The Chief Financial Officer (CFO) provides strategic and operational leadership over all finance functions for a multi-company, multi-state healthcare organization focused on senior health, post-acute, and long-term care services. The CFO is responsible for enterprise-wide financial strategy, multi-entity accounting and consolidation, and capital planning in support of organizational growth and quality patient outcomes. The CFO serves as a key advisor to the President and Senior Team and is a visible culture leader across all markets.

Essential Job Functions / Responsibilities

1. Strategic Leadership & Governance

• Partner with the President, executive team, and Board to develop and execute the organization’s short- and long-term financial strategy.
• Provide clear, data-driven recommendations on major strategic decisions, including market expansion, service line development, partnerships, and capital investments.
• Translate complex financial information into clear insights and action plans for clinical and operational leaders.
• Support LHMSH culture.

2. Financial Planning, Reporting & Analysis

• Lead the annual budget process, rolling forecasts, and multi-year financial planning across multiple companies, entities, and service lines.
• Oversee timely, accurate monthly, quarterly, and annual financial statements in accordance with GAAP, including consolidated reporting and entity-level analysis.
• Develop dashboards and KPIs that monitor financial performance (e.g., revenue, EBITDA, margin, days cash, days in AR, labor costs, census, payer mix) and drive accountability with operators.
• Provide variance analysis and actionable insight to improve profitability, cash flow, and capital efficiency.

3. Multi-Company / Multi-Entity Accounting & Consolidation

• Oversee a complex legal and organizational structure, including multiple LLCs, holding companies, operating entities, and joint ventures across multiple states.
• Ensure accurate general ledger management, intercompany transactions, allocations, eliminations, and consolidated financial statements.
• Standardize accounting policies, chart of accounts, and closing processes across entities to ensure consistency, comparability, and control.
• Coordinate external audits, reviews, and tax compliance in partnership with external advisors.

4. Treasury, Capital Management & Risk

• Direct cash management, liquidity planning, and capital allocation across entities and states to support stable operations and strategic initiatives.
• Manage banking relationships, credit facilities, debt covenants, and investment policies.
• Evaluate and structure financing for new development, acquisitions, and major capital projects.
• Identify, quantify, and mitigate financial risks, including insurance, self-insurance, and contingent liabilities.

5. Systems, Technology & Process Improvement

• Drive continuous improvement in financial processes, automation, and standard work to increase efficiency, accuracy, and scalability.
• Identify and implement process improvements to increase efficiency and accuracy across finance-related workflows.

6. Leadership, Talent & Culture

• Build and lead a high-performing finance organization, including accounting, FP&A, revenue cycle, and related functions across multiple locations.
• Coach and develop leaders to support succession planning, engagement, and retention.
• Model and enforce high standards of ethics, integrity, and confidentiality, especially in handling sensitive financial and strategic information.
• Collaborate effectively with clinical, operational, HR, compliance, and legal leaders to drive aligned, enterprise-wide decision-making.

7. Other

• Protect the legal, financial, and moral well-being of Larry H. Miller Senior Health and affiliated companies.
• Perform other duties as assigned by the CEO and/or Board of Directors.

Required

• Bachelor’s degree in Accounting, Finance, or a related field.
• 10+ years of progressive experience in finance and accounting leadership, including at least 5 years in a senior executive role (CFO, VP Finance, or equivalent).
• Significant experience in multi-entity, multi-state healthcare (e.g., senior living, skilled nursing, post-acute rehabilitation, home health, hospice, or similar provider environment).
• Demonstrated experience overseeing consolidated financials for a portfolio/holding company structure with multiple operating entities.
• Deep knowledge of U.S. GAAP, healthcare reimbursement (Medicare, Medicaid, and commercial payers), cost reporting, and related regulatory requirements.
• Proven track record improving financial performance, optimizing revenue cycle, and managing capital and liquidity.
• Demonstrated success in building and leading distributed finance teams and partnering effectively with operations and clinical leaders.
• Advanced Excel and financial modeling skills; strong proficiency with modern ERP and reporting tools.
• Exceptional communication skills, including the ability to influence and educate non-financial stakeholders at all levels.

Preferred

• CPA license strongly preferred; MBA, MHA, or related advanced degree a plus.
• Prior experience in a private or family-owned multi-entity organization and/or portfolio company environment.
• Experience in mergers and acquisitions, integrations, and change management in a healthcare context.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer. 
• Required vision includes close vision, distance vision, peripheral vision, and the ability to adjust focus.
• Ability to travel periodically to facilities and offices across multiple states.
• Ability to carefully consider all information and make high-impact decisions on a regular basis.
• Maintain regular attendance and timeliness as set forth within the work schedule designated by the department supervisor/manager.
• Job requires accepting criticism and dealing calmly and effectively with high-stress situations.
• Ability to communicate effectively, both orally and in writing.

  Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

• Operate with Integrity: Demand the highest ethical standards from self and others by setting an example of positive attitude and professionalism.
• Strategic & Financial Acumen: Demonstrates strong business judgment, financial literacy, and the ability to connect financial performance with operational drivers and strategic choices.
• Communication & Influence: Ability to effectively convey information to others, apply active listening, and adjust style to the audience, including Board members, executives, operators, and external stakeholders.
• Time Management & Prioritization: Able to manage multiple priorities, deadlines, and stakeholders in a fast-paced, multi-entity environment.
• Change Leadership: Demonstrates resilience and adaptability; effectively leads teams through system implementations, process changes, and organizational growth.