The Company is in search of a Chief Operating Officer (COO) to provide executive leadership and operational accountability for a critical access hospital. The COO will be responsible for a wide range of areas, including operational performance, quality and safety, patient experience, workforce engagement, access, growth, and financial stewardship. This role demands a leader with a minimum of 15 years of progressive healthcare leadership experience, a Master's degree in healthcare administration or a related field, and a strong background in leading complex hospital or health system operations. Experience in a rural, critical access, or community-based healthcare environment is highly valued. The ideal candidate will be a visible, approachable, and highly relational leader, with a proven track record in recruiting, developing, and retaining strong leaders, and fostering a culture of engagement, teamwork, and continuous improvement. The successful COO will work closely with the CEO, Board, medical staff, employees, and external stakeholders, and must possess the executive presence and communication skills necessary for effective collaboration. Key responsibilities also include serving as the senior point of contact in the CEO's absence and building strong relationships with local and regional partners. The role requires an analytical, data-informed decision-maker who can translate complex information into clear priorities and action plans. A nursing home administrator license or the willingness to obtain one is a requirement, and experience in facility expansion, construction, or external healthcare partnerships is desirable. The COO will be expected to be a trusted partner in the community, with a focus on operational consistency that benefits both patients and employees.