Contributes to vision and direction of accounting initiatives within organization. Enforce integrity of accounting procedures as related to Payroll. Oversee Payroll staff. Ensures timely and accurate preparation of payroll operations. Ensures that payroll actions are in conformance with employment and benefits practices. Handles federal and state agency audits and maintains close contact with regulatory agencies to ensure payroll department of abreast of new developments and is in compliance with relevant tax laws and government regulations. Oversees preparation of all federal and state payroll tax reports, including quarterly and year-end returns. Serves as in-house contact for technical tax compliance issues. Standardizes procedures to ensure best practice processes include implementation of appropriate business rules. Assists with security administration of the Payroll systems. Participates in business re-engineering activities to support the continued integration of electronic information processes and principles. Manages payment wires and garnishments and is responsible for the preparation and circulation of W-2 and 1099 forms.. Works with Accounting to develop accrual reports to permit accurate reporting of expenses each month. Provides information and assistance to the external/internal auditors. Receives and answers inquiries from hospital management regarding account balances, financial trends, fluctuations in accounts and related information. Maintains accurate records for 1099 vendors during the year and files 1099 each year accurately and according to the current IRS regulations and timetables.