Compile cost of revenue and operational metrics for analysis. Prepare payroll, cost, and other journal entries. Perform monthly balance sheet and income statement analysis. Perform monthly reconciliations of key balance sheet accounts. Review current accounting procedures and make recommendations. Contribute to accounting, internal controls, process, and systems-related projects. Assist with year-end financial reporting, footnote preparation, and audit. Process semi-monthly payroll and coordinate with HR. Review vendor contracts and ensure appropriate accounting treatment. Ensure compliance with state payroll taxes. Ensure compliance with state sales taxes and other statutory filings. Prepare support and coordinate completion of state income taxes. Coordinate with Billing and Clinical Operations on timesheet issues. Take on ad-hoc requests.