Chief Financial Officer, Cascade Medical, Leavenworth, WA
The Organization
Cascade Medical is a community-owned, nonprofit Critical Access Hospital in Leavenworth, Washington, serving the Upper Valley of North Central Washington. Its public hospital district encompasses approximately 1,200 square miles, including Leavenworth, Plain/Lake Wenatchee, Peshastin and Dryden. With roots extending more than a century, Cascade Medical has evolved into an essential local provider of comprehensive rural healthcare.
Chelan County Public Hospital District No. 1 was formed in 1965. Today, Cascade Medical is licensed for 12 hospital beds, currently operating nine, and maintains a Trauma Level V emergency department. The organization provides primary care, 24/7 emergency services, ambulance services, hospital care, rehabilitation, diagnostic imaging, laboratory services, and community-based programs.
Its services and programs have continued to evolve to meet changing community needs. Recent additions include outpatient ultrasound and mobile MRI, cardiac rehabilitation, hospitalist services, telestroke, expanded clinic procedures, mobile integrated health and other convenient pathways to care. Cascade Medical also supports the Monday evening free clinic operated by Upper Valley MEND and provides financial assistance to eligible patients.
Unlike many rural hospitals confronting severe financial distress, Cascade Medical enters this leadership transition from a position of relative financial strength. Leadership describes a history of exceptionally clean audits, committed staff, a supportive elected Board of Commissioners and a positive, highly collaborative culture. The next CFO will be asked to safeguard these advantages while helping shape the organization’s next chapter.
The Position
Chief Financial Officer
Reporting to Chief Executive Officer Diane Blake, the Chief Financial Officer is a key member of Cascade Medical’s executive leadership team, providing strategic and hands-on financial leadership for the organization. The CFO oversees accounting (including controller functions, accounts payable, accounts receivable and payroll), the business office, health information management (HIM), materials management and central supply, as well as financial planning, budgeting, reporting, reimbursement, revenue cycle performance, capital strategy and organizational compliance.
This opportunity follows the planned retirement of the current CFO, Marianne Vincent, anticipated in early June 2027. Cascade hopes to provide meaningful overlap to support a thoughtful transition. Marianne brings deep accounting expertise and has helped sustain exceptionally strong audit performance. The incoming leader will preserve that discipline while adding strategic breadth in revenue cycle, payer relations and contracting, business analysis, capital planning and service expansion.
This is a broad, visible, on-site executive role in a smaller rural healthcare organization. The CFO has three direct reports—the Controller, Director of Business Services and Director of HIM—and works closely with the CEO, COO, CHRO, clinical and operational leaders and an engaged five-member elected Board of Commissioners. Cascade Medical projects approximately $54 million in gross patient revenue and $60 million in total gross revenue for 2027. The executive must be comfortable with both strategic discussions and the practical details of operational finance.
Cascade Medical includes both union-represented and non-union employees. Its two collective bargaining agreements cover hospital nursing through WSNA and full-time EMS personnel through IAFF. The CFO will need to understand the financial and workforce implications of these arrangements while remaining a collaborative partner to operations and human resources.
Experience/Qualifications
Education and Certification
- Required: Bachelor’s degree in Finance, Business or a related field.
- Preferred: Master’s degree or Certified Public Accountant designation. A CPA is not mandatory for a well-qualified candidate.
Required Experience
- Required Foundation: At least five years of executive financial management and leadership experience in an environment with cost-based reimbursement, plus strong hospital or clinic financial operating knowledge.
- Strongly Preferred: At least five years as CFO of a Critical Access Hospital; substantive expertise in reimbursement, cost reports and the operating dynamics of a public hospital district.
- Revenue Cycle Depth: Demonstrated command of payer reimbursement, denials, billing and collections, contracting and performance improvement—not solely accounting and audit expertise.
- Strategic Capability: Ability to assess capital and facility plans, organizational growth, service-line economics, regulatory developments and business opportunities.
- Leadership and Communication: Proven ability to build and develop teams, work collegially with an executive leadership group and communicate financial concepts clearly to nonfinancial audiences and governing boards.
- Technology and Analytical Skills: Comfort working with hospital financial systems, data and reporting tools, identifying useful metrics and converting analysis into operating improvement.
Ideal Candidate Profile
The ideal candidate is an established rural hospital or Critical Access Hospital CFO who combines financial rigor, revenue cycle and reimbursement expertise, strong executive partnership, and authentic, service-oriented leadership. The executive will lead three direct reports and a range of finance and related support functions, and will thrive in an organization with both represented and non-represented employees.
Compensation
For the selected candidate, a complete and competitive compensation package will be offered which includes salary target of $175-225K dependent upon experience, a full suite of benefits, and relocation assistance.
