Location: Boise, Idaho area
On-site Requirement: Majority of time on-site in Boise area
Company: Skilled Nursing/ Assisted Living Centers
Opportunity Overview
Our client is an owner and operator of skilled nursing and assisted living facilities and is preparing to expand into in-home hospice care. The company currently generates more than $300 million in annual revenue and may acquire additional portfolios of 20–25 properties each, potentially growing to $600 million in revenue later this year.
Long-term ambitions to become a public company in the next 3–5 years. With the company currently operating without a CFO, leadership is seeking an Interim CFO to step in immediately and stabilize, lead, and assess the finance and accounting function.
This role is highly operational and accounting-focused. The immediate priority is to bring structure, leadership, and credibility to a disjointed accounting organization, while ensuring business continuity across reporting, compliance, and lender requirements. The Interim CFO will also begin evaluating the company’s broader finance infrastructure and IPO readiness.
Position Summary
The Interim CFO will serve as the senior finance leader during a critical transition period. This executive will be responsible for keeping the finance function running smoothly, improving team cohesion and accountability, and ensuring timely and accurate monthly reporting, debt covenant reporting, and compliance activities.
In parallel, the Interim CFO will assess the current state of the accounting and finance organization and identify priorities across areas such as accounting policy, process documentation, internal controls, organizational design, and finance technology. This individual will play an important role in helping leadership define the roadmap toward a future permanent CFO hire with public company and SEC experience.
Key Responsibilities
- Provide immediate leadership and stabilization for the accounting and finance organization during a period of turnover and transition
- Oversee day-to-day finance and accounting operations to ensure continuity and discipline
- Ensure timely and accurate monthly close, financial reporting, debt covenant reporting, and lender/stakeholder compliance
- Bring harmony, accountability, and structure to a fragmented accounting team, including coaching and mentoring team members who may lack relevant industry experience
- Assess the current accounting and finance organization, including talent, structure, processes, and operating effectiveness
- Identify gaps and opportunities for improvement across:
- accounting policies
- month-end close and reporting processes
- process documentation
- internal controls
- organizational structure
- finance systems and technology stack
- Partner with executive leadership on financial priorities related to anticipated acquisitions and integration readiness
- Begin establishing an IPO-readiness framework, including recommendations around controllership maturity, documentation standards, and scalable infrastructure
- Support identification of additional finance and accounting workstreams where outside advisory support may be needed
- Serve as a steady, credible business partner to senior leadership during a high-growth, high-change period
Required Experience and Qualifications
- Proven experience serving as CFO, Interim CFO, or senior finance leader in the skilled nursing industry
- Deep experience in multi-state healthcare operations with multiple locations; this is an absolute requirement
- Strong accounting and controllership background, with the ability to operate in a hands-on capacity
- Demonstrated success stabilizing and leading finance/accounting teams through turnover, disruption, or rapid growth
- Experience managing monthly financial reporting, debt covenant reporting, and compliance in a leveraged or lender-sensitive environment
- Ability to quickly assess organizational gaps and implement practical improvements
- Strong leadership presence with the ability to be on-site, visible, and hands-on with the team
- Experience supporting acquisitive or rapidly scaling organizations preferred
- Exposure to IPO-readiness initiatives, public-company preparation, or SEC-readiness work is helpful, though this is not the primary focus of the interim assignment
Ideal Candidate Profile
The ideal candidate is a seasoned healthcare finance executive who understands the operational realities of skilled nursing and can step into a complex environment without a learning curve. This person will be equal parts operator, accounting leader, and team stabilizer. They must be comfortable rolling up their sleeves, creating order in a disjointed function, and leading from the front.
This is not primarily a strategic capital markets role at this stage. The company expects to hire a longer-term CFO with direct IPO and SEC experience down the road. For now, the priority is a hands-on finance leader who can keep the trains running, build confidence in the function, and help lay the groundwork for future scale and public-company readiness.
Location / Travel Expectations
The CFO must be based in or willing to work in the Boise, Idaho area the majority of the time. Regular in-person presence is essential, particularly in the early phase of the engagement, to lead the team effectively and establish stability. Limited flexibility on weekly travel may be possible after the individual is fully embedded in the role, but the expectation is that this leader will be physically present and highly engaged on-site.
Reporting / Key Relationships
- Reports to: Company leadership / ownership
- Key internal partners: Executive leadership team, accounting and finance organization
- Key external partners: Big 8 auditor, lenders, outside advisors
- Primary company contact: Principal, M&A / Legal
Initial Mandate
In the first phase of the engagement, success will likely look like:
- stabilizing the accounting and finance function
- restoring leadership and accountability within the team
- ensuring reliable monthly reporting and covenant compliance
- assessing organizational and process gaps
- identifying priority workstreams to improve finance infrastructure
- beginning to frame a practical roadmap toward IPO readiness
