The Weston County Hospital Board recorded the following formal actions during the meeting (voice votes; individual roll‑call tallies were not recorded in the transcript):

- Software updates for mammogram machine and blood‑gas analyzer: The board authorized Kathy to engage MedSource Imaging for a software update on the mammogram machine and to update the blood‑gas analyzer, for a combined cost not to exceed $35,000. The motion was amended on the floor to name MedSource Imaging as the vendor and passed by voice vote.

- DZA accounting engagement (cost reports and audit): The board authorized the engagement of DZA Accounting Advisers to prepare Medicare and Medicaid cost reports and to perform the audit scope described in the engagement letter, for a total not to exceed $27,000. The board discussed past expenditures and the benefits of continuity with DZA; the motion passed by voice vote.

- Inova Revenue Cycle Management: The board authorized Kathy to negotiate and, if terms are acceptable, enter into a contract with Inova Revenue Cycle Management for billing, credentialing and coding services. The motion also included authorization for Kathy to restructure the business office contingent on the contract being executed. The board approved the motion by voice vote.

- Locum family nurse practitioner recruitment/trial: The board authorized staff to explore bringing a family nurse practitioner (FNP) on a locum (temporary) basis for an evaluation period and permitted staff to sign any necessary short‑term agreements related to the trial engagement. The board discussed candidate timing (an example availability window offered was Oct. 6–Jan. 30) and recruiter fee arrangements; approval passed by voice vote.

- Credentialing approvals: The board approved the credentialing of multiple providers, including Syed Mir, MD (Neurology); Vanessa Su, MD (Neurology); Craig McCarty, MD (Family Medicine); Xiaoyu Yuan, MD (Neurology); David Delman, MD (Neurology); and Adam Graham, MD (Neurology).

Notes: All actions above were recorded as approved in the transcript by voice votes. The meeting record does not contain detailed roll‑call vote tallies for each motion; where a maximum dollar limit was specified in the motion text, that amount is reported above.