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Wage Index Information - Worksheet S-3

HCRIS version
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Direct Care - Part II

Facility Personnel

Line 13

Non-physician Contract Labor

Line 14

Home Office Labor

Line 16

Wage Related - Other

Line 22

Total Facility

Sum of lines 13, 14, 16, and 22

Contract Labor - Physician

Part A - line 15

Overhead - Part III

Employee Benefits

Line 1

Administrative and General

Line 2

Plant Oper, Maint, & Repairs

Line 3

Laundry and Linen Service

Line 4

Housekeeping

Line 5

Dietary

Line 6

Nursing Administration

Line 7

Central Services & Supply

Line 8

Pharmacy

Line 9

Medical Records

Line 10

Social Service

Line 11

Other

Line 13

Total Overhead

Line 14

Direct Care - Part II

Facility Personnel

Line 16

Non-physician Contract Labor

Line 17

Home Office Labor

Line 18

Wage Related - Other

Line 22

Total Facility

Line 23

Contract Labor - Physician

Part A - line 24

Overhead - Part III

Employee Benefits

Line 1

Administrative and General

Line 2

Plant Oper, Maint, & Repairs

Line 3

Laundry and Linen Service

Line 4

Housekeeping

Line 5

Dietary

Line 6

Nursing Administration

Line 7

Central Services & Supply

Line 8

Pharmacy

Line 9

Medical Records

Line 10

Social Service

Line 11

Other

Lines 12 - 13

Total Overhead

Line 14