The Weston County Health Services Board of Trustees voted 3–2 to adopt the fiscal year 2025–26 budget after a public hearing and presentation by Kathy (presenter) at the meeting (date not specified). The presentation detailed revenue and expense assumptions and staffing changes intended to sustain services at the Manor and the hospital.

Kathy said the FY2025–26 revenue budget was created using the prior year’s revenue with no increase in charges and that patient and department revenue figures came from the EPIC medical and billing system rather than the accounting system. She told trustees department managers provided expense estimates, and the CEO and the CFO had encouraged “compromise reductions to expenses and define methods for saving and increased revenue.”

The presentation listed the following budget elements as presented: a gross patient revenue figure of $30.9 million; gross revenue deductions of $9,702,000; net patient revenue of $21,200,000; total revenue of $27,900,000; and expenses about $27.9 million. Kathy said operating income and nonoperating revenue would bring the presentation’s total projected net income to $1,091,291. These numbers were given by the presenter during the hearing.

Kathy said salaries and wages were increased in the budget to cover hiring a clinic director and to convert an HRO position to an HR director role. The budget includes funding for 11 certified nursing assistants (CNAs) to replace staff and account for increased census in the Manor; Kathy said the CNA starting rate in the budget is $18 per hour. She also said “no raise will be provided until and unless we see performance aligned with budgeted expectations.”

On capital spending and reserves, Kathy said reserves were not made in 2025 and that the budget used a calculation of 29.5 (as presented) to account for that; she said there are currently no plans for capital purchases until performance metrics are met and funds are available. She also said volume assumptions were modest increases (for example, a 2% increase for Manor bed volume and a 0.5% increase in radiology revenue based on added modalities).

A public commenter earlier in the hearing described living at the Manor as pleasant and referenced organized activities and social life there. That comment was part of the public hearing portion of the meeting and was recorded before the board’s deliberation and vote.

After discussion concluded, a board member moved to approve the FY2025–26 budget as presented; the motion was seconded. The board chair called the vote and the budget carried by a 3–2 tally. The transcript records the outcome “The budget is passed, 3 to 2.”

The adopted budget provisions and the vote mean the board expects to proceed with the staffing and revenue assumptions as presented; trustees directed that capital purchases be deferred pending performance metrics and available funds. The board did not adopt a general wage increase in this budget and included the listed position changes and CNA hires.

The board will reconvene for regular business at the scheduled board meeting times; any future changes to the adopted budget would require formal board action.