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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

• Partner with the CEO, CNO and leadership team to develop and execute strategic financial plans aligned with organizational goals.
• Provide financial forecasting, long-range planning, and performance analysis
• Advise on growth opportunities, service line expansion and capital investments

Financial Operations

• Responsible for accounting, budgeting, payroll and revenue cycle functions
• Prepares financial statements, budgets and projections
• Monitor cash flow, operating performance and financial indicators
• Ensure accurate and timely monthly, quarterly and annual reporting

Regulatory & Compliance

• Ensure compliance with Medicare cost reporting and Critical Access Hospital (CAH) reimbursement regulations
• Oversee audit processes and maintain strong internal controls
• Ensure compliance with federal, state and local financial regulations

Revenue Cycle & Reimbursement

• Optimize revenue cycle performance, including billing, collections, and denial management
• Monitor payer mix and reimbursement trends
• Ensure accurate cost reporting and maximize cost-based reimbursement opportunities

Operational Support

• Collaborate with department leaders to improve financial performance and cost efficiency
• Lead cost containment initiatives without compromising quality of care
• Support contracting and negotiations with vendors and payors

Leadership & Team Development

• Lead and mentor the finance and revenue cycle teams
• Foster a culture of accountability, transparency and continuous improvement

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Qualifications

Required

• Bachelor's degree in accounting, Finance, Healthcare Administration, or related field
• Minimum of 3-5 yrs of progressive financial leadership experience in healthcare
• Strong knowledge of Critical Access Hospital reimbursement and Medicare cost reporting
• Demonstrated experience in budgeting, forecasting, and financial analysis
• Proven leadership and team management skills

Preferred

• MBA or master's degree in a related field
• Experience with Multiview and Paycom software
• Experience in a rural healthcare or small community hospitals
• Familiarity with value-based care models and population health initiatives

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Key Competencies

• Strategic thinking and problem-solving
• Strong financial acumen and analytical skills
• Knowledge of healthcare regulatory environments
• Effective communication with clinical and non-clinical leaders
• Ability to balance strategic vision with operational execution

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Compensation & Benefits

• Competitive salary commensurate with experience
• Comprehensive benefits package (health, dental, vision, IPERS)
• Paid time off (PTO)
• 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.