Senior Finance Controller — Healthcare Nonprofit

Axis Health System; Durango (CO); On-site; USD 83,000 - 97,000; Full time

Benefits offered by this job

Medical (HDHP or PPO)

Health Savings Account

Dental

Flexible Spending Account

Vision

Dependent Care Account

Life Insurance

Short Term Disability

Long Term Disability

401k offering up to 4% match

College Invest plans

Annual Wellness Benefits

Professional development benefits

3 weeks of All Paid Leave (APL) for 1-

Personal Days

9 Company Paid Holidays

Loan Repayment Programs

Job summary

Axis Health System in Durango, CO seeks a seasoned Controller to lead the full accounting function for a nonprofit integrated health care organization. Reporting to the CFO, you will oversee close cycles, internal controls, and financial reporting to support sustainable delivery of care.

The role requires 15+ years in accounting with 3+ years in supervision, strong US GAAP knowledge, and advanced accounting systems experience, in a mission-driven environment.

Qualifications

• Bachelor’s degree in accounting, finance, or related field.
• At least 15 years of progressively responsible accounting experience, including ownership of the close and financial reporting process and at least three years of supervisory experience.
• Strong knowledge of U.S. GAAP, internal controls, reconciliations, financial statement preparation, and audit support.
• Demonstrated ability to manage detailed transactional work while improving processes and advising senior leaders.
• Advanced spreadsheet skills and experience with modern accounting and reporting systems.
• Excellent judgment, organization, analytical ability, written communication, and interpersonal skills.

Responsibilities

• Lead the full accounting cycle, including general ledger, accounts payable, accounts receivable, cash receipts, fixed assets, leases, prepaid expenses, accruals, payroll accounting, allocations, and intercompany activity.
• Own the monthly, quarterly, and annual close; establish schedules, review reconciliations and journal entries, resolve variances, and deliver timely, accurate financial statements.
• Maintain the chart of accounts, accounting policies, closing calendar, supporting schedules, and documentation standards.
• Ensure appropriate accounting for net assets with and without donor restrictions, contributions, grants, contracts, program service revenue, and other funding sources.
• Prepare clear monthly and annual financial statements, management reports, departmental results, forecasts, cash analyses, and variance explanations.
• Support the annual operating and capital budget process, including templates, assumptions, consolidations, and ongoing budget‑to‑actual monitoring.
• Develop useful reporting for executive leadership, the Finance Committee, and the Board of Directors.
• Translate complex financial information for nonfinancial leaders and recommend corrective actions when results differ from plan.

Skills

US GAAP

Internal controls

Reconciliations

Financial reporting

Advanced spreadsheets

Leadership

Analytical skills

Written communication

Interpersonal skills

Confidentiality

Education

Bachelor's degree in accounting, finance, or related field

Tools

General ledger systems

Accounting software

Job description

Axis Health System in Durango, CO seeks a seasoned Controller to lead the full accounting function for a nonprofit integrated health care organization. Reporting to the CFO, you will oversee close cycles, internal controls, and financial reporting to support sustainable delivery of care.

The role requires 15+ years in accounting with 3+ years in supervision, strong US GAAP knowledge, and advanced accounting systems experience, in a mission-driven environment.