Assistant Controller

Altus Community Healthcare•Houston, TX

10d•Hybrid

About The Position

The Assistant Controller will support a private equity–backed, multi-entity emergency care group at the corporate level. Reporting to the Controller, this role leads close and consolidation activities, reviews revenue recognition, oversees accounting for AP and treasury, supports tax and audit work, maintains accounting controls and systems, and leads the back-office bookkeeping team and outsourced accounting partners. The position is based in Houston, Texas, with a hybrid work arrangement. The posting’s summary describes an Accounts Payable Manager responsible for the full AP cycle across entities, including AP and corporate cards in Ramp and NetSuite, timely and accurate vendor payments, and clean AP data for close, treasury, and private equity partners. The detailed responsibilities and requirements describe an Assistant Controller role.

Requirements

Bachelor’s degree in accounting.
At least 7 years of accounting experience, including public accounting experience.
At least 2 years leading a close team.
Multi-entity consolidation experience, including intercompany accounting and non-controlling interest.
Strong US GAAP knowledge, including ASC 606 and ASC 842.
Experience with NetSuite or a similar ERP.
Advanced Excel skills.

Nice To Haves

Healthcare revenue recognition experience, including net patient revenue and implicit price concessions.
Big 4 background.
Acquisition and purchase accounting experience.
Experience managing offshore or outsourced teams.

Responsibilities

Lead the monthly, quarterly, and annual close across all entities and own the close calendar.
Review back-office entries, facility trial balances, P&L trends, and balance sheet reconciliations; resolve anomalies and aged items before close.
Review accruals, prepaids, fixed assets, ASC 842 lease accounting, and payroll and incentive accruals.
Review budget-to-actual and month-over-month flux and explain significant variances.
Review consolidation, eliminations, non-controlling interest, and the consolidated equity rollforward.
Prepare the consolidated cash flow statement and review consolidated financial statements before Controller sign-off.
Evaluate accounting for new entities, acquisitions, and divestitures, including consolidation and purchase accounting.
Prepare monthly intercompany reconciliations and confirm charges follow approved intercompany arrangements.
Review net patient revenue under ASC 606, including implicit price concessions, true-ups, and personal injury revenue and reserves.
Review GoRev billing-system and cash-receipt reconciliations to the general ledger and partner with Revenue Cycle on collection trends.
Oversee accounting for AP and treasury functions, including the AP subledger, bank reconciliations, reconciling items, and support for borrowing base and covenant reporting.
Serve as the internal point of contact for external tax advisors, tracking returns and K-1s, estimates, notices, and workpapers.
Run internal accounting controls, the annual audit, PBC deliverables, disclosures, and remediation of audit findings.
Research technical accounting matters and write memos for Controller review.
Support NetSuite integrity, cost allocations, entity profitability reporting, and close automation.
Direct, train, and review the back-office bookkeeping team and outsourced accounting partners.
Partner with FP&A and operations and serve as the Controller’s backup.
Run AP and corporate cards in Ramp and NetSuite, ensure vendors are paid accurately and on time, and deliver clean AP data for close, treasury, and private equity partners, as described in the posting summary.