PAID ON BEHALF OF: HCA HEALTH SVC OF FL,INC
77129496 MATTHEW L VALENTINE DATE: 12/02/2022
FACILITY: HCA FL OAK HILL HOSPITAL 11375 Cortez Boulevard, Brooksville, FL 34613 352-596-6632 PROCESSLEVEL: 00643 EMPLOYEE ID: 076127533
STATEMENT OF EARNINGS AND DEDUCTIONS
DESCRIPTION Productv 12HrShft Weekend HoIDiff% TobDscnt SignBnND Orient Educ PTO PTOC/I75 Max Out Overtime PkUpShfB Retro TobRefnd LoVolHrs
HOURS 73.75 70.50 25.00 4.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RATE EARNINGS YEAR-TO-DATE 32.7900 2,418.26 34,936.87 4.7500 334.88 5,092.12 3.0000 75.00 1,711.25 16.3950 65.58 348.23 0.0000 25.00 525.00 0.0000 0.00 10,000.00 0.0000 0.00 7,128.25 0.0000 0.00 5,191.91 0.0000 0.00 1,967.40 0.0000 0.00 909.92 0.0000 0.00 825.55 0.0000 0.00 539.50 0.0000 0.00 300.00 0.0000 0.00 182.88 0.0000 0.00 25.00 0.0000 0.00 0.00
DESCRIPTION SSEE Medicare FIT WH Medical Dental 401K % 401K$ UDuSEI01 COPE UDue CNA CPHomAut
TAXES/DEDUCT YEAR-TO-DATE 177.99 4,266.82 41.62 997.88 352.71 9,222.91 38.13 800.73 10.36 217.56 116.75 230.00 0.00 605.00 48.37 972.65 5.00 120.00 33.28 323.21 0.00 204.06
TOTAL EARNINGS
>>>
2,918.72
69,683.88
NON CASH DESC TuitDBNT Imp Inc PrizeGft
EARNINGS 1,350.00 0.44 0.00
YEAR-TO-DATE 2,700.00 4.78 149.23
Total Deductions
824.21
17,960.82
NET PAY >>> PAY PERIOD
2,094.51 11/13/2022 - 11/26/2022
YEAR-TO-DATE TAXABLE WAGES
ACCRUAL PLAN PTO
ACCRUAL 7.09
BALANCE 51.19
FIT WH SS EE Medicare
67,984.60 68,819.60 68,819.60
TAX STATUS/CODE FED S
EXEMPTIONS 0
ADD'L AMT 25.00
ACCT NUMBER XXXXXXXXXX4184
DIRECT DEPOSIT
AMOUNT 2,094.51
YOUR ESPP BALANCE FOR THIS PURCHASE PERIOD IS:
$0.00
HCA FL OAK HILL HOSPITAL 11375 Cortez Boulevard Brooksville, FL 34613 352-596-6632
DEPOSIT VOUCHER ONLY - NOT A CHECK
77129496
DATE: 12/02/2022
AMOUNT $***0.00
ZERO DOLLARS AND 00/100
MATTHEW L VALENTINE 11516 NORVELL RD SPRING HILL, FL 34608
PAYROLL DIRECT DEPOSIT VOUCHER
NON-NEGOTI