Hunter Ambrose Int. | Kansas City, Missouri

Chief Financial Officer — Rural Critical Access Hospital

Employer: Gothenburg Health (via Hunter Ambrose International)
Location: Gothenburg, Nebraska
Hospital Type: 15-bed Critical Access Hospital (CAH)
Annual Revenue: ~$55 million

Why This Opportunity Matters

Gothenburg Health recently completed major facility upgrades — including a new surgical suite, expanded outpatient services, and modernized inpatient rooms — positioning it among the most advanced CAHs in the region. As CFO, you will play a central strategic role in shaping the hospital’s long-term financial health, service-line growth, and operational sustainability during this pivotal phase.

Position Overview & Key Responsibilities

Reporting directly to the CEO, the CFO will lead all financial functions across the organization, including:

• Full oversight of finance and accounting operations: budgeting, forecasting, capital planning, monthly financial cycles.

• Revenue-cycle leadership: patient access, billing, collections, denials, cost reporting, and the integration of AI-supported workflow enhancements.

• Board-level financial reporting, pro-forma modeling, scenario planning for growth initiatives.

• Reimbursement strategy and payer contracting, including mastery of CMS/CAH cost-based methodologies.

• Vendor contract negotiation and management, performance oversight, and external partnerships.

• Financial leadership to support ongoing and future service-line expansion (e.g., outpatient, surgical, imaging, swing-bed utilization, infusion services).

Candidate Profile & Qualifications

• Bachelor’s degree in Finance or Accounting required; CPA or MBA strongly preferred.

• Minimum 3 years in a CFO or VP of Finance role within a hospital, CAH, or ambulatory care setting; rural healthcare experience preferred.

• Demonstrated expertise in CMS reimbursement regulations and CAH-specific cost reporting and financial modeling.

• Proven track record in managing and optimizing full revenue-cycle operations, vendor management, and contract negotiation.

• Experience leading finance operations through major organizational change — such as EMR transitions or facility upgrades — and managing complex financial workflows.

• Comfort with using modern financial tools and analytics (AI, ERP, financial dashboards), and ability to work collaboratively across clinical, operational, and administrative teams.

Compensation & Incentives

• Salary range: $165,000 – $200,000, commensurate with credentials and experience.

• Relocation assistance available.

• Opportunity to directly influence strategic growth, capital investments, and service-line expansion in a modern, rural hospital setting.

Ideal Candidate

You are an experienced, hands-on senior finance executive with a strong background in rural hospital or CAH finance. You thrive in smaller, mission-oriented environments where leadership is personal and impactful. You are comfortable leading end-to-end financial operations — from revenue cycle, reimbursement strategy to capital planning — and you bring a combination of analytical acumen, operational savvy, and collaborative leadership.

This role offers the opportunity to lead financial strategy in a hospital with recent capital investments, strong revenue base, and a commitment to growth and sustainability.

Application Instructions

Please submit your resume to: admin@hunterambrose.com
All enquiries will be treated confidentially. Qualified candidates will receive the full job profile. Candidate presentations begin shortly.

About Chief Financial Officer - Critical Access Hospital

Why Partner with Hunter Ambrose Leadership searches shouldn't be transactional. When you're recruiting executives who will shape organizational culture, drive billion-dollar decisions, or navigate complex regulatory landscapes—you need a partner built for precision and accountability. Hunter Ambrose specializes in retained executive search for high-stakes environments: independent hospitals, water and utility districts, investor-backed healthcare ventures, and mission-critical energy firms. Ranked #21 among the largest executive search firms by Modern Healthcare (2022), we work with organizations where leadership decisions carry weight—and where getting it wrong isn't an option. Our Approach We take on a limited number of searches each quarter. Every engagement is led personally by Nicole Barbano, supported by a senior team with deep domain expertise. This isn't a handoff model—you get founder-level attention from discovery through placement and beyond.

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