Senior Accountant

Company Description

USPh (U.S. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with close to 700 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today’s healthcare landscape.

By aligning with the USPh network, our partners benefit from operational support and a shared commitment to evidence-based care, all while maintaining their autonomy and local identity.

We believe that the strength of our partnerships lies in the individuality of each partner. Our “One Partner” model is designed to allow clinics to maintain their unique culture and identity, empowering them to foster meaningful relationships within their communities. By preserving their local roots, clinics can continue to build trust with patients and referral sources, while attracting top talent who value the chance to be part of a personalized, community-centered environment.

We are seeking a detail-oriented Senior Accountant to join our team in Houston, TX. In this role, you will be responsible for managing complex accounting operations, financial reporting, and ensuring compliance with accounting principles and regulatory requirements.

• Support month-end close activities, including review of revenues, expenses and balance sheet accounts and book necessary adjusting journal entries, as needed.
• Review and approve invoices for appropriate GL coding, authorization, and payment.
• Calculate and record clinic-level bonuses.
• Prepare and record expense allocation journal entries.
• Assist in the preparation of financial statements (income statement, balance sheet, cash flows) for specific partnerships within a region.
• Prepare balance sheet reconciliations for key accounts (including, but not limited to, accounts receivable, prepaids, other assets, accruals, rent-related, intercompany accounts, etc.).
• Prepare financial, operational and metric trends (visits, net rate per visit, payroll rate per visit and margin rates) and review for reasonableness.
• Respond to partners’ inquiries and requests for information.
• Prepare audit schedules, as needed.
• Support M&A activity in their region, including integration of clinics and/or partnerships into USPH.

• Bachelor's degree in Accounting, Finance, or related field
• Minimum 3-5 years of accounting experience (prior public accounting experience a plus) in a corporate environment, ideally within organizations with multiple entities
• Partnership accounting experience, a plus
• Proven experience with month-end and year-end closing processes
• Advanced proficiency in Excel and major accounting software (Great Plains or similar)
• Excellent analytical and problem‑solving skills
• Strong attention to detail, with a commitment to accuracy and precision, and organizational abilities
• Excellent communicator, both written and verbal, who is able to communicate complex concepts to stakeholders
• Experience with multi‑jurisdictional businesses, internal controls, and SOX compliance is preferred but not required
• Must be able to work independently and collaboratively in a fast-paced environment

Company Perks:

• Competitive compensation
• Multiple opportunities for professional development, specialization, and leadership
• Family‑friendly work environment
• Investment from a company that wants you to succeed and thrive
• Corporate discount plans
• Employee Assistance Program (EAP)
• Excellent benefits package

We are proud to be an equal opportunity and affirmative action employer. We prohibit discrimination and harassment of any kind based on race, color, religion, national origin, sex (including pregnancy), sexual orientation, gender identity, gender expression, age, veteran status, genetic information, disability, or other applicable legally protected characteristics. If you’d like to view a copy of the company’s affirmative action plan or policy statement and/or if you would like to request an accommodation due to a disability, please contact us at