Chief Financial Officer | Littleton Regional Healthcare

13 May 2021 1:22 PM | Anonymous

Position Description: Littleton Regional Healthcare located in Littleton, New Hampshire, ( is the leading provider of health care services in northern and central New Hampshire. Through its 25-bed Critical Access Hospital, expansive provider network and advanced ancillary services, Littleton Regional Healthcare offers 50+ specialty practice areas, generating $90M in net patient revenue.

Positioned on the shoulders of New Hampshire’s White Mountains, Littleton is the economic and recreational hub of the New Hampshire North Country. With a vibrant and engaging business community, downtown Littleton was recently recognized as having one of the top small-town downtown areas in the country. This picturesque New England town boasts a myriad of outdoor recreational activities. With Boston and Montreal both within an easy 3 hours, and with convenient access to I-93, Littleton offers the comfort of a small town with access to the amenities of metropolitan cities.

The new Chief Financial Officer will have the opportunity to collaborate with a talented leadership and management team; well-trained and dedicated medical and clinical staff; and a nursing and support staff committed to quality care. Together, with an engaged Board of Directors, Littleton Regional Healthcare is aligned to provide the best, most affordable health care to the communities served.

Given the strong ties within the community, and with a significant focus on community-wide coordinated care within a value-based reimbursement model, LRH has positive, mutually supportive relationships with numerous community partner organizations.

The CFO must have a solid reputation for being a hands-on, “in the weeds” leader with a strong foundation in revenue cycle improvement. This is a visible leadership role both within the hospital and the community at large. The chosen candidate will be able to function at the strategic level with the board, payors, physicians, and state while always having a firm grounding in the daily financial operations of the hospital.

Organization Overview: Littleton Regional Healthcare has a long history of serving the community. Founded in 1906, the hospital has grown into a regional leader providing patients access to 50+ specialties, pharmacy services, urgent care, the largest orthopedic practice in New Hampshire (The Alpine Clinic – Official Team Physicians for the USA Ski Jumping Team), and substance abuse disorder services through The Doorway program.

QHR Health is the largest healthcare professional services company for non-urban hospitals and health systems nationwide. QHR Health is focused on helping LRH elevate healthcare across the northern region of New Hampshire by providing a full and evolving suite of shared service, advisory, and hands-on capabilities designed to advance LRH’s financial, operational, and clinical health.

QHR Health’s mission is to help strengthen independent healthcare organizations across the U.S., allowing them to control their own destiny and serve their community’s healthcare needs at the highest level possible.

Founded in 1977, QHR Health provides financial, operational, and clinical and practice management solutions to more than 150 independent hospitals and healthcare organizations around the country and has supported an estimated 1,600 organizations throughout its 42-year history. QHR Health maintains a distinct business model with separate operations and a dedicated management team.

Financial Summary: LRH has positioned themselves with a strong financial base, obtained through investment in technology, services, and medical providers. Through these investments, LRH has built a comprehensive medical center with an impressive array of medical services and specialties offered in multiple locations throughout their service area.

Goals and Objective: The following represents primary areas of focus and expected impact of the CFO over the first 18-24 months in this role (not listed in order of importance):

  • Strong focus on improving Revenue Cycle operations. This is seen as the most immediate.
  • Utilize best practices and data to identify financial improvement opportunities, improved reimbursement and evaluation of service line growth and business opportunities.
  • Implement and continuous improvement of financial outcomes for the organization.
  • Continue to advance LRH's important mission of serving the community. Actively support and incorporate the mission, vision, culture, and values of LRH into the daily activities of the entire organization: caregivers, programs, and services. The CFO will champion services of the entire health system organization, with inpatient services being one component of the clinical enterprise.
  • Ensure the financial evolution and strength of LRH, supporting initiatives driven by the CEO and board of directors, resulting in a solid, sustainable financial performance.
  • Represent LRH at the local, state, and federal level in advocacy for the needs of the greater LRH community, as needed.
  • Retain, recruit and mentor the financial operations team.
  • Foster a culture of diversity and inclusion and structure programs to highlight the importance of these initiatives.
  • Guide the financial performance of the organization through the next stages of the COVID pandemic.
  • Nurture a positive, collaborative relationship with and within QHR Health. Strike a balance through this partnership that builds trust and collaboration at a variety of levels, while also assessing ways to extract as much value as possible for LRH through this relationship.
  • 10+ years of hospital financial leadership experience ideally serving in a CFO capacity (experience working as a Controller or Finance VP in a large, progressive organization may also be suitable)
  • Experience leading large, dynamic teams through change
  • Operational knowledge of physician practice management
  • Experience in Critical Access Hospital environments is highly preferred.
  • Politically savvy and intelligent communicator
  • Experience with joint ventures and ASC management would be helpful.
  • In-depth knowledge of third-party reimbursement including managed care contracting and Medicare cost reporting
  • Bachelor’s degree from an accredited college or university required, master’s preferred and CPA preferred.
  • Nurture a positive, collaborative relationship with and within QHR Health. Strike a balance through this partnership that builds trust and collaboration at a variety of levels, while also assessing ways to extract as much value as possible for LRH through this relationship.
  • It is expected that the successful candidate be highly involved in and live in the community.
Leadership Qualities:

  • Ability to build a culture that is recognized for excellence in team member engagement and retention.
  • Passionate about advancing driving financial outcomes and financial improvement across the organization.
  • Focused, respectful leader that challenges LRH to constantly focus on the patient and improve clinical outcomes.
  • Genuine and visible leader; one who is a Servant Leader and consistently demonstrates visibility, humility, honesty, active listening, and a willingness to roll up his/her sleeves and genuinely welcomes input and debate.
  • Track record of building an empowering, supportive, performance, and human development-based culture that puts employees and patients at the center.
  • An authentic, clear, and consistent communication style. Ability to connect easily with every level of LRH constituent.
The Community: Nestled in the shadow of the New Hampshire’s White Mountains, Littleton is the economic and recreational hub of the North Country. This picturesque New England community offers something for everyone – fine dining and art galleries, unique shops and historic buildings, and a range of outdoor activities for all seasons.

The downtown Riverwalk meanders along the Ammonoosuc River, across a covered bridge, and past many historic Littleton landmarks. Across Main Street dances a bronze statue of Pollyanna, that icon of gladness whose author, Eleanor Porter, called Littleton home. With the beautiful views and friendly people, Littleton is the gateway to the White Mountains region of New Hampshire.

Incorporated in 1784, Littleton soon became a commercial and cultural center for New Hampshire’s North Country. Perched on the banks of the Ammonoosuc and Connecticut rivers, Littleton developed first as a mill town, manufacturing a vast array of goods. Today, with a population of around 6,000, it continues to serve as the North Country’s economic core, offering a bustling Main Street, an active commercial center just west of downtown, and a busy Industrial Park.

The town’s location in the scenic White Mountains and its mix of small-town charm and modern convenience has earned Littleton numerous accolades, including the first New Hampshire Profile Community Award for conveying the state’s spirit of independence and being named a “Top Ten Dream Town” by Outside magazine.


Robbie Armburst

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