Controller, Accounting, Financial Compliance

Cascadia Healthcare is a leading provider in the skilled nursing industry, driven by a shared commitment to service and doing good for others. Operating across Idaho, Washington, Oregon, Montana, and Arizona, our mission is to be a Force for Good for our residents, employees, and communities.

As one of the region's largest post-acute healthcare organizations, Cascadia operates through a complex network of facilities, management companies, and affiliated entities, generating more than $1 billion in annual revenue across multiple states.

Cascadia Healthcare is seeking an experienced and strategic Controller to lead accounting and financial reporting across our large-scale, multi-state healthcare organization.

Reporting directly to the CFO, this executive leadership role is responsible for the integrity of financial reporting, technical accounting, compliance, audit management, internal controls, and accounting operations across a complex multi-entity environment.

This is a unique opportunity for a proven accounting leader who excels in highly regulated, multi-site organizations and is energized by building scalable processes, developing teams, driving automation, and supporting organizational growth.

You will play a critical role in modernizing the accounting function while delivering accurate, timely financial information that supports both executive decision-making and operational performance.

We strongly prefer candidates located in the Boise metro area. Exceptional candidates outside the market may be considered if able to maintain a regular onsite presence, generally one week per month.

• Lead and develop a high-performing accounting team, including managers and functional leaders.
• Build a culture of accountability, collaboration, and continuous improvement.
• Strengthen organizational capabilities, succession planning, and leadership development.
• Serve as a trusted advisor and strategic partner to the CFO and executive leadership team.

• Ensure the accuracy, integrity, and timeliness of financial reporting across a complex multi-entity healthcare enterprise.
• Lead monthly, quarterly, and annual close processes.
• Ensure compliance with GAAP, regulatory requirements, and internal policies.
• Oversee technical accounting matters including consolidations, lease accounting, debt reporting, acquisitions, intercompany transactions, and complex ownership structures.
• Maintain a strong internal control environment and lead all audit activities.
• Manage relationships with external auditors, tax advisors, lenders, and financial stakeholders.

• Lead finance transformation initiatives focused on automation, process improvement, and operational efficiency.
• Optimize ERP systems, reporting tools, and accounting workflows.
• Reduce manual processes and improve the speed and quality of financial reporting.
• Build scalable infrastructure to support continued organizational growth.

• Partner with the CFO on acquisitions, integrations, reorganizations, and other strategic initiatives.
• Support due diligence and integration activities related to M&A opportunities.
• Evaluate accounting implications of growth initiatives and organizational changes.
• Contribute to enterprise planning and overall business performance discussions.

• Deliver timely, actionable financial information to leaders across the organization.
• Partner with operations to develop meaningful financial insights, benchmarks, and performance metrics.
• Ensure field leaders have access to accurate reporting that drives accountability and results.

• Bachelor's degree in Accounting or Finance required.
• CPA strongly preferred.
• 15+ years of progressive accounting and finance leadership experience.
• Experience as a Controller, Assistant Controller, Director of Accounting, or similar senior accounting leader in a large, complex organization.
• Experience supporting organizations with significant scale, preferably $500M+ to $1B+ in annual revenue.
• Demonstrated success leading accounting teams within multi-entity,…