Controller
confidential • Fredericksburg, Virginia • Full Time
Posted on Wed, Oct 7, 2026
Do you want to join an organization that invests in you as a Controller? At Spotsylvania Regional Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Job Summary and Qualifications
Month-End Close Process: Prepare and review journal entries, perform analysis to ensure the general ledger is materially correct (and reliably reflects the financial position of the hospital), and ensure completion of Monthly Operating Review (MOR) reports.
Reconciliations: Ensure all balance sheet reconciliations are completed and/or reviewed within Division-mandated deadlines.
Budget: Oversee development and completion of the annual budget.
Medicare Cost Report: Oversee the preparation of the annual Medicare Cost Report workpapers, working with Corporate Reimbursement personnel to ensure timely completion.
Tax Workpapers: Oversee the completion of the annual tax workpaper package.
VHI: Oversee the completion of the annual Virginia Health Information (VHI) filing.
Accounting Guidance: Maintain a thorough understanding of HCA Accounting Policy Guides (APG’s) as well as any external financial pronouncements relevant to hospital accounting.
Sarbanes-Oxley (SOX): Ensure compliance with all HCA SOX Key Controls, completion of the quarterly SOX Key Controls Checklist, and stay abreast of any changes required by Corporate.
Internal Controls: Assist in completing the semi-annual internal controls checklist, and ensure the hospital has sound internal controls in place and that policies and systems are established and continually updated as required by Corporate or as evident in observed surroundings.
Fixed Assets: Maintain accurate fixed asset records, ensuring that capital equipment is properly recorded in the FAS system in accordance with APG and SOX requirements.
Financial Support: Provide assistance to department leaders in analyzing financial data and reports (e.g., DOR’s) and in resolving issues such as outstanding invoices and missing departmental statistics. Additionally, prepare various daily, weekly, monthly, and ad hoc reports.
Subsidiary Financials: Ensure all journal entries and balance sheet reconciliations are completed and that the general ledger is properly maintained for all subsidiary entities.
Education & Experience:
Bachelor’s degree in Accounting, Finance, or related required
MBA, MAcc, or MHA preferred
CPA preferred
Three years accounting experience required, hospital accounting preferred
One to two years of experience supervising accounting staff preferred
BenefitsSpotsylvania Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Spotsylvania Regional Medical Center has provided quality healthcare services since 2010. We give patient's access to trained physicians and advanced technology. Our 130+ bed hospital is one of the leading community hospitals for the Fredericksburg area. The center is a part of HCA Virginia, which is the commonwealth's most comprehensive healthcare network. We offer a wide range of inpatient and outpatient medical services. The services include a 24-hour emergency room, advanced-technology operating rooms, cancer care center, advanced imaging, heart and vascular care, obstetrics and neonatal care, intensive care and psychiatric care.
At Spotsylvania Regional Medical Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Controller opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $110,000–$170,000 per year (median ~$137,000). This is an AuditFriendly estimate, not an employer-provided figure.
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What the data says about this job
- Advertised pay for Controller: a median of $129,000 across 5,890 priced postings. Explore the market
Measured from employers' own postings and public filings. How we measure