Margaret Fontana, CPA, MBA, CHFP

CFO at Cavalier County Memorial Hospital dba Langdon Prairie Health at Langdon Prairie Health
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Contact Information
us****@****om
(386) 825-5501
Location
Langdon, North Dakota, United States, US

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Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • CFO at Cavalier County Memorial Hospital dba Langdon Prairie Health
      • Nov 2021 - Present

      Langdon, North Dakota, United States

    • Financial Controller
      • Mar 2016 - Dec 2021

      Southport, NC Manage Accounting and Finance operations with 3 direct reports. Develop, implement, and direct accounting programs, processes, and reporting increasing efficiency, accuracy, and productivity. Identify and mitigate risks and establish safeguards to preserve confidentiality of patient information. Oversee monthly close process, accounts payable, payroll, and monthly reporting. Monitor regulatory compliance, prepare annual budget, and identify and correct accounting issues. Participate in annual… Show more Manage Accounting and Finance operations with 3 direct reports. Develop, implement, and direct accounting programs, processes, and reporting increasing efficiency, accuracy, and productivity. Identify and mitigate risks and establish safeguards to preserve confidentiality of patient information. Oversee monthly close process, accounts payable, payroll, and monthly reporting. Monitor regulatory compliance, prepare annual budget, and identify and correct accounting issues. Participate in annual tax return preparation, financial audits, and treasury administration. Selected Achievements: * Led turnaround of department post 2 year period with temporary Controllers. Completed retirement audit and audit for hospital foundation requiring 2+ years of basic accounting to accurately reflect activity. * Contributed to attainment of $450K Duke grant and $100K Cannon grant due to accurate accounting. Integrated accounting for 12 clinics with electronic health system eClinicalWorks. * Processed FEMA claims due to Hurricane Matthew recovering $50K. Closed on 2 USDA loans totaling $9M+ for remodeling of patient rooms. Selected Skills: * Accounting & Finance Operations Management * Continuous Process Improvement * Policy and Procedure Development * Financial Reporting & Analysis * Risk Assessment & Mitigation * Monthly Close & Payroll Management * Regulatory Compliance * Budgeting & Monthly Reporting * Tax Preparation & Treasury Administration * Audit Management Show less

    • CFO/COO
      • Jan 2014 - Mar 2016

      Gary, WV Manage daily operations including Finance / Accounting, Contract Management, Operations, Patient Care / Advocacy, and Vendor Relations with 10 direct / 9 indirect reports. Ensure successful cash management, forecasting, and cash reserve development. Selected Achievements: * Contracted to consult on financial matters and recruited as CFO / COO after recommendation from Financial Auditor to bring organization into financial and operational compliance with various regulations and HRSA grant… Show more Manage daily operations including Finance / Accounting, Contract Management, Operations, Patient Care / Advocacy, and Vendor Relations with 10 direct / 9 indirect reports. Ensure successful cash management, forecasting, and cash reserve development. Selected Achievements: * Contracted to consult on financial matters and recruited as CFO / COO after recommendation from Financial Auditor to bring organization into financial and operational compliance with various regulations and HRSA grant requirements. Achieved resolution of 330 grant restrictions within 8 months. * Implemented eClinicalWorks EHR system and completed training. Migrated all practice management from Medical Manager within three months. Selected Achievements: * Financial & Accounting Operations Management * Contract Management & Negotiations * Patient Care & Advocacy * Vendor & Board Relations * Board Governance * Regulatory & Grant Compliance * System Implementation & Training * Process & Procedure Improvement * Data Collection Research & Development Show less

    • Controller
      • Sep 2012 - Dec 2013

      Hot Springs, VA Led turnover in financial management and operations focusing on implementation of accounting and operational policies ensuring consistent and measurable results. Managed Finance, IT, Purchasing, Revenue Cycle Management, A/P, Payroll, and Business Office with $21M budget and 6 direct reports. Selected Achievements: * Outsourced Rural Health Center billing to CPSI. Converted clinic EHR from e-MD to CPSI in 2013. * Improved cash flow and financial results allowing hospital to… Show more Led turnover in financial management and operations focusing on implementation of accounting and operational policies ensuring consistent and measurable results. Managed Finance, IT, Purchasing, Revenue Cycle Management, A/P, Payroll, and Business Office with $21M budget and 6 direct reports. Selected Achievements: * Outsourced Rural Health Center billing to CPSI. Converted clinic EHR from e-MD to CPSI in 2013. * Improved cash flow and financial results allowing hospital to proceed with planned $14M construction project to modernize and expand existing facility. Selected Skills: * Financial Operations Management & Controllership * Accounting & Operational Policies * IT & Purchasing Optimization * Revenue Cycle & Cash Flow Management * Billing & Payroll Administration * Budgeting & Cost Control * Full Lifecycle Project Management Show less

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • CFO
      • Aug 2011 - Aug 2012

      Louisiana Instituted controls, processes, procedures, and complete audit. Implemented Nextgen Medical, Dental, and Practice Management systems. Developed billing and cash management procedures to increase cash flow with continuous monitoring of entire billing process. Managed Billing, Front Desk, Accounting, Payroll, Purchasing, and IT with 10 direct / 10 indirect reports. Selected Achievements: * Led conversion implementing Nextgen Medical, Dental, and Practice Management systems. *… Show more Instituted controls, processes, procedures, and complete audit. Implemented Nextgen Medical, Dental, and Practice Management systems. Developed billing and cash management procedures to increase cash flow with continuous monitoring of entire billing process. Managed Billing, Front Desk, Accounting, Payroll, Purchasing, and IT with 10 direct / 10 indirect reports. Selected Achievements: * Led conversion implementing Nextgen Medical, Dental, and Practice Management systems. * Implemented transition from traditional Louisiana Medicaid to Bayou Health with multiple ACOs impacting reimbursement and cash flow. Instituted tight cash management procedures. Selected Skills: * Financial Management & Controllership * Audit Management & Financial Controls * Billing & Cash Flow Management * Process & Procedure Improvement * Budgeting & Cost Control * System Implementations & Reporting Accuracy Show less

    • CFO
      • Sep 2009 - Oct 2011

      Gary, WV Directed financial turnaround to complete past-due audit, institute controls, and reassure HRSA Grant Managers, Board Members, and employees of financial viability of organization. Led operations including Finance / Accounting, Contract Management, Operations, Patient Care / Advocacy, and Vendor Relations with 11 direct and 5 indirect reports. Developed policies and procedures. Conducted Board presentations. Selected Achievements: * Converted to an accrual accounting system. Led… Show more Directed financial turnaround to complete past-due audit, institute controls, and reassure HRSA Grant Managers, Board Members, and employees of financial viability of organization. Led operations including Finance / Accounting, Contract Management, Operations, Patient Care / Advocacy, and Vendor Relations with 11 direct and 5 indirect reports. Developed policies and procedures. Conducted Board presentations. Selected Achievements: * Converted to an accrual accounting system. Led research and development of collection data to recover insurance monies and manage patient financial data to apply much needed financial support for healthcare. * Directed Cafeteria Plan implementation and executed Payroll transition from in-house system to ADP and A/P backup and review. Managed IT systems support and expansion. Developed grant reports to Federal, State, and Private grantors. Selected Skills: * Financial Operations Management & Controllership * Accounting & Finance Management * Contract & Vendor Relations * Process & Procedure Development * System Implementations & Transitions * Grant Reporting & Compliance Show less

    • Controller
      • Apr 2008 - Jan 2009

      Greensboro, NC Consolidated and developed accounting and informational systems for three new real estate development companies. Managed accounting for Recycling, Property Management, and Trucking companies.

    • Vice President/Controller
      • Feb 1999 - Apr 2008

      Ensured successful management of Finance and Accounting operations in addition to Banking, Credit, Tax, MIS, Benefits, and Insurance with 3 direct and 17 indirect reports spanning Accounting, HR, Warehouse, and Customer Service. Directed billing, collections, budget development, forecasting, cash management, and financial planning / reporting functions. Negotiated working capital transition from factoring to bank based financing. Developed annual business plan compiling historical information… Show more Ensured successful management of Finance and Accounting operations in addition to Banking, Credit, Tax, MIS, Benefits, and Insurance with 3 direct and 17 indirect reports spanning Accounting, HR, Warehouse, and Customer Service. Directed billing, collections, budget development, forecasting, cash management, and financial planning / reporting functions. Negotiated working capital transition from factoring to bank based financing. Developed annual business plan compiling historical information, projections, and detailed analysis. Show less

    • Controller
      • Jun 1991 - Feb 1999

      A demolition and scrap metal recycling company.

    • Staff Accountant
      • Nov 1988 - May 1991

      Handled outsourced bookkeeping for $18M client. Prepared tax returns (corporate, individual, and estate) and performed general accounting duties.

    • Programmer Analyst
      • Apr 1985 - Apr 1987

      Designed, developed, and de-bugged mainframe software programs in PL1, JCL, SQL.

Education

  • LSU Shreveport
    Master of Business Administration - MBA, Accounting
  • University of North Carolina at Greensboro
    B.S, Accounting
  • University of North Carolina at Chapel Hill
    Mathematics
  • High Point Central High School

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