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Chief Financial Officer CFO

Job in Onawa, Monona County, Iowa, 51040, USA
Listing for: Talent Company, Inc
Full Time position
Listed on 2026-02-28
Job specializations:
  • Management
    CFO, Financial Manager
  • Finance & Banking
    CFO, Financial Manager
Salary/Wage Range or Industry Benchmark: 150000 - 200000 USD Yearly USD 150000.00 200000.00 YEAR
Job Description & How to Apply Below
Location: Onawa

CFO – Critical Access Hospital (On-site)

Talent Company is retained to hire the next CFO for Burgess Hospital in Onawa, Iowa.

This is an onsite role at an independent, locally governed critical access hospital and rural health delivery organization.

Burgess is not a municipal or county facility, nor is it owned or managed by a large health system.

Decisions are made locally, leadership is visible and the finance leader has a significant voice at the senior leadership table.

This position serves as one of three Board appointed officers that may legally represent and act on behalf of the organization as directed by the CEO.

The organization is in a planned transition phase due to a pending retirement.

Core financial systems have been recently upgraded.

EPIC go-live is scheduled for September.

Leadership is aligned on priorities and direction.

The next Vice President of Finance/CFO will provide direction and leadership going forward to optimize financial systems, work-flows, and processes following significant new implementations and upgrades.

Why This is Intriguing for the Right Candidate
  • Work directly with local Board finance committee and senior leadership team, no layers of system oversight
  • Clear potential to impact the strategic direction and success of the organization from the CFO seat.
  • Will have ample opportunity to be an "out front" visible leader, representing the organization both internally and externally as requested by CEO
  • Pathway opportunity for the right candidate who is motivated to be part of a planned CEO succession plan within 5-6 years. (not required)
Senior Leadership Team and Reporting Relationship
  • Significant, core member of a 5 person, impactful senior leadership team.
  • Reports directly to an experienced, collaborative highly engaged CEO
  • CEO expects the finance leader to appropriately drive discussion and offer solutions
  • Finance leadership is expected to be present, engaged and influential
What You're Walking Into
  • Independent critical access hospital and rural delivery organization ($32m - $35m annual revenues)
  • Comprehensive rural delivery organization with two off site family medicine clinics, home health, hospice, certified community mental health services and an ambulance service
  • Local Board with ultimately authority (no system governance or oversight)
  • Well functioning and collaborative senior team
  • Modern facility, $20m renovation/expansion project completed in 2024
  • Active and successful Foundation that annually supports organizational priorities
  • Modern equipment due to a systematic, planned replacement program
  • Typical challenges all rural healthcare facilities face with recruiting skilled work force
  • Challenges with revenue growth not keeping pace with rapidly increasing cost curve
  • The need to optimize use of newly installed systems and their integration with EPIC

Location:

The role is Onsite in Onawa, Iowa

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