Chief Financial Officer (CFO)
25-bed Critical Access Hospital
Location: Franklin General Hospital
Reports to: Chief Executive Officer (CEO)
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Position Summary
The Chief Financial Officer (CFO) provides strategic leadership and oversight of all financial operations for a 25-bed Critical Access Hospital which includes two rural health clinics, an attached long term care facility and assisted living facility. As a key member of the executive leadership team, the CFO ensures the financial integrity, sustainability and regulatory compliance of the organization while supporting its mission to deliver high-quality, community-centered care.
This role requires a hands-on financial leader experienced in rural healthcare environments, with a deep understanding of Critical Access Hospital reimbursement, cost-based reporting and operational efficiency.
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Key Responsibilities
Financial Strategy & Leadership
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Partner with the CEO, CNO and leadership team to develop and execute strategic financial plans aligned with organizational goals.
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Provide financial forecasting, long-range planning, and performance analysis
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Advise on growth opportunities, service line expansion and capital investments
Financial Operations
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Responsible for accounting, budgeting, payroll and revenue cycle functions
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Prepares financial statements, budgets and projections
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Monitor cash flow, operating performance and financial indicators
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Ensure accurate and timely monthly, quarterly and annual reporting
Regulatory & Compliance
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Ensure compliance with Medicare cost reporting and Critical Access Hospital (CAH) reimbursement regulations
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Oversee audit processes and maintain strong internal controls
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Ensure compliance with federal, state and local financial regulations
Revenue Cycle & Reimbursement
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Optimize revenue cycle performance, including billing, collections, and denial management
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Monitor payer mix and reimbursement trends
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Ensure accurate cost reporting and maximize cost-based reimbursement opportunities
Operational Support
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Collaborate with department leaders to improve financial performance and cost efficiency
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Lead cost containment initiatives without compromising quality of care
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Support contracting and negotiations with vendors and payors
Leadership & Team Development
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Lead and mentor the finance and revenue cycle teams
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Foster a culture of accountability, transparency and continuous improvement
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Qualifications
Required
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Bachelor's degree in accounting, Finance, Healthcare Administration, or related field
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Minimum of 3-5 yrs of progressive financial leadership experience in healthcare
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Strong knowledge of Critical Access Hospital reimbursement and Medicare cost reporting
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Demonstrated experience in budgeting, forecasting, and financial analysis
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Proven leadership and team management skills
Preferred
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MBA or master's degree in a related field
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Experience with Multiview and Paycom software
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Experience in a rural healthcare or small community hospitals
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Familiarity with value-based care models and population health initiatives
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Key Competencies
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Strategic thinking and problem-solving
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Strong financial acumen and analytical skills
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Knowledge of healthcare regulatory environments
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Effective communication with clinical and non-clinical leaders
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Ability to balance strategic vision with operational execution
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Compensation & Benefits
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Competitive salary commensurate with experience
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Comprehensive benefits package (health, dental, vision, IPERS)
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Paid time off (PTO)
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Relocation assistance (if applicable)
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About the Organization
Franklin General Hospital is a rural Critical Access Hospital located in Hampton, IA. We serve Hampton (Pop: 4,300) and Franklin County (Pop: 10,000) and the surrounding communities.
We have 25 acute care beds, two primary care clinics, nursing facility, assisted living facility, home care and public health.
Franklin General Hospital was named a Top 20 Critical Access Hospital in the country for Best Practice in Patient Satisfaction by the Chartis Center for Rural Health in 2024 & 2025.
