Cottage Hospital is seeking an experienced, mission-driven Controller to lead the financial operations of our Critical Access Hospital. This is an opportunity to step into a highly visible leadership role where your expertise will directly support patient care, operational excellence, and long-term financial sustainability.
We are looking for a hands-on hospital finance professional who thrives in a collaborative environment, values accuracy and integrity, and brings strong leadership to an accounting team.
If you are passionate about healthcare finance and want to contribute meaningfully to a close-knit hospital community, we would love to connect.
The Controller oversees all financial activities within the organization and provides leadership to accounts payable, payroll, and general accounting functions. This role ensures accurate financial reporting, supports audit and regulatory requirements, and partners with hospital leadership to monitor financial performance and budget variances.
The Controller plays a key role in maintaining strong internal controls, supporting compliance, and ensuring financial transparency across departments.
Supervise accounts payable, payroll, and general accounting staff
Lead monthly, quarterly, and year-end closing processes
Prepare and review financial statements and reporting packages
Support year-end audits and coordinate with external auditors
Conduct financial variance analysis and partner with department leaders
Assist in preparation of annual operating and capital budgets
Oversee preparation of Medicare Cost Reports, Disproportionate Share (DSH) audits, and Form 990 filings
Monitor financial controls and ensure regulatory compliance
Maintain knowledge of Medicare, Medicaid, and third-party reimbursement structures
Support financial forecasting and performance analysis
Bachelor’s degree in Accounting, Business Management, Healthcare Administration, or related field required.
Experience in hospital financial management required
Strong understanding of general ledger accounting and financial reporting
Experience working with external auditors
Experience supporting regulatory reporting requirements
Prior supervisory or team leadership experience strongly preferred
Critical Access Hospital experience a plus
Strong analytical and financial reporting skills
Excellent communication and collaboration abilities
High attention to detail and organizational strength
Ability to prioritize and meet deadlines in a dynamic healthcare environment
Integrity, professionalism, and a commitment to mission-driven healthcare
At Cottage Hospital, you’ll join a team that values collaboration, community, and meaningful impact. As a Critical Access Hospital, every role contributes directly to ensuring access to high-quality care in our region.
If you’re ready to bring your hospital finance expertise to an organization where your work truly matters — apply today.
| Location | Woodsville, New Hampshire |