Page 14 - Financial Workbook December

Payroll Details

Hours and Earnings Taxes Deductions Employer
Description Hours Rate Amount Tax Amount Deduction Amount Net Pay Liability Amount
FED $21.95 FED FUTA $2.15
MEDCARE TN SUI-ER $25.93
$161.67 $143.90
Total Employees - 510 - Physical Therapy: 2
Department: 511 - Occupation Therapy
Employee: DeLancey, Gregory C SSN: xxx-xx-8897
Regular 22.48 40.0000 899.20 FED FIT 37.00 755.34 FED SOCSEC-ER 55.75
22.48 899.20 FED SOCSEC 55.75 FED MEDCARE-ER 13.04
FED 13.03 68.79
MEDCARE
KY SIT 38.08
143.86
Check Date: 12/22/2017 / Direct Deposit / Checking / Account No: XXXXXXXXX9780 $755.34
Employee: Tish, Russell SSN: xxx-xx-1163
Regular 31.08 45.9100 1,426.88 FED FIT 180.23 1,068.39 FED SOCSEC-ER 88.47
31.08 1,426.88 FED SOCSEC 88.47 FED MEDCARE-ER 20.69
FED 20.69 109.16
MEDCARE
KY SIT 69.10
358.49
Check Date: 12/22/2017 / Direct Deposit / Checking / Account No: XXXXXX7252 $1,068.39
Department Totals: 511 - Occupation Therapy
Regular 53.56 $2,326.08 FED FIT $217.23 $1,823.73 FED SOCSEC-ER $144.22
53.56 $2,326.08 FED SOCSEC $144.22 FED MEDCARE-ER $33.73
FED $33.72 $177.95
MEDCARE
KY SIT $107.18
$502.35
Total Employees - 511 - Occupation Therapy: 2
Department: 512 - Speech Therapy
Employee: Delancey, Erin SSN: xxx-xx-0248
Regular 27.38 65.0000 1,779.70 FED FIT 148.73 1,405.68 FED SOCSEC-ER 110.34
27.38 1,779.70 FED SOCSEC 110.34 FED MEDCARE-ER 25.81
FED 25.80 136.15
MEDCARE
KY SIT 89.15
374.02
Check Date: 12/22/2017 / Direct Deposit / Checking / Account No: XXXXXXXXX9780 $1,405.68
Department Totals: 512 - Speech Therapy
Regular 27.38 $1,779.70 FED FIT $148.73 $1,405.68 FED SOCSEC-ER $110.34
27.38 $1,779.70 FED SOCSEC $110.34 FED MEDCARE-ER $25.81
FED $25.80 $136.15
MEDCARE

Company: Paris Senior Living LLC 8 of 12 Date Printed: 01/18/2018 19:14
Check date: 12/22/2017 - Payroll 1 Run Number: 0063 23400335 - R8/OR9
Pay Period: 12/01/2017 to: 12/15/2017