Finance Manager

Position Summary

Dominguez Chiropractic operates ten clinic locations and employs approximately forty people. The practice has grown to a scale where finance can no longer be a set of tasks distributed across front-desk staff, ownership, and an outside accountant. It needs an owner. The Finance Manager is that owner. This person holds day-to-day accountability for the money moving through the practice: what goes out (accounts payable and purchasing), what comes in (accounts receivable), whether the books close accurately and on time, and whether ownership has a clear, current picture of financial performance by location.

This is a hands-on individual contributor role with genuine ownership, not a supervisory one. The Finance Manager works in partnership with the practice's external accounting firm. The accounting partner handles complex forecasting, tax strategy, and technical accounting matters. The Finance Manager handles the operating reality: transactions, close, reconciliations, purchasing discipline, and the baseline forecasting that lets ownership make decisions between accountant conversations.

This role reports directly to the Owner.

• Own the full accounts payable cycle across all ten locations, from invoice receipt through payment and filing.
• Verify invoices against purchase orders, contracts, and delivery confirmation before release for payment.
• Maintain the payment calendar to protect vendor relationships, capture available discounts, and avoid late fees.
• Maintain accurate, current vendor master data, including W-9s and 1099 tracking.
• Investigate and resolve invoice discrepancies, duplicate billings, and vendor statement variances.
• Present a weekly cash disbursement summary to the Owner for review and approval within established authority limits.

• Own the accounts receivable function, including patient balances, insurance receipts, and any non-patient revenue streams.
• Post and reconcile all cash receipts daily by location, including insurance remittances, patient payments, and merchant deposits.
• Coordinate closely with the billing and front-desk teams so that clinical revenue capture and financial recording stay aligned.
• Maintain and act on the aged receivables report, escalating balances that pass established aging thresholds.
• Track days sales outstanding by location and report trends to the Owner monthly.
• Manage patient payment plan documentation, tracking, and follow-up.
• Reconcile merchant processing statements to the general ledger and resolve settlement variances.

• Serve as the central purchasing point for supplies, equipment, and services across all ten locations.
• Consolidate demand across locations to gain pricing leverage and reduce redundant ordering.
• Maintain an approved vendor list and standard pricing documentation.
• Negotiate and track vendor contracts, service agreements, and renewal dates.
• Monitor supply spend per location and per patient visit, and flag outliers to the Owner.
• Administer the purchase approval process, including documented spending authority thresholds.
• Manage equipment purchases and leases, and maintain the fixed asset schedule.

• Own and execute the month-end close calendar, with a target of a completed close within ten business days of month end.
• Reconcile all bank accounts, credit card accounts, and merchant accounts monthly.
• Prepare and post journal entries, including accruals, prepaid amortization, and depreciation.
• Maintain supporting schedules and reconciliations for all significant balance sheet accounts.
• Produce the monthly financial statement package, including consolidated results and results by location.
• Identify and explain material variances to budget and to prior period before the package reaches the Owner.
• Maintain organized, audit-ready documentation for every close.

• Prepare and maintain a rolling thirteen week cash flow forecast.
• Build and maintain the annual operating budget in collaboration with the Owner and the accounting partner.
• Track actual results against budget monthly and report variances with…