Controller

ABOUT RESPIRE

Respire Homecare Services provides comprehensive, compassionate, and personalized home care services for patients and their families by fostering an environment that balances both the needs of our employees and the needs of the company through open communication, teamwork, trust, and mutual respect.

We embrace change and the opportunity it brings to establish and administer sound policies, rules and practices that treat employees with dignity and equality.

Our focus is on delivering patient centered home care services while being committed to recruiting, developing, rewarding, and retaining our most valuable resource – our employees.

ABOUT THE ROLE

The Controller is a key financial leader at Respire, responsible for the overall fiscal management and integrity of the organization. Reporting directly to the CFO, this role oversees financial reporting, budgeting, internal controls, and revenue cycle performance, while leading the day-to-day operations of the accounting team. The Controller partners closely with the CFO and executive leadership to deliver accurate, timely financial insight that supports sound decision-making and drives operational and financial performance across the organization. This is a hybrid role requiring 2–3 days per week of onsite attendance in our Elmhurst, IL office.

WHAT YOU’LL DO

Financial Reporting & Analysis

• Lead the preparation of accurate and timely monthly, quarterly, and annual financial statements in accordance with Generally Accepted Accounting Principles (GAAP).
• Oversee the monthly close process and ensure the integrity and accuracy of all financial reporting and supporting schedules.
• Prepare and present financial and operational reporting, analyses, and dashboards for executive leadership and the Board of Directors.
• Monitor and analyze financial performance, including trends, variances, risks, and operational opportunities; provide recommendations to support organizational goals and decision-making.
• Develop financial models, forecasts, pro formas, and scenario analyses to support strategic planning, growth initiatives, service expansions, and acquisitions.
• Research and resolve technical accounting matters and maintain compliance with evolving accounting standards and regulatory requirements.

Accounting Operations & Treasury Management

• Oversee all day-to-day accounting operations, including accounts payable, accounts receivable, payroll, cash management, fixed assets, and general ledger activities.
• Ensure timely and accurate processing of financial transactions and maintenance of accounting records and supporting documentation.
• Serve as administrator for payroll and 401(k) systems, including review and approval of payroll processing and related reporting.
• Manage organizational cash flow forecasting, liquidity planning, banking relationships, debt compliance, covenant reporting, and treasury activities.
• Oversee capital expenditure planning, asset tracking, depreciation schedules, and equipment financing activities.
• Monitor operational expenses and purchasing activity to support budget adherence and financial stewardship.
• Review and provide accounting guidance on contracts, operational agreements, and complex financial transactions prior to execution.

Budgeting, Forecasting & Strategic Finance

• Lead the annual budgeting process in partnership with executive leadership and operational teams.
• Monitor budget performance and provide ongoing variance analysis, forecasting, and recommendations to support financial and operational objectives.
• Support workforce planning, operational productivity initiatives, and strategic growth planning through financial analysis and business partnership.
• Assist with due diligence activities, acquisition analyses, and integration planning as needed.
• Support engagement with the Board’s Audit and Finance Committees regarding financial performance, forecasts, operating models, and key business trends.

Internal Controls, Compliance & Risk Management

• Develop, implement, and maintain effective internal controls, accounting policies, and approval processes to safeguard company assets and ensure audit readiness.
• Ensure compliance with all applicable federal, state, local, tax, regulatory, and accreditation requirements.
• Coordinate annual audits, lender reporting, and other financial reviews; ensure timely preparation of required schedules, documentation, and analyses.
• Manage relationships with external accounting firms, banking partners, consultants, auditors, and insurance brokers.
• Support organizational risk management initiatives, insurance programs, licensing renewals, and provider enrollment activities.
• Identify opportunities to improve financial processes, reporting capabilities, operational efficiency, and internal controls.
• Approve and oversee financial systems access controls and ensure timely removal of access for terminated employees.
• Report any misconduct, suspicious or unethical activities, or compliance concerns to the Compliance Officer.

Leadership & Team Development

• Recruit, develop, and lead a high-performing accounting and finance team.
• Establish performance expectations, provide coaching and development, and conduct regular performance evaluations.
• Foster a culture of accountability, operational excellence, continuous improvement, and strong cross-functional partnership.
• Partner closely with operational leaders to provide financial insight and support informed business decisions across the organization.

WHAT YOU’LL BRING

• Bachelor’s degree in Accounting, Finance, or related field required; Master’s degree (MBA or related field) preferred.
• CPA preferred; candidates with significant relevant experience and strong technical accounting expertise will also be considered.
• Minimum 6+ years of progressive accounting and finance experience, including at least 3 years in a Controller, Assistant Controller, or senior finance leadership role.
• Proven healthcare industry experience required; home health, hospice, DME, HME, or other post-acute healthcare experience strongly preferred.
• Experience operating within a private equity-backed and/or high-growth organization, including familiarity with EBITDA-focused financial management, lender reporting, board reporting, and investor reporting cadences.
• Demonstrated experience leading accounting operations within a multi-site, multi-state environment, including knowledge of state-specific payroll, licensing, compliance, and financial reporting requirements.
• Strong knowledge of GAAP, financial statement preparation, budgeting, forecasting, cash flow management, audit coordination, internal controls, and financial compliance.
• Proficiency with ERP/accounting systems, payroll platforms, financial reporting tools, and 401(k) administration; NetSuite and Brightree experience preferred.
• Proven ability to build, lead, and develop high-performing finance teams in a fast-paced, growth-oriented environment.
• Strong analytical, problem-solving, and decision-making skills with the ability to translate financial data into actionable business insights and recommendations.
• Excellent communication and presentation skills, including the ability to effectively communicate complex financial information to executive leadership and Board-level audiences.
• High level of integrity, accountability, discretion, and ability to manage competing priorities and deadlines in a dynamic environment.

WHY YOU’LL LOVE WORKING HERE

• Mission-driven culture focused on whole-person wellness and dignity
• Opportunities for career growth within the company
• Competitive pay and comprehensive benefits package:
  • $160,000–$190,000 salary range
  • Health, dental & vision insurance
  • 401(k) with employer match
  • Life insurance
  • Unlimited Paid Time Off 

Take the leap and bring your expertise where it’s truly needed; apply today and help us create healthier tomorrows, one home at a time.