Chief Financial Officer

NOW CFO is representing a multi-entity healthcare organization in a confidential search for a Chief Financial Officer. The organization supports its communities through high-quality, compassionate care and operates with a strong emphasis on clear communication, accountability, and continuous improvement.

The ideal candidate leads with humility and purpose, supports teams openly, and upholds high standards with care. This role requires a leader who drives proactive financial strategy aligned with quality care and long-term stability.

Responsibilities

• Lead all financial operations across multi-state skilled nursing facilities, including accounting, budgeting, forecasting, and financial reporting.

• Ensure clear, effective communication with finance teams, executive leadership, ownership, and HUD stakeholders.

• Drive strategic financial planning to optimize performance, improve efficiency, and support sustainable growth.

• Ensure compliance with GAAP, HUD financing requirements, and applicable regulatory standards.

• Oversee cost reporting, reimbursement processes, and financial submissions related to skilled nursing operations.

• Strengthen internal controls, financial policies, and reporting processes to support scalability, accuracy, and transparency.

• Partner with operations leadership to evaluate facility-level performance, improve margins, and implement corrective action plans.

• Manage cash flow, liquidity, and working capital to support day-to-day operations and long-term strategic investments.

• Lead annual budgeting and long-range financial planning aligned with operational and clinical priorities.

• Support mergers, acquisitions, and divestitures, including due diligence, transaction execution, integration, and post-transaction optimization.

• Serve as a strategic advisor to ownership and executive leadership, delivering data-driven insights on financial risks, opportunities, and performance trends.

• Demonstrate integrity, discretion, and accountability in a fast-paced, results-driven environment.

• Lead HUD-related financing activities, including refinancing, bridge-to-HUD transactions, rate locks, and lender coordination.

• Maintain industry expertise through periodic travel and participation in key industry conferences and regulatory forums (e.g., NIC, CAHF/ECAP Summit).

• Oversee reimbursement and refinance strategy, including AB 186 medical rate negotiations, managed care contracting, and payer collaboration.

Qualifications (Required)

• Healthcare finance experience

• Experience with revenues 100M+

• Accountability - ownership of responsibilities and follow-through on commitments

• Ambition - Drive for growth.

• Vision - Anticipate future challenges and opportunities.

• Clear & honest Communication - communicate directly and respectfully

• Sincere passionate care – lead with a service mindset

• Virtuous Leadership - continuous persistent drive for improvement.

• Efficiency - anticipating future challenges and opportunities.

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