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OhioHealth Corporation
180 East Broad Street
Columbus, OH 43215
Associate ID:
Department:
Location:
Job Title:
Pay Rate:
Kari S. Kennedy
138 Rome Dr
Pataskala, OH 43062
Description
Regular
Shift 2 Evening
Tuition Reimbursed-Before
TAP Authorized
Shift 3 Night
TAP Unscheduled
Holiday Pay
WorkShop
80.00
BEFORE-TAX DEDUCTIONS
Description
Current
Medical - PCA
114.00
Dental
18.37
Vision Service Plan
10.35
403(b) Savings Plan
149.96
FSA - Health Care Account
96.15
YTD
1,140.00
183.70
103.50
1,499.13
961.52
TOTAL:
3,887.85
LEAVE BALANCES
Available Balance
60120
13040-Neonatal Special Care
Riverside Methodist Hospital
Clinical Nurse Mgr
$32.740000 Hourly
------Rate
32.740000
4.750000
TOTAL:
Current
YTD
388.83
TOTAL GROSS
2,999.20
34,817.50
TAP
163.14
SSP
0.0
2,999.20
TAX DATA:
Marital Status:
Allowances:
Addl. Pct:
Addl. Amt:
Federal
Single
0
OH State
Not applicable
0
60.00
10.00
48.00
30.00
8.00
2.00
--------Earnings
24,555.00
3,562.50
4,835.00
327.40
228.00
982.20
261.92
65.48
Description
Fed Withholdng
Fed MED/EE
Fed OASDI/EE
OH Withholdng
OH COLUMBUS Withholdng
OH SW LCKNGSD
Withholdng
1,598.00
34,817.50
TOTAL:
YTD
YTD
41.40
48.60
13.80
11.10
275.00
231.72
50.70
162.58
22.17
15.00
TOTAL:
91.09
872.07
TOTAL TAXES
889.95
8,895.98
PERS LEAVE
Payment Type
Advice #000000003402870
RVHSP
000000003402870
05/20/2011
10.00
TAXES
-----Hours
750.00
750.00
AFTER-TAX DEDUCTIONS
Description
Current
Group Term Life
4.14
AD&D (Personal Acc. Ins.)
4.86
Dependent Life Insurance
1.38
Supplemental Spousal Life
1.15
Long Term Disability
27.50
Nutrition Deduction
24.93
Riverside Gift Shop
6.30
Tim Horton's
20.83
RMB Pharmacy
0.00
United Way
0.00
0.0
Business Unit:
Check #:
Check Date:
Description
YTD
5,431.34
400.11
1,158.94
1,020.00
689.86
195.73
889.95
8,895.98
YTD
*TAXABLE
TOTAL DEDUCTIONS
479.92
4,759.92
6.15
Current
543.36
40.02
115.94
102.04
69.01
19.58
TOTAL:
NET PAY
1,629.33
21,161.60
Amount
$200.00
$1,429.33
$1,629.33