By law, the Committee may act only on matters specifically listed on the agenda. Items raised that are not on the agenda will be referred to District staff for review, as appropriate. Materials submitted to the Committee during public comment will not be returned. Commenters intending to provide documents must bring at least ten (10) copies for distribution, clearly marked with the commenter’s name and, if applicable, the relevant agenda item number.
 

7. CONSENT AGENDA - The Consent Agenda includes items that are routine, administrative in nature, and not requiring separate discussion. Any item that a Committee member requests to be considered individually shall, at the direction of the presiding officer, be removed from the Consent Agenda and placed on the Regular Agenda for separate discussion at the appropriate time. All remaining Consent Agenda items will be considered and voted upon together in a single vote:
 

7.A. Approve Finance Committee Regular Meeting minutes of June 23, 2026.
 

7.B. Discuss and recommend receipt of summary payment information on Nueces County health care disbursements for Fiscal Year 2026 year-to-date:
 

7.B.1. Salaries, benefits, and supplies at/for City of Corpus Christi/Nueces County Public Health District;
 

7.B.2. Emergency medical services provided in unincorporated areas of Nueces County;
 

7.B.3. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
 

7.B.4. Medical services provided at County correctional facilities:

7.B.4.a. Nueces County Jail; and

7.B.4.b. Nueces County Juvenile Detention Center;
 

7.B.5. Funding for alcohol and drug abuse treatment programs:

7.B.5.a. Cenikor (Charlie's Place); and

7.B.5.b. Council on Alcohol and Drug Abuse;

7.B.6. Funding for diabetes prevention and supporting programs; and
 

7.B.7. Public health grants.
 

7.C. Discuss and recommend receipt of imputed claims summaries on medical and hospital care furnished to the Nueces Aid Program population, prepared pursuant to the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, for Fiscal Year 2026 year-to-date.
 

7.D. Discuss and recommend receipt of fiscal year-to-date Specified Annual Percentage-related revenue reports; revenue receipts pursuant to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, Section 5.03.
 

7.E. Discuss and recommend receipt of fiscal year-to-date statement detailing amounts deposited into and/or withdrawn from the Opioid Settlement Fund, including receipts from the Opioid Abatement Fund Council through the Texas Comptroller of Public Accounts in accordance with Texas Government Code §403.508(a)(2), and disbursements made solely for the remediation of opioid-related harms pursuant to 34 Texas Administrative Code §16.222.
 

7.F. Discuss and recommend receipt of statement of amounts deposited to and/or withdrawn from Local Provider Participation Fund for fiscal year-to-date; deposits and withdrawals pursuant to Board of Managers Order authorizing participation in a health care provider participation program pursuant to Texas Health and Safety Code, Chapter 298C, as amended.
 

7.G. Discuss and recommend receipt of summary reports of cumulative actual intergovernmental transfers (IGTs) made in support of local and other healthcare providers participating in Medicaid directed, and supplemental payment programs sponsored by the Texas Health and Human Services Commission (HHSC), and receive estimates of provider payments resulting from the IGTs:
 

7.G.1. Directed Payment Programs - IGTs for HHSC's Medicaid managed care organization payments to healthcare providers that support overall Medicaid program goals and objectives:

7.G.1.a. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);

7.G.1.b. Comprehensive Hospital Increase Reimbursement Program (CHIRP);

7.G.1.c. Network Access Improvement Program (NAIP); and

7.G.1.d. Texas Incentives for Physicians and Professional Services (TIPPS); and
 

7.G.2. Supplemental Payment Programs - IGTs for HHSC Medicaid payments made to hospitals, separate from and in addition to base payments, for achieving certain goals or to support health care providers that see significant numbers of uninsured or persons without much money:

7.G.2.a. Disproportionate Share Hospital (DSH);

7.G.2.b. Graduate Medical Education (GME);

7.G.2.c. Hospital Augmented Reimbursement Program (HARP); and

7.G.2.d. Hospital Uncompensated Care (UC).
 

7.H. Nueces Aid Enrollment:

7.H.1. Discuss and recommend receipt of reports relating to Nueces Aid Program enrollment for the months ended June 30 and July 31, 2026:

7.H.1.a. Referral Sources;

7.H.1.b. Total Persons and Households Enrolled;

7.H.1.c. Enrollment Summary;

7.H.1.d. Denials;

7.H.1.e. Application Processing Summary; and

7.H.1.f. Enrollment by Zip Code.
 

8. REGULAR AGENDA - The Regular Agenda consists of items that are non-routine, not administrative in nature, or otherwise require separate consideration. Each item listed under the Regular Agenda shall be addressed individually and, if action is required, voted upon separately.
 

8.A. Financial Statements:
 

8.A.1. Discuss and consider recommending approval of unaudited financial statements for the month and fiscal year-to-date ended June 30, 2026. (ACTION)
 

8.B. Investment Report:
 

8.B.1. Discuss and consider recommending receipt of Quarterly Investment Report and ratification of related investment transactions for fiscal quarter-ended June 30, 2026.  (ACTION)
 

8.C. Investment Policy:
 

8.C.1. Discuss and consider recommending adoption of Board of Managers Resolution relating to annual review of investment policy and investment strategies; adopt changes to policy and strategies to be effective September 1, 2026; review and adoption pursuant to Texas Government Code, §2256.005(e). (ACTION)
 

8.C.2. Discuss and consider recommending adoption of Board of Managers Resolution relating to annual review and adoption of listing of qualified broker/dealers authorized to engage in investment transactions; adopted listing to be effective September 1, 2026; review and adoption pursuant to Texas Government Code, §2256.025. (ACTION)
 

8.D. CHRISTUS Spohn Health System:
 

8.D.1. Discuss and consider recommending adoption of Board of Managers Resolution approving the Member Revenue Specified Annual Percentage for the period October 1, 2026 – September 30, 2027, pursuant to Section 5.03(a) of the Amended and Restated CHRISTUS Spohn Health System Corporation Membership Agreement. (ACTION)
 

8.D.2. Discuss and consider recommending the Administrator be authorized to execute an Intergovernmental Transfer (IGT) Responsibility Contract with the Texas Health and Human Services Commission (HHSC), Contract No. HHS001711400008, for the transfer of public funds as the non-federal share of Network Access Improvement Program (NAIP) payments benefiting CHRISTUS Spohn Health System for the period September 1, 2026 through August 31, 2027, in an amount not to exceed $3,347,716.00. (ACTION)
 

8.E. Fiscal Year 2027 Budget:
 

8.E.1. Discuss and consider recommending adoption of Board of Managers Resolution committing a specified amount of the September 30, 2026, fiscal year-end General Fund balance to the subsequent fiscal year for payment of obligated, but not yet requested intergovernmental transfers relating to supplemental and/or directed payment programs operated by the Texas Health and Human Services Commission during Fiscal Year 2026. (ACTION)
 

8.E.2. Discuss and consider recommending adoption of Board of Managers Resolutions incorporating specified funding into the Fiscal Year 2027 Annual Budget (October 1, 2026 – September 30, 2027) for:

8.E.2.a. County Healthcare Expenditures; and

8.E.2.b. Nueces Center for Mental Health and Intellectual Disabilities matching funds.  (ACTION)
 

8.E.3. Discuss and consider recommending adoption of Board of Managers Resolution approving Fiscal Year 2027 Annual Budget (October 1, 2026–September 30, 2027), approval pursuant to Texas Health and Safety Code, §281.091(b); Budget includes:

8.E.3.a. General Fund;

8.E.3.b. Tobacco Fund;

8.E.3.c. Opioid Settlement Fund; and

8.E.3.d. Indigent Care Fund. (ACTION)
 

8.F. Administrator's Briefing:
 

8.F.1. Next scheduled regular Committee meeting (meeting's date, time, and location are subject to change):
 

8.F.1.a. Next Meeting: Tuesday, September 22, 2026, 11:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.
 

9. ADJOURN
 

10. Public Notice Posting Receipt.