Director, Finance Real Estate and Growth

As the Director of Finance you will lead all financial operations support related to real estate site-level performance and growth initiatives across a multisite healthcare platform. You will partner closely with executive leadership development operations and clinical leadership to ensure that capital allocation real estate decisions and expansion strategies support sustainable growth access to care and strong financial performance.

The ideal candidate brings deep real estate and healthcare finance expertise thrives in a growth-oriented environment and can balance financial rigor with the operational realities of delivering care at scale.

ATI Physical Therapy operates over 800 clinics across 24 states with plans to open 60 new locations annually.

We are seeking candidates with significant experience in multisite healthcare real estate finance or healthcare services supporting de novo site development acquisitions or rapid geographic expansion.

Key Responsibilities
Oversee financial modeling underwriting and evaluation of new clinic locations relocations expansions and consolidations.
Analyze site-level economics including buildout costs lease vs. own decisions ramp curves payer mix staffing models and contribution margins.
Lead ROI IRR and cash flow analysis for real estate and facility investments.
Monitor performance of the real estate growth sites portfolio and prepare reporting for monthly progress on site development and post launch performance.
Review annual repair and maintenance costs and lease terms for cost savings opportunities.
Ensure costs related to closed locations are eliminated timely in conjunction with closures.
Track actual-to-pro forma performance for all new sites and drive corrective action when ramp assumptions are not met.
Develop standardized underwriting assumptions and financial playbooks for scalable site expansion.
Be a financial partner to the real estate leadership team.

Growth & Strategic Finance
Partner with executive and clinical leadership to evaluate market expansion opportunities de novo sites tuck-in acquisitions joint ventures and service line growth.
Build and maintain scalable financial models for forecasting patient volume revenue and profitability by site and region.
Support M&A joint ventures and strategic affiliations including financial diligence and integration planning.
Provide scenario analysis to assess regulatory reimbursement and market dynamics impacting growth decisions.
Quantify long-term enterprise value creation from growth initiatives.

Financial Planning Reporting & Controls
Lead budgeting forecasting and long-range planning for real estate and growth initiatives
Develop dashboards and reporting that provide clear visibility into site-level performance ramp timelines and return on invested capital
Partner with accounting to ensure accurate capitalization lease accounting and compliance with healthcare and financial reporting standards
Support board and investor reporting with clear data-driven insights
Develop 3-year capital deployment roadmap aligned with enterprise strategy.
Establish financial governance around site closures and capital redeployment.

Cross-Functional Collaboration & Mentorship
Serve as a strategic finance partner to real estate and growth organizations.
Translate complex financial analysis into actionable recommendations for non-finance stakeholders.
Mentor and develop cross-functional partners as well as finance team members as the organization scales.
Help establish scalable processes and governance to support rapid disciplined expansion.

Leadership/Management:
Provides direction to and accomplishes results through team
Manages the staffing and deployment of assigned resources
Oversees employee learning and development needs
Conducts performance reviews and manages human resource decisions such as hiring promotions and disciplinary actions.

Minimum Education Required:
Bachelors degree in Finance Accounting Economics or a related field

Preferred:
MBA or similar graduate degree preferred

Minimum Experience Required:
8 years of progressive finance experience with significant experience in multisite healthcare real estate finance or healthcare services.
Experience supporting de novo site development acquisitions or rapid geographic expansion.

Preferred:
12 years of progressive finance experience with significant experience in multisite healthcare real estate finance or healthcare services.
Multi-state experience throughout the United States.

Knowledge Skills and Abilities
Strong expertise in site-level financial modeling capital planning and real estate underwriting.
Working knowledge of healthcare reimbursement dynamics payer mix and regulatory considerations.
Excellent communication skills and comfort partnering with clinical and operational leaders.
Willingness to travel periodically as needed to support growth initiatives.

Licenses and Certifications
Required:
None
Preferred:
CFA or CPA highly preferred