5.30 Through 6.12

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Seton Family of Hospitals Pay Group: SFA-Seton Healthcare Business Unit: 30074

1345 Philomena Street Pay Begin Date: 05/30/2021 Advice #: 000000034491070


Austin, TX 78723 Pay End Date: 06/12/2021 Advice Date: 06/18/2021

TAX DATA: Federal TX State


Leah Hope Correia Employee ID: 10470564 Tax Status: Single N/A
4600 Mueller Blvd 3132 Department: 10279-4th Floor South Tower Allowances: N/A 0
Austin, TX 78723 Location: Dell Seton Medical Center Addl. Percent: N/A
Job Title: RN-Med Surg
Addl. Amount:
Pay Rate: $2,216.88 Biweekly

HOURS AND EARNINGS TAXES


------------------ Current ------------------- ---------- YTD -------------
Description Rate Hours Earnings Hours Earnings Description Current YTD
CHARGE PAY 1.540000 25.23 38.85 125.42 185.22 Fed Withholdng 218.28 4,231.83
REGULAR 30.790000 62.99 1,939.46 856.12 25,098.28 Fed MED/EE 33.91 515.81
SHIFT PAY - WEEKEND 2.250000 25.48 57.33 258.82 582.38 Fed OASDI/EE 144.98 2,205.54
PTO - UNSCHEDULED 30.790000 12.00 369.48 48.00 1,417.44
Sign-On Bonus 0.00 1,500.00
Critical Staffing Bonus 0.00 1,827.00
OVERTIME 0.00 72.41 3,370.18
PRECEPTOR AMOUNT 0.00 184.17 276.27
Recognition Payment 0.00 1,960.00
SHIFT PAY - EVENING 0.00 1.00 2.50
SHIFT PAY - NIGHT DIFF 0.00 36.90 147.60
TOTAL: 125.70 2,405.12 1,582.84 36,366.87 TOTAL: 397.17 6,953.18
BEFORE-TAX DEDUCTIONS AFTER-TAX DEDUCTIONS EMPLOYER PAID BENEFITS
Description Current YTD Description Current YTD Description Current YTD
Medical 53.37 640.44 AUSTIN PARKING 5.00 60.00 Medical 181.72 2,180.64
Short Term Disability 11.42 130.60 Basic Life 1.63 18.58
Long Term Disability 2.13 24.30 Basic Life* 0.22 1.66
403b 120.26 1,668.95 Basic AD & D 0.27 3.03
Short Term Disability 13.20 150.70
Long Term Disability 3.97 45.40
403b 60.13 834.47
TOTAL: 187.18 2,464.29 TOTAL: 5.00 60.00 *TAXABLE

TOTAL GROSS FED TAXABLE GROSS TOTAL TAXES TOTAL DEDUCTIONS NET PAY
Current 2,405.12 2,218.16 397.17 192.18 1,815.77
YTD 36,366.87 33,904.24 6,953.18 2,524.29 26,889.40
LEAVE PLANS NET PAY DISTRIBUTION
Description End Balance Account Type Account Number Deposit Amount
Paid Time Off 68.38 Advice #000000034491070 Checking ****2493 1,815.77

TOTAL: 1,815.77

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