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Chief Financial Officer

Wisconsin Dells, WI
December 23, 2019

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Francis J. (Jimmy) Fish

E**** Bayhill Court

Wisconsin Dells, WI 53965



Jan. 2019 – Sept. 2019 Columbus Community Hospital, Columbus, WI VP of Finance & Chief Financial Officer

• Works with the hospital CEO, CCH Executive Team, Board of Directors and employees to develop financial goals and objectives for the hospital.

• Provides proactive, sound guidance regarding management of assets and investments, and financial trends within the facility.

• Works with department managers and patient care executives to implement financial plans and productivity benchmarks, and to monitor progress toward financial goals.

• Is actively involved in CCH system management approaches, corporate performance and the growth of a team-oriented culture.

• Employs a system of responsible accounting, including budget and internal controls.

• Ensures that monthly financial statements and bi-weekly productivity reports are completed and distributed on a timely basis.

• Ensures that all balance sheet accounts are reconciled on a monthly basis and a system of internal controls are in place to facilitate a clean audit opinion with no audit adjustments or internal control deficiencies noted.

• Maintains effective revenue cycle processes to keep patient accounts receivable at an acceptable level and increase the hospital’s cash flow. 2008 – 2018 Mile Bluff Medical Center, Mauston, WI Chief Financial Officer

• Participating in the health system's monthly operation reviews and corporate operation

• Working with system management to develop and implement policies and procedures, short- and long-range goals, objectives and plans

• Providing financial leadership to health system managers, directors and officers that will enroll support, create ownership of goals, and encourage active participation in decisions that impact the health system

• Ensuring the health system meets necessary financial regulatory and compliance requirements

• Contributing financial expertise in the planning of new services that generate additional sources of profitable revenue

• Managing costs by continually seeking data that will identify opportunities and take action to eliminate non-value costs in conjunction with the health system's Chief Executive Officer

• Analyzing areas in planning, promoting and conducting organization-wide performance improvement activities

• Representing the health system at meetings including medical staff, health system board of director meetings as well as relevant community activities

• Creating hospital’s first-ever foundation

2003-2008 Allen Health System, Waterloo, IA

Finance Director

• Responsibilities are similar to Accounting Manager position noted below expanded to include consolidated entity Allen Health System, which includes Allen Memorial Hospital, Allen College, and Memorial Foundation of Allen Hospital.

• Supervise 7 employees which includes two senior accountants, two staff accountants, and three accounting technicians (accounts payable and payroll). Indirect supervision of two senior financial analysts.

• Serve as liaison for external audit as well as corporate reporting to Iowa Health System.

• Evaluate financial system capabilities, make recommendations for modifications, corrections, and assist in implementation of new reporting systems.

• Identify accounting system deficiencies within Health System and provide corrective actions.

2000- 2003 Sacred Heart Health System, Pensacola, FL Director of Finance

• Responsibilities are similar to Accounting Manager position noted below expanded to include 12 consolidated entities of which there are two hospitals, one physician group, one residency program, home health services, nursing home facilities, property management company, a foundation, a grant company, and two joint ventures providing auxiliary medical services.

• Supervise 14 employees which includes one accounting manager, one chief accountant, three senior accountants, three staff accountants and six accounting technicians

• Serve as liaison for external audit as well as corporate reporting to Ascension Health.

• Evaluate financial system capabilities, make recommendations for modifications, corrections, and assist in implementation of new reporting systems.

• Identify accounting system deficiencies within Health System and provide corrective actions.

Accounting Manager

• Ensure all financial transactions of Sacred Heart Hospital (431 bed facility) and assigned affiliates are accurately recorded, summarized and reported in a timely manner.

• Supervise chief accountant, two staff accountants, accounts payable and payroll departments (6 accounting technicians).

• Responsible for preparation of monthly and annual financial statements in accordance with GAAP and Ascension Health standards.

• Evaluate and analyze accounting policies and procedures to identify areas of system improvement which will lead to improved financial performance and/or internal controls.

• Maintain financial and statistical records in accordance with HFMA Record retention guidelines.

• Responsible for review, reconciliation and adjustment of all financial and statistical records of Sacred Heart Hospital and assigned affiliates.

• Prepare and submit Ascension Health monthly financial data and corporate financial statement packet.

• Assist Director of Finance in providing all financial information required for management decisions, internal control evaluation, financial analysis and external reporting. Senior Financial Analyst

• Assist in preparation and development of the annual Financial Planning Model for the Health System.

• Prepare financial analysis of the profitability of new capital equipment items.

• Perform product line profitability analysis as requested by the CFO.

• Perform internal feasibility studies as well as assist consultants in performance of external feasibility studies.

1995-2000 Saltmarsh, Cleaveland & Gund, P.A., Pensacola, FL Senior Auditor

• Capable of supervising multiple audit engagements.

• Responsible for day-to-day performance of any engagement including supervising and allocating tasks to staff ensuring they understand objective and implications of the work they are doing and adequately documenting their work.

• Review the working papers prepared by the staff, resolve any questions, pending matters and verify the conclusions of the staff are properly supported.

• Indicate conclusions on adequacy of working papers to support report to be issued or return to be filed and review the report and tax returns. Staff Accountant/Auditor II

• Possess a working knowledge of GAAP, GAAS and tax law.

• Capable of working on any size audit, compilation or review services and/or tax return from inception to completion.

• Responsible for daily work on any engagement including developing overall accounting plan, working with other staff ensuring they understand objectives and implications of work, preparing conclusions properly supported by working papers, identifying accounting, auditing and tax issues to be discussed with engagement senior or manager, drafting the reports and preparing tax returns.

Staff Accountant I

• Assist in performance of engagements ranging from compilation and/or review services, tax return preparations, other objective procedures and various payroll and accounting services.

• Responsible for performing assigned tasks as well as the adequacy and appropriateness of the working papers produced and conclusions reached.

• Inform in-charge accountant of any accounting or audit issues encountered. 1994-1995 Paul K. Hamlin, CPA, Morehead City, NC

Staff Accountant

• Perform engagements ranging from tax return preparation, health care audits including Medicaid/Medicare cost reports, monthly accounting services and payroll services. 1993-1994 Sands Oceanfront Resorts, Atlantic Beach, NC Hotel Controller

• Oversee all resort internal accounting functions.

• Coordinate and consolidate these functions with the Homeowners Association reporting as well as with the corporate offices.


Elon College, Elon College, NC, B.S., Accounting.

Minors, Business Administration and Mathematics.

Community Involvement

Mauston Area Chamber of Commerce – Board Member

St. Patrick Parish and School - Volunteer

Dells Area Hockey Association – Board Member

South Central Cyclones Youth Hockey – Vice President DAYSA (Dells Area Youth Soccer Association) - Coach Mauston High School - Varsity Soccer Assistant Coach

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