Job Description

The Chief Financial Officer for this Critical Access Hospital (CAH) will be an employee of Community Hospital Corporation (CHC), working under the joint direction of the local Hospital CEO and CHC’s SVP of Hospital Financial Operations. The CFO is responsible for providing strategic leadership and oversight of the overall financial planning and financial operations for Freestone Medical Center in Fairfield, TX, while ensuring compliance with the hospital’s mission, vision, values, goals, strategic direction, and applicable laws and regulations.

Serving a vital rural community strategically located right off I-45 between Dallas and Houston, the CFO appraises the organization's financial position and issues periodic financial and operating reports. As a CHC corporate employee deployed locally, this role directs the hospital's financial planning, rural revenue cycle management, cost reporting, payroll, and accounting practices, while overseeing treasury, budgeting, audit, tax, purchasing, real estate, and insurance.

The CFO develops and implements policies and procedures to include safeguarding of assets and adherence to generally accepted accounting principles; ensures proper accountability and reporting to federal and state agencies; and manages all matters pertinent to a fiscally responsible flow of rural hospital operations. Assures the implementation and adherence to CHC system-wide financial policies and procedures.

The CFO is responsible for cultivating positive relationships and effective communications with lending institutions, the financial community, Community Hospital Corporation, medical staff, employees, volunteers, community representatives, and board members as appropriate.

Major Responsibilities

• Regulatory & CAH Compliance: Assures hospital compliance with federal, state, and local government laws and regulations, accrediting agency standards, hospital policies, and procedures. Retains all hospital accreditations, licensures, and Critical Access Hospital (CAH) designations in good standing. Acts promptly to comply with required regulatory updates.
• Strategic Rural Healthcare Planning: Participates in the development of the facility’s strategic plan and short- and long-term objectives to ensure the continued growth of the facility and the provision of necessary healthcare services to the rural Freestone County community; implements plans and programs as approved by the governing board.
• Operations & Financial Management: Participates in the preparation and management of sound operating, project, and capital budgets. Ensures the effective use of risk management, financial controls, productivity measures, Critical Access reimbursement principles (including cost report optimization), and contracting. Meets budget-critical financial metrics, effectively negotiates third-party contracts, and provides diligent stewardship of all financial and physical resources.
• Human Resources & Credentialing: Ensures the availability of adequate numbers of competent staff (including physicians and contract labor) that are properly credentialed, educated, trained, motivated, and engaged to serve a rural healthcare footprint. Directs performance management systems including policies/practices for providing timely feedback, recognizing excellence, and dealing with problem behavior and poor performance.
• Internal Communication and Relationships: Demonstrates effective interpersonal relations including influencing/persuading at all levels inside the hospital and corporation. Builds rapport and trust with the internal team through frequent, transparent, and timely communication. Develops and maintains collaborative medical staff relationships, seeks input from stakeholders, and anticipates and addresses concerns to cultivate a strong culture of communication.
• Talent Development: Invests in staff development. Accurately assesses developmental needs and provides frequent feedback, coaching, and personal development opportunities.
• Champion for Change: Speaks out for change and helps staff understand the operational reasons for, and community benefits of, organizational change. Links change directly to work processes and involves stakeholders in the change process. Follows through thoroughly on change initiatives while maintaining strict compliance with all regulatory and legal requirements.

Requirements

• Education: BS/BA degree in finance, accounting, business, or a related discipline required. A CPA designation is highly preferred. A graduate-level degree (MBA, MHA) is a plus.
• Experience: 5–7 years of progressive career experience in Hospital Finance/Accounting.
• Leadership: Prior Hospital CFO, Assistant CFO or strong Controller experience within a rural healthcare setting is highly preferred.
• Technical Skills: Requires proven managerial experience and a deep understanding of hospital financial reporting, rural revenue cycle management, Medicare cost-reimbursement structures, accounting, budgeting, accounts payable, treasury, audit, tax, payroll, information technology, and materials management.

Benefits

Full relocation benefits are provided to help you settle into the welcoming Fairfield community. As an employee of CHC, benefits include:

• Competitive base salary with a CHC incentive compensation plan
• Comprehensive relocation package
• 401(k) savings plan with company match
• Comprehensive health, dental, vision, and welfare benefits package

About Freestone Medical Center

For more than 70 years, Freestone Medical Center has proudly served Freestone County and its surrounding communities as a nonprofit, Critical Access Hospital. Perfectly situated in the heart of Freestone County, Fairfield offers the charm and close-knit connection of a rural community with the unique advantage of sitting directly off the I-45 corridor—giving residents easy, direct highway access just over 90 minutes north to the Dallas-Fort Worth metroplex and south to the Houston metropolitan area.

We offer a wide array of medical services including a 24-hour emergency department designated as a level IV trauma center, lab, imaging, inpatient care and cardiopulmonary rehabilitation. Our Freestone Health Clinics provide primary care services for all ages. Our patients benefit from the latest medical technology along with comprehensive healthcare from highly skilled physicians, nurses and professional staff. Our dedication to quality means the high level of care you might associate with a larger medical center is available to diagnose and treat your medical conditions close to home. For more information, visit https://freestonemc.com/

About Community Hospital Corporation

Community Hospital Corporation provides management services to Freestone Medical Center. Here, CHC puts its purpose into practice by guiding, supporting, and enhancing our mission and strengthening community hospitals and healthcare providers across the country. Based in Plano, Texas, CHC provides the resources and experience community hospitals need to improve quality outcomes, patient satisfaction, and financial performance.

For more information about CHC, please visit the company website at CHC.com