Sycamore Specialty Hospital is a newly revitalized Long-Term Acute Care Hospital (LTACH) in DeKalb County, Illinois, serving medically complex patients with specialized needs such as ventilator weaning, advanced wound care, and telemetry services. With a projected launch date of December 31, 2026, and 40 beds (with capacity for 65), our mission is to deliver high-quality, patient-centered care in a rural region experiencing a growing demand for long-term acute services.

We are seeking a visionary and results-driven Chief Financial Officer (CFO) to join our executive leadership team and guide the hospital’s financial strategy through its launch and sustainable growth phase.

Key Responsibilities:

Lead all aspects of financial operations, including budgeting, forecasting, cash flow management, and long-term financial planning.
Collaborate with the CEO and COO to drive performance improvement and operational efficiency.
Oversee revenue cycle management, cost accounting, and financial reporting in compliance with GAAP and healthcare regulatory standards.
Manage payer mix strategy and contracts, including Medicare/Medicaid, commercial payers, and value-based arrangements.
Provide strategic input on capital investments and operational expansion initiatives.
Develop and maintain internal controls, compliance programs, and audit readiness.
Work closely with state and federal agencies on grant funding, cost reports, and supplemental reimbursement opportunities (e.g., rural health, safety-net support).
Build and lead a high-performing finance team aligned with the hospital’s mission and growth goals.

Qualifications:

Bachelor’s degree in Accounting, Finance, or related field (Master’s preferred).
CPA or similar certification strongly preferred.
Minimum of 7–10 years of progressive financial leadership experience in healthcare, with at least 3 years in a hospital or post-acute setting (LTACH, IRF, SNF, or similar).
Proven experience managing startup or turnaround hospital environments is a major plus.
Deep knowledge of healthcare reimbursement (especially Medicare and Medicaid), cost reports, and provider-based regulations.
Strong interpersonal and communication skills, with the ability to lead in a collaborative, multidisciplinary setting.

Compensation & Benefits:

Competitive executive salary with performance-based incentives
Comprehensive benefits package (medical, dental, vision, 401(k) with match)
Paid time off and CME allowance
Relocation assistance available
Opportunity to shape the financial foundation of a mission-driven rural hospital

Job Overview
We are seeking a highly skilled and experienced Chief Financial Officer (CFO) to join our executive team. The CFO will be responsible for overseeing all financial aspects of the organization, ensuring the integrity of financial reporting, and driving strategic financial planning. This role requires a deep understanding of financial concepts, corporate finance, and regulatory compliance, as well as strong leadership capabilities to guide the finance department and contribute to overall business development.

Duties

Lead the financial planning and analysis process, including budgeting, forecasting, and long-term strategic planning.
Oversee corporate accounting functions, ensuring compliance with GAAP, IFRS, and other relevant standards.
Manage risk analysis and risk management initiatives to safeguard the organization’s assets.
Direct treasury management activities, including cash flow management and investment strategies.
Supervise revenue management processes and ensure effective revenue cycle management.
Conduct market analysis to inform business decisions and identify growth opportunities.
Oversee mergers & acquisitions activities, providing strategic insights and financial evaluations.
Ensure accurate regulatory reporting in compliance with SOX and other governmental accounting requirements.
Prepare comprehensive financial reports and interpret financial data for senior leadership.
Implement cost control measures and oversee expense management initiatives to enhance profitability.
Provide leadership to the finance team, fostering a culture of continuous improvement and professional development.

Requirements

Proven experience in a senior financial leadership role with a strong background in corporate finance and fiscal management.
Expertise in financial report writing, interpretation, and analysis skills.
In-depth knowledge of accounting principles including ASC 606, COSO frameworks, and technical accounting standards.
Strong negotiation skills with a track record in business development and strategic partnerships.
Experience in public accounting or non-profit accounting is preferred but not required.
Familiarity with financial software systems that enhance operational efficiency.
Excellent leadership skills with experience supervising finance teams effectively.
Strong analytical skills with the ability to perform detailed financial modeling and business analysis.
Knowledge of supply chain finance principles is advantageous. This position offers an exciting opportunity for a dynamic leader to shape the financial future of our organization while working closely with other senior leaders. If you are passionate about driving financial excellence within an organization, we encourage you to apply.

Job Types: Full-time, Part-time, Contract

Pay: $86,252.65 - $133,874.16 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance

Experience:

LTACH: 2 years (Required)

Ability to Commute:

Sycamore, IL 60178 (Required)

Ability to Relocate:

Sycamore, IL 60178: Relocate before starting work (Preferred)

Work Location: In person

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CFO (Chief Financial Officer) for an LTAC (Long Term Acute Hospital)