At Ransom Memorial Hospital, the Accounting Department encompasses many areas including Payroll, Accounts Payable and General Accounting. Payroll involves maintenance of the time and attendance system, preparation of paychecks every two weeks, and the reporting of tax deposits, quarterly reports and annual reports to the federal and state governments. A new service offered by the payroll area is the direct deposit system. The Accounts Payable staff is responsible for processing invoices and claim vouchers daily and preparation of checks on a weekly basis. They also have to keep track of debt schedules, fixed assets and miscellaneous expenses.

General Accounting includes maintaining a system to record all financial transactions of RMH, preparation of financial reports at least monthly, interpreting the results to administration, the Board of Trustees and department directors and also oversees departmental budgets.