Average Hourly Wage Calculation for the Fiscal Year 2022 Wage Index (Using Cost Reporting Periods Beginning Between 10/1/17-9/30/18									
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								
									
Other Wages & Related Costs									
line2/col. 4	0								
line3/col. 4	0								
line4.01/col. 4	0								
line5/col. 4	0								
line6/col. 4	0								
line7/col. 4	0								
line7.01/col. 4	0								
line8/col. 4	0								
line9/col. 4	0								
line10/col. 4	0								
Sub-Tot-A	0	Sub-Tot-A = line2+line3+line4.01+line5+line6+line7+line7.01+line8+line9+line10							
line11/col. 4	0								
line12/col. 4	0								
line13/col. 4	0								
line14.01/col. 4	0								
line14.02/col. 4	0								
line15/col. 4	0								
line17/col. 4	0								
line22/col. 4	0								
line 25.50/col 4.	0								
line 25.51/col 4	0								
line 25.52/col 4	0								
Sub-Tot-B	0	Sub-Tot-B = line11+line12+line13+line14+line15+line17+line22							
									
Overhead Contract Labor Salaries									
line28/col. 4	0								
line33/col. 4	0								
line35/col. 4	0								
Sum of Overhead Contract Labor Salaries	0	"Worksheet S-3, Part II, sum of lines 28, 33, and 35/col. 4"							
									
Sub Total Salaries	0	"Sum of lines 1,  28, 33, 35/col. 4, and wage related costs on lines 25.50, 25.51, and 25.52"							
									
Adjusted Salaries	0	Adjusted Salaries= Sub Total Salaries - Sub-Tot-A + Sub-Tot-B							
									
Total Paid Hours									
line1/col. 5	0								
									
Other Paid Hours 									
line2/col. 5	0								
line3/col. 5	0								
line4.01/col. 5	0								
line5/col. 5	0								
line6/col. 5	0								
line7/col. 5	0								
line7.01/col. 5	0								
line8/col. 5	0								
line9/col. 5	0								
line10/col. 5	0								
Sub-Tot-C	0	Sub-Tot-C = line2+line3+line4.01+line5+line6+line7+line7.01+line8+line9+line10							
line11/col. 5	0								
line12/col. 5	0								
line13/col. 5	0								
line14.01/col. 5	0								
line14.02/col 5	0								
line15/col. 5	0								
Sub-Tot-D	0	Sub-Tot-D = line11+line12+line13+line14+line15							
									
Overhead Contract Labor Hours		Overhead Allocation							
line28/col. 5	0								
line33/col. 5	0								
line35/col. 5	0								
Sum of Overhead Contract Labor Hours	0	"Worksheet S-3, Part II, sum of lines 28, 33, and 35/col. 5"							
									
Sub Total Hours	0	"Sum of lines 1, 28, 33, and 35/col. 5"							
									
Adjusted Hours	0	Adjusted Hours = Sub Total Hours - Sub-Tot-C + Sub-Tot-D							
									
"Work Sheet S-3, Part III"									
Total Overhead									
line7/col. 4	0								
line7/col. 5	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	0.0000	Unadjusted Average Hourly Wage = inflated_wages/revised_hours							
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
									
