Average Hourly Wage Calculation for the Fiscal Year 2019 Wage Index (Using Cost Reporting Periods Beginning Between 10/1/14-9/30/15)																
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																
																
Other Wages & Related Costs		 														
line2/col. 4																
line3/col. 4																
line4.01/col. 4																
line5/col. 4																
line6/col. 4																
line7/col. 4																
line7.01/col. 4																
line8/col. 4																
line9/col. 4																
line10/col. 4																
Sub-Tot-A	0	Sub-Tot-A = line2+line3+line4.01+line5+line6+line7+line7.01+line8+line9+line10														
line11/col. 4																
line12/col. 4																
line13/col. 4																
line14/col. 4																
line15/col. 4																
line17/col. 4																
line18/col. 4																
line22/col. 4				 												
Sub-Tot-B	0	Sub-Tot-B = line11+line12+line13+line14+line15+line17+line18+line22														
 	 															
Overhead Contract Labor Salaries																
line28/col. 4																
line33/col. 4																
line35/col. 4																
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, and 35/col. 4"														
																
Adjusted Salaries	0	Adjusted Salaries= Sub Total Salaries - Sub-Tot-A + Sub-Tot-B														
		 														
Total Paid Hours																
line1/col. 5																
																
Other Paid Hours 																
line2/col. 5																
line3/col. 5																
line4.01/col. 5																
line5/col. 5				 												
line6/col. 5																
line7/col. 5																
line7.01/col. 5																
line8/col. 5																
line9/col. 5																
line10/col. 5																
Sub-Tot-C	0	Sub-Tot-C = line2+line3+line4.01+line5+line6+line7+line7.01+line8+line9+line10														
line11/col. 5																
line12/col. 5																
line13/col. 5																
line14/col. 5																
line15/col. 5																
Sub-Tot-D	0	Sub-Tot-D = line11+line12+line13+line14+line15														
																
Overhead Contract Labor Hours		Overhead Allocation														
line28/col. 5																
line33/col. 5																
line35/col. 5																
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																
line7/col. 5																
																
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 28 - line 33 - line 35 - 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 + line18 + line22) * oh_rate"														
exohwrc	0	exohwrc = ohwrc * ex_rate														
revised_wages	0	revised_wages = adjusted salaries - (exohsal + exohwrc)														
inflation_factor	1.0000	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														
																
																
																
																
				 												
																
