Donny Booth, MSN, RN, former CEO of Permian Regional Medical Centre, has been terminated for cause after a 4–2 decision by the Andrews County Hospital District Board during a March 26 meeting, according to reports.
Reasons behind the termination
Board members stated that the decision was made to protect the hospital’s financial stability. The board cited an alleged 18-month breakdown in communication and a $1 million withdrawal from a line of credit that they claimed was executed without proper board authorization.
The matter was discussed during a closed executive session focused on deliberating the CEO’s contract before the final vote took place.
Conflicting perspectives on leadership performance
Despite the board’s concerns, some stakeholders highlighted positive financial outcomes during Mr. Booth’s leadership. Turnaround specialist Chantelle Venter noted that the hospital experienced a $5 million revenue increase between March and September 2025, attributing the improvement largely to organizational culture changes introduced under Booth’s administration.
One board member reportedly proposed alternatives such as probation or a formal public reprimand rather than immediate termination.
Staff members also expressed worries about potential impacts on morale and employee turnover following the decision.
Leadership background
Mr. Booth had served as CEO since 2019 after previously joining the organization as chief nursing officer in 2014, according to his professional profile. Media outlet KWES-TV first reported details of the board’s action.
Industry context
The leadership change comes amid broader discussions across the healthcare sector about financial governance, transparency, and executive accountability. These themes are expected to be key topics at the upcoming Becker’s 11th Annual Health IT + Digital Health + RCM Conference, where healthcare executives and digital leaders will examine how AI, interoperability, cybersecurity, and revenue cycle innovation are reshaping healthcare delivery and financial performance.
Source: Becker’s Hospital Review Kristin Kuchno, March 2026.
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