Chief Financial Officer

Position Summary

The Chief Financial Officer (CFO) is a key senior leader within CURE International, responsible for the day-to-day management of all CURE financial matters and for all financial reporting across the global organization. This role is vital to the financial stewardship and long-term sustainability of CURE's mission, ensuring that resources are managed effectively to support the growth and expansion of the hospital network.

The CFO serves as a core member of the Executive Leadership Team, working closely with the Chief Operating Officer, President & CEO, and other senior leaders to provide financial insights and contribute to strategic decision-making and direction.

Core responsibilities include, but are not limited to:

• Financial Reporting: Overseeing accurate, timely, and consolidated monthly financial reporting, including budget vs. actuals, projected actuals, and restricted fund reporting.
• Budgeting and Forecasting: Overseeing cash flow planning, preparing and reviewing budgets, and managing the annual budget process for all facilities.
• Compliance & Audit Reporting: Ensuring rigorous financial compliance, strong internal controls, the timely completion of the financial audit, and the accurate preparation of all governmental financial reports (e.g., 990).
• Policies & Procedures: Develop, implement, and enforce standardized financial policies, procedures, and standard operating procedures across all CURE hospitals and the corporate office. Ensure consistent application of accounting practices, internal controls, documentation standards, and compliance protocols, and regularly update policies to reflect regulatory changes, audit findings, and organizational needs.

The CFO provides executive oversight of CURE’s global finance and accounting functions, producing accurate and timely financial reports, ensuring compliance, clear financial visibility, and healthy fiscal stewardship.

Key Responsibilities

1. Financial Reporting

• Oversee the accurate, complete, and timely monthly close for all CURE entities, ensuring predictable and reliable closing deadlines.
• Ensure preparation of monthly consolidated global financial statements, including corporate and international operations.
• Oversee monthly budget vs. actual and projected actual reporting for senior management.
• Ensure clear, accurate restricted funds and project-based reporting, including revenue recognition, spending visibility, and fund balances.
• Manage financial reporting to produce meaningful analysis for internal and external constituents.
• Present monthly, quarterly, and annual financial results to senior leadership, the Audit Committee, and the Board of Directors.

• Ensure full visibility into financial performance across hospitals, programs, and corporate functions.

2. Compliance & Audit

• Develop, implement, and enforce standardized SOPs and accounting practices across all hospitals and MSC finance teams.
• Ensure strong internal controls, segregation of duties, and compliance with regulatory requirements and GAAP.
• Maintain audit readiness year-round and coordinate all external audit activities.
• Ensure accurate and timely preparation of governmental filings (e.g., IRS Form 990, IRS Form 5500, state returns).
• Coordinate monitoring and compliance activities across hospital finance teams, ensuring policies are followed consistently.
• Establish and maintain global internal control safeguards and oversee remediation when gaps are identified.

3. Forecasting & Financial Planning

• Forecast future financial obligations to support strategic and operational planning.
• Manage the preparation of cash flow projections (90–180 days), updated monthly.
• Lead multi-year financial modeling that supports strategic decisions, capital planning, and sustainability.
• Develop long-range financial plans that incorporate revenue trends, cost structures, strategic initiatives, and expected donor support.

4. Finance Strategy, Analysis, and Treasury Management

• Develop financial strategies by contributing financial and accounting information, analysis, and recommendations to strategic thinking and direction.
• Oversee cash investment of funds, financing strategies and activities, as well as banking relationships.
• Establish the processes and protocols necessary to periodically evaluate the financial viability of all existing and future CURE hospitals and programs.
• Manage foreign currency exposure and associated risks across the global network, including evaluating and executing hedging strategies, such as booking foreign currency forwards.
• Provide financial guidance on, and review, all significant contracts (>$2,500 USD) entered into by the organization.

5. Expense Control, Monitoring, and Reporting

• Oversee cash flow planning and ensure proper use of designated funds.
• Establish and maintain financial control policies across domestic and international facilities.
• Oversee systems and procedures required to accurately monitor and report revenue and expenses.
• Maintain clear visibility into spending trends, cost drivers, and operational efficiency across all hospitals.

6. Financial Systems & Infrastructure

• Provide executive oversight for CURE’s ERP, accounting, reporting, and treasury systems.

• Ensure financial systems support accuracy, compliance, internal controls, and global standardization.

• Maintain data integrity, system controls, and system-based financial reporting reliability.

• Oversee implementation, optimization, and continuous improvement of financial systems across the network.

• Coordinate with IT and operations to ensure financial systems integrate effectively with clinical and operational systems.

7. Budget Development and Monitoring

• Design, implement, and maintain the budget policy, procedures, and methodologies for all domestic and international facilities and departments.
• Manage the annual budget process for all CURE hospital facilities and the CURE corporate office.
• Oversee the implementation of "actual" and "projected actual" to budget monitoring and reporting to senior management on a monthly basis and the Board of Directors on a quarterly basis (or as needed).
• Establish a multi-year budget and staffing plan for CURE to support strategic growth, capital expenditure forecasting, and long-term financial sustainability

8. Finance Team Oversight and People Leadership

• Manage training, hiring, and firing responsibilities for the CURE corporate finance and accounting team.
• Support the Head of Accounting and Accounting Directors in the management of staff, clear accountability, and performance metrics for corporate finance and accounting staff.
• Ensure annual reviews of performance are accomplished for each team member in accordance with corporate personnel policies.
• Provide guidance and counsel to the hospital Executive Directors and financial controllers (or equivalents) related to financial staff management and policies.

Minimum Qualifications & Skills

Education/Experience: Bachelor’s degree in healthcare administration, accounting, finance, or equivalent field of study required. Minimum of 10 years of previous experience in a healthcare or not-for-profit field, emphasizing cash flow management, budget preparation, financial reporting, and financial analysis.

Preferred: MBA or advanced degree. Current and active license as a Certified Public Accountant (CPA) strongly preferred. Non-profit experience preferred.