CFO / Vice President Of Finance
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Job Description
CFO / Vice President of Finance - Burgess Memorial Hospital | Onawa, Iowa | On-Site
Talent Co is retained to fill the CFO / VP of Finance for Burgess Hospital
This role will report directly to the CEO and serves as a core member of a five-person senior leadership team. This is a hands-on, visible leadership position with direct access to the Board Finance Committee and no system-level oversight layers.
The CFO will lead financial operations through a planned retirement transition and will drive optimization of newly implemented systems and workflows, including Epic integration.
A CEO succession pathway exists for the right candidate motivated by long-term organizational leadership (5–6 year horizon). This is not a requirement.
Key Responsibilities
- Lead all financial operations for a $32M–$35M CAH and rural delivery organization
- Serve as primary finance voice at the senior leadership table; drive discussion and present solutions
- Direct cost reporting and CMS reimbursement functions
- Oversee financial systems optimization post-implementation, including Epic integration
- Represent the organization externally as requested by the CEO
- Engage directly with the Board Finance Committee
Required Qualifications
- 6+ years of experience in healthcare, non-profit, or closely related field
- Direct experience with cost reporting and CMS reimbursement
- Demonstrated ability to work in both strategic and operational capacities
- Experience leading organizations through systems transitions
- Strong cross-functional communication skills
Strongly Preferred
- Public accounting background with healthcare focus
- Prior finance leadership in a smaller or mid-sized hospital setting
- Master of Healthcare Administration (MHA)
What to Know
- Independent governance — no health system oversight
- Direct CEO reporting relationship with meaningful strategic input expected
- Active Foundation; modern facility and equipment
- Stable, collaborative senior team
- Competitive compensation commensurate with CAH market
About the Organization
Burgess Memorial Hospital is an independent, locally governed Critical Access Hospital and rural health delivery organization with $32M–$35M in annual revenues. The organization operates two off-site family medicine clinics, home health, hospice, certified community behavioral health services, and an ambulance service.
Burgess is not affiliated with or managed by a large health system. Governance and decision-making are local. A $20M facility renovation and expansion was completed in 2024. Core financial systems have been recently upgraded; Epic go-live is scheduled for September 2025.
This position is one of three Board-appointed officers authorized to legally represent and act on behalf of the organization.
Talent Company is retained exclusively for this search. Direct applications and third-party submissions will be redirected.
Location: The role is Onsite in Onawa, Iowa
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