We are exploring a partnership now to protect the future of healthcare in our community. As one of the last independent rural hospitals in Texas, we have worked hard to stay strong, but rising costs, shrinking reimbursements, and tough regulations make it harder every year.

By taking this step now, we are being proactive. We want to make sure TRMC continues to serve this community, with the services and people you know and trust, for many years to come. This is about preserving local care, not replacing it.

Yes, many rural hospitals across the country are facing the same challenges as TRMC. Rising costs, workforce shortages, and changing regulations are putting pressure on small, community hospitals everywhere. Nearly half of rural hospitals are operating at a loss, and hundreds have closed in recent years. In Texas alone, dozens of rural facilities are considered at risk of closure due to unsustainable financial conditions.

Just as we are, these hospitals are vital to their communities, not just for healthcare, but as major employers and economic anchors. Without proactive steps like the one TRMC is taking, local residents could lose easy access to emergency care, surgeries, and other essential services. By exploring a strategic partnership now, TRMC is joining many other hospitals in working to protect care for the future rather than reacting after it’s too late.

While no decisions have been made yet, an affiliation or partnership would likely involve TRMC joining with a larger health system that shares our values and commitment to rural healthcare. The goal is not to lose our identity, but to strengthen it, preserving local services, retaining our dedicated staff, and gaining access to additional resources, technology, and support.

We are seeking a partner who will invest in our people, our health system, and our community, as well as carry on our tradition of ensuring the highest quality of care for ALL in the communities we serve. Our goal is to preserve key services like emergency care, surgery, and primary care right here in Titus County. We would also look to a strong partnership to help us grow specialty services, upgrade technology and facilities, and create new opportunities for our staff, all with the goal of keeping high-quality care close to home for the people of our region.

The final decisions will be made by the TRMC Board of Managers, in close collaboration with hospital leadership. As stewards of the hospital and its mission, the Board is responsible for thoroughly evaluating all options and selecting a path that best supports the long-term health needs of our community.

To ensure transparency and community involvement, an Advisory Council has been formed. This group will help monitor the process, provide input, and keep the public informed as we move forward. While the Board holds the decision-making authority, community voices will be part of the journey and this web site, our monthly Lunch and Learns, and social media communications will allow the community to voice their interests as well.

Protecting local jobs is a top priority in this process. In fact, one of the main reasons we are exploring a partnership is to strengthen TRMC’s ability to retain and support our workforce. Like many rural hospitals, we face staffing challenges, and a strong partner can help provide the stability, resources, and opportunities needed to grow and support our team.

While specific details will depend on the partner we choose, our goal is to keep care local and ensure our employees remain a vital part of that mission. We are not looking to replace people, we are looking to give them more support and a stronger future

At this stage, there are no planned changes to the current hospital district tax. TRMC is committed to transparency and will keep the community informed if any tax-related changes are ever considered.

In fact, one of the goals of exploring a partnership is to bring in additional resources and support. A strong partner could help fund facility upgrades, expand services, and stabilize operations. The partnership model selected and future decisions made by the Board of Managers will determine whether there are any changes to the taxes paid by residents of Titus County.  Any future decisions involving taxes would go through the appropriate public process, allow for community input, and be voted on by the Board of Managers.