The Controller plays a critical hands-on leadership role in the Finance department. This position is responsible for leading daily accounting operations including Accounts Payable and Payroll functions, ensuring the accuracy and integrity of financial records, managing the month-end and year-end close processes, and maintaining strong internal controls. The Controller will work closely with and support the Vice President-Finance/CFO in delivering accurate financial reporting, regulatory compliance, and operational decision-making in a dynamic healthcare environment. This is an excellent opportunity for an experienced accounting professional who thrives in a collaborative, mission-driven community health system setting. Bachelors degree in Accounting, Finance, or a related field is required. Masters degree (MBA, MHA, or equivalent) is a plus. CPA (Certified Public Accountant) certification is strongly preferred. Minimum of 58 years of progressive accounting experience, with at least 3 years in a supervisory or managerial role. Healthcare or hospital accounting experience is highly preferred (community or rural health system background is ideal). Demonstrated expertise in financial reporting, general ledger management, internal controls, and audit coordination. Prior experience working with healthcare-specific systems, reimbursement, and cost reporting is strongly preferred. Thorough understanding of Generally Accepted Accounting Principles (GAAP) and healthcare financial accounting standards. Strong technical accounting skills with excellent attention to detail and analytical abilities. Proficiency in accounting software, financial reporting tools, and advanced Microsoft Excel. Proven leadership and team development skills. Ability to work effectively under pressure while meeting tight deadlines (especially during month-end close, as well as cost report and audit periods). Excellent verbal and written communication skills, including the ability to explain complex financial information to non-finance stakeholders. High level of integrity, confidentiality, and commitment to ethical financial practices. Commitment to the mission and values of Hannibal Regional Healthcare System.