Hospital CEO Administrator

Job Description

Job Description

** CHIEF EXECUTIVE OFFICER (CEO)/ ADMINISTRATOR **

** Throckmorton County Memorial Hospital **

** Rural Emergency Hospital (Transitioning from a CAH 1/1/27) **

** Location: North Central Texas, City of Throckmorton

** Position Type: Full-Time | Executive Leadership

** Reports To: Hospital Board of Directors

** Hospital Ownership and Structure: Throckmorton County Memorial Hospital is a

County owned hospital and does not operate under a Hospital District. Our County

Commissioners appoint members to serve on the hospital Board that oversees the

operations of the hospital.

** Position: **

We are seeking a dedicated, forward-thinking, and community-minded Chief Executive

** Officer (CEO)/Administrator ** to lead our Rural Emergency Hospital in a close-knit

ranching community in North Central Texas.

Our hospital plays a vital role in ensuring that residents have access to essential

emergency and outpatient healthcare services close to home. We also operate a rural

health clinic and EMS service.

We are looking for a leader who understands the unique challenges and opportunities of

rural healthcare, values personal relationships, and possesses the business acumen

and strategic vision necessary to ensure the long-term sustainability of our hospital.

This is an opportunity to make a meaningful difference, not only in the future of our

hospital, but in the health and vitality of an entire community.

** Job Summary: **

As Chief Executive Officer/Administrator, you will provide strategic, operational, and

financial leadership for our Rural Emergency Hospital. Working collaboratively with the

Board of Directors, medical staff, employees, and community partners, you will guide

the organization toward continued excellence in patient care, operational efficiency,

regulatory compliance, and financial sustainability.

The CEO will be the direct representative of the Board of Directors in the management

of the hospital. The CEO shall be given the necessary authority and responsibility for

the administration of the hospital in all it’s departments subject only to the policies

enacted by the Board of Directors and to such orders issued by the Board of Directors

or any of its committees to which it has delegated power to act.We seek someone who recognizes that success in rural healthcare requires innovation,

adaptability, fiscal responsibility, and a genuine commitment to the people we serve.

Essential Duties and Responsibilities

• To perfect and submit to the Board of Directors for approval a scheme of organization of personnel and others concerned with the operation of the hospital.
• To see that the building and grounds are kept in a good state of repair, using judgment on all repairs under the designated spending limit of the CEO, and bringing all repairs over this amount to the Board for approval.
• To select, employ, control, discharge, assign, reassign, and evaluate all employees.
• If administrative adverse actions are taken against an employee, notify the board of directors after the fact.
• If a new position needs to be added, consult the Board of Directors.
• To utilize all relevant personnel in the creation of a budget showing the expected receipts and expenditures as required by the Board of Directors.
• To submit regularly to the Board of Directors or its authorized committee, monthly reports showing the professional services and the financial activities of the hospital, and to prepare and submit any special reports that may be required by the Board of Directors.
• To cooperate with the Medical Staff and to secure like cooperation on the part of all those concerned with rendering professional service to the end that the patients may receive the best care possible.
• To attend all meetings of the Board of Directors and its committees.
• To perform any other duty that may be necessary in the best interest of the hospital.
• Develop and execute strategic initiatives that strengthen the hospital's long-term viability and community impact.
• Collaborate with the Board of Directors to establish organizational priorities, performance goals, and strategic direction.
• Identify opportunities to expand appropriate outpatient services, strengthen partnerships, and improve access to care.
• Position the hospital as a trusted and essential healthcare resource for the people of Throckmorton County and the surrounding area.
• Our County participates in the Quality Incentive Payment Program (QIPP) with four nearby nursing facilities. Our Hospital CEO has traditionally been granted signature authority by the County for all nursing facility related documents and transactions.

Financial Management & Sustainability

• Provide executive oversight of financial operations, budgeting, revenue cycle management, and resource allocation.
• Develop strategies to improve financial performance while maintaining high standards of patient care.
• Maintain a strong understanding of Rural Emergency Hospital reimbursement, Medicare and Medicaid programs, and rural healthcare funding opportunities.
• Pursue appropriate grants, partnerships, and other funding opportunities that support organizational sustainability.
• Ensure responsible stewardship of hospital resources and transparent financial reporting to the Board.

Operations & Quality of Care

• Oversee day-to-day hospital operations with an emphasis on safety, efficiency, accountability, and patient satisfaction.
• Ensure compliance with applicable federal and state healthcare regulations, accreditation standards, and Rural Emergency Hospital Conditions of Participation.
• Support the delivery of high-quality emergency, observation, and outpatient services within the hospital's approved scope of care.
• Collaborate with clinical leadership to advance quality improvement, patient safety, emergency preparedness, and effective patient transfer relationships.
• Promote operational excellence through sound policies, performance monitoring, and continuous improvement.

People & Organizational Culture

• Foster a positive workplace culture built on integrity, teamwork, accountability, and mutual respect.
• Recruit, develop, and retain talented healthcare professionals committed to rural service.
• Empower department leaders and encourage open communication across the organization.
• Maintain a visible leadership presence and promote an environment where employees feel valued and supported.

Community Engagement & Partnerships

• Serve as a trusted representative and advocate for the hospital throughout the community and region.
• Build productive relationships with local government, emergency medical services, physicians, regional health systems, schools, businesses, and civic organizations.
• Strengthen public confidence through transparency, accessibility, and community involvement.
• Advocate for rural healthcare needs at the local, regional, and state levels.

Required Qualifications

• The Administrator should have a degree in Business Administration, Health Services, or related fields or have the equivalent in education and experience plus be willing to enroll in continuing education programs.
• Should have a minimum of 3 years experience in an institutional health service administrator’s position or in a subordinate administrative position.
• Knowledge of healthcare regulations, reimbursement systems, and quality improvement principles.
• Exceptional communication, relationship-building, and problem-solving abilities.
• Commitment to ethical leadership, accountability, and patient-centered care.

Compensation & Benefits

We offer a competitive executive compensation and benefits package commensurate with qualifications and experience.

Specific compensation, benefits, and any relocation assistance will be discussed during the selection process.

Throckmorton County Memorial Hospital is an Equal Opportunity Employer committed to providing a workplace free from unlawful discrimination.