Staff Accountant

Location: Kingston, NY
Salary Range: $65,000–$70,000

We are seeking a dedicated Staff Accountant to join the finance team of a well-established hospital and its affiliated entities. This position is well-suited for an accounting professional who enjoys owning their work, working independently, and contributing to a mission-driven environment.

• Stable opportunity within a respected healthcare organization

• High level of ownership and visibility within the finance team

• Meaningful work that supports essential community services

• Competitive compensation

• Prepare and review monthly and annual financial statements for multiple entities, meeting established close deadlines

• Maintain the integrity of the general ledger, balance sheet reconciliations, and audit-ready schedules

• Record both recurring and non-routine journal entries, including accruals and prepaid expense analysis

• Manage required internal and external reporting, including financial surveys, IRS filings, cost pools, and cash receipt assessments

• Support annual budgeting and ICR reporting processes

• Compile and maintain schedules for annual tax filings (Forms 990, 1120, and CHAR
  500)

• Prepare the Consolidated Fiscal Report for Special Needs Preschool programs

• Analyze monthly expense trends and FTE budget variances, identifying notable fluctuations and opportunities

• Track and reconcile capital leases and long-term debt obligations

• Maintain and update fixed asset schedules, including additions, disposals, and depreciation

• Partner with hospital departments to respond to accounting and finance-related questions

• Maintain key financial data tables, system interfaces, and reporting tools

• Reconcile daily cash activity and bank statements, ensuring accuracy and completeness

• Prepare weekly cash disbursement reports

• Escalate complex or unresolved issues to management and assist with special projects as needed

• Bachelor’s degree in Accounting

• Healthcare or multi-entity experience preferred

• Strong understanding of GAAP and financial reporting

• Ability to work independently while managing multiple priorities

• High attention to detail and strong analytical skills