Director of Finance

About Extension Health

Extension Health is a physician-led longevity and performance clinic transforming how people age. With 12+ years of clinical experience and 50,000+ patients served, we deliver measurable results through advanced diagnostics, leading-edge therapeutics, and an elevated member experience.

Founded by Dr. Jonathann Kuo—one of the world's foremost experts in regenerative and longevity medicine—Extension Health blends medical precision with human-centered care. Our clinic is trusted by high-performance individuals globally, from CEOs and athletes to entertainers and heads of state.

Our mission : extend both lifespan and healthspan so people can live longer, perform better, and stay vibrant for the moments and people that matter most.

Role Overview

The Director of Finance will serve as the hands-on financial operator responsible for budgeting, forecasting, performance reporting, and fundraising preparation. This individual will maintain and evolve the operating models, coordinate cross-functional inputs, ensure financial clarity, and support audit and lender requirements. Approximately 65–70% of this role will focus on Extension Health, with the remainder supporting Hudson Medical (pain management division) and Hudson Mind (interventional mental health division).

Apply to join a scaling organization at a pivotal moment, and help build the financial foundation for the next phase of Extension Health's growth.

Key Responsibilities

Financial Planning & Analysis

Own and maintain all operating and forecasting models across entities.

Produce monthly performance reports, dashboards, and variance analyses for executive review.

Build and refine multi-year budgets and projections.

Partner with department leads to ensure assumptions are accurate and operationally grounded.

Fundraising & Capital Strategy

Build investor-facing financial models and materials.

Prepare and maintain data room materials for fundraising and lender diligence.

Support evaluation of capital raise structures, growth scenarios, and valuation analysis.

Partner with legal, audit, and technical accounting teams.

Financial Operations & Compliance

Coordinate with the accounting team to ensure timely, accurate monthly closes.

Maintain audit readiness and support annual CPA-reviewed GAAP financials.

Assist with treasury oversight, cash visibility, and scenario planning.

Support intercompany reporting and shared-services cost allocations.

Cross-Functional Leadership

Work closely with Operations, Marketing, Clinical, and HR to align financial expectations and inputs.

Translate complex financial data into clear insights for executives and department heads.

Improve company planning processes and decision-making frameworks.

Systems, Processes & Infrastructure

Build scalable, repeatable forecasting and reporting systems.

Create departmental input templates, KPI dashboards, and standardized reporting cadence.

Qualifications

Experience

6–10 years of experience in FP&A, corporate finance, investment banking, private equity, or consulting.

Strong financial modeling expertise, including complex multi-entity forecasting.

Prior experience supporting fundraising, investor diligence, or audit processes (strongly preferred).

Healthcare or multi-entity services experience is a plus.

Skills & Attributes

Hands-on, detail-oriented operator who is comfortable in a hybrid strategic / tactical environment.

Excellent communicator who can simplify complex financial topics.

Strong analytical capabilities and ability to synthesize data into decision-ready materials.

Comfortable working in an evolving structure with shared systems, technical accounting partners, and multiple stakeholders.

Highly organized, process-driven, and proactive.

Compensation & Benefits

Salary range : $165K–$200K (commensurate with experience)

Bonus + Equity

Benefits : health, dental, and vision

Access to discounted cutting-edge protocols and products

PTO, sick days, and observed holidays

Position Summary

Position Type : Full-time

Reports To : SVP Strategy & Finance

Work Location : Hybrid; 3 days a week required in office in New York City

Start Date : asap

Send your resume and cover letter to trehmatullah@extension.health