Controller

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