Job Description

A financially stable, independent Critical Access Hospital in California has retained us to conduct a confidential search for an experienced Chief Financial Officer (CFO) as part of a thoughtful, planned leadership transition .

This is a rare opportunity for a CFO who values stability over crisis management , and meaningful leadership over constant firefighting .

The organization is well-capitalized, deeply rooted in its community, and fiscally sound . This is not a turnaround . The Board and executive team are aligned, the hospital is operating from a position of strength, and they are seeking a CFO who understands the nuances of rural healthcare finance and is looking for a long-term professional home .

The role offers real autonomy , a strong partnership with the CEO, and the opportunity to be a trusted financial steward —focused on sustainability, strategic planning, and operational support rather than crisis response. Just as importantly, the hospital recognizes the importance of work-life balance and lifestyle flexibility , making this an especially compelling role for a seasoned CFO seeking both professional fulfillment and quality of life.

If you’re a healthcare finance leader who believes the best CFO roles are built on trust, stability, and community impact , this is a conversation worth having.

The Opportunity

• Senior executive role reporting directly to the CEO
• Financially strong organization with exceptional cash position
• Meaningful influence over financial strategy and operations
• Lean, efficient finance team with hands-on leadership scope
• Hybrid work option available once established
• Strong, collaborative executive leadership culture

What They’re Looking For (MUST HAVES)

• Prior CFO or senior finance leadership experience in a Critical Access Hospital
• Strong knowledge of CAH reimbursement, cost reporting, and rural hospital finance
• CPSI / TruBridge experience strongly preferred
• District or public hospital experience a plus
• Practical, steady leadership style with strong interpersonal skills

Education

• Bachelor’s degree in Accounting required
• CPA strongly preferred
• MBA/MHA a plus, not required

Why This Role Is Different

• Stable organization with strong financial footing
• No system bureaucracy or excessive layers
• True partnership with the CEO
• Ability to make visible, lasting impact
• Flexibility and quality of life rarely found in CFO roles

Location & Lifestyle

This hospital serves a close-knit rural California community offering access to outdoor recreation, a slower pace of life, and a strong sense of purpose—while remaining within reach of major California markets.

Confidential Search

This search is being conducted confidentially to protect the organization and its leadership. Full details will be shared with qualified candidates during initial conversations.

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