Average Hourly Wage Calculation for the Fiscal Year 2011 Wage Index (Using Cost Reporting Periods Beginning Between 10/1/06-9/30/07)																
*Fields in blue/green are automatically calculated and protected																
																
Provider Information																
FI/MAC #																
Provider #																
FYB (Must be In MM/DD/YY Format)																
FYE (Must be In MM/DD/YY Format)																
Midpoint	 															
																
"Work Sheet S-3, Part II"																
																
Total Salaries																
line 1/col. 3																
																
Other Wages & Related Costs		 														
line2/col. 3	0															
line3/col. 3	0															
line4.01/col. 3	0															
line5/col. 3	0															
line5.01/col. 3	0															
line6/col. 3	0															
line6.01/col. 3	0															
line7/col. 3	0															
line8/col. 3	0															
line8.01/col. 3	0															
Sub-Tot-A	0	Sub-Tot-A = line2+line3+line4.01+line5+line5.01+line6+line6.01+line7+line8+line8.01														
line9/col. 3	0															
line9.01/col. 3	0															
line9.02/col. 3	0															
line9.03/col. 3	0															
line10/col. 3	0															
line11/col. 3	0															
line12/col. 3	0															
line13/col. 3	0															
line14/col. 3	0															
line18/col. 3	0			 												
Sub-Tot-B	0	Sub-Tot-B = line9+line9.01+line9.02+line9.03+line10+line11+line12+line13+line14+line18														
 	 															
Overhead Contract Labor Salaries																
22.01/col. 3	0															
26.01/col. 3	0															
27.01/col. 3	0															
Sum of Overhead Contract Labor Salaries	0	"Worksheet S-3, Part II, sum of lines 22.01, 26.01, and 27.01/col. 3"														
																
Sub Total Salaries	0	"Sum of lines 1, 22.01, 26.01, and 27.01/col.3"														
																
Adjusted Salaries	0	Adjusted Salaries= Sub Total Salaries - Sub-Tot-A + Sub-Tot-B														
		 														
Total Paid Hours																
line1/col. 4																
																
Other Paid Hours 																
line2/col. 4	0															
line3/col. 4	0															
line4.01/col. 4	0															
line5/col. 4	0			 												
line5.01/col.4	0															
line6/col. 4	0															
line6.01/col. 4	0															
line7/col. 4	0															
line8/col. 4	0															
line8.01/col. 4	0															
Sub-Tot-C	0	Sub-Tot-C = line2+line3+line4.01+line5+line5.01+line6+line6.01+line7+line8+line8.01														
line9/col. 4	0	              Overhead Allocation		 												
line9.01/col. 4	0															
line9.02/col. 4	0															
line9.03/col. 4	0															
line10/col. 4	0															
line11/col. 4	0															
line12/col. 4	0															
Sub-Tot-D	0	Sub-Tot-D = line9+line9.01+line9.02+line9.03+line10+line11+line12														
																
Overhead Contract Labor Hours																
22.01/col. 4	0															
26.01/col. 4	0															
27.01/col. 4	0															
Sum of Overhead Contract Labor Hours	0	"Worksheet S-3, Part II, sum of lines 22.01, 26.01, and 27.01/col.4"														
																
Sub Total Hours	0	"Sum of lines 1, 22.01, 26.01, and 27.01/col.4"														
																
Adjusted Hours	0	Adjusted Hours = Sub Total Hours - Sub-Tot-C + Sub-Tot-D														
																
"Work Sheet S-3, Part III"																
Total Overhead																
line13/col. 3*																
line13/col. 4*																
																
Calculations																
rev_hrs	0	"rev_hrs = Sub Total Hours  - (S-3, Part II. Col. 4: Line2+line3+line4.01+line5+line5.01+line6+line6.01+line7) + S-3, Part III line13, col. 4"														
ex_rate	0	"ex_rate = (S-3, Part II, Col. 4: line8 +line8.01)/rev_hrs"														
exohsal	0	"exohsal = ex_rate * S-3, Part III line13/col. 3"	 													
exohhrs	0	"exohhrs = ex_rate * S-3, Part III line13/col. 4"														
oh_rate	0	"oh_rate = (S-3, Part III line13/col. 4 - S-3, Part II/col. 4: line 22.01 - line 26.01 - line 27.01) / ((rev_hrs - line 22.01 - line 26.01 - line 27.01 - line 8 - line 8.01) + (S-3, Part III line13/col. 4 - line 22.01 - line 26.01 - line 27.01))"														
ohwrc	0	"ohwrc = (S-3, Part II, Col. 3: line13 + line14 + line18) * oh_rate"														
exohwrc	0	exohwrc = ohwrc * ex_rate														
revised_wages	0	revised_wages = adjusted salaries - (exohsal + exohwrc)														
inflation_factor	 	factor for adjusting to midpoint of cost report year														
inflated_wages	0	inflated_wages = revised_wages * inflation_factor														
revised_hours	0	revised_hours = adjusted_hours - exohhrs														
		 														
Unadjusted Average Hourly Wage	0	Unadjusted Average Hourly Wage = inflated_wages/revised_hours														
																
"*Note:  Beginning with the FY 2008 wage index, Worksheet S-3, Part III line 13, columns 3 and 4 for Total Overhead should"																
"also include the subscripted lines 22.01, 26.01, and 27.01."																
																
				 												
