• Oversee all accounting operations, financial reporting, and compliance functions of the company • Lead the preparation of monthly, quarterly, and annual financial statements in accordance with GAAP • Ensure the accuracy, integrity, and timeliness of all financial reporting • Develop and maintain accounting policies, procedures, and internal controls to safeguard assets and ensure compliance • Prepare and present financial performance reports, variance analyses, and key metrics for the CFO, executive management, and the Board • Oversee general ledger, accounts payable, accounts receivable, payroll, treasury, and tax functions • Manage the monthly, quarterly, and year-end close processes • Lead preparation and timely review of balance sheet reconciliations • Supervise and mentor accounting staff, fostering a culture of accountability and professional growth • Implement process improvements to increase efficiency and scalability of the finance function • Establish, document, and maintain a robust internal control framework to safeguard company assets • Coordinate with external auditors for annual audits and reviews • Ensure compliance with federal, state, and local tax filings • Oversee cash flow forecasting and management to ensure liquidity for operations and growth initiatives • Manage banking relationships, credit facilities, and covenant compliance • Support capital raising efforts (debt and equity) as needed • Oversee implementation and optimization of ERP and EPM systems • Partner with IT and operations to ensure integration between financial systems, practice management platforms, Human Resource Information Systems, and other business applications • Build scalable financial processes aligned with the company’s growth trajectory • Support strategic initiatives such as new market entry, de novo clinics, M&A, and service expansion