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Preparation of an annual operating budget

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I am trying to create an annual operating budget that is broken down by department, for a healthcare facility. For example: emergency room, intensive care unit, pediatric unit, facilities, and overall master budget. All of my budgets for the individual departments must be properly proportionate to the overall budget. I'm going to end with an executive summary summarizing the budget.

I have done a number of made up budgets thus far and I am beginning to understand the process much better, but I would like to compare them with a budget for a pretend hospital to see how it differs when there are numerous departments involved and it all has to be brought together - to better understand the relationship between departmental and total facility budgets.

I have included a power point that I did using some made up figures and trying to reflect certain goals for an example of figures for revenue, expenses, increases, etc......This might help a little bit to answer my questions now. I know I'm still new to this, but I'm trying!!

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Example Job Description of Administrative Accountant

POSITION NUMBER XXXXXX

Duties and Responsibilities - Describe in detail the specific duties and responsibilities assigned to this position and the percentage of time for each. Indicate the role of this position in accomplishing the unit and agency mission. If applicable, include examples of independent, final policy decisions made and show their effect on the agency, the public, or other state agencies.

% of Time Duties and Responsibilities
This is administrative accounting work supervising and directing Budget functions for the Florida Department of Health in Miami Dade County with a very large and highly diversified fiscal program. Position allocate to this class exercise independent judgment in formulating or assisting in the formulation of policies and procedures which have significant impact in preparation and administration of budgets.

35%

15%

15%

15%

10%

5%

3%

2%
Supervises the Budget Division and oversees all function related to the Department. Directs the administration of the department's performance and appraisal program in the fiscal section, monitors indicators for the Department and recommends actions as needed.

Directs periodic examinations and ensures that the proper accounting procedures and control are being maintained. Prepares or assists in the preparation and interpretation of reports, analysis, and studies, and summarizes the actual results of the departmental operations in comparison to prior periods and approved budget. Assists in the preparation of revenue and expenditure reports in division for the county, or entity in the State of Florida, and publishes same.

Assists in directing preparation of cash forecasts and related cash revenue flow programs and advises the director of requirements. Analyzes internal costs and variables, and report results. Assists in planning, directing, and coordinating specialized units involved in accounting and auditing functions. Prepares and reviews complex cost reports and cost allocation plans. Explores, implements, and manages cost saving opportunities.
Prepares or assists in the preparation of financial reports such as the Spending Plan, Cost Base Reimbursement Report, Financial Statement Forms, Schedule of Federal Financial Assistance (SEFA), Internal Control Questionnaire (ICQ), etc.
Advise and directs the Budget Office in the development and implementation of procedures involving the preparation of annual operating budgets of the programs, and biennial legislative budgets and submits these budgets for review and approval.

Assists in the preparation of annual budget requests and amendments. Examines and reviews financial reports, fiscal data and budget documents for the Miami-Dade's Special Projects and the Tuberculosis Program. Reviews and recommends approval of budgets submitted by program managers.

Responsible for all supervisory duties including, but not limited to, hiring and selection, developing performance plans, conducting performance appraisals, planning and directing their work, approving leave, and taking disciplinary action as appropriate.
Conducts monthly/quarterly meetings with Budget Analysts. Reviews and recommends procedural changes in the preparation and review of budgets and accounting practices and procedures. Conducts costs analyses to summarize the activities of the Budget Office.
Performs other related duties as assigned or required. In absence of the supervisor, may plan and direct the subordinates work and approve leave as necessary.

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