Chief Financial Officer (CFO) – Nonprofit Healthcare Organization
Position Overview
My client is seeking an experienced Chief Financial Officer to lead the financial strategy, stewardship, and operational performance of a mission-driven nonprofit healthcare organization. Reporting to the Chief Executive Officer, the CFO will oversee all financial functions, ensure strong fiscal discipline, and support the organization’s ability to deliver high-quality, accessible care in a complex and regulated environment.
Key Responsibilities
Financial Leadership & Strategy
- Serve as a key member of the executive leadership team, contributing to organizational strategy and long-term planning
- Lead the development of financial strategy aligned with the organization’s mission, growth objectives, and community impact goals
- Provide financial insight and scenario modeling to support decision-making across clinical, operational, and administrative areas
Accounting, Reporting & Compliance
- Oversee all accounting, financial reporting, budgeting, and forecasting functions
- Ensure accuracy and integrity of financial statements in accordance with GAAP and nonprofit accounting standards
- Maintain compliance with regulatory, grant, and reporting requirements, including federal, state, and local guidelines
- Direct month-end, quarter-end, and year-end close processes
Budgeting & Financial Planning
- Lead annual budgeting process and ongoing financial forecasting
- Partner with clinical and operational leaders to align resource allocation with strategic priorities
- Monitor financial performance and identify opportunities for cost optimization and efficiency improvements
Revenue Cycle & Operational Finance
- Oversee revenue cycle management, including billing, collections, reimbursement, and payer relationships
- Ensure optimization of reimbursement processes across Medicare, Medicaid, and commercial payers
- Support initiatives to improve cash flow, reduce denials, and strengthen revenue integrity
Treasury, Capital & Risk Management
- Manage cash flow, liquidity planning, and investment of organizational funds
- Oversee debt management, capital structure, and financing strategies as needed
- Ensure appropriate risk management practices and financial controls are in place
Leadership & Team Development
- Lead and develop a high-performing finance organization across accounting, revenue cycle, budgeting, and financial planning functions
- Build a culture of accountability, collaboration, and continuous improvement
- Partner with department leaders to enhance financial literacy and accountability across the organization
Board & External Relations
- Present financial results, forecasts, and strategic updates to the Board of Directors and finance committee
- Act as primary liaison to external auditors, banking partners, regulators, and funding agencies
- Support grant reporting and philanthropic funding compliance requirements
Qualifications
- Bachelor’s degree in Accounting, Finance, or related field (MBA, MHA, or CPA strongly preferred)
- 10–15+ years of progressive financial leadership experience
- Prior experience as CFO, Deputy CFO, or senior finance executive in healthcare or nonprofit organizations
- Strong understanding of healthcare finance, reimbursement systems, and regulatory frameworks
- Experience managing complex budgets in a multi-site or multi-entity environment
- Demonstrated success leading finance teams and organizational transformation initiatives
- Strong communication skills with ability to engage board-level stakeholders
Preferred Experience
- Nonprofit healthcare system, hospital, or integrated delivery network experience
- Exposure to value-based care models, payer contracting, or revenue cycle transformation
- Experience leading ERP or financial system implementations
- Track record of improving financial performance while supporting mission-driven outcomes
