Controller - Valencia County Hospital

Community Hospital Corporation; Los Lunas (NM); On-site; USD 100,000 - 125,000; Full time

Job summary

Valencia County Hospital in Los Lunas, NM, is building a new 15-bed acute care facility owned by Valencia County and operated through a CHC/Lovelace joint venture. The Hospital Controller will oversee all accounting operations, including GAAP reporting, general ledger, and financial compliance, helping guide this rural healthcare startup toward strong financial performance.

This senior role partners with executive leadership to manage monthly closes, audits, budgeting, and internal controls,

Qualifications

• Knowledge of GAAP and healthcare regulations.
• Experience overseeing hospital accounting operations.
• Experience with audit preparation and regulatory reporting.

Responsibilities

• Direct all hospital accounting operations.
• Maintain the general ledger and close processes.
• Prepare audit schedules and supporting documentation.
• Coordinate payroll accounting and PTO accruals.
• Oversee accounts payable/receivable and fixed assets.

Skills

GAAP

Financial analysis

Treasury management

Payroll accounting

Internal controls

Tax reporting

Fixed asset accounting

Financial statement prep

Education

Bachelor’s degree in accounting or finance

Tools

ERP system

Budget software

Financial reporting software

Payroll interface

Job description

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

• Direct all hospital accounting operations.
• Maintain the general ledger.
• Oversee monthly, quarterly, and annual financial close processes.
• Ensure timely reporting to executive leadership and the Board.
• Analyze financial performance and identify trends.
• Maintain chart of accounts.
• Prepare:
• Balance Sheet
• Income Statement
• Statement of Cash Flows
• Budget-to-Actual 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
• Intercompany transactions
• Inventory accounting
• Bank reconciliations

Revenue and Expense Accounting

Coordinate accounting for:

• Contractual allowances
• Charity care
• Grants
• Restricted funds

Accounts Payable

Supervise:

• Electronic payments
• 1099 reporting
• Payment controls

Payroll Accounting

Coordinate payroll accounting by ensuring:

• Payroll reconciliations
• Payroll journal entries
• PTO accruals

Budget Support

Assist the CFO with:

• Variance analysis

Internal Controls

Assist CFO to develop and maintain internal controls over:

• Purchasing
• Disbursements
• Payroll
• Asset safeguarding
• Segregation of duties

Recommend process improvements.

Audit Coordination

Support CFO as accounting contact for:

• 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)
• Medicaid reimbursement regulations
• IRS requirements for nonprofit hospitals
• Bond covenant reporting

Fixed Assets

Maintain accounting for:

• Capital assets
• Construction in progress
• Equipment acquisitions
• Capital project accounting

Oversee accounting modules within the hospital ERP system.

• 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.
• Promote continuous process improvement.
• Foster teamwork and accountability.
• Develop succession plans.

Performance Improvement

Identify opportunities to improve:

• Closing timeline
• Internal controls
• Automation
• Cost savings

Knowledge

• GAAP
• Internal controls
• 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.

Equal Opportunity Employer
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