Chief Financial Officer
Reporting to: Chief Executive Officer
Location: Milton Keynes (with UK travel)
Role Overview
The Chief Financial Officer (CFO) will lead the financial strategy, governance, funding, and commercial performance of a rapidly scaling national healthcare imaging provider.
This is a board-level appointment responsible not only for financial control and reporting, but for driving enterprise value, supporting acquisitions, optimising capital deployment (mobile fleet, relocatable units, imaging equipment), and preparing the business for potential private equity investment or strategic exit.
The CFO will operate as a strategic partner to the CEO and Board.
Key Responsibilities
1. Strategic Financial Leadership
- Develop and execute a 3–5 year financial strategy aligned with national expansion plans
- Support growth from current turnover toward £30m+ and beyond
- Lead financial modelling for new sites, modular hubs, mobile fleet expansion, and tender pricing
- Drive EBITDA growth and margin optimisation
- Prepare the business for institutional investment and/or IPO
2. Financial Control & Governance
- Oversee all financial operations, reporting, and compliance
- Ensure robust month-end and year-end reporting
- Implement scalable financial controls suitable for a multi-site healthcare provider
- Oversee audit process and statutory accounts
- Manage banking relationships and debt facilities
- Ensure full compliance with HMRC, Companies House, VAT, payroll and NHS payment structures
3. Capital Allocation & Asset Strategy
- Optimise funding structures for:
o Mobile CT and MRI fleet
o Relocatable modular builds
o Imaging equipment procurement
- Evaluate lease vs purchase vs hybrid funding models
- Manage asset utilisation and return on capital employed
- Develop generator, engineering and service cost models
4. Commercial & Tender Support
- Support pricing strategy for NHS and private sector contracts
- Lead financial modelling for:
o Per-scan tariffs
o Weekly rental contracts
o Managed service agreements
o Revenue-share arrangements
- Assess commercial risk in SLAs and contractual agreements
- Support negotiation of large NHS Trust contracts
5. M&A and Investment Activity
- Lead financial due diligence on acquisitions (e.g. imaging centres, specialist diagnostic providers, wellness imaging ventures)
- Structure funding and equity arrangements
- Model earn-outs and equity splits
- Support board decision-making on acquisitions and capital raises
6. Cashflow & Working Capital Management
- Manage a high-cashflow, capital-intensive business model
- Forecast cash requirements for fleet expansion
- Oversee debtor control (particularly NHS payment cycles)
- Ensure strong working capital discipline
7. Systems & Infrastructure
- Oversee finance systems (e.g. cloud-based accounting platforms)
- Implement scalable reporting dashboards
- Drive integration between operational KPIs and financial performance
- Support data-driven decision making across sites
8. Board & Investor Reporting
- Prepare board packs
- Present monthly performance analysis
- Develop KPI dashboards (utilisation, contribution per modality, per-site profitability)
- Prepare materials for lenders or investors
Person Specification
Essential Experience
- Qualified Accountant (ACA / ACCA / CIMA)
- 10+ years’ senior finance leadership experience
- Experience in a capital-intensive, multi-site business
- Proven track record of scaling a business
- Experience working with banks, lenders or private equity
- Strong commercial acumen
Highly Desirable
- Healthcare sector experience (private healthcare, diagnostics, NHS contracts)
- Experience in asset-backed or equipment-heavy businesses
- M&A transaction experience
- Experience preparing a business for exit
- Experience in a high-growth entrepreneurial environment
Key Competencies
- Strategic thinker with operational discipline
- Commercially ambitious yet financially prudent
- Comfortable in a fast-growth environment
- Strong negotiator
- High integrity and governance-focused
- Analytical and data-driven
- Able to challenge executive leadership constructively
Success Metrics (First 24 Months)
- Robust financial reporting structure in place
- Improved EBITDA margin
- Optimised funding of fleet expansion
- Reduced debtor days
- Successful support of at least one strategic acquisition
- Clear pathway to £30m+ turnover
- Exit-readiness infrastructure established
Why This Role Is Critical
As the organisation transitions from founder-led growth to structured national scale, the CFO will:
- De-risk expansion
- Improve capital efficiency
- Enable acquisitions
- Prepare for investment or exit
- Increase enterprise value
This is not a traditional financial controller role.
It is a strategic finance and value creation leadership position.
Job Type: Full-time
Pay: Up to £75,000.00 per year
Work Location: In person
