Interim Controller

We are looking for an experienced Controller to step in and own day-to-day accounting, financial reporting, and internal controls for a nonprofit healthcare organization. This is a hands-on interim engagement for an accounting leader who is comfortable being the person the CFO relies on: closing the books accurately, keeping AP and AR running cleanly, and turning the numbers into something leadership can actually make decisions from.

• Schedule: Full time, Monday–Friday, 8:00 AM – 5:00 PM
• Work Setting: Nonprofit healthcare organization — corporate accounting and finance department
• Remote / Hybrid / On-Site Status: Remote (On-site preferred; open to a remote support arrangement for the right candidate)

• Work Environment: Professional administrative office supporting a multi-site nonprofit provider organization
• Department or Team: Small accounting team — you oversee the accounts payable and accounts receivable staff directly
• Patient-Facing Responsibilities: None — this is a corporate finance and accounting role
• Systems / Software: Sage financial systems; advanced Excel; broader ERP exposure is a plus
• Travel: Occasional local travel within the community as needed
• Reporting Structure: Reports directly to the Chief Financial Officer

You are the accounting function’s day-to-day owner. Mornings tend to belong to the close and the numbers — reviewing the general ledger, checking reconciliations, working through month-end entries, and making sure the financial statements will hold up. Afternoons shift toward people and process: reviewing AP batches, checking on AR follow-up, answering the questions your two direct reports bring you, and keeping the cadence moving so nothing sits.

Because the team is small, the work is genuinely hands-on. You are not managing managers — you are in the ledger, in Excel, and in the reporting yourself, with two people supporting you on the transactional side. That also means you see the whole picture, from a single invoice through to the statements the CFO takes to leadership.

The other half of the job is reporting and controls. You produce the monthly, quarterly and annual financial packages, keep cost-center and program-level reporting accurate across multiple sites, maintain the internal controls that protect the organization’s assets, and support the annual audit and tax filings. When leadership asks why a line moved, you are the person who can answer it clearly and back it up.

• Real ownership from day one — you run the accounting function, not a slice of it
• Direct line to the CFO, with visibility into how financial decisions actually get made
• Small, focused team where your work is visible and your judgment carries weight
• Mission-driven nonprofit environment — the money you steward funds services the community depends on
• Predictable Monday–Friday, 8–5 schedule in a region with an unusually good cost-of-living-to-lifestyle ratio
• Flexibility on work setting: on-site is preferred, but a remote support arrangement is on the table for the right person

• An experienced accountant who is comfortable being hands-on in the ledger, not just reviewing other people’s work
• Someone who can close the books accurately and on time, month after month, without being chased
• A clear communicator who can explain financial results to people who do not work in finance
• A steady supervisor who can develop and support a small AP/AR team
• Strong internal-controls instincts and a low tolerance for sloppy documentation
• Someone who can step in quickly and add value without a long ramp-up

• Prepare and review monthly, quarterly and annual financial statements…