The Hospital Controller oversees all accounting operations of the hospital, including financial reporting, general ledger, accounts payable, accounts receivable, payroll accounting, fixed assets, cash management, internal controls, and financial compliance. The Controller ensures financial statements are prepared accurately and timely in accordance with Generally Accepted Accounting Principles (GAAP), healthcare regulations, and organizational policies.

Major Responsibilities:

Financial Management

• Direct all hospital accounting operations.
• Maintain the general ledger.
• Oversee monthly, quarterly, and annual financial close processes.
• Prepare accurate financial statements.
• Ensure timely reporting to executive leadership and the Board.
• Analyze financial performance and identify trends.
• Maintain chart of accounts.

Financial Reporting

• Prepare:
• Balance Sheet
• Income Statement
• Statement of Cash Flows
• Budget-to-Actual reports
• Departmental financial reports
• Productivity reports
• Capital expenditure reports
• Ensure reporting deadlines are met.
• Prepare supporting schedules for audits.

General Accounting

Oversee:

• Journal entries
• Reconciliations
• Accruals
• Fixed asset accounting
• Depreciation
• Intercompany transactions
• Inventory accounting
• Bank reconciliations

Revenue and Expense Accounting

Coordinate accounting for:

• Patient revenue
• Contractual allowances
• Charity care
• Bad debt
• Payroll expenses
• Benefits
• Physician compensation
• Grants
• Restricted funds

Accounts Payable

Supervise:

• Vendor payments
• Invoice processing
• Check runs
• Electronic payments
• Vendor reconciliation
• 1099 reporting
• Payment controls

Payroll Accounting

Coordinate payroll accounting by ensuring:

• Payroll reconciliations
• Payroll journal entries
• Benefit accruals
• PTO accruals
• Payroll tax accounting

Budget Support

Assist the CFO with:

• Annual operating budget
• Capital budget
• Department budgets
• Budget forecasting
• Variance analysis

Internal Controls

Assist CFO to develop and maintain internal controls over:

• Cash handling
• Purchasing
• Disbursements
• Payroll
• Financial reporting
• Asset safeguarding
• Segregation of duties

Recommend process improvements.

Audit Coordination

Support CFO as accounting contact for:

• External financial audits
• Single audits (if applicable)
• Medicare and Medicaid cost report support
• Internal audits
• State regulatory audits

Prepare audit schedules and supporting documentation

Regulatory Compliance

Ensure compliance with:

• GAAP
• Governmental Accounting Standards (if applicable)
• CMS financial reporting requirements
• Medicare reimbursement regulations
• Medicaid reimbursement regulations
• IRS requirements for nonprofit hospitals
• State healthcare reporting requirements
• Bond covenant reporting
• Internal financial policies

Fixed Assets

Maintain accounting for:

• Capital assets
• Construction in progress
• Depreciation schedules
• Equipment acquisitions
• Asset disposals
• Capital project accounting

Financial Systems

Oversee accounting modules within the hospital ERP system.

Examples include:

• General Ledger
• Accounts Payable
• Accounts Receivable
• Fixed Assets
• Payroll interface
• Budget software
• Financial reporting software
• Work with Information Technology to optimize financial systems.

Leadership Responsibilities

• Supervise accounting staff.
• Recruit, train, coach, and evaluate employees.
• Establish department goals.
• Promote continuous process improvement.
• Foster teamwork and accountability.
• Develop succession plans.

Performance Improvement

Identify opportunities to improve:

• Financial reporting efficiency
• Closing timeline
• Internal controls
• Automation
• Accounting workflows
• Cost savings
• Data accuracy

Knowledge

• GAAP
• Healthcare reimbursement
• Medicare cost reporting
• Medicaid reimbursement
• Hospital finance
• Internal controls
• Budget development
• Financial analysis
• Fixed asset accounting
• Treasury management
• Payroll accounting
• Tax reporting for healthcare organizations
• Financial statement preparation
• Audit standards

Key Performance Indicators (KPIs)

• Timely month-end close
• Accuracy of financial statements
• Clean external audit results
• Budget variance performance
• Days to close the books
• Internal control compliance
• Timely regulatory reporting
• Accounts payable processing accuracy
• Balance sheet reconciliation completion
• Staff productivity and retention
• Financial reporting timeliness

Salary Range: 100,000 - 125,000

Valencia County Hospital is a new 15-bed acute care facility currently under construction in Los Lunas, NM. Owned by Valencia County and operated through a joint venture between Community Hospital Corporation (CHC) and Lovelace Health System, this startup represents a vital investment in rural healthcare and a unique opportunity to build clinical excellence from the ground up.