Chief Financial Officer

Website Coastal Family Health Center


The Chief Financial Officer (CFO) is responsible for all financial matters of the Center. Consistent with community health center requirements, the CFO is responsible for directing the Center’s financial planning and accounting operations as well as establishing and maintaining relationship with lending institutions and the financial community. The CFO works closely with the CEO. In addition, the CFO will partner with the Executive Team and Board of Directors to develop and implement strategies across the organization. The CFO will oversee all compliance and recognition of government, state, and private funding.

Knowledge, Skills, and Abilities

  • Demonstrates leadership ability, team management, and interpersonal skills.
  • Excellent analytical and abstract reasoning skills, plus excellent organization skills.
  • Knowledge of nonprofit accounting, including sophisticated fund and grant accounting, compliance, and reporting.
  • Knowledge of accounting systems and applicable accounting practices and procedures.
  • Knowledge and understanding of the Office of Management and Budget Circular A133audit.
  • Knowledge of federal funding requirements, practices and procedures including and Electronic Handbook.
  • Ability to work independently and to supervise staff.
  • Ability to regularly produce accurate, verified work.
  • Ability to organize and manage time.
  • Ability to recommend, develop, implement, and maintain internal controls.
  • Ability to execute financial plans and processes.
  • Ability to sit, stand, bend, lift and move intermittently during the working day.

Qualifications/Education Requirements

A minimum of a BS; a CPA and/or MBA preferred. At least five years’ experience as CFO or equivalent, preferably in a nonprofit organization with a budget of at least $10 million. Experience in a senior financial-management role, partnering with executive staff, resulting in the development and implementation of financial management strategies.  Experience working with information technology staff to manage finance and accounting software packages. Excellent written and oral communication skills. Must be able to adapt to a continually evolving environment and thrive in an autonomous and deadline-oriented workplace while managing a finance department which includes payroll, accounts payable, accounts receivable, grants administration, purchasing, and staff accountant. The ability to sit, stand, bend, lift and move intermittently during the workday is required. Hours of operation and travel requirements may vary according to operational needs.

Core Competencies

  • Remains informed about laws and regulations governing finance through continuing education and knowledge development.
  • Appraises Center’s financial position and forecasts budgetary needs.
  • Directs and analyzes studies of the general economic, business, and financial conditions and their impact on the Center’s policies and operations.
  • Assists in development of patient fee amounts, sliding fee scales and determination of eligibility criteria based on income level
  • Creates, implements, and reviews systems policies and procedures necessary to maintain proper records of costs and revenues, and affords adequate accounting controls and services according to GAAP.
  • Supervises the preparation of regular billing statements to patients and payers, including the State, for reimbursement of cash outlays.
  • Supervises the Financial Status Report for each grant at the close and ensures accuracy.
  • Accumulates, prepares, and verifies information related to receipts, expenditures, revenues, expenses, utilization charges and adjustments.
  • Prepares reports as scheduled, including financial reports, cost reports, provider budgets, utilization and registration reports, compliance reports, cash flow analyses, required payroll and tax reports, fringe benefit reports, BPHC financial reports, and other reports as requested.
  • Serves as coordinator of activities with the federal payment management system, verifying account balance throughout the fiscal year.
  • Prepares the finance portion of the annual Universal Data Systems report.
  • Oversees the accounts payable system, including verification of cost allocation, receiving reports and invoices, vendor files, and data processing postings.
  • Supervises the performance of computerized payroll functions, including tax reporting, W-2 preparation, pay roll tax deposits, deductions, and garnishments.
  • Abides by normal, generally accepted, accounting practices, federal and payment management system and EHB reporting regulations, and required reporting, completion, and filing requirements.
  • Supervises the accounts receivable, accounts payable, purchasing, payroll, grants administration, and accounting departments.


  • Oversees cash flow planning and ensure availability of funds as needed.
  • Oversees cash, investment, and asset management.
  • Oversees financing strategies and activities, as well as banking relationships.
  • Develops and utilizes forward-looking, predictive models and activity-based financial analyses to provide insight into the organization’s operations and business plans.
  • Maintains proper liquidity of all liquid assets to insure maximum return on investment while meeting day-to-day obligations.
  • Supervises expense reimbursement and documentation in a timely manner.
  • Consults with Practice and Program Managers on organizational finances.
  • Submits information for the Center’s annual report.
  • Planning, Policy, and Investor Relations
  • Coordinates the development and monitoring of budgets.
  • Develops financial business plans and forecasts.
  • Participates in corporate policy development as a member of the senior management team.
  • Engages the finance committee of the board of directors to develop short-, medium-, and long-term financial plans and projections.
  • Represents the company to financial partners, including financial institutions, investors, foundation executives, auditors, public officials, etc.
  • Examines insurance policies and retirement plans to determine equity to staff.
  • Remains up to date on nonprofit audit best practices and state and federal law regarding nonprofit operations.
  • Participates in Strategic, Performance Improvement, Risk Management, and Board meetings as appropriate.

Accounting and Administration:

  • Oversees the accounting department to ensure proper maintenance of all accounting systems and function; supervise finance staff.
  • Maintains physical inventory records and depreciation schedule of assets and equipment
  • Ensures maintenance of appropriate internal controls and financial procedures.
  • Ensures timeliness, accuracy, and usefulness of financial and management reporting for federal, state, and private funders, foundations, and board of directors.
  • Coordinates with and responds to auditors during annual audits and preparation of tax returns for submission.
  • Oversees the preparation and communication of monthly and annual financial statements.
  • Ensures legal and regulatory compliance regarding all financial functions.
  • Performs other duties as requested/ required.
  • Upholds, complies with, and enforces the Core Principles and Code of Conduct.

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