Facing aged accounts receivable and audit deficiencies, the Weston County Hospital Board authorized an outside forensic accounting engagement to correct general-ledger problems and help prepare audited financials required by state authorities.

Speaker 7 (finance lead) told the board the state-level audited financials must be submitted by Dec. 31 and that, until those financials are completed, the state is withholding certain funds. Speaker 7 outlined an internal remediation timeline (clean up trial balances by Dec. 5–15; external audit expected to take about eight weeks afterward) and said the board could expect a submission to the state in February, with a final administrative window through April 1.

To accelerate remediation, staff presented a proposal from Elevate CPA to perform GL cleanup at $100 per hour with forensic accounting expertise. Speaker 3 moved to authorize Kathy (Speaker 2) to engage Elevate CPA at $100/hour for GL cleanup and potential fractional controller services. The motion was seconded and approved in a voice vote; the board authorized the engagement and directed staff to pursue cleanup and reclassification work to reconcile overstated inventory and other general ledger issues.

Separately, staff reported steps to reduce aged AR: Anova (RCM vendor) has been onboarded to work insurance and self-pay claims, weekly meetings with vendor leadership were established, and credentialing of providers continues so prior claims can be submitted. Speaker 1 said she expected cash-flow improvements if vendor and internal processes proceed as planned.

The board’s action is meant to ensure audited financials are accurate and to secure release of state-held funds once the audit package is approved.