Average Hourly Wage Calculation for the Fiscal Year 2020 Wage Index (Using Cost Reporting Periods Beginning Between 10/1/15-9/30/16											
Fields in blue/green are automatically calculated and protected											
											
Provider Information											
MAC #											
Provider #											
FYB (Must be In MM/DD/YY Format)											
FYE (Must be In MM/DD/YY Format)											
Midpoint	 										
Days	1										
Annualization Factor	365										
											
"Work Sheet S-3, Part II"											
											
Total Salaries											
line 1/col. 4	0					0					
						0					
Other Wages & Related Costs						0					
line2/col. 4	0					0					
line3/col. 4	0					0					
line4.01/col. 4	0					0					
line5/col. 4	0					0					
line6/col. 4	0					0					
line7/col. 4	0					0					
line7.01/col. 4	0					0					
line8/col. 4	0					0					
line9/col. 4	0					0					
line10/col. 4	0					0					
Sub-Tot-A	0	Sub-Tot-A = line2+line3+line4.01+line5+line6+line7+line7.01+line8+line9+line10				0					
line11/col. 4	0					0					
line12/col. 4	0					0					
line13/col. 4	0					0					
line14.01/col. 4	0					0					
line14.02/col. 4	0					0					
line15/col. 4	0					0					
line17/col. 4	0					0					
line22/col. 4	0					0					
line 25.50/col 4.	0					0					
line 25.51/col 4	0					0					
line 25.52/col 4	0					0					
Sub-Tot-B	0	Sub-Tot-B = line11+line12+line13+line14+line15+line17+line22				0					
						0					
Overhead Contract Labor Salaries						0					
line28/col. 4	0					0					
line33/col. 4	0					0					
line35/col. 4	0					0					
Sum of Overhead Contract Labor Salaries	0	"Worksheet S-3, Part II, sum of lines 28, 33, and 35/col. 4"				0					
						0					
Sub Total Salaries	0	"Sum of lines 1,  28, 33, 35/col. 4, and wage related costs on lines 25.50+25.51+25.52"				0					
						0					
Adjusted Salaries	0	Adjusted Salaries= Sub Total Salaries - Sub-Tot-A + Sub-Tot-B				0					
						0					
Total Paid Hours						0					
line1/col. 5	0					0					
						0					
Other Paid Hours 						0					
line2/col. 5	0					0					
line3/col. 5	0					0					
line4.01/col. 5	0					0					
line5/col. 5	0					0					
line6/col. 5	0					0					
line7/col. 5	0					0					
line7.01/col. 5	0					0					
line8/col. 5	0					0					
line9/col. 5	0					0					
line10/col. 5	0					0					
Sub-Tot-C	0	Sub-Tot-C = line2+line3+line4.01+line5+line6+line7+line7.01+line8+line9+line10				0					
line11/col. 5	0					0					
line12/col. 5	0					0					
line13/col. 5	0					0					
line14.01/col. 5	0					0					
line14.02/col 5	0					0					
line15/col. 5	0					0					
Sub-Tot-D	0	Sub-Tot-D = line11+line12+line13+line14+line15				0					
						0					
Overhead Contract Labor Hours		Overhead Allocation				0					
line28/col. 5	0					0					
line33/col. 5	0					0					
line35/col. 5	0					0					
Sum of Overhead Contract Labor Hours	0	"Worksheet S-3, Part II, sum of lines 28, 33, and 35/col. 5"				0					
						0					
Sub Total Hours	0	"Sum of lines 1, 28, 33, and 35/col. 5"				0					
						0					
Adjusted Hours	0	Adjusted Hours = Sub Total Hours - Sub-Tot-C + Sub-Tot-D				0					
						0					
"Work Sheet S-3, Part III"						0					
Total Overhead						0					
line7/col. 4	0					0					
line7/col. 5	0					0					
											
Calculations			 								
rev_hrs	0	"rev_hrs = Sub Total Hours - ((S-3, Part II. Col. 5: Line2+line3+line4.01+line5+line6+line7+line7.01+line8) + S-3, Part III line7, col. 5)"									
ex_rate	0	"ex_rate = (S-3, Part II, Col. 5: line9 +line10)/rev_hrs"									
exohsal	0	"exohsal = ex_rate * S-3, Part III line7/col. 4"									
exohhrs	0	"exohhrs = ex_rate * S-3, Part III line7/col. 5"									
oh_rate	0	"oh_rate = (S-3, Part III line7/col. 5 - S-3, Part II/col. 5: line 28 - line 33 - line 35) / ((rev_hrs - line 9 - line 10) + (S-3, Part III line7/col. 5 - line 28 - line 33 - line 35))"									
ohwrc	0	"ohwrc = (S-3, Part II, Col. 4: line17 + line22 + line 25.50 + line 25.51 + line 25.52) * oh_rate"									
exohwrc	0	exohwrc = ohwrc * ex_rate									
revised_wages	0	revised_wages = adjusted salaries - (exohsal + exohwrc)									
inflation_factor	1.00000	factor for adjusting to midpoint of cost report year									
inflated_wages	0	inflated_wages = revised_wages * inflation_factor * annualization factor									
revised_hours	0	revised_hours = (adjusted_hours - exohhrs) * annualization factor									
		 									
Unadjusted Average Hourly Wage	0	Unadjusted Average Hourly Wage = inflated_wages/revised_hours									
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
											
