Job Description
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.
Franklin General Hospital is a rural hospital with 25 acute care beds, a primary care clinic (Franklin Medical Center) and a 52-bed nursing facility providing high quality care in a rural setting. This "homecare" care includes the full continuum of primary healthcare... from health promotion to end of life care.
