Senior Accountant - Hybrid

Senior Accountant

Evolution / True Sports (platform to be announced)

Position Overview

We are building a high-growth physical therapy platform backed by a leading private equity sponsor. The Senior Accountant will be a key member of the finance team, responsible for accurate financial reporting, a disciplined close process, scalable accounting operations, and the integration of newly acquired clinics. This is a hands-on role for an accountant who thrives in a fast-paced, multi-entity environment and wants to help build the financial infrastructure of an expanding healthcare services organization.

Reports to: Vice President of Finance
Location: Cincinnati, OH / Hybrid
Employment type: Full-time

Key Responsibilities

• Own key components of the monthly, quarterly, and annual close, including journal entries, account reconciliations, accruals, consolidations, and variance analysis.
• Own AP process through payment, working with vendors to troubleshoot issues and ensure timely payment and accurate capture of payables.
• Partner with the VP of Finance on system implementation projects to create scalable and consistent finance operations.
• Maintain the general ledger across multiple legal entities and clinic locations, ensuring transactions are complete, accurate, appropriately supported, and recorded in accordance with U.S. GAAP.
• Prepare timely financial statements and management reporting packages, with clear explanations of performance versus budget, forecast, and prior periods.
• Manage accounting for clinic revenue, payroll, fixed assets, leases, prepaid expenses, intercompany activity, debt, and other balance-sheet accounts.
• Partner with revenue cycle, operations, payroll, and clinic leaders to resolve accounting issues and improve the accuracy and timeliness of source data.
• Support acquisition accounting and the onboarding of newly acquired practices, including opening balance sheets, chart-of-accounts mapping, historical data conversion, and close-process integration.
• Help standardize policies, procedures, and controls across the platform while identifying opportunities to automate and streamline recurring work.
• Assist with cash reporting, lender and sponsor reporting, budgeting, forecasting, and financial analysis as needed.
• Prepare or support third party preparation of use tax and property tax returns and ensure timely tax payments to appropriate jurisdictions.
• Coordinate audit and tax support, including schedules, documentation, and responses to external advisers.
• Maintain strong internal controls and support an audit-ready environment as the organization scales.
• Undertake special projects and provide ad hoc analysis to finance and operating leadership.
• Other duties as assigned by management as needed as the platform scales.

Why Join Us?

This role offers the opportunity to join at an early-stage PE backed healthcare organization and work closely with senior finance and operating leaders. This person will have an outsized opportunity to build scalable systems early in their career and experience the maturation process of a new platform from early stages through organic and inorganic growth.

Platform Announcement: O2 Forms New Physical Therapy, Fitness & Wellness Platform – O2

Requirements

Qualifications

• Positive attitude and ability to take initiative in a new platform with limited preexisting infrastructure.
• Bachelor’s degree in accounting, finance, or a related field.
• Three or more years of progressive accounting experience.
• CPA or active progress toward CPA licensure is preferred.
• Strong understanding of U.S. GAAP, general ledger accounting, account reconciliations, and financial statement preparation.
• Experience with multi-entity, multi-location, healthcare services, or private-equity-backed organizations is preferred.
• Experience supporting acquisitions, integrations, or rapidly scaling organizations is a plus.
• Advanced proficiency in Microsoft Excel and comfort working with ERP, consolidation, and financial reporting systems.
• Strong organizational skills, attention to detail, sound judgment, and the ability to manage competing deadlines.
• Clear written and verbal communication skills, with the ability to work effectively across finance and operations.