[{"_1":2,"_111":-5,"_112":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6467409,"mediaKeyId","5796859-57c5519c38c46d7525e65f0e84edcea3","parentId",5796859,"title","Weston County Health Services staff shake-up: HR director introduced; operations leader to depart; interim succession planned","audioSeconds",437,"startMs",1065934,"endMs",1503279,"viewUrl","/Search/View?dp=1&key=5796859-57c5519c38c46d7525e65f0e84edcea3&start=1065&end=1503","thumbnailUrl","https://assets.pipeline.soar.com/5796859-57c5519c38c46d7525e65f0e84edcea3/thumbnail_1065934.jpg","articleUrl","/articles/6467409/Weston-County/Wyoming/Weston-County-Health-Services-staff-shake-up-HR-director-introduced-operations-leader-to-depart-interim-succession-planned","mediaUrl","https://secure.pipeline.soar.com/6467409-c0e7d47e9481ddd355b8be304656687b/orig.mp4?Expires=1775888120&Signature=GYXnxkQDodcZlbs5if6o6b8KHG0Iz-LnlBF1VY2jD~hyfgGH-FBsukKjTNo82Nj~-ynF7z5yogY9~xHiKY2V1BYJrJ6d50w3v5c7EH8dtWkZNEiPHonrIAHitROPjf4hLnEjPBReCcYQfOp0KWHlefbvY2uqysF8APXoAa4MhyAZ2souLYI1T50-rlBPc1LA5YWmEas-8i0ihN9SQ8KgLQYJFG0hWG-jK7LbS5NZA0Q3cyqoXOdtXS-cYu3jTEn1h1tOgQFhrYJaL-yJPk~t-c5Q-CAFMB1-hTKKBhrUrMS2vcZ9VOwfYxKJl0lf6aUX5EA0pFHrMsNPDCEiOA~ccw__&Key-Pair-Id=KUT5TJCACFTXG","author","Weston County","date","2025-09-19T22:35:50Z","article","Weston County Health Services introduced a new HR director and outlined short-term succession plans after an operations manager accepted a new position.

Dr. Rebecca Mok was introduced to the board as the hospital’s new HR director. Mok described relocating from Oregon and said she is finalizing local arrangements; the board welcomed her.

In staffing changes, a longtime operations leader, Shane, told the board he accepted an offer to be vice president of operations with a multi-facility company and will begin that role Oct. 10. Board members and staff praised Shane’s contributions and said he offered to be available by phone during the transition.

To cover leadership changes, staff described internal succession steps: Kim (last name not given) has completed provisional administrator work and accrued the hours required to sit for the nursing-home administrator test; she will serve in an interim administrator role while final licensing and testing are completed. The board said the interim plan reflects prior succession planning.

Staff also said Tish (Trish) will be available under contract to provide ongoing support while family health issues limit her onsite availability. Board and staff characterized these arrangements as temporary measures while the hospital finalizes longer-term staffing decisions.

No formal personnel votes were recorded in the supplied transcript; the board discussed continuity planning and thanked departing staff.","mediaType","Video","parentTitle","Part 1 of 2 - Weston County Health Services Board of Trustees regular meeting. September 18, 2025.","oneSentenceSummary","Board introduced Dr. Rebecca Mok as new HR director; operations manager Shane announced he will accept a VP role elsewhere effective Oct. 10; the hospital plans interim succession, including provisional administrator Kim stepping into an interim role and a temporary contract with Tish for support.","taxTitle","Weston County, Wyoming","taxId",28920,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6467414,"Clinic adds provider, plans chronic-care program and expands care coordination",323,1575295,1898835,"/Search/View?dp=1&key=5796859-57c5519c38c46d7525e65f0e84edcea3&start=1575&end=1898","https://assets.pipeline.soar.com/5796859-57c5519c38c46d7525e65f0e84edcea3/thumbnail_1575295.jpg","/articles/6467414/Weston-County/Wyoming/Clinic-adds-provider-plans-chronic-care-program-and-expands-care-coordination","https://secure.pipeline.soar.com/6467414-77886b1f7c68851352ee3ad359f96c1f/orig.mp4?Expires=1775888120&Signature=OUKBAPIxioLBK29554xXQqG1BclfLwLt9Vvws-JzdbtPbzMf6o2597AgEUpOa4jWG1y2Q73utoFNnhwsGpmsBUqHW4QREioIa~kRqqeM8ZnPZx8IrfrBPXEQgGGVj40PjOyqMyeSSkrEOrxhaJfOat65HdEzVgXdorZz7cjm3xJ39ALuDBOgHHZwThaWEik4jwiaPGySKyYDO1ddePT-UVdqeAsCLGiLyDP1gnIuMPx2r-jGngER-1FnLAh3v6egdk~hf4-1t~czzcKvoNGM~umAkZ~WQlke2cNyrBshd~rzXoxB1Qx73a6GFbVfSqGgd64qxtnYU4gOoMqZbRLTNQ__&Key-Pair-Id=KUT5TJCACFTXG","Weston County Health Services staff updated the board on clinic operations, new providers and plans for a chronic-care program aimed at diabetes and hypertension.

Why it matters: the clinic reported growing patient visits that should increase revenue, and leaders said a chronic-care program could both improve care for high-need patients and provide modest reimbursement to the facility.

Staff said Kelly Raymond, a new provider, will begin shadowing on Oct. 6 and start seeing patients around Oct. 8; the provider will split time between Upton and Newcastle clinics. Clinic staff reported 530 patient visits at the clinic in the prior month and said walk-in visits and established-care appointments are climbing. The specialty clinics also reported new patient inflow, including from Colorado.

Staff described a planned chronic-care program to begin in January that will target diabetes and hypertension and use monthly 20-minute nurse contacts. One staff speaker described a reimbursement of $40 per qualifying monthly contact and estimated program revenue could scale as patient enrollment grows (examples in discussion ranged from 40 to 200 participants in potential scenarios). The program will use Epic reporting tools to identify eligible patients and track visits.

Staff also reported an initial care-coordination meeting with Mountain-Pacific, and said Mountain-Pacific will help implement coordination services at the clinic. Chart audits and documentation work were described as improving; staff credited help from Nova (a contracted partner mentioned in the meeting) for improving E&M coding and documentation.

The board requested follow-up details on eligibility criteria, projected enrollment, and how the clinic will operationalize monthly nurse contacts and billing. Staff set a tentative target of January for program rollout and said they will return with more implementation details.","Board heard clinic updates: a new provider will start in October, the clinic plans to roll out a chronic-care program (target January) focusing on diabetes and hypertension, and Mountain-Pacific care coordination work has started.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6467419,"Weston County Health Services posts small August surplus; leaders cite improved revenue and accounts-receivable cleanup",586,2066805,2653015,"/Search/View?dp=1&key=5796859-57c5519c38c46d7525e65f0e84edcea3&start=2066&end=2653","https://assets.pipeline.soar.com/5796859-57c5519c38c46d7525e65f0e84edcea3/thumbnail_2066805.jpg","/articles/6467419/Weston-County/Wyoming/Weston-County-Health-Services-posts-small-August-surplus-leaders-cite-improved-revenue-and-accounts-receivable-cleanup","https://secure.pipeline.soar.com/6467419-e6d20d2194ebf0a7825ac7c7d189d831/orig.mp4?Expires=1775888120&Signature=RTthED-ULtYyh4L12uawvBt0UW~KXeUYBVZeGjaYKlGBsqnO5BIcjTWfjm7tDf8Ofuys8c1tSwRimGUO41qDjBrAe148R5zj2VDyxl-DrdDPnu5fycC1wHmqV5PRhQ-rP-MgscFjuakU4CTzm5Xd~aZvCoWI9hEjJaiIeqkOURyy3GlYSyOIfh6mQ4PuV1--C6vU578H4a8A80JD6Q3UWZSEKg6GAgZXP8Cv2DZmPfwCSOFYltQKFlZpvhOQ~SzSRQldxsWmOvjtml5Ng4iCa9nyjn1z~9sOhrtollI6PM0ovAijjN4CBsCopQTPTC67MKQRjxS52Mu~n2HqPMMO3g__&Key-Pair-Id=KUT5TJCACFTXG","Weston County Health Services reported a positive bottom line for August, showing a net gain of $2,115 and improved revenue and expense metrics that the finance committee called a step in the right direction.

Why it matters: staff said the facility beat its budgeted loss and achieved higher-than-budget gross patient revenue, improvements the board called progress toward financial stability. At the same time, staffing and recruiting costs tied to travel nurses remain a budget pressure.

Details from the report: the hospital posted gross patient revenue of about $2.7 million versus a budgeted $2.5 million. Contractual adjustments (discounts and payer adjustments) were higher than budgeted: about $893,000 versus a budgeted $808,000. Retail pharmacy revenue was lower than budget ($421,000 actual vs. $546,000 budgeted). Total expenses for the month were roughly $2.3 million, better than budget by about $28,000.

Staff said cash collections were down for August but cash days on hand improved because daily expenses fell from roughly $99,000 to $67,000. Accounts receivable decreased by about 3.4 days; the consolidated days outstanding (gross days) were reported at 49.2 versus the recommended target of 45.

To accelerate receivables and billing, the hospital contracted with Enola (a third-party revenue-cycle partner) and completed Epic training for that vendor. Staff said Novitas Medicare enrollments (clinic Medicare billing) remain in process, and some older claims dating to November 2024 are ready to be filed once enrollment is completed. Staff identified about 140 legacy accounts totaling approximately $31,000 that will be written off and removed from receivables.

Capital and projects: the hospital is renting a modular CT scanner during replacement of the old CT; rental costs contributed to higher lease and rental expenses. Donations and other inflows tied to the CT project included small donations (one itemized at $1,700) and an out-of-cycle donation reported as $40,000; the mill levy payment for the month was $36,000. The hospital also received a United Fund payment of $3,135 and modest tax and fundraising receipts (a payroll tax refund of $67.07 and a $500 bake-sale for employee banquet).

Board discussion and next steps: finance committee members said the narrative report will be clarified next month to show clinic net income explicitly and to explain differences in AR days calculations pulled from Epic. Staff said they had opened a ticket with Epic to reconcile formula differences and expected follow-up in two to three weeks. The board asked staff to continue work on collections strategy, including separating self-pay handling from collections vendors, and to return with suggested improvements.

No formal motions were recorded on the financial report itself during the portion of the transcript provided.","The hospital reported a net gain of $2,115 for August, better-than-budget revenues and steps to reduce accounts receivable, but staff cautioned cash collections lag and recruiting costs remain high due to travelers.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6467424,"Weston County Health Services board presses for rural-hospital transformation funds to reach smallest hospitals",3346,548910,3895235,"/Search/View?dp=1&key=5796859-57c5519c38c46d7525e65f0e84edcea3&start=548&end=3895","https://assets.pipeline.soar.com/5796859-57c5519c38c46d7525e65f0e84edcea3/thumbnail_548910.jpg","/articles/6467424/Weston-County/Wyoming/Weston-County-Health-Services-board-presses-for-rural-hospital-transformation-funds-to-reach-smallest-hospitals","https://secure.pipeline.soar.com/6467424-1261eedda7ba5a61e351dba9fcd8de2f/orig.mp4?Expires=1775888120&Signature=EuGIUfS6fkxreciKTG~wNQlEmlyk8PO2zmBzusCjv9MsUZ1jY3z~QFmvpYFcKCjKYIwld4DVlcz2SIIUXN9tqC2SPkKaPOMFEI4cD3XVuk~HAlEv70Dx5FD3unwrdTIKI949yqhvpm0DUFP5CDNvIDpJvbJABWwoN95W5pM9mq3u45PozCL6SOpnefzoLJ3WQJTJIz7Xa8tHeuS5B2K7sAg01jiohc-3N6fuWxBOOqqhgMVyRgdQjlDsre-1Lk7BLQteHnKtxKqqayf4fdi1BukTycbLTFnZDadAeO0~1NxPVpAQB5E2BXAhULqfmWc45kBJH8JRzsjdFAh891NGpg__&Key-Pair-Id=KUT5TJCACFTXG","Weston County Health Services board members and staff discussed the federal Rural Hospital Transformation Program and urged careful advocacy so the program’s funds reach truly rural hospitals.

Board members and staff said the program could bring at least $100 million to the state for projects that include sustainable access, IT innovation, workforce development, innovative care and “healthy rural America” initiatives. They said the Wyoming Department of Health will write the state grant and that local hospitals will not be required to write the federal application themselves but will have to report on how funds are used.

Why it matters: speakers said the program could provide a major infusion of federal funding for rural health initiatives, but several warned that if the funds are routed through larger regional hospitals or vendor networks the smallest facilities could be left behind. The board emphasized sustainability and cautioned against one-time projects that cannot be maintained after the grant period ends.

In discussion, board and staff members raised specific concerns. They said some larger hospitals (for example, hospitals in Cheyenne and Laramie) were being discussed as “rural” on planning documents even though those hospitals have philanthropic reserves that far exceed what Weston County Health Services has. Speakers urged program managers to prioritize smaller facilities without substantial reserves.

Staff and board members also noted the program’s timeline: a 60-page federal application will be prepared by the state with a Nov. 1 submission window; recipients likely will be notified in mid-to-late December, although some attendees cautioned that January was possible. The board was told the state’s initial meeting with program staff is Oct. 8 in Casper; the Wyoming Department of Health representative identified in meeting remarks was Franz (last name not specified in the transcript).

Members discussed policy mechanics and federal relationships. Board speakers described two federal bills of interest that affect rural hospitals: Senate Bill 335 (a rural hospital support act that would make an enhanced low-volume adjustment permanent) and House bill H.R. 1805 (ARCH, Assistance for Rural Community Hospitals, addressing low-volume adjustments). Board members said either statutory path would help preserve the supplemental reimbursements that close revenue gaps created by low patient volumes.

Board members asked how the funds flow; staff said the additional payments are reflected in federal rate setting and then flow to hospitals through federal reimbursement rather than by separate direct checks. Several attendees said advocacy letters and individualized constituent contacts to congressional offices could help, and one board member offered to draft suggested language the public could personalize for better traction with congressional staff.

Speakers emphasized two guardrails for the board’s advocacy: (1) press for funding streams that prioritize smaller rural facilities and (2) favor programs and training that can be sustained beyond an initial five-year funding window. Several members asked the board to prepare to send representatives to the Oct. 8 meeting and to circulate suggested advocacy language to the community.

The board did not take a formal vote during the discussion but agreed to continue engagement and to provide additional information and possible advocacy language to members for outreach ahead of the state meeting.","Board members and staff discussed the federal Rural Hospital Transformation Program, raising concerns that larger regional hospitals could capture disproportionate funding and stressing the need for sustainable programs and local input ahead of an Oct. 8 Wyoming Department of Health meeting.","actionData","errors"]

Article not found

Weston County Health Services staff shake-up: HR director introduced; operations leader to depart; interim succession planned

Clinic adds provider, plans chronic-care program and expands care coordination

Weston County Health Services posts small August surplus; leaders cite improved revenue and accounts-receivable cleanup

Weston County Health Services board presses for rural-hospital transformation funds to reach smallest hospitals