North Shore University Hospital 300 Community Dr, Manhasset, NY 11030 (516) 734-7000 INBAL ES-HAGHIAN 2 Sorgi Ct. Plainview, NY 11803 Check Date : 10/13/2022 Net Pay : $1,570.19 General Tax Data Person Number: 165349 Period Type: Hourly Rate: 53.40 Business Unit: MAMMO Pay Begin Date: Pay End Date: Dept: Job Title: 73604010 Mammo - Ultrasound DIC Ultrasound Tech - Reg Bi Weekly Cycle One 09/25/2022 10/08/2022 Earnings Summary Federal State Local Tax Status: Single NY: Married N/A Allowances: 0 0 N/A Add'l Pct: Add'l Amt: N/A 0.00 N/A 0.00 N/A N/A Tax Deductions Hours Current Amount Current Hours YTD Amount YTD Description Current YTD Regular Hours 17.50 922.07 808.12 36,820.75 FIT Withheld 275.49 3,436.12 Absent 0.00 0.00 24.00 1,080.30 Medicare Employee Withheld 35.47 668.36 Earnings Holiday 0.00 0.00 44.50 2,003.05 SDI Employee Withheld (NY) 1.20 21.95 PTO Day 32.00 1,683.93 184.00 8,551.46 SIT Withheld (NY) 101.78 1,860.00 Holiday Worked 1.5 0.00 0.00 13.25 894.62 Social Security Employee Withheld 151.67 2,857.82 Wellness Credit 0.00 60.00 0.00 1,260.00 2,666.00 1,073.87 50,610.18 TOTAL: 565.61 8,844.25 TOTAL: Earnings Details Earnings Start Date End Date Hours/Units Rate Factor Amount Regular Hours 8.00 51.85 1.00 414.76 Regular Hours 9.50 53.40 1.00 507.31 PTO Day 16.00 53.40 1.00 854.41 PTO Day 16.00 51.85 1.00 829.52 Wellness Credit 0.00 PRE-TAX DEDUCTIONS Description Flex Den Flex Med Flex Vis TA403b Un EECntr TOTAL: Current 31.30 182.34 5.96 260.60 Year to Date 480.20 9,451.29 568.27 3,829.14 118.86 4,935.02 POST TAX DEDUCTIONS Description Current UD 1199 50.00 TOTAL: 50.00 Year to Date 857.02 857.02 60.00 TAXABLE FRINGE BENEFITS Description TOTAL: Current Year to Date 0.00 0.00 Paycheck Summary Description Gross Earnings Federal Taxable Gross Total Deductions Total Taxes Current 2,666.00 2,185.80 530.20 565.61 Net Payment 1,570.19 Year to Date 50,610.18 41,158.89 10,308.31 8,844.25 31,457.62 Paycheck Number Payment Type Account Type Account Number Amount Advice #5363729859 Direct Deposit CHECKING XXXXXX0260 1,570.19 Net Pay Distribution Total Net Pay Absence Balances Message: 1,570.19 Visit myExperience for most current absence balances.