Position Title: Chief Operating Officer (COO) Reports To: Chief Executive Officer (CEO) Classification: Full-Time, Salaried/Exempt Position Summary: The COO is responsible for managing the daily operations of an independent, self-governing non-profit district hospital, aligning healthcare delivery with the hospital’s community focused mission. Will carry out responsibilities while facing resource constraints and ensuring public funding compliance. Will report metrics frequently to the local, community-elected Board of Directors. Key Responsibilities • Participates in the development and execution of strategic and operational plans for the organization; responsible for the direction, supervision, and improvement of assigned hospital departments and services; works collaboratively with the hospital leadership team to develop and implement well-balanced clinical and support services that are in line with the mission and core metrics of the hospital. • Assists the CEO in ensuring that the Hospital is in compliance with all applicable regulatory requirements and quality standards, including the California Code of Regulations TITLE 22, the Joint Commission, and other federal and state regulatory agencies and accrediting organizations. • Develops and recommends new business strategies to enhance market share and improve overall hospital performance; effectively utilizes community relations and marketing techniques to expand hospital outreach activities and referral networks and to form and maintain effective partnerships. • Provides effective liaison between hospital departments, medical staff leadership, and affiliated services inside and outside of the hospital to ensure an integrated approach to providing services while also fulfilling the hospital’s goals and objectives. • Prepares and administers assigned budgets and participates in the development of the hospital-wide annual budget; prepares justification for salaries, maintenance and capital outlays; serves as a resource to the management team regarding ways to help reduce costs, enhance revenues, achieve effective utilization and quality goals and objectives. • Directs and oversees studies and projects for assigned areas, including construction and facilities-related projects; communicates key information to stakeholders with respect to managed care, marketplace needs, the competitive environment, cost management, and customer-focused services. • Keeps informed of current trends in medical administration; reads appropriate professional literature; leads and/or participates in committees and task forces, and in the activities of professional associations; attends conferences, seminars and trainings; ensures the effective utilization of technology in assigned areas to improve systems and processes. Qualifications & Requirements • Education: Master’s degree in Healthcare Administration (MHA), Business Administration (MBA), or closely related executive field required. • Experience: 7+ years of progressive healthcare leadership, with a minimum of 3 years in a stand-alone facility or an autonomous, decentralized division where corporate oversight was minimal. Core Competencies: High emotional intelligence for local community engagement; expert capacity to build operational infrastructures from the ground up; and comprehensive knowledge of non-profit hospital governance, independent revenue cycles, and local health district dynamics