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CFO / Vice President of Finance

Talent Company, Inc

Onawa, IA

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JOB DETAILS
SKILLS
Ambulance Services, Behavioral Health, Communication Skills, Community Health, Content Management Systems (CMS), Cost Reporting, Cross-Functional, Employee Retention, Family Medicine, Finance, Financial Management, Financial Operations, Financial Systems, Head of Finance, Health Informatics, Healthcare, Healthcare Administration, Home Care, Hospice Care, Hospital, Leadership, Medical Billing, Nonprofit, Operational Strategy, Process Improvement, Public Accounting, Reimbursement, Retirement Planning, Team Player, Variable Costs
LOCATION
Onawa, IA
POSTED
30+ days ago

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

About the Company

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Talent Company, Inc