Fractional CFO

Gofractional; Nashville (TN); On-site; USD 60,000 - 120,000; Part time

Benefits offered by this job

Vision insurance

Job summary

FFMC seeks a part-time fractional CFO to lead the finance function during a pivotal growth phase, including new service lines and strategic planning with the board and CEO. The role combines strategic leadership with hands-on financial management, reporting to the CEO and guiding the Finance and Audit Committee with a small accounting team.

The ideal candidate will oversee monthly close, cash management, budgeting, and long-range planning, while ensuring the financial sustainability of clinic

Qualifications

• Senior finance leadership in nonprofit/healthcare
• Experience presenting multi-year plans to a board
• Experience managing external audits and multi-entity consolidation
• Cash-flow management in liquidity-tight environments
• Ability to work both strategic and hands-on with a small finance team
• Aligned with faith-based mission and culture

Responsibilities

• Lead monthly financial statements and board reporting with variance analysis
• Oversee cash management and rolling cashflow forecast
• Develop annual operating budget and five-year financial plan
• Consolidate FFMC and affiliated entity finances and manage the audit end-to-end
• Maintain hands-on controls for disbursements and preserve segregation of duties
• Build financial models for revenue diversification and partnerships
• Supervise and develop the senior accountant
• Lead Finance and Audit Committee activities and meetings
• Partner with CEO to ensure programs are financially sustainable
• Cross-train with current CFO in December 2026
• Support capital campaign tracking and facility expansion budgets

Skills

Strategic leadership

Hands-on finance

Board presentations

Cash flow management

Nonprofit healthcare

Interim CFO experience

Communication to board

Financial modeling

Education

CPA preferred

Tools

Microsoft Excel

ERP systems

Job description

The Opportunity

FFMC is seeking a fractional CFO to lead its finance function at a consequential moment: new service lines coming online, and an active strategic planning effort with the board and CEO.

This is a hybrid role by design. FFMC needs a finance leader who can set strategy, communicate with hospital, service and donor partners, present to the board, and who is equally willing to roll up their sleeves on financial statements, cash management and the monthly close process alongside a small team. Candidates who see themselves only at the strategy level, or only in the books, will not be the right fit.

The fractional CFO reports to the CEO, serves as the staff lead to the Finance and Audit Committee, and is supported by a senior accountant who carries the day-to-day accounting work.

What You Will Own

• Monthly financial statement preparation, with management and board reporting and plain-language variance analysis
• Cash management and a rolling cashflow forecast, including oversight of long-term investments
• The annual operating budget and long-range (five-year) financial planning, including budgets for new service lines
• Consolidation of FFMC and its affiliated support organization, and management of the annual audit end to end
• Selected hands-on cash and disbursement controls retained at the CFO level to preserve segregation of duties
• Financial modeling in support of revenue diversification and strategic partnerships
• Supervision and development of the senior accountant
• Finance and Audit Committee leadership
• Strategic partner to the CEO to ensure that all clinic initiatives are financially sustainable

First-Year Priorities

1. Cross-training with the current CFO in December 2026
2. Budget planning for FY27 incorporating new facility costs and the new service lines
3. Financial monitoring and projection assistance related to the construction buildout process, hiring of new staff and tracking and disbursement of capital campaign funds for the service expansion initiative
4. Developing key relationships with Finance and Audit Committee members and other Board members to drive financial decision-making

What We Are Looking For

• Senior finance leadership experience (CFO, VP Finance or controller stepping up) in organizations of comparable or larger budget size
• Both strategic and hands-on capability: comfortable presenting a five-year plan to the board and preparing the financial statements it rests on
• Working knowledge of the healthcare industry, enough to engage credibly with hospital systems and service partners
• Experience managing an external audit end to end, including multi-entity consolidation
• Cash-flow management experience in an organization that has navigated tight liquidity, not just steady-state budgeting
• Skill presenting financial information to a board in plain language, including delivering hard news constructively
• Alignment with FFMC's faith-based mission and comfort working in that culture

Preferred

• CPA
• Prior fractional or interim CFO experience
• Nonprofit healthcare experience: free clinic, FQHC, community health center or similar safety-net provider
• Experience with third-party medical billing or revenue-cycle operations
• Familiarity with Nashville-area nonprofit, faith-based or healthcare networks
• Experience managing a small finance team

Structure and Time Commitment

This is a part-time independent contractor (1099) engagement, structured as hourly or as a monthly retainer, approximately 20 hours per week initially, with the expectation that the commitment moderates after the first year. The initial engagement term is 12 months, renewable. FFMC is open to structuring the engagement to fit the right candidate, whether as regular weekly days or a retainer with defined heavy months. This is an on-site role at FFMC's Nashville campus, not a remote or virtual position. Target start is November or December 2026.

Compensation is commensurate with experience and engagement structure.

Job Type: Part-time independent contractor (1099)

Work Location: In-person, on-site at Nashville campus

Benefits: Vision insurance