Chief Financial Officer - Assisted Living Community

ROCHESTER PRESBYTERIAN HOME INC•Rochester, NY

15h•$150,000 - $190,000

About The Position

Rochester Presbyterian Home (RPH) is seeking an experienced and mission-driven Chief Financial Officer (CFO) to join our senior leadership team. This role is responsible for leading the financial strategy and operations of a nonprofit senior living organization, ensuring long-term financial sustainability while supporting high-quality care for residents. The CFO will partner closely with the CEO and Board of Trustees to provide financial leadership across assisted living communities, with a strong focus on healthcare-related financial operations, regulatory compliance, and operational performance. This is a key leadership role for a healthcare finance executive who understands the complexities of senior living, including occupancy management, payer mix, reimbursement considerations, and cost containment in a regulated environment. The Chief Financial Officer (CFO) will have a direct and sustained impact on the organization’s day-to-day operations, serving as a key partner in analyzing performance, shaping strategy, and strengthening RPH’s financial position in support of its mission. As a nonprofit provider in the assisted living and senior living sector, the CFO will bring a deep understanding of current accounting practices and financial trends, along with experience navigating the unique financial dynamics of senior housing, including occupancy variability, rate setting, reimbursement considerations, and an evolving regulatory landscape. As a member of the senior leadership team, the CFO will operate comfortably in a highly visible role requiring sound judgment, strategic thinking, and clear, effective communication across all levels of the organization, including administrators, clinical leadership, and the Board of Trustees. This seasoned leader will also demonstrate a strong commitment to fiscal stewardship, transparency, and accountability, ensuring that financial decisions align with the organization’s mission, values, and long-term sustainability. The CFO oversees all financial activities of RPH, including the preparation and oversight of financial statements, management reports, and forecasts that support informed decision-making, census growth, and long-term sustainability. This role will partner closely with operations to monitor key performance indicators such as occupancy, payer mix, labor costs, and margin performance across communities, ensuring resources are aligned to best serve residents. Reporting directly to the Chief Executive Officer and the Board of Trustees, the CFO is responsible for ensuring compliance with all applicable federal and state regulations governing nonprofit and assisted living operations, including adherence to nonprofit financial reporting standards. The CFO will maintain the integrity and accuracy of financial records, support audit processes, and ensure timely, transparent reporting to the Board and external stakeholders. In addition, the CFO will play a key role in overseeing financial aspects of fundraising initiatives, grant management, and donor-restricted funds, ensuring proper tracking, reporting, and stewardship of all contributed revenue. The role will also maintain strong relationships with auditors, financial institutions, and community partners. The ideal candidate will demonstrate agility in a dynamic, mission-driven environment and thrive in a collaborative, fast-paced, and deadline-oriented workplace, with a strong appreciation for the financial and operational complexities of nonprofit senior living communities.

Requirements

Bachelor’s degree in accounting, finance, or related field required; CPA or MBA strongly preferred.
Minimum of 10-15 years of progressive financial leadership experience, including senior-level or CFO experience, preferably in nonprofit healthcare, assisted living, or senior living.
Strong knowledge of nonprofit accounting standards (GAAP), fund accounting, and financial reporting requirements.
Demonstrated experience with budgeting, forecasting, cash flow management, and long-term financial planning in a multi-site or community-based environment.
Understanding of senior living financial drivers, including occupancy, rate setting, payer mix (private pay/Medicaid), and labor cost management.
Experience with regulatory compliance, audits, and financial reporting in a nonprofit and/or healthcare setting.
Proven ability to partner with a Board of Trustees, including presenting financials, supporting Finance Committees, and advising on strategy.
Experience overseeing or supporting audits, Form 990, and grant/donor-restricted fund management.
Knowledge of capital planning, financing strategies, and investment oversight, ideally in collaboration with Board-directed policies.
Strong leadership and team management skills, with experience developing high-performing finance teams.
Excellent analytical, organizational, and problem-solving abilities, with a focus on data-driven decision-making.
Effective communicator with the ability to translate complex financial information for non-financial leaders and stakeholders
High level of integrity, accountability, and commitment to the mission and values of a nonprofit senior living organization

Responsibilities

Provide leadership over all financial functions, including cash management, investments, insurance, budgeting, forecasting, and financial reporting, while driving organizational financial strategy.
Ensure strong cash flow management through short- and long-term forecasting and oversight of day-to-day accounting operations, internal controls, and reporting processes.
Maintain accurate financial systems and records in compliance with GAAP, nonprofit regulations, and audit requirements; oversee development and enforcement of accounting policies and internal controls.
Lead preparation of financial statements, monthly and annual reports, and regulatory filings, ensuring timely, transparent reporting to leadership and the Board.
Oversee the annual operating, capital, and program budgeting process, and partner with leadership to monitor performance, analyze variances, and recommend corrective actions.
Monitor key financial and operational metrics (e.g., occupancy, payer mix, labor costs), identifying risks, cost-saving opportunities, and process improvements.
Support investment oversight in alignment with Board policies, including performance analysis and reporting to the Finance Committee.
Ensure compliance with all federal, state, and nonprofit regulatory requirements, including staying current on relevant legislation and audit best practices.
Partner with the CEO, senior leadership, and Board of Trustees on strategic planning, financial sustainability, and organizational priorities.
Oversee financial aspects of fundraising, grants, and donor-restricted funds, ensuring proper stewardship, compliance, and reporting.
Manage finance staff, financial systems, and relationships with external partners (e.g., auditors, payroll, benefits, insurance providers).
Attend and support Leadership and Board meetings with clear, actionable financial insights.