[{"_1":2,"_87":-5,"_88":-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],{"_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",6669884,"mediaKeyId","5038174-7ffcfb20b869a2923284fd44e466b379","parentId",5038174,"title","Board approves minutes, agenda and credentialing of new providers; hears staffing, cash-flow and CT updates","audioSeconds",4488,"startMs",409000,"endMs",4897000,"viewUrl","/Search/View?dp=1&key=5038174-7ffcfb20b869a2923284fd44e466b379&start=409&end=4897","thumbnailUrl","https://assets.pipeline.soar.com/5038174-7ffcfb20b869a2923284fd44e466b379/thumbnail_409000.jpg","articleUrl","/articles/6669884/Weston-County/Wyoming/Board-approves-minutes-agenda-and-credentialing-of-new-providers-hears-staffing-cash-flow-and-CT-updates","mediaUrl","https://secure.pipeline.soar.com/6669884-327c7df81e5fa36e5c4b1453bba1198a/orig.mp4?Expires=1771135093&Signature=D0F~82TfLB0AAeYvYw6WSeVN9TziPBTwfudIiuq1IDWzAAvuOT6zzDyrJ3Phjq~KlOr3PynXEJD0EreZrYFU0kmSKW34YroIJMr2B2gU2KA2doVEdZ3jAEvmHDm-ufACw2KA1lSpKi~zUTlH1nTmziS-xFG~JHrpYlIU6dbGR1eT2o85IFgIqgtLDsV6eUYfju1Jwe3svX2WxPhNDgX00K~PG9w7n2dYl2GqXxi25gJlBYFIQqmjT3LCXOuT64B6OGQF~dVtCvqTt2fG-q~o~8nbQjDTZf3F4MRnKk-0XITpcVA-g0kF1feYHPY4MuwpdOozusG9EU1M3giMYubb1w__&Key-Pair-Id=KUT5TJCACFTXG","author","Weston County","date","2025-06-21T15:11:46Z","article","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\u0012$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.","mediaType","Video","parentTitle","Weston County Hospital District Board of Trustees regular meeting. June 19, 2025. Newcastle, Wyoming","oneSentenceSummary","The WCHS board approved meeting minutes and the amended agenda, voted to credential four clinicians, and received operational reports covering census, staffing, inventory system roll-out, accounts receivable work and a scheduled CT project with continuity of MRI services.","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},6669889,"Weston County hospital board delays final budget, orders cash-based review and schedules work session and public hearing",3681,3737000,7418000,"/Search/View?dp=1&key=5038174-7ffcfb20b869a2923284fd44e466b379&start=3737&end=7418","https://assets.pipeline.soar.com/5038174-7ffcfb20b869a2923284fd44e466b379/thumbnail_3737000.jpg","/articles/6669889/Weston-County/Wyoming/Weston-County-hospital-board-delays-final-budget-orders-cash-based-review-and-schedules-work-session-and-public-hearing","https://secure.pipeline.soar.com/6669889-628008a88582dd3d40acf450d97ae813/orig.mp4?Expires=1771135093&Signature=XNv7bA4YQCpEDDVwXnVbQJFFSfRg0~8BCs0C3adCPqIQrhyIllJSmFNhjTvn6w5XrsCk6BA4vWV81BVUSSN26v3k6pRTopEDHOhoRxE1h8KBUZlu-36t2-l8zSlLakbruTDtm6gLn1MJAUYSbxCRghQoC72M1fszwNj4abfpXuva3dE6vaBUF13Rkk~84CeMy3NN-nPzfurEOKyHjzSjJao1ciAfqArVFd3Xcc-c1PUiIYY8TxLGFXMB-d8LqnuIWM4F1KUX6VYp9bLpMlYQs79AQTHSF~dVKB9W-fBv-yB0hcAtpQUPiB~HbPdJY2n8c8cCiPJ--mGpZctMAcP~bw__&Key-Pair-Id=KUT5TJCACFTXG","The Weston County Health Services (WCHS) board delayed final adoption of its fiscal-year budget after members flagged wide discrepancies between the hospital's accounting-system numbers and the cash-flow reports and asked administration to rework the plan using bank cash activity and outside review.

Board members said the divergence between the two reporting systems is large enough to change the board's view of the hospital's financial position and that the board must rely on a verifiable data source before voting on a legally-required budget. To allow time for a targeted review, the board scheduled a budget work session for July 7 at 5:30 p.m. and a public hearing followed by a special meeting on July 10 (public hearing at 5:30 and a vote to follow), with the goal of meeting the state filing deadline in mid-July.

Why it matters: Wyoming law requires special districts to adopt and file a budget on a regular timetable, and the board repeatedly emphasized that approving a budget is not merely a planning exercise but confers authority to spend. Several directors and board members said the accounting data provided by the hospital's general ledger has shown dramatic month-to-month swings and has been characterized by auditors as unreliable, making the board reluctant to rely on that source alone.

Discussion and evidence: Board members presented side-by-side comparisons showing the hospital's accounting system reporting roughly $29.3 million in year-to-date expenses while the bank cash report reflected about $22.6 million for the same period; projected year-end expense estimates in the two systems also differed by millions. A director summarized the gap this way: the accounting system projected year-end expenses near $31.9 million while the cash-based view put the number near $24.7 million, a difference board members said was too large to ignore.

Several members asked administration to build a budget model grounded in actual cash receipts and disbursements over the past 12 months, adjusted for known capital spending, program-volume changes and known Medicaid/IGT (intergovernmental transfer) flows. The board asked that the revised approach be reviewed by an external expert, consultant John Gantner, who agreed to look at the work with hospital staff. Administration agreed to return preliminary results to the board at the July 7 work session and present a proposed budget at the July 10 public hearing.

Legal and procedural context: Allison Lisonbee, the board's legal counsel, read the statute language for executive sessions and assisted the board with scheduling and public-notice requirements. Board members noted that the governing statute for special districts requires the adopted budget to be filed within three business days after the public hearing and affirmed they would follow the required public-notice process for the July hearings.

What the board directed: - Administration was asked to produce a cash-based budget model using bank activity records for the prior 12 months and to adjust for planned capital expenditures and known program changes. - Administration will engage consultant John Gantner for an external review and incorporate his recommendations. - Work session: July 7, 5:30 p.m. (to review preliminary numbers). - Public hearing and special meeting: July 10, public hearing at 5:30 p.m., special meeting (vote) to follow.

Board members expressed differing views about whether a budget should be treated as a fixed legal guardrail or as an operational plan that can be adjusted in response to cash realities; the scheduling decision was a compromise to allow additional review without missing the statutory deadline.

Looking ahead: Administration will return to the board with revised budget material at the July 7 work session. If the board approves a budget at the July 10 hearing and special meeting, the hospital will file the adopted budget with the state within the required timeframe.","Board members raised concerns about large discrepancies between the hospital's accounting system and bank cash reports, agreed to a cash-based review with consultant support and set a July 7 work session and a July 10 public hearing to finalize the fiscal-year budget.","actionData","errors"]

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Board approves minutes, agenda and credentialing of new providers; hears staffing, cash-flow and CT updates

Weston County hospital board delays final budget, orders cash-based review and schedules work session and public hearing