: Chief Financial Officer - Controller (Ohio Residents Only)
CLASSIFICATION: Exempt
SUMMARY DESCRIPTION:
We look forward to finding new team members with the commitment and talent to help us provide excellent care for our patients as the best quality, value and choice in the region. At Ohio Valley Surgical Hospital, our mission is to Elevate the Standard of Health Care in Our Community, and our core values guide the way we fulfill our mission. In service to each patient, we value quality, compassion, and care you can trust.
The Chief Financial Officer (CFO) / Controller provides strategic and operational financial leadership for the hospital, overseeing all aspects of financial management to ensure fiscal stability, operational efficiency, and long-term growth. This executive partners closely with the CEO, Hospital President, Board, investors, and executive leadership to develop and execute financial strategies that enhance organizational performance and support the hospital's mission.
The CFO / Controller is responsible for accounting, financial reporting, budgeting, forecasting, cash flow management, capital and operational planning, expense management, productivity analysis, internal controls, and financial compliance. The role provides timely financial analysis and operational insights to support data-driven decision-making and organizational accountability while ensuring the accuracy and integrity of the hospital's financial statements.
The CFO / Controller also provides executive oversight of key financial support functions, including revenue cycle, supply chain, patient financial services, and accounting, working collaboratively with shared service teams and department leaders to improve financial performance and operational effectiveness. As a trusted advisor to executive leadership, the CFO / Controller promotes financial stewardship, identifies opportunities for growth and efficiency, manages financial risk, and develops policies and procedures that support the organization's strategic objectives.
RESPONSIBILITIES:
- Serve as the organization's senior financial executive, partnering with the Chief Executive Officer, Board of Managers, Finance Committee, investors, and executive leadership to develop and execute strategic, operational, and financial objectives that support the hospital's mission, growth, and long-term financial sustainability.
- Direct and oversee all financial operations, including accounting, financial reporting, budgeting, forecasting, treasury, cash management, capital planning, expense management, productivity analysis, revenue cycle, patient financial services, payroll, financial analysis, internal controls, tax reporting, and financial information systems.
- Ensure the accuracy, integrity, and timeliness of all financial statements, management reports, regulatory filings, tax returns, government reports, cost reports, and financial information in accordance with Generally Accepted Accounting Principles (GAAP), healthcare regulations, and organizational policies.
- Lead the annual operating and capital budgeting process, long-range financial planning, and periodic forecasting, while monitoring performance against budget, strategic objectives, and key financial indicators.
- Provide financial leadership and decision support by analyzing financial performance, market trends, reimbursement changes, productivity, service line profitability, capital investments, acquisitions, debt financing, and new business opportunities, making recommendations that improve financial performance and organizational value.
- Monitor revenue cycle performance, including accounts receivable, collections, contractual allowances, write-offs, reimbursement, cash collections, and net revenue, ensuring effective revenue capture and cash flow optimization.
- Oversee cash management activities, including liquidity planning, banking relationships, payroll funding, vendor payments, debt obligations, capital expenditures, and investor or ownership distributions.
- Develop and maintain effective financial policies, procedures, internal controls, and systems of checks and balances that safeguard organizational assets, strengthen financial governance, and ensure compliance with applicable federal, state, and local laws, bond covenants, lender requirements, and regulatory standards.
- Direct general accounting operations, including journal entries, accruals, reconciliations, fixed assets, inventory accounting, payroll allocations, invoice coding, month-end and year-end close processes, and preparation of audit work papers.
- Oversee reconciliation and integrity of financial information across accounting, payroll, electronic medical record (EMR), inventory, banking, and other financial systems, including Meditech and related applications.
- Collaborate with department directors and operational leaders to develop financial plans, improve productivity, manage expenses, evaluate staffing, and implement operational improvements that support organizational objectives.
- Review, negotiate, and provide financial oversight for significant contracts, purchase agreements, capital expenditures, financing arrangements, and other financial commitments to ensure sound stewardship of organizational resources.
- Provide timely financial reports, operational dashboards, and performance analyses to department managers, executive leadership, the Finance Committee, Board of Managers, investors, lenders, auditors, and other stakeholders.
- Identify financial risks, emerging trends, operational inefficiencies, and business opportunities, recommending strategies to improve profitability, financial performance, operational effectiveness, and long-term sustainability.
- Coordinate all external financial audits, tax preparation, cost reports, and regulatory examinations while serving as the primary liaison with auditors, tax advisors, regulatory agencies, financial institutions, and other external partners.
- Maintain financial records related to ownership transactions, including buy-ins, buy-outs, equity schedules, and other investor-related financial activities as applicable.
- Provide leadership, direction, mentoring, and performance management for finance and accounting staff, fostering a culture of accountability, collaboration, continuous improvement, and professional development.
- Ensure appropriate staffing levels and efficient departmental workflows while promoting employee engagement, effective communication, safety, and organizational initiatives.
- Represent the Finance Department on the executive leadership team, at Board and Finance Committee meetings, and in organizational committees, providing strategic financial guidance and supporting decision making.
- Participate in the evaluation and development of new business ventures, service expansions, affiliations, and strategic initiatives through comprehensive financial and operational analyses.
- Perform additional duties and lead special projects as assigned by the Chief Executive Officer or Board of Managers.
QUALIFICATIONS:
- Education: A Bachelor of Science degree in Accounting with an MBA Degree strongly preferred.
- Experience: Minimum of five years of high-level administrative experience in an acute healthcare setting.
- Ten years in a senior leadership capacity is strongly desirable.
- Knowledge of legal and tax considerations, compliance reporting requirements, finance, budget development and administration, and financial analysis.
- Must have a well-developed understanding of computer applications and information technology and be able to network the resources necessary to combine financial planning with the clinical and operating systems of the organization.
- Minimum of five (5) years’ progressive related effective and successful management experience.
- Ability to manage staff and work well at all levels of the organization.
- Knowledge of GAAP and accounting rules.
- Strong software skills: able to understand the inner workings of software and checking the validity and integrity of data that is reported via the software.
- Ability to work with tax professionals and to understand complex tax implications for the Hospital and investors given varied business strategies.
- Strong understanding of hospital entities, structures, and options.
- Team player with a positive attitude
- CPA or equivalent public accounting or healthcare experience
