At the Weston County Health Services board meeting the board approved the previous meeting's minutes, adopted an amended agenda, and approved credentialing for several clinicians. The board also heard a broad operational update covering patient census and staffing, inventory and billing improvements, accounts receivable work and progress on a CT project.

Votes at a glance: - Approved previous meeting minutes (voice vote). - Approved amended agenda (voice vote). - Approved credentialing for Jan Mason Manzer, PA; Kathy Helms, MD; Katie Helms, MD (neurology telestroke); and Alexander Schoebauer, MD (cardiology) (motion carried by voice vote). - Moved into executive session for personnel and legal advice; motion passed and board returned with no actions taken in executive session.

Credentialing: A board member moved to approve credentialing for Jan Mason Manzer, PA; Kathy Helms, MD; Katie Helms, MD (noted as neurology/telestroke); and Alexander Schoebauer, MD (cardiology). The motion was seconded and carried by voice vote. The minutes record that the board reviewed the credentialing packets and found no concerns.

Operational reports and clarifying figures: - Census and staffing: The facility reported a census of 51 patients (roughly an average of 50). The Manor had four admissions and one discharge, and staff reported four active referrals. Agency staffing included two nurses and seven CNAs; two CNAs are scheduled to start in July and multiple CNAs are close to licensure. - Accounts receivable and audit: Administration reported ongoing audit work for fiscal year 2024 with weekly follow-ups; a consultant approved by the board will begin work on accounts receivable on Monday. Staff noted that some clinic billing (Manor Clinic, Upton clinic) has data-transmission issues; one physician's documentation had not reached the desk responsible for claims posting. Clean-claim ratio improved and average charge lag increased. - Inventory and purchasing: An inventory management system went live on June 2; departments are now averaging $24,000$32,000 per month in supply orders. The system allows delegated approvals and paperless requisitions. - Cash and payables: The finance team reported improvements in cash flow, including covering payroll in the most recent pay period. The treasurer's report included days cash on hand calculated several ways: about 32.41 days excluding the money-market account, 46.34 days including the money market, 38.04 days including the CD and 116.77 days including all accounts. Staff acknowledged formula errors in the draft reports that will be restated with explanations. - Pharmacy and billing: Hospital staff are reconciling retail pharmacy receipts and hospital pharmacy receipts; some deposits to the retail pharmacy account included hospital pharmacy activity and staff are working with vendors to separate postings. - CT project and MRI continuity: Administration said the CT project is progressing with architects and state reviewers; there will be short periods when CT will be unavailable and diversion will be necessary, but leadership expects MRI service to remain available during the CT transition. - Staffing and hiring: Interviews were underway for a clinic manager and HR director; a candidate named Mary Elizabeth Mullins was under consideration for a human resources role. The board also discussed locum staffing and lodging charges previously billed and settled.

Executive session and minutes: The board voted to convene an executive session for personnel and legal advice under the statute language read into the record by legal counsel. The board recessed, then returned and recorded that no action was taken during the executive session.

What this means: The approvals permit the newly credentialed clinicians to be added to provider rosters and allow the board to proceed with governance matters. Administration will correct reporting formulas, continue accounts receivable remediation with the consultant, finish CT planning steps and return to the board with budget-related material in July.